Laura Cadorette 12/31/22MIAMI BEA CH
B O A RD AN D C O M M ITT E E C HECKL IS T
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o Résumé/Curriculum Vitae n¿ · / ') J"'î" 1 /
o Diversity Statistics Reporting (Completed on_/_, _y/, _y> l>
o Oath
FOR SCANNER
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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
CH ✓Sunshine Law and Public Records - Frequently Asked Questions
CITY OF M IA M I B E A ✓Memorandum - Solicitation by City Board and Committee Members
OFFICE OF TH E CITY CLERK
RECEIVED
DEC 15 2021
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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
Keep OPY . file and ORIGINAL for Annual Report. O DIVERSITY STATISTICS REPORT
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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 MA STER\B&C Checklist 2015 MASTE R docx
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C ity o f M ia m i B e a c h , 1700 Convonton Conto Dr«ñvo, Mom Boch, Horida 33139 yyy_mi_IIibegchfi_gr
OFFICE OF THE CITY CLERK, Rafael E. Granado, Cy Clerk
Tel: 305.6737411, fax 305.673 7254
Email: Ci /Cl erk @mi am ibeachfl .go v
Oath of Office
Oath of Civility
and
Acknowledgements
TO: Ms. Laura Cadorette
RE: LGBTQIA+ Advisory 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.
Sworn to and subscribed before me thi
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.
MIAMI B EA CH
C ity o f M ia m i Be a ch , N7OO Con ven tion Con ter Dri v e, Miami Beach, Horida 33139 yyw _miamiba chll_go
OFFICE OF THE CITY CLERK, Rafael E. Granado, Ciy Clerk
Tel: 305 .673.7411, Fax. 305.673.7254
Email: CityClerk@miamibeachfl.gov
December 14, 2021
Ms. Laura Cadorette
1228 West Avenue, #1403
Miami Beach, FL 33139
RE : LGB T QI A ± A d vi sor y Com m itte e
Dear Ms. Laura Cadorette:
Congratulations! You have been appointed by Com m issioner Kristen Rosen Gonzalezto 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.
%
Rafael Granado
City Clerk
cc: Monica Beltran, Parking Director
Nattaly Cuervo, City Liaison
EN C LO SURES:
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
MIAM/BEACH
City of Miami Beach
1700 Convention Center Drive
M iom i Beach, Florida 33139
OFFICE OF THE CITY CLERK
Email: BC@ miamibeachfl.gov
Telephone: 305.673.7 411
AFFIDAVIT OF AFFILIATION WITH THE CITY OF MIAMI BEACH
STA T E O F FLO R IDA
C O UNT Y O F M IAM I-DADE
I am in com pliance w ith the affi liation requirem ent of M iam i Beach City C ode Section s 2-22 (4), as (check
( ✓) all that apply):
✓I am a resident of the City of M iam i Beach for six m onths or longer.
or-. «oe._L-3@8 d i Au_ [o3_MAM ¡ CH + 73/28
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o I have an ownership interest (for a m inim um of six m onths) in a business established in the City of
M iam i Beach (for a m inim um of six m onths).
Nam e of Business _
Business Address _
o I am a full-tim e em ployee of a business (for a m inim um of six months) and I am based in an offi ce or
other location of the business that is physically located in M iam i Beach (for a minim um of six months).
Nam e of Business _
Business Address _
"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.
S ign re
/au
Printed Nam e
2,r=e rr,,7177/7 •
Date
NO TAR Y
Sw orn to (or affirm ed) and subscribed before m e, by m eans of o physical presence or o online notarization,
s/ D ee.es ? LA4EA 0ET1É
x< Produced ID
(City of Miami eqch Board /com m i ttee Member)
/ Lues ose
Form of Identification
Nam e of Notary , Typed, Printed, or Stam ped
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zig9hk,si ExPREs: Decam ber 14, 2025
@;j"" Bonded Tu Notary Public Underwriters
M IA M l·DAD E- ETI
Clear From Print Form
SOURCE OF INCOME STATEMENT
Sec tion 2-11.1(i) of the County Ethics Code requires that ce rtain employees and public officials file a financial disclosure Statement on a yearly basis by July 1st
of every year.
Disclosure for Tax Year Ending Last Name First Name
2020 DORTrz A
Middle Name/Initial • Mailing Address - Street Number, Street Name, or P.O. Box
t 2, JQc! eJ0e 1 /4o3
City, State, Zip
#Ap i E/ t ·q
If your home address is your mailing address, and your home address is exempt from public records pursuant to Fla. Stat. § 119.07, read
instruction s on th e follo wi ng page and check Hel e.
Filing as an Em ployee (check one)
[J county D Public Health Trust tßkoncee»te
(Municipality)
Depart m ent
Position or Title Employee ID Number .
W ork address I W ork telephone Employment began on/ended on
Filing as a Board M em ber (check one)
D County 3íone: C·±y or MA,g,,inc rt
(Municipality)
Board where serving
G T 1A + irr
Work telephone Term began on/ended on
List be low every source of inco m e you rece ived. 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 fir st. 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 rece ived by another
person for your benefit. However, the inco me of your spouse or any business partner need not be disclosed. If continued on a separate sheet, check here. O
Name of Source of Income Address Description of the Principal Business Activity
Ce tu[el
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Dv i0ewl a-l Ík0 er e
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I hereby swear (or affi rm) that the info rmation above is a true and correct statement.
.±LG-
Signature of Person Disclosing
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Date signed
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O Hardcopy
ieesromg 15 2021
CITY O F M IAM I BEACH
OFFICE OF THE CITY CLERK
REMEMBER TO PRINT SIGN AND SUBMIT TO THE OFFICE OF THE CITY CLERK VIA EMAIL OR HARDCOP
AA4/BE ACH /V\I/A, il 1 ,
City of Miami Beach
l 700 Convention Center Drive
Miomi Beach, Florido 33139
www_miamibeacht],_gov
OFFICE OF THE CITY CLERK
Email: BC@miamibeachfl.gov
Telephone: 305. 673.74 l l
BOARD & COM MIIIEE 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)
LU
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 Incom e 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 these forms, pursuant to the Miami-Dade County Code, may subject the person to a fine
«era·"»"%%%we lla
----'--------------- Date
' Memb ers 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 of6
F:ICLE R\$A LLIREG IBOARO ANO CO M M ITT EE APPLI C ATIO NS FINAL ORAFTSIBO ARO ANO CO M M ITT EE APPLI CATIO N REG FINAL.dccx
Updated. June 2020
MIAMIBEACH
City of Miami Beach
l 700 Convention Center Drive
Miami Beach, Florida 33139
www_miamibeach!l. gov
OFFICE OF THE CITY CLERK
Email: BC@miamibeachfl.gov
Telephone: 305.673.7411
DIVERSITY STATISTICS REPORI
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:
ti bd#..
loner
O I prefer not to answer.
Race/Ethnic Categories:
What is your race?
O African American/Black
[_l Asian or Pacific islander
(I Caucasian/white
O Native American/American Indian
O Other - Print Race: ------------- □I prefer not to answer.
Do you consider yourself to be Spanish, Hispanic, or Latino/a?
Baze
O I prefer not to answer.
Do you consider yourself Physically Disabled?
es
uivo
O I prefer not to answer this question.
Page 6 of 6
F CL E R S AL LR E G IB O AR D A N D C O M M ITT E E A P P LI C A T IO N S FIN A L D RA F T S IB O A R D A N D C O M M ITT E E APPLICATION REG FINAL.doc x
Updated: June 2020
\//4\/\/BEACH CIWDE (C W O ARD & coMwrErs g- g
CityofMiamiBeach,PARKINGDEPARTMENT PARKING APPLICATION 11,111
PARKING 1755 Meridian Avenue, Svile 200/Miami Beach, fl 33 139 /Ph: (305) 673-7 505 or (305) 673-7000 ext. 6200
A city w ide (C W ) par king perm it is honored at m etered par king spaces and restricted residential zones
par king spaces. A CW par king perm it IS N O T honor ed in prohibited ar eas. An A ccess Car d w ill be
provided to you fo r City H all G ar age (G 7) access.
IM P O R T A N T N O T E: Your vehicl e license plate serves as your "parking perm it". In order to avoid
any unnecessar y enforcem ent act ions, it is im portant that our records reflect the m ost current and
accura te info rm ation regar ding your vehicl e license plate. Inaccura te and/or outdated vehicle
info rm ation m ay lead to the issuance of par king citation (s] and/or the tow ing of your vehicle.
Please note that this new access card C A N N O T be hole-punched or perforated in any m anner. To use
the new car d please hold the car d at close proxim ity to the reader until the gate opens. You m ay need
to try the other side of the car d. Pleas e ensure you hold the entire surface of the car d against the reader
until the gate opens.
A C K N O W L ED G E M EN T : I a c k n o w le d g e tha t sh o u ld m y a cce ss ca rd be lo st, sto le n o r
d a m a g e , I w ill b e res p o n s ib le to pa y a $10 .0 0 re pl a ce m e n t fee .
Board Member Information
Dale of Application: h]4 /z I
Applicant Name [_p\)
Board/Committee Name [P ¡ }
Address: 122? a h /Aye
E-Moil Address /1, 7)
Work Phone: Home Phone
cl Pore: 7 7. 22/7 Preferred Contact Method: · zy A n
Vehicle Information
Tag:
State:
Make: Model:
A)
Applicant 5Sn + na ure: ,
Please provide signet form to the 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 & COMMITTEE PARKING APPLICATION - APPLICANT NAME
p, ki D S ar In a epartment ection
PERMIT SYSTEM GARAGE ACCESS
Expiration Date: ID Card Serial #:
Issued By Print Name: Print Name:
Signature. Signature.
Date Issued: -Date Completed:
· wg man ror dorms "w corrutees driung0rm. doc omr u(Oe