Adam Kravitz 12/31/22BOARD AND COMMITTEE CHECKLIST
APPOINTEE: ____________________________________ DATE OF APPOINTMENT: ______________
BOARD/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________________________________________________
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
Adam Kravitz
6 October 2020
(for 1 January 2021)
Police Citizens' Relations Committee Ricky Arriola
12/31/2022 12/31/2022
10/8/2020
10/8/2020
10/8/2020
10/8/2020
10/8/2020
10/9/2020
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: 305.673.7411, Fax: 305.673.7254
Email: CityClerk@miamibeachfl.gov
October 06, 2020
Mr. Adam Kravitz
2982 Alton Road
Miami Beach, FL 33140
SUBJECT: Police/Citizens Relations Committee
Congratulations! You have been reappointed by Commissioner Ricky Arriola to the above referenced,
board or committee named above, for a term ending: 12/31/2022.
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.
Congratulations and good luck.
Regards,
Rafael Granado
City Clerk
cc: Saul Frances, Parking Director
Chief Rick Clements, City Liaison
ATTACHMENTS:
Letter of Appointment
Oath
City Code/Ordinance section applicable to agency, board or committee
City Code Section 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 Ordinance
City Wide Permit Application - (Parking Department Form)
Booklet - Guide to 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.
Oath of Office Oath
of Civility and
Acknowledgements
TO: Mr. Adam Kravitz
RE: Police/Citizens Relations Committee
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: 12/31/2022.
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.
________________________________ Mr. Adam
Kravitz
Sworn to and subscribed before me this day of , 2020
________________________________
Charles D'Agostin
Deputy 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.
8 October
M IA M I BEACH
City of Miami Beach
l 700 Convention Center Drive
M iam i Beach, Florida 33139
OFFICE OF THE CITY CLERK
Email: BC@miamibeachfl_goy
Telephone: 305.673.7 411
AFFIDAVIT OF AFFILIATION WITH THE CITY OF MIAMI BEACH
STATE OF FLORIDA
COUNTY OF Miami-Dade
I am in compliance with the affiliation requirement of Miami Beach City Code Sections 2-22 (4),
as (check(✓) all that apply):
~ I am a resident of the City of Miami Beach for six months or longer.
O I have an ownership interest (for a minimum of six months) in a business established in the
City of Miami Beach (for a minimum of six months).
O I am a full-time employee of a business (for a minimum of six months) and I am based in an
office or other location of the business that is physically located in Miami Beach (for a
minimum of six months).
"Ownership Interest" means the ownership of ten percent (10%) or more (including the
ownership of 10% or more of the outstanding capital stock) in a business.
"Business" means any sole proprietorship, sponsorship, corporation, limited liability company,
or other entity or business association.
Under penalties of perjury, I declare that I have read the foregoing document and that the facts
stated in it are true. a._. soao-zozo
-------------- Signature
Adam Kravitz
Date
Printed Name
NOTARY
Sworn to (or affirmed) and subscribed before me, by means of [] physical presence or [ online
notarization, this _8_ day of October , 2020_b y Adam Kravitz
_______________ (City of Miami Beach Board/Committee Member).
RECEIVED
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Signature,af Notary Pjbii . Ch ar les D'Agostin
Name of Notary, Typed, Printed, or Stamped