Julio Magrisso 12/31/22_,i ii ! -·•-
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IAMIBEACH
BOARD AND COMMITTEE CHECKLIST 1/13/2
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APPOINTEE:, /.yo_ 2_/4491550 DATE OF APPOINTMENT:
BOARDCOMMITTEE:/'A2_¿hg«Ga1 Apointe4y. _Q6oh _
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Scan o o Résumé/Curriculum Vitae
o Diversity Statistics Reporting (Completed on J!_4-à )y
o Oath r
IMPORTANT INFORMATION FOR BOARD AND COMMITT EE MEMBERS BOOK
City Code Ordinance Section applicable to the agency, board or committee RECEIVED " city code sections 2-21, 2-22, 2-23. 2-24, 2-25, 2-26, 2-458 an8 2-459
' ✓County Code Section 2-11.1 -- Conflict of Interest and Code of Ethics Ordinance (as
amended through December 2010)
9CT1i292} 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
]TY OF Mi EACH Memorandum - Solicitation by City Board and Committee Members
OFFICE O THE OT CLERK
O Citywide Permit Application (Parking Department Form)
o Booklet -- Guide to Sunshine Amendment & Code of Ethics for Public Officers and Employees
Scan o o Source of Income Statement
Scan o o Acknowledgment of Financial Disclosure Requirement -..pz.cc:
).o Processed o: /l.' yEmploye
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CONCLUDED & RESIGNATION LETTERS
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Removal Letter due to absences Date processed Initials Scan o
F:\CLER\BOARD AN D COMMITTI ES DAT ABASE\CHECKLIST MASTER\B&C Checklist 2015 MASTER.docx
We are comitted to providing excellent public service and saley to all who live, wor k, and ploy in our vibrant, topical, historic community.
IAMB
City of Miami Beach, 1700 Convention Center Dive, Miami Beach, Florida 33139 y¿w¿_maibeachf_go
OFFICE OF THE CITY CLERK, Rafael E. Granado, City Clerk
Tel: 305.673.7411, Fax. 305.673.7254
Email: Cit/Cl erk@miamibeachíl.gov
October 12, 2020
Mr. Julio Magrisso
1170 Stillwater Drive
Miami Beach, Florida 33141
RE: Marine and Waterfront Protection Authority
Dear Mr. Julio Magrisso:
Congratulations! You have been appointed by Commissioner Michael Góngora to the above-referenced
Board or Committee, 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 as they concern your duties, responsibilities, and
requirements as a board or committee member,
Congratulations again and good luck,
Regards,
Rafael Granado
City Clerk
cc: Saul Frances, Parking Director
Tasha Byars, 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 - Guide to the Sunshine Amendment and Code of Ethics for Public Officers and Employees
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Oath of Office Oath
of Civility and
Acknowledgements
TO: Mr. Julio Magrisso
RE: Marine and Waterfront Protection Authority
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. Julio
_a_.2o2o
22
D'Agostin
puty 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.
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MIAMI BEACH
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florid 33139
www,miamibeachfl.gov
OFFICE OF THE CITY CLERK
Email: C@miamibeachfl._goy
Telephone: 305.673.7411
BOARD & COMMITTEE FINANCIAL ACKNOWLEDGEMENT STATEMENT
Acknowledgement of fines/suspension for Board/Committee Members for failure to comply with Miami-
Dade County Financial Disclosure Code Provision Code Section 2-11.1(i) (2)
Aa,Has o • • Last Name First Name Middle Initial
l understand that no later than July 1_of each year all members of Boards and Committees of the City of Miami
Beach, including those of a purely advisory nature, are required to comply with Miami-Dade County Financial
Disclosure Requirements.
One of the following fonn s must be filed with the City Clerk of Miami Beach, 1700 Convention Center Drive,
Miami Beach, Florida, no later than 12:00 noon of July 1, of each year:
1. A"Source of Inco me Statem ent;" or
2. A "Statement of Financial Interests (Form 1)1;" or
3. A Copy of your latest Federal Income Tax Return .
Failure to file one of theseTo?m s, pursuant to the Miam i-D ade County Code, may subject the person to a fine
of no mg than $500, 60 d ys ih jai l, or both. oll/>
Date 7-
1 Mem ber s of the Planning Board and Board of Adjustment will be notified directly by the State of Florida,
pursuant to F.S. $112.3145(1)a) to file a Statement of Financial Interests (Form 1) with the Miami-Dade County
Supervisor of Elections by 12:00 noon, July 1. Planning Board and Board of Adjustment members who file their
Form 1 with the County Supervisor of Elections automatically satisfy the County's financial disclosure
requirement as a Miami Beach City Board/Committee member and need not file an additional form with the Office
of the City Clerk. However, compliance with the County disclosure requirement does not satisfy the State
requirement.
Page 5 of 6
F:ACLERISALLREGBOARD AND COMMITTEE APPLICATIONS FINAL DRAFTS\BOARD AND COMMITTE E APPLICATION REG FINAL.docx
Updated: June 2020 _7 r.... . .. ··--·-·-~-1
ns.Es) GlB , ..... SOURCE OF INCOME STATEMENT
Section 2-11.1() of the County Ethics Code requires that certain employees and public officials file a financial disclosure Statement on a yearly basis by July 1gt of every year,
Disclosure for Tax Year Ending I Last Name First Name Middle Name/Initial
2o19 1AA91sso 7U.e • Mailing Address - Street Number, Street Name, or P.O. Box . I:
Da0 1/70 Sr ' City, State, ZIp
i Al, .r//
your home address is your mailing address/an3your home address is exempt from public records pursuant to Fla. Stat. $119.07, read
instructions on the following page and check hré.[]
Fling as an Employee (check one)
□County O Public Health Trust [] Municipal:
(Municipality)
Department
Position or Title Employee ID Number
Work address I Work telephone Employment began on/ended on
Filing as a Board Member (check one)
□County 2] Municipal: /a4,eu
(Municipality)
Board where serving
Alternate address (if home address is exempt) I Work telephone I Term began on/ended on
List below every source of income you received, along with the address and the principal activity of each source. Include your public salary. Place the sources of
income in descending order, with the largest source first Examples of sources of income include: compensation for services, income from business, gains from
property dealings, interest, rents, dividends, pensions, IRA distributions, and social security payments. Also, include any source of income received by another
person for your benefit. However, the income of your spouse or any business partn er need not be disclosed. If continued on a separate sheet, check here.[]
I Name of Source of Income I Address I Descñption of the Principal Business Activity
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swear (or affirm) that the infor(atibn above is a true and correct statement. RECEIVED BY ELECTIONS DEPARTMENT:
· 1copy
CE USE ONLY Accepted: Y I N Deficiency._ Processed Date/initials: Scanned Date/Initials:
-14 COE 2016
M IAM I BEACH
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 33139
www .miamibe achfl,goy
OFFICE OF THE CITY CLERK
Email: BC@miamibeachfl.gov
Telephone: 305.673.7411
DIVERSITY STATISTICS REPORT
/44/5$o 7. 2.
Last Name First Name Middle Initial
The following information is voluntary and has no bearing on your consideration for appointment. It is being
asked to comply with City diversity reporting requirements.
Gender:
ríe
enate
loner
O I prefer not to answer.
Race/Ethnic Categories:
What is your race?
O African American/Black
~ Asia. n or Pacific Islander
Caucasian/White
LI Native American/American Indian O Other- Print Race: · _
O I prefer not to answer.
Do you consider yourself to be Spanish, Hispanic, or Latino/a?
fves
Jo
O I prefer not to answer.
Do you consider yourself Physically Disabled?
ves
fo Ll prefer not to answer this question.
Page 6 of 6
F:CLERISALLREGBOARD AND COMMITTEE APPLICATIONS FINAL DRAFTS\OARD AND COM MITTE E AP PLICATION REG FINAL.docx
Updated: June 2020
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MIAMI BEA CH
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 33139
OFFICE OF THE CITY CLERK
Email: BC@lamibeachfl.go¥
Telephone: 305.673.7411
AFFIDAVIT OF AFFILIATION WITH THE CITY OF MIAMI BEACH
s1Arr 09 2 f),„1j)y
couNn or[Tl /JltJ
l am in compliance with the affiliation requirement of Miami Beach City Code Sections 2-22 (4),
as (check (/) all that apply):
] 1am 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.
, I declare that l have read the foregoing documen t and that the facts
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- Date
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NOTARY
Sworn to (or affirmed) and subscribed before me, by means of D physical presence or online
- ;- } a4 oar ao. ws!S ey or.2robe__,coo J4'g _C'so
/
{City of Miami Beach Board/Committee Member). ---------,------ l,eose \ X Produced ID -z--
Form of Identification
P erson al ly K9own)3 'jJ$ ?
- 2 at Sign atur é of/otary Public
Name of Notary, Typed, Printed, or Stamped
(NOTARY SEAL) e Charles J. DAgostin
NOTARY PUBLIC
2 STATE OF FLORIDA
Comm# GG168171
e p ire s 12/14/2021
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