Julian Linares 12/31/22¡-- ·... . . ... -.u-
I MIAM/BEACH
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BOARD AND COMMITTEE CHECKLIST
APPOINTEE:. L U [LE DATE OF APPOINTMENr. /2/2 812o)
soARD coM wwmrr Ee.lle/ h a }zLuLck·:ní656nea y: ('cu i[,duuel (u, a44
rrw avo. b2/31ha2 +suo//3/h FOR SCANNER
Scan o
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FOR CLERK STAFF
o Letter of Appointment
o Letter of Reappointment [}])'„/$o$$amorres-oro-en ·rotes se corre-
söard an@ Committee Application (completea o, _[2/2, 'Rd O
o Résumé/Curriculum Vitae /? )3 )/
o Diversity Statistics Reporting (Completed onyr -
o Oath
Liaison on
RECEIVED
JAN 13 2021
CITY OF MIAMI BEACH
OFFICE OF THE TTY CLERK
IMPORTAN T INFORMATION FOR BOARD AND .COMMITTE E MEMBERS BOOK
t 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
t County Code Section 2-11.1 - Conflict of fnterest and Code of Ethics Ordinance (as
amended through December 2010)
Y 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
Sca n o
Scan o
Received on:
Processed on:
Scanned on:
o Citywide Permit Application (Parking Department Form)
o Booklet - Guide to Sunshine Amendment & Code of Ethics for Public Officers and Employees
o Source of Income Statement
O Acknowledgment of Financial Disclosure Requirement
I I ~ ~V E R S ITY S T A T IS T IC S R E P O R T IN G K ep PY in file and ORIGIN AL fo r An nual R e p o rt . ..I L2@)/.sas»X. Il•
I Dat?" Board o~o
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ate
C O N C L U D E D & RESIGNATION LETTERS
Term Expired Letter Date Processed Initials Scan O
Resignation Letter Date Processed Initials Scan o
Removal Letter due to absences Date processed Initials Scan O
F:CLER\BOARD AND COMMITTI ES DATABASE\CHECKLIST MA STER\B&C Checklist 2015 MA STER.docx
We are committed to providing excellent public service and safety to all who live, work, and play in our vibrant, topical, historic community
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City of Miam i Beach, 170O Convention Conter Drive, Miami Beach, Hlorida 33139 gy¿y_miamniLagc_hi]go:
OFFICE OF THE CITY CLERK, Rafael E. Granado. Cay Clerk
Tel: 305.673.7411, Fax€ 305.673.72 54
Email: Ci»Clerk@miamibeach8.go
December 30, 2020
Mr. Julian linares
1717 N. Bay Drive #1055
Miami, Florida 33132
SUBJECT; Police/Citizens Relations Committee
Congratulations! You have been reappointed by Commissioner Michael Góngora to the above
referenced, board or committee named above, 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.
Congratulations and good luck.
Regards,
Rafael Granado
City Cl er k
cc : Monica Beltran, 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
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RF A(CH
City of Miami Beach, I/00 Convention Cent er Drive, Miami Beach, Florida 33139 yyyyy_mgiamiboachf]gay
OFFICE OF THE CITY CLERK, Raf0al E. Granado, Cay Clerk
Tel: 305.673.7411, Fac 305.673.7254
Email: Ci Clerk@miamibeachl.gov
Oath of Offi ce
Oath of Civility
and
Acknowledgements
TO: Mr. Julian Linares
RE: Police/Citizens Relations Committee
I do solemnly swear or affirm to bear tru e 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: 12/31/20222
To my colleagues and to all of those I represent and serve, I pledge fairnes s, integrity and civility, in all
actions taken and all communica tions made by me as a public serv ant
I have been issued a co py of section 2-11.1 of the Miami-Dade County Code (Conflict of Interest and
Cod e of Ethics Ordinance), as well as Florida Commission on Ethics Guide to the Sunshine Am endment
and Code of Ethics for Public Offic ers and understand that as a member of a City of Miami Beach Board
and/or Committee, I must co mply 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 calen dar year on which I have served.
Sworn to and subscribed before me this,± , 202l
*Please visit the City of Miami Beach website at www .miamibeachfl.gov under City Clerk/Board and
Committees for additional inform ation reg arding the Financial Discl osure Requirements.
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MIAMI BEACH
City of Miami Beach
1700 Convention Center Drive
Mi ami Beach, Florida 33139
OFFICE OF THE CITY CLERK
Email: BC@miamibeachfl.gov
Telephone: 305.673.7411
AFFIDAVIT OF AFFILIATION WITH THE CITY OF MIAMI BEACH
STATE OF FLORIDA
COUNTY OF
I am in compliance with the affiliation requirement of Miami Beach City Code Sections 2-22 (4),
as (check (/) all that apply):
C2l' I am a resident of the City of Miami Beach for six months or longer.
D 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).
"O wn ership Interest" means the ownership of ten percent (10%) or more (including the
ownersh ip of 10% or m ore of the outstanding capital stock) in a business.
"Business" m ean s any sole proprietorship, sp onsor s hip, corp ora tion , limited liability compan y,
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 ÍlllU:l . , .. ¡· ·
.dv l?I
D at e/
NOTARY
Sworn to (or affirmed) and subscribed before me, by means of O physical presence or~line
notarzaton. ns [áfl aay or_]A"/g_ _,2?ly
)[Aw/ L_} y' .(ciy or Mam each Boar/committee Member).
Produced ID {'v e¡:? s ÄC(;y) ~ ~L')\r,.RY &'J! Charles J. DAgostin
.fi . ~mNOTARY PUBLIC Form of Identification g'-„ ¿STATE OF FLORIDA
Hi Comm# GG168171
e ypires 12/14/2021
(NOTARY SEAL)
Name of Notary, Typed, Printed, or
• o ---
MIAMIBEACH
City of M iami Beach
1700 Convention Center Drive
Miami Bea ch , Florida 33139
www_miamibeach[_gov
O FFI C E O F TH E CI TY C LERK
Email: BC@miamibeachfl.gov
Telep hon e: 30 5 .673.7 4 11
BOARD & COMMITTEE FINANCIAL ACKNOWLEDGEMENT STATEMENT
A cknow ledgem ent of fines/suspe nsion for Board/C om m itt ee M em bers fo r fa ilure to com ply with Miami-
D ade C ounty Financial D isclosure C o de Provision C ode Secti on 2-11.1(i) (2)
liww v, lulo»
Last Name Firs«iG Middle Initial
I 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 forms m ust 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 Income Statement;" or
2. A "Statement of Financial Interests (For m 1)';" or
3. A Copy of your latest Federal Income Tax Return.
Failure to file one of these forms, pursuant to the Miami-Dade County Code, may subject the person to a fine
of no more than $500,'\6(ldays in jail, or both. I
.·"_lo!
Date J Signature
/
'
1 Members 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 of6
F:ACL ER S ALL RE GB O ARD AN D C OM M ITTE E APPLICATIONS FI NAL D RAFT S'B OARD AN D C O MM ITTE E AP P L I CATI ON REG FINAL.do0cx
Upd ated: Jun e 2020
G
MIAHI-DADE- EI
/
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 1st
of every year.
Disclosure for Tax Year Ending I Last ~am.e _
202o I#R> First Name
uLiw Middle Name/initial
Mailing Address,.,- Stree..... t Number, Street Name, or P.O. Bo{._r .. ~. . _ 5Éc Co]lip» [Av [ ¡art babu (ta
City, state, Zip
r#e« [el
331/o
( ta 33i-40
lf your home address is your mailing address, and your home address is exempt from public records pursuan t to Fla. Stat. $119.07, read
instructions on the following page and check here. O
Filing as an Employee (check one)
[] county □Public Health Trust [] Municipal:
(Municipality)
Department
Position or Title Emp loyee ID Numbe r
Work address I Work telephone Em ploymen t began on/ended on
Fling as a Boa rd Member (check one)
[] county EU] Municipal: _th_«lb2Aly
(Municipality)
Board~ere servigg kn»hoes lke "oler («keo
Alternate address 1 if home address is exempt) I Work telephone 'Tenn 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
ulu« l 77 vrt
rd.l»4.
I hereby sw ear (or affirm) that the information above is a tru e a
02
"merer El ectroni c Copy,
JA 13 2021
CITY OF MIAM I BEA CH
OFFICE OF THE ONTY CLERK
OFFICE USE ONLY Accept ed: Y / N Deficiency. Processed Date/initials. Scanned Date/initials:
124.14 (OF 1
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MIAMI BEACH
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 33139
www.miamibeachhl.goy
O FFI C E O F THE CITY CLERK
Email: BC@miamibeachf_gov
Telephone: 305.673.7411
]{ve> ~ Last Name
DIVERSITY STATISTICS REPORT
\tu»
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:
ZÁua
Llremale
loner
L1prefer not to answer.
Race/Ethnic Categories:
What is your race?
O African American/Black
O Asian or Pacific Islander
El Caucasian/white
O 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?
ís.
o
O I prefer not to answer.
Do you consider yourself Physically Disabled?
ves
HNo
O I prefer not to answer this question.
Page6of6
F:ACLERI SAL LREGB OARD AN D COM MITT EE APPLICATION S FINAL DRAFT S\BOAR D AND COMMI TTE E APP LICA TION RE G FINAL.dox
Uodated: June 2020
,, ' G -- -J---
j/I A/[pEjCCIWIDE (CW) BOARD & COMMITTEES g. g
o» tor e-s., svane oso«io«or PARKING APPLICATION E.
1755 Meridian Avenue, Suite 200/Miami Beach, FL 33139/Ph: (305) 673-7505 or (305) 673-7000 ext. 6200 PARKING
A citywide (CW) parking permit is honored at metered parking spaces and restricted residential zones
parking spaces. A CW parking permit IS NOT honored in prohibited areas. An Access Card will be
provided to you for City Hall Garage (G7) access.
IMPORTANT NOTE: Your vehicle license plate serves as your "parking permit". In order to avoid
any unnecessary enforcement actions, it is important that our records reflect the most current and
accurate information regarding your vehicle license plate. Inaccurate and/ or outdated vehicle
information may lead to the issuance of parking citation(s) and/or the towing of your vehicle.
Please note that this new access card CANNOT be hole-punched or perforated in any manner. To use
the new card please hold the card at dose proximity to the reader until the gote opens. You may need
to try the other side of the cord. Please ensure you hold the entife surface of the cord against the reader
until the gate opens.
ACKNOWLEDGEMENT: I acknowledge that should my access card be lost, stolen or
damage, I wiH be responsible to pay a $10.00 replacement fee.
Board Member information
ar e of Apli-canon: ) gal
Aplicar Name: _)u4 Rs
Board/Committee Name: et eu± bel/rus or,lte
Address: «0O Celt ± LE lL,a,lo»d KL<
E-Mail Address: 4< COI
work Phone: 3Kq707332 Home Phone
cell Phone: 0{ q10 7332 Preferred Contact Method: CE
Vehicle Information
Tag: RÉ144 Color: el
State: (L Year: 202
Make: BM Model: xG
t
Applicant Signature: es
Please provide signed form to the Parking Department located at l755 Meridian Avenue, 2é foor. Working
hours are 8:30 to 5:00 p.m. or email to: ParkingReception@miamibeachfl.gov
e-mail subiect: BOARD & COMMITTEE PARKING APPLICATION - APPLICANT NAME
Parkina Department Secti - -
PERMIT SYSTEM GARAGE ACCESS
Expiration Date: ID Card Serial #:.
lssued By Print Name: Print Name:
Signature: e Signature: es
Date Issued: Date Completed:
É\in\Sm\rr\hrmew h rd&eomm ites rrkinafrm.do form woofed 9/26/2077