Laura Veitia 12/31/22A //B
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o Oath
REC E IVED
FEB 1 7 2021
CITY OF MIAMI BEACH
OFFICE OE TE CITY CL ER K
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 201 O)
✓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
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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
O DIVERSITY STATISTICS REPORTII ?°Sg'in file and ORIGINAL for Annual Report
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Date
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CONCLUDED & 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 COMMITT IES DATABASE\CHECKLIST MASTER\B&C Checklist 2015 MASTER.docx
We are committed to providing excellent pubic service and safety to ol who fie, work, and in our vibrani, tropical, historic community.
I
City of Miami Beach, 1700 Convention Cen ter Dri ve, Miami Beach, Florida 33139 wxw _miam iba chfi _go
OF F ICE OF THE CI TY CL ERK, Raf ael E. Gran ado, City Clerk
Tel: 305.673.7411, Fax. 305.673.7254
Email: CitClerk@miamibeachfl.go
January 14, 2021
Ms. Laura Veitia
1900 Sunset Harbour Dr #1701
Miami Beach, Florida 33139
SUBJECT: General Obligation (G.O.) Bond Oversight Committee
Dear Ms. Laura Veitia:
Congratulations! You have been reappointed by the City Commission to the above referenced board or
committee, for a term ending: 12/31/2022.
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.
Respectfully,
Rafael Granado
City Clerk
cc: Monica Beltran, Parking Director
Maria Hernandez, 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 - Am endment 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
M l
City o f Mi am i Beach , 17OO Convention Center Drive, Miami Beach, Florida 33 139 yyyw._miam iba chfi_go
OF F ICE OF THE CI TY CL ERK, Raf0al E. Gran ado, Cy Clerk
Tel: 305.673.7411, Fax 305.673.7254
Ema il: Ci#yClerk@miamibeachfl.gov
Oath of Office
Oath of Civility
and
Acknowledgements
TO: Ms. Laura Veitia
RE: General Obligation (G.O.) Bond Oversight 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 Ordi nan ce), as well as Florida Commission on Ethics Guide to the Sunshine Amendment
and Code of Ethics for Public Officers and understand that as a mem of a City of Miami Beach Board
and/or Committee, I must comply with the financial disclosure* requir e s of Miami-Dade County or the
State of Florida (depen ding on the board or com mittee on which I e) ol Juy 1st, fol owing the closing
of the calendar year on which I have served.
Sworn to and subscribed before me this 171H, FEB.
Ciao2 D'pet
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.
MI A MI E H
City of Miami Beach
1 700 Convention Center Drive
Miami 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 Made
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.
ILl 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).
ŒJ 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.
2/17/2021
Date
Laura Veitia
Printed Name
NOTARY
Sworn to (or affirmed) and subscribed before me, by means of D] physical presence or] online
ot arzaon, ns [7l a «_[€loa€j202y
[_94?A \/eh# (cry of Mi am i Beach Board/committee Member).
X c eo E Dueres L(ne
Form of Identification
Name of Notary, Typed, Printed, or Stamped
(NOT ARY SEAL)
A!As, Charles J. DAgostin ϥ\, NOTARY PUBLIC
STATE OF FLORIDA
Comm# GG168171
"ce6 xpoires 12/14/2021
M I A M I-D AD E - EEI 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 Nam e First Name Middle Name/Initial
2020 Veitia Laura
Maili ng Addre ss - Stre et Num ber, Street Nam e, or P.O. Box
1545 Bay Drive
City, State, Zip
Miami Beach, FL 33141
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. O
Filing as an Employee (ch eck one)
□County [] Pubic Health Trust [] Municipal:
(Municipality)
Department
Position or Title Employee ID Number
W ork address I Work telephone Employment began on/ended on
Filing as a Board Member (check one)
[] coun t y E] M uni ci pal: Miami Beach
(Municipality)
Board where serving
GO Bond Advisory Committee
Alternate address (if hom e address is exempt) I W ork 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 partner need not be disclosed. If continued on a separate sheet, check here.[]
Nam e of Source of Income Address Description of the Principal Business Activity
Income from Business Urban Resource 1193 71 st Real Estate Sales & Property
Street, Miami Beach FL 33141 Management
r (or affirm) that the information above is a true and correct statement.
2/17/2021
Date signed
CTIONS DEPARTMENT: caves""jib □Hardcopy □Electronic Copy
EB 17 2021
CITY OF MIAMI BEACH
OFFICE OE THE OTY CLERk
OFFICE USE ONLY Accepted: Y / N Deficiency: Processed Date/Initials: Scanned Date/initials.
138_SP-14 COE 2016
MI A M/BEA C
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 33139
www._miamibegchfl_gov
OFFICE OF THE CITY CLERK
Email: BC@miamibeachfl.gav
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)
Veitia Laura
Last Name First Name 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 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 Income Statement;" or
2. A "Statement of Financial Interests (Form 1)1;" or
3. A Copy of your latest Federal Income Tax Return.
o file one of these forms, pursuant to the Miami-Dade County Code, may subject the person to a fine
ope than 8@00, 60 days in jail, or both.
•\o 2/7/o21
Date
1 Members of the Planning Board and Board of Adjustment will be notified directly by the State of Florida,
pursuantto 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:ICLER \$ALLIREG \BO ARD AND CO M M ITT EE APPLI CATIO NS FINAL DRAFT S\BOARD AND COMM ITT EE APPLICATION RE G FINAL .docx
Updated: June 2020
IA\MI B
City of Miami Beach
17 0 0 C onvention C enter Drive
M iam i Beach, Florida 331 39
www _miam ibeach[l._gov
O FFICE O F TH E C ITY CL ERK
Email: BC@miamibeachfl.gov
Telephone: 305 . 673 7 411
DIVERSITY STATISTICS REPORT
Veitia Laura
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:
Male
Cl remale
O Other
O I prefer not to answer.
Race/Ethnic Categories:
What is your race?
O African American/Black
O Asian or Pacific Islander
[Zl Caucasian/wh ite
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?
Jves
[JNo
O I prefer not to answer.
Do you consider yourself Physically Disabled?
Jves
TJNo
D I prefer not to answer this question.
Page 6 of 6
F:ICLER\$ALL\REG \BO ARD AND CO M M ITT EE APPLI CATIO NS FINAL DRAFT S\BOARD AND COMMITT EE APPLICATION RE G FINAL.docx
Updated: June 2020
..."a„:
1755 Meridian Avenue, Suite 200/Miami Beach, FL 33139/Ph: (305) 673-7505 or (305) 673-7000 ext. 6200 ARKING
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 close proximity to the reader until the gate opens. You may need
to try the other side of the card. Please ensure you hold the entire surface of the card against the reader
until the gate opens.
ACKNOWLEDGEMENT: I acknowledge that should my access card be lost, stolen or
damage, I will be responsible to pay a $10.00 replacement fee.
Board Member Information
Date of Application: 02/17/2021
Applicant Name: Laura Veitia
Board/Committee Name: GO Bond Advisory Committee
Address: 1545 Bay Drive, Miami Beach, FL 33141
E-Mail Address: laura@urbanresource.com
Work Phone: (305) 798-4646 Home Phone
Cell Phone: (305) 798-4646 Preferred Contact Method: cell
Vehicle Information
Tag: RBNRE Color: white
State: FL Year: 2020
Make: Lexus Model: ES300h
Applicant Signature: e
Please provide signed form to the Parking Department located at 1755 Meridian Avenue, 2d floor. Working
hours are 8:30 to 5:00 p.m. or email to: ParkingReception@miamibeachfl.gov
e-mail subject: BOARD & COM MITTE E PARKING APPLICATION - APPLICANT NAME
Parkina Depart t Secti
PERMIT SYSTEM GARAGE ACCESS
Expiration Date: ID Card Serial #. 604021 11101754117-1
Issued By Print Name: Print Name:
Signature: e Signature: s
Date Issued: Date Completed:
f:\ping \$man\rar\forms \cw boards&committees parkingíorm.doc form updated 9/26/201 7