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John Bowes 02/28/22MI A M\I B E A CH FOR SCANNER FOR CLERK STAFF Scan o B O ARD AND C OM M ITTE E C H E CKLIST APPo r E. Joh/ [oues A r oF AP Po m ueNr. S/)7 /02/ soA RDr coM M m r E.AD /o_ate__ An ointed y.._Ly ±-_o1/ssov f1.. 2/0/a2.08/20 Scan o Scan o Scan o Scan o o Letter of Appointment o Letter of Reappointment o ~ /ppointment/Reappointment/ e-ma/ to Committee - ö sr@ an~ Committee Application (compeea ,3 _/8f1 _23 / Résume/Curriculum Vitae 3/)] ,- o Diversity Statistics Reporting (Completed on / / / JQ)[ o Oath Liaison on IMPORTANT INFORMATION FOR BOARD AND COMMITTEE MEMBERS BOOK ✓City Code Ordinance Section applicable to the agency, board or committee REC E IVED ✓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) MAR 2 3 2021 ✓Amendments to the Code of Ethics Ordinance (September 2009 through July 2012) ✓Highlights of the Miami-Dade County Ethics Code IT F M,A MI R E A CH Y Sunshine Law and Public Records - Frequently Asked Questions ! M!ir Vi bEr M 1d Solfitati b Ci B rd dC ·itt M 1b OFF!SE 3FAE OTC!ERK lemorandum - Solicitation y tty oarc anc Vommittee lembers Scan o Scan o 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 REPORTING Keep COPY in file and ORIGINAL for Annual Report. 3-23-2021 Signed by X.-+-~-+--=-----=-------------- Dal= 997 d 323 -202 l Processed on: ate By Employee. _._,_,7, ., ,,,,,,,,5 Scanned on: _3_----_~_3 __ -_dCÀ_~_-_f By Employee: --......:C ---t <r-----,~----------- Date Received on: 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 COMMITTIES DATABASE\CHECKLIST MASTER\B&C Checklist 2015 MASTER.docx We are committed to providing excellent public service and safety to all who live, work, and play in our vibrant, tropical, historic community M IA M I BEACH City of Miami Beach, 1700 Con vent ion Cen ter Dri ve, Mia mi Bach, Florida 33139 yyw_miamibchf]go OF FICE OF THE CITY CL ER K, Rafael E. Granado, City Clerk Tel: 305.673.7411, Fax€ 305.673.7254 Email: CityClerk@miamibeachfl.gov March 18, 2021 Mr. John Bowes 530 North Shore Drive Miami Beach, Florida 33141 RE: Ad Hoc North Beach CRA Advisory Committee Dear Mr. John Bowes: Congratulations! You have been appointed by the City Commission to the agency, board or committee named above for a term ending: 02/28/2022. If you are unable to accept this appointment, or have any questions, please call the Office of the City Clerk at 305.673. 7 411. 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: Monica Beltran, Parking Director Eric Carpenter, City Liaison ENCLOSURES: Oath of Office/Oath of Civility/Acknowledgements 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 endm ent to City Code Section 2-22 Miami-Dade County Code Section 2-11.1 - Conflict of Interest and Code of Ethics City Wi de Permit Application - (Par king Department Form) Booklet - Guide to the Sunshine Amendment and Code of Ethics for Public Officers and Employees M IA M I BEACH City of Miami Beach, 1700 Convention Cen ter Dri ve, Miami Beach, Florida 33139 yyw._miamibg chf]gay OF FICE OF THE CITY CLERK , Rafael E. Granado, CiNy Clerk Tel: 305.673.7411, Fax 305.673.7254 Email: CiyClerk@miamibeachfl.gov Oath of Office Oath of Civility and Acknowledgements TO: M r. John Bow es R E: Ad Hoc North Beach CRA Advisory Committee I do solem nly sw ear or affi rm to bear true faith, loyalty and allegiance to the Govern ment of the United States, the State of Florida, and the City of M iami Beach, and to perform all the duties of a member of the above-m entioned board or comm ittee of the City of Miami Beach to which I have been appointed for a term ending: 02/28/2022. To m y colleagues and to all of those I represent and serve, I pledge fairn ess, integrity and civility, in all actions taken and all comm unications m ade by m e 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 O rdinance), as well as Florida Comm ission on Ethics Guide to the Sunshine Amendment and C ode of Ethics for Public O ffi cers and understand that as a m ember of a City of Miami Beach Board and/or C omm ittee, I m ust comply with the financial disclosure " requirem ents of Miami-Dade County or the State of Florida (depending on the board or comm ittee on w hich I serve) on July 1st, following the closing of the calendar year on w hich I have served. M~owes Sworn to and subs cribe d before m e this,,<. p lease visit the City of Miam i Beach website at www .m iamibeachfl.gov under City Clerk/Board and C om m ittees fo r additional info rmation regarding the Financial Disclosure Requirements. MIAMI BEACH 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 _ I am in compliance with the affiliation requirement of Miami Beach City Code Sections 2-22 (4), as (check(✓) all that apply): ,JZl I am a resident of the City of Miami Beach for six months or longer. .¡zi 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). D 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. ±.$ Joh£, Bo»es 3-23-2021 Date Printed Name NOTARY Sworn to (or affirmed) and subscribed before me, by means of O physical presence or O online notarzaton, +7}tda„ a y[} _2o2y Joh/ _[560S city otMami each oara/committee Member. ea. r D eeS L o se Form of Identification Name of Notary, Typed, Printed, or Stamped (NOT ARY SEAL) S Charles J. DAgostin 5$ g,NOTARY PUBLIC $ [srArorroIDA , comm# GG168171 e6? Expires 12/14/2021 M IA M I BEACH City of Miami Beach 1700 Convention Center Drive Miami Beach, Florida 33139 www._miamibegchf]gov OFFICE OF THE CITY CLERK Email: BC@miamibeachfl.gov Telephone: 305.673.7 411 DIVERSITY STATISTICS REPORT Bowes John E 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: ZN M a e LO Female 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/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? Jee LVI No CJ I prefer not to answer. Do you consider yourself Physically Disabled? ve I No O I prefer not to answer this question. Page 6 of 6 F:\CLERISALLIREGIBOARD AND COMMITT EE APPLICATIONS FINAL DRAFTSIBOARD AND COMMITT EE APPLICATION REG FINAL.dccx Updated: June 2020 M IA M I BEACH City of Miami Beach 1700 Convention Center Drive Miami Beach, Florida 33139 www_migmibeach[]_gov OFFICE OF THE CITY CLERK Email: BC@miamibeachfl.gov 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) Bowes John E Last Name First Name Middle Initial I understand that no later than July1._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. 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, 60 days in jail, or both. Si~ 3-23-2021 Date 1 Members of the Planning Board and Board of Adjustment will be notified directly by the State of Florida, pursuant to F.S. S112.3145(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:ICLERISALLIREGIBOARD AND COMMITT EE APPLICATIONS FINAL DRAFT SIBOARD AND COMMITTEE APPLICATION REG FINAL.dccx Updated: June 2020 M IA M .DAD E. EI SOURCE OF INCOME STATEMENT 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 I Last Name First Name Middle Name/Initial 2020 Bowes John E Mailing Address - Street Number, Street Name, or P.O. Box 530 N Shore Dr, 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.Dl Filing as an Employee (check one) O County □Public Health Trust O 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 Z Municipal: City of Miami Beach (Municipality) Board where serving Ad Hoc North Beach CRA Advisory Committee Alternate address (if home address is exempt) J Work telephone 786-302-8768 ¡ 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 F-1 Performance LLC, 530 N Shore Dr, Miami Beach FL 33141 Real Estate Investment 1500 E Atlantic Blvd Suite B Realtor LoKation Real Estate Pompano Beach, FL 33060 I hereby swear (or affirm) that the information above is a true and correct statement. Sig~rson Disclosing 3-23-2021 Date signed RECEIVED BY ELECTIONS DEPARTMENT: Lar ae€C EIVE D [ Electronic Copy 444R 23 2021 CITY OF MIAMI BEACH OFFICE O TH E CITY CLERK OFFICE USE ONLY Accepted: Y / N Deficiency: Processed Date/Initials: Scanned Date/Initials: _ 138_SP-14 COE 2016 ....s.4..."a"E : L? 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 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: 3-23-2021 Applicant Name: John Bowes Board/Committee Name: Ad Hoc North Beach CRA Advisory Committee Address: 530 N Shore Dr, Miami Beach FL 33141 E-Mail Address: bowesjo@gmail.com Work Phone: 786-302-8768 Home Phone 786-302-8768 Cell Phone: 786-302-8768 Preferred Contact Method: Vehicle Information Tag: I JVPG21 Color: Black State: Florida Year: 2007 Make: Dodge Model: Ram 1500 Applicant Signature:• àf Please provide signed form hhe Parking Department located at 1755 Meridian Avenue, 2° floor. Working hours are 8:30 to 5:00 p.m. or email to: ParkingReception@miamibeachfl.gov e-mail subject: BOARD & COMMITTE E PARKING APPLICATIO N - APPLICANT NAM E Parking Department Section PERMIT SYSTEM GARAGE ACCESS Expiration Date: ID Card Serial #: Issued By Print Name: Print Name: Signature: es Signature: e Date Issued: Date Completed: f\ping\$man\rar\forms \cw boards&committees parkingform.doc form updated 9/26/2017