Heidi Tandy 123121BOARD AND COMMITTEE CHECKLIST
APPOINTEE: __Heidi Tandy __________ DATE OF APPOINTMENT: ____1/17/2020__________
BOARD/COMMITTEE: Human Rights Committee_______ Appointed by: ___________________________
FOR SCANNER FOR CLERK STAFF
Scan ○ ○Letter of Appointment TERM END: _______________ TERM LIMIT: _____________
Scan ○ ○Letter of Reappointment
○Copy of Letter of Appointment/Reappointment e-mailed to Committee Liaison on
_____________
Scan ○ ○Board and Committee Application (Completed on )
Scan ○ ○Résumé/Curriculum Vitae
○Diversity Statistics Reporting (Completed on )
Scan ○ ○Oath
IMPORTANT INFORMATION FOR BOARD AND COMMITTEE MEMBERS BOOK
✓ City Code Ordinance Section applicable to the agency, board or committee
✓ 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
amended through December 2010)
✓ Amendments to the Code of Ethics Ordinance (September 2009 through July 2012)
✓ Highlights of the Miami-Dade County Ethics Code
✓ Sunshine Law and Public Records – Frequently Asked Questions
✓ Memorandum - Solicitation by City Board and Committee Members
○Citywide Permit Application (Parking Department Form)
○Booklet – Guide to Sunshine Amendment & Code of Ethics for Public Officers and Employees
Scan ○ ○Source of Income Statement
Scan ○ ○Acknowledgment of Financial Disclosure Requirement
○DIVERSITY STATISTICS REPORTING Keep COPY in file and ORIGINAL for Annual Report.
Received on: _______________________ Signed by X_______/hht/__________________________________
Date Board or Committee Member
Processed on: ______________________ By Employee: ________________________________________________
Date City Clerk’s Office Staff Initials
Scanned on: ______________________ By Employee: ________________________________________________
Date City Clerk’s Office Staff Initials
CONCLUDED & RESIGNATION LETTERS
Term Expired Letter Date Processed Initials Scan ○
Resignation Letter Date Processed Initials Scan ○
Removal Letter due to absences Date processed Initials Scan ○
F:\CLER\BOARD AND COMMITTIES DATABASE\CHECKLIST MASTER\B&C Checklist 2015 MASTER.docx
City Commission
12/31/2021 12/31/2023
1/17/2020 1/17/2020
3/27/2020
3/27/2020
3/27/2020
3/27/2020
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 Name Middle Name/Initial
Mailing Address – Street Number, Street Name, or P.O. Box
City, State, Zip
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 as an Employee (check one)
*County *Public Health Trust *Municipal: _________________________________________________
(Municipality)
Department
Position or Title Employee ID Number
Work address Work telephone Employment began on/ended on
Filing as a Board Member (check one)
*County *Municipal: _________________________________________________
(Municipality)
Board where serving
Alternate address (if home address is exempt)Work telephone Term began on/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
SOURCE OF INCOME STATEMENT
OFFICE USE ONLY Accepted: Y / N Deficiency:________________________________ Processed Date/Initials:__________________ Scanned Date/Initials: __________________
RECEIVED BY ELECTIONS DEPARTMENT:
*Hardcopy
*Electronic Copy
138_SP-14 COE 2016
I hereby swear (or affirm) that the information above is a true and correct statement.
_______________________________________________________________________
Signature of Person Disclosing
_________________________
Date signed
2019 Tandy Heidi Howard
1691 Michigan Ave. Suite 250
Miami Beach, FL 33139
Miami Beach
Human Rights Committee
3059262227 1/1/2019
Law Practices 1691 Michigan Ave., Suite 250
Miami Beach, FL 33139
and Pathman Lewis, Miami FL
Law Practices for self and husband
Dividends 1691 Michigan Ave., Suite 250
Miami Beach, FL 33139
Stock dividends
Silver Heel, LLC and Howard Family
Partners
1691 Michigan Ave., Suite 250
Miami Beach, FL 33139
Real estate ownership/mgmt
Heidi Howard Tandy
Verified by PDFfiller
06/26/2019
06/26/2019
MIAMI BEACH
DIVE RSITY STATISTIC S REPORTING
Name: Heidi Tandy
Board I Committee: Human Rights Committee
Appointment Date: 2020
Pursuant to City of Miami Beach Ordinance 2009-3632, the City is required to annually
prepare and present a report to the City Commission identif ying the City's diver s ity
statistics. This form allows board and committee applicants and members to voluntar i ly
self-identify their race, ethnicity, disabled status and gender.
Please check the appropriate box for each category:
C:\Users\CENTFraN\AppD2ta\Local\Microsolt\W indows\Temoorary Intsrne!. Fi!es\Content. Outlook\NP4J9CNX\8C rni;;oii1y
information form 05·20-13 FINAL.doc
Updated: Monday, January 26. 2015
Gender: Male 0 Female 0
Race/Ethnic Categories
What is your race? African-American/ Black
Caucasian White
/
Asian or Pacific Islander
Native-American/Ame rican Indian
Other - Print Race: ---------------------
Do you consider yourself to be Spanish, Hispanic or Latino/a? Mark the "No" box i f not
Spanish, Hispanic, Latino/ a.
O No
0Yes
Do you consider yourself Physically Disabled?
O No
0Yes