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Monica Matteo-Salinas 12/31/21 MIAI\AI BEACH BOARD AND COMMITTEE CHECKLIST APPOINTEE: 4.0 ) ( C 9-'114/ 4° / ATE OF APPOINTMENT: mar) BOARD/COMMITTEE: AO &)/14471 It�SS/6OAppointed by: zQAV1A (S.(----/14(4e(otev dor- vMC"J FOR SCANNER FOR CLERK STAFF 73/67 Scan o o Letter of Appointment TERM END:/��31 �/ TERM LIMIT:/� 7 Scan o o Letter of Reappointment o ..y of L- er of.Appointment/Reappointment e-. ailed to Committee Liaison on Scan o Board and Committee Application (Completed on ,0 Scan o o Resume/Curriculum Vitae o Diversity Statistics Reporting (Completed on (it?' c)-- Scan Scan o o Oath IMPORTANT INFORMATION FOR BOARD AND COMMITTEE MEMBERS BOOK ✓ City Code Ordinance Section applicable to the agency, board or committee RECEIVEL ✓ City Code Sections 2-21, 2-22, 2-23, 2-24, 2-25, 2-26, 2-458 and 2-459 ✓ County Code Section 2-11.1 — Conflict of Interest and Code of Ethics Ordinance (as FEB 2 '5 2020 amended through December 2010) ✓ Amendments to the Code of Ethics Ordinance (September 2009 through July 2012) ✓ Highlights of the Miami-Dade County Ethics Code CITY OF MIAMI BEACH ✓ Sunshine Law and Public Records—Frequently Asked Questions OFFICE OF THE CITY CLERK ✓ Memorandum - Solicitation by City Board and Committee Members O Citywide Permit Application (Parking Department Form) O Booklet—Guide to Sunshine Amendment& Code of Ethics for Public Officers and Employees Scan 0 0 Source of Income Statement Scan 0 0 Acknowledgment of Financial Disclosure Requirement O DIVERSITY STATISTICS REPORTI / Keep COPY in file and ORI INAL fo Annua p-po b... Received on: g � — �O Signed by , A ` Jiii t �p DateatBo- • or ommitte- ember Processed on: J — ?Uy Employee: `� Date • y; office Staff Ini s Scanned on: -.1)c r� O By Employee: Date s"y 's o e no 114.10 CONCLUDED & RESIGNATION LETTERS Term Expired Letter Date Processed Initials Scan 0 Resignation Letter Date Processed Initials Scan 0 Removal Letter due to absences Date processed Initials Scan 0 F:\CLER\BOARD AND COMMITTIES DATABASE\CHECKLIST MASTER\B&C Checklist 2015 MASTER.docx We ore committed to providing excellent public service and safely to all who live, work, and play in our vibrant, tropical historic community MIAMI BEACH City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139 www.miamibeachfl.gov OFFICE OF THE CITY CLERK, Rafael E. Granado,City Clerk Tel: 305.673.741 1, Fax: 305.673.7254 Email: CityClerk@miamibeachfl.gov April 01, 2020 Ms. Monica Matteo-Salinas 525 Meridian Ave Apt 301 Miami Beach, Florida 33139 RE: Miami Beach Commission For Women Dear Ms. Monica Matteo-Salinas: Congratulations!You have been appointed by Commissioner Mark Samuelian to the above-referenced Board or Committee, for a term ending: 12/31/2021. Pursuant to City of Miami Beach Code Section 2-22 (5)a: Notwithstanding any other provision of the City Code or of any Resolution, commencing with terms beginning on or after January 1, 2007, the term of every board member who is directly appointed by a member of the City Commission shall automatically expire upon the latter of: December 31 of the year the appointing City Commissioner leaves office or upon the appointment/election of the successor City Commission member. If you are unable to accept this appointment, or have any questions, please call the Office of the City Clerk at 305.673.7411. Please read the enclosed materials carefully as they concern your duties, responsibilities, and requirements as a board or committee member. Congratulations again and good luck. Regards, Rafel ran do City Clerk cc: Saul Frances, Parking Director Tathiane Trofino, City Liaison ENCLOSURES: Oath of Office/Oath of Civility/Acknowledgements City Code/Ordinance section applicable to agency, board or committee City Code Sections 2-22, 2-23, 2-24, 2-25, 2-26, 2-458 and 2-459 Ordinance No. 2006-3543-Amendment to City Code Section 2-22 Miami-Dade County Code Section 2-11.1 - Conflict of Interest and Code of Ethics City Wide Permit Application- (Parking Department Form) Booklet- Guideto the Sunshine Amendment and Code of Ethics for Public Officers and Employees We are committed to providing excellent public service and safety to all who live, work and play in our vibrant,tropical,historic community. ti 7NIS 'NStcZ, PproLli 262_0 . MIAMIBEACH City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139 www.miamibeachfl.gov OFFICE OF THE CITY CLERK, Rafael E.Granado, City Clerk Tel: 305.673.741 1, Fax: 305.673.7254 Email: CityClerk@miamibeachfl.gov Oath of Office Oath of Civility and Acknowledgements TO: Ms. Monica Matteo-Salinas RE: Miami Beach Commission For Women I do solemnly swear or affirm to bear true faith, loyalty and allegiance to the Government of the United States, the State of Florida, and the City of Miami Beach, and to perform all the duties of a member of the above-mentioned board or committee of the City of Miami Beach to which I have been appointed for a term ending: 12/31/2021. To my colleagues and to all of those I represent and serve, I pledge fairness, integrity and civility, in all actions taken and all communications made by me as a public servant. I have been issued a copy of section 2-11.1 of the Miami-Dade County Code (Conflict of Interest and Code of Ethics Ordinance), as well as Florida Commission on Ethics Guide to the Sunshine Amendment and Code of Ethics for Public Officers and understand that as a member of a City of Miami Beach Board and/or Committee, I must comply with the financial disclosure* requirements of Miami-Dade County or the State of Florida (depending on the board or committee on which I serve) on July 1st, following the closing of the calendar year on which I have served. `Nf f/(�' A� .� / / lied; (/(Z s. iVlonica Matteo- -linas Sworn to and subscribed before me this % •-y of , 2020 SFr/ d 'Agostin uty Clerk *Please visit the City of Miami Beach website at www.miamibeachfl.gov under City Clerk/Board and Committees for additional information regarding the Financial Disclosure Requirements. We are committed to providing excellent public service and safety to all who live, work and play in our vibrant,tropical,historic community. MIAMI BEACH DIVERSITY STATISTICS REPORTING Name: -� ( CiCtS1 Board / Committee: V v . 07`1A' --ah,Q Appointment Date: � Pursuant to City of Miami Beach Ordinance 2009-3632, the City is required to annually prepare and present a report to the City Commission identifying the City's diversity statistics. This form allows board and committee applicants and members to voluntarily self-identify their race, ethnicity, disabled status and gender. Please check the appropriate box for each category: Gender: Male CI Female k '' Race/Ethnic Categories What is your race? 0 African-American/Black Caucasian/White U Asian or Pacific Islander Native-American/American Indian Other— Print Race: Do you consider yourself to be Spanish, Hispanic or Latino/a? Mark the "No"box if not Spanish, Hispanic, Latino/a. No Yes . Do you consider yourself Physically Disabled? No Yes C:\Users\CENTFraN\AppData\Local\Microsoft\WindoWs\Temporary Internet Files\Content.Outloo'k\NP4J9CNX\8C minority information form 05-20-13 FINAL.doc Updated: Monday,January 26,2015 MIAMI•DADE SOURCE OF INCOME STATEMENT COUNTY Section 2-11.1(i)of the County Ethics Code requires that certain employees and public officials file a financial disclosure Statement on a yearly basis by July 1st of every year. Disclosure for Tax Year Ending Last Name , /First NameleName/Initial 2019j_. — (--e— --.__ Mailing Address—Street Number,Street Name,or P.O.Box 0� 4.0c 1L & — City,State,Zip //G, D F.c._ ?3 (/g p • yC�` C 4..._ �Ij If your home address is your mailing address, and your home address is exempt from public records pursuant to Fla.Stat.§119.07, read instructions on the following page and check here.❑ Filing a n Employee (check one) E County [' ' Health Trust ® Municipal: nicipality) Department Position or Title Employee ID Number Work address Work telep • Employment began on/ended on Filing as a Boa = ember(check one) 4 E Co ty ).•Municipal: . Ak,. _ A....._..... .14._ ��Ar (Municipality) Board where serving 4--(„<___L;4.—___-- .Alternate address(if home address is exempt) Y`� Work telephone Tep egan o ended on List below every source of income you received,along with the address and the principal activity of each source.Include your public salary.Place the sources of income in descending order,with the largest source first.Examples of sources of income include:compensation for services,income from business,gains from property dealings, interest,rents,dividends,pensions,IRA distributions,and social security payments.Also,include any source of income received by another person for your benefit.However,the income of your spouse or any business partner need not be disclosed.If continued on a separate sheet,check here.❑ Name of Source of Income Address Description of the Principal Business Activity . cb)0 -- AteA;161 4(10)7 e G '/t2--- I hereby swear(or affirm)that the information above is a true and correct statement. RECEIVED BY tli IV BT,d�NT: ❑Hardtop AA—by\...,,(___?._„„j viLa,,Mi_e___,..)---1,,„e_A..., k......4y0 l�tl�V/�tI�JJ ❑ Electronic C_o_ny 2 5 2020 Signature of Person Disclosing a? 2---- ' CH OFFFICEOF O MIAMI EITY CLE K Date signed OFFICE USE ONLY Accepted. Y / N Deficiency: Processed Date/Initials: Scanned Date/Initials: 138 SP-14 COE 2016