Carl Linder 12/31/23MIAMI BEACH
B O AR D A N D COMMITTEE CHECKLIST
r o r e ,_['<_ •ole?_ _o»e or ar o n ..2//0/
BOARD/COMMITTEE: fu dt)e:f-1!}; V, Appointed by: {! C)/1//MI . Ro:sev, (rcx¡z,1-/e z..__
er erze."fptb3. 1NI 3)]23
Scan o o Letter of Reappointment
0 m 1 s1r ~!'?ttmenUReappointment e-mailed t°¡ Committee Liaison on
scano • ora Gang Cormitíes Ai-avo coreetea o»_/_A [_2/_) f
scano Resume/curricuom vitae y ]y/. /
o Diversity Statistics Reporting (completed on/, )))0)
Scan o o Oath ' 1
IMPORTANT INFORMATION FOR BOARD AND COMMITTEE MEMBERS BOOK RECEIVED ✓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
DEC 15 2021 amended through December 2010)
✓Amendments to the Code of Ethics Ordinance (September 2009 through July 2012)
C H ✓Highlights of the Miami-Dade County Ethics Code
C ITY O F M IA M I B E A ✓Sunshine Law and Public Records- Frequently Asked Questions
OFFICE OF THE CITY CLERK ✓Memorandum - Solicitation by City Board and Committee Members
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 VERSITY STATISTICS REPO OPY ln
Received on: L11ll Signed y }
boil
Eressed on. I_by Empi0yee. l-
Scanned on: by [rnp[ye@¢, i
Date
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:\CLERIBOARD AND COMMITTIES DATABASE\CHECKLIST MASTER\B&C Checklist 2015 MASTER.docx
MIAMI BEACH
City of Miami Beach, 170O Convention Conte Drive, Miami Beach, HElorida 33 139 yyy_miamnibachfl_go
OFFICE OF THE CITY CLERK, Rofool E. Granado, City Clerk
Tel: 305.673.7411, Fax. 305.673.7254
Email: CilyClerk @mi amibeach fl.gov
December 15, 2021
Mr. Carl Linder
51 3 W 46th Street
Miami Beach, FL 33140
SUBJECT: Budget Advisory Committee
Congratulations! You have been reappointed by Commissioner Kristen Rosen Gonzalezto the above
referenced, board or committee named above, for a term ending: 12/31/2023.
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.
"%
Rafael Granado
City Clerk
cc: Monica Beltran, Parking Director
Tameka Otto Stewart, 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
M IA M I BEACH
City of M iam i Beach, 1700 Convention Center Drive, Miam i Beach, Florida 33 139 yyw_migmibachf go
OFFICE OF THE CITY CLERK, Rafael E. Gr an ado, City Clerk
Tel: 305.673.7411, fax. 305.673.7254
Email: CnyClord @miamibeochll.gov
O a th o f O ffi c e
O a th o f C iv ili ty
a n d
A c k n o w le d g e m e n ts
TO: Mr. Carl Linder
RE: Budget 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: 12/31/2023.
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 ../S of ~021
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 BEACH
City of Miami Beach
1700 Convention Center Drive
Miomi Beach, Florido 33139
OFFICE OF THE CITY CLERK
Email: BC@miamibeachfl.gov
Telephone: 305 .673 7411
A F F ID A V IT O F A FFILI A T IO N W IT H T H E C IT Y O F M IA M I B E A C H
STATE OF FLORIDA
COUNTY OF MIAMI-DADE
I am in compliance with the affiliation requirement of Miami Beach City Code Sections 2-22 (4), as {check (/) 3¥that apply):
✓I am a resident of the City of Miami Beach for six months or longer. J
o» as» $1 3 o saca., , 3314o
I
o I have an ownership interest {for a minimum of six months) in a business established in the City of
Miami Beach {for a minimum of six months).
[[a r e f [[J S ]f e S
[[y[mess (]JfeSS
o I am a full-time employee of a business {for a minimum of six months) and I am based in an office or
other location of the business that is physically located in Miami Beach {for a minimum of six months).
[a r e f Hygin@SS
[[us[mess J(]reSS
"Ownership Interest" means the ownership of ten percent (10%) or more (including the ownership of
10% or more of the outstanding capital stock) in a business.
"Business" means any sole proprietorship, sponsorship, corporation, limited liability company, or other
entity or business association.
l d9/are that I have read the foregoing document and th at the facts stated in it
"l u' 1hu/2y
Siona @re ba T'Tl
CC L uef
Printed Name
NOTARY
Sworn to (or affirmed) and subscribed before me, by means of hysical presence or o online notarization,
________ (City of Miami Beach Board/Committee Member).
Produced ID
Form of Identification
_M. Personally Known ...=- iene. ±Ml9. /Zl!=.
gs... KENA B7AGUIRRE .3ê"%, ·4 £? dT,i commi«sin 4 GG 238578
%;al9Ng;is; pres toy 16, 222
fi? on&d Tru Troy Falh hure 8639$-7069
{NOTARY SEAL)
M IAMI BE A C H
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 33139
www.miamibeach!l.gov
OFFICE OF THE CITY CLERK
Email: BC@miamibeachfl.gov
Telephone: 305 .673 7411
BOAR D & COM M ITTEE FINANCIAL ACKNO W LEDG EM ENT STAT EM ENT
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)
Last Name First Name
lE
Middle Initial
I understand that no later than luly 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 fil ed 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 on
of no mp96 tha
Signature
of these arms, pursuant to the Miami-Dade County Code, may subject the person to a fine
00 6 ys in jail, or both. / /
- 2/ =D.....,.ate--,/~-7-t---1-, ------
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 of 6
FACLERSALLIREGBOARD AND COMMIT TEE APPLICATIONS FINAL DRAFTSBOARD AND COMMIT TEE APPLICATION REG FINAL.d0cx
Updated: June 2020
MIAMl·DADE- EIE
Clear From Print Form
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 Yea r Ending
2020
Last Name
oeí
Mailing Address - Street Number, Street Name, or P.O. Box
i bu l
City, State, Zip
First Name Middle Name/Initiai
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 ch eck Hele.
Filing as an Employee (check one)
D County 0 Public Health Trust O Municipal:
(Munlclpallty)
Department
Position or Title Employee ID Number
Work address I Work telephone Employment began on/ended on
Filing as a Board Member (check one)
O County Municipal:
(Munlclpallty)
Board where serving
Altern ate address (if home add res Work telephone
35 'U5-2 7
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 anope
person for your benefit. However, the income of your spouse or any business partner need not be disdosed. If continued on a separate sheet, check here. LJ
Name of Source of Income Address Description of the Principal Business Activity
33)5z
reel statement.
Signature of Person Disclosing
Date signed
RECEIVED BY ELECTIONS DEPARTMENT:
0ora#ECEIVED
O Electronic Copy
0EC 15 202l
CITY O F MIAM I BEACH
OFFICE OF THE CITY CLERK
REMEMBER TO PRINT, SIGN, AND SUBMIT TO THE OFFICE OF THE CITY CLERK VIA EMAIL OR HARDCOPY.
MIAM I BEACH CITYW IDE (CW ) BO ARD & C O M M ITT EES r■1III
City of M iam i Beach, PA RKIN G DEPA RTM ENT PARK! NG APPLICATION --
1755 M erid ia n A venue, Suite 200/Miami Bea ch , FL 33139/Ph: (305) 673-7505 o (305) 673-7000 ext. 6200 PARKING
A cityw ide (CW ) parking perm it is honored at metered par king spaces and restrict ed residential zones
par king spaces. A C W par king perm it IS NOT honored in prohibited areas. A n A ccess C ard w ill be
provided to you fo r City Hall G ar age (G 7) access.
IMPORTANT NOTE: Your vehicle license plate serv es as your "parking perm it". In order to avoid
any unnecessary enforcem ent actions, it is important that our records reflect the m ost current and
accurate info rmation regarding your vehicle 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 car d CANNOT be hole-punched or perforated in any m anner. To use
the new card please hold the card at cl ose proxim ity to the reader until the gate opens. You m ay need
to try the other side of the car d. Please ensure you hol d the entire surfa ce of the card against the reader
until the gate opens.
ACKNOWLEDGEMENT: I acknowledge that should my access card be lost, stolen or
damage, I w ill be responsible to pay a $10.00 replacement fee.
Board M em ber Inform ation
Date of Application:
Applicant Name:
Board/Committee Name: -dl<€
Address: NE> r 33 'f't
E-Mail Address: L wt 0er /Ad O Jb-0e. N
Work Phone: Home Phone
Cell Phone: Preferred Contact Method: Cel
Vehicle Information
Tag: Color: BL«
State: to Year: 2v
Make: 8 Model: 1se I
Applicant S¡unature:
Please provide signed form to the Parking Department located at 1755 Meridian Avenue, 2" floor. Working
hours are 8:30 to 5.0 0 p.m. or email to: ParkingReception@miamibeachfl.gov
e -m ai l subi ect: B O A RD 8& C O M MI TT EE PA RK IN G A PP LI C A TI O N - A P PLI C A N T N A M E
p, ·k¢ D rt ar una epa men ec 'Ion
PERMIT SYSTEM GARAGE ACCESS
Expiration Date: ID Card Serial #:
Issued By Print Nome: Print Nome:
Signature: Signature:
Dote Issued: Dote Completed:
+ S :ti
m up
(.:,
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G». '
M IAMI BEACH
City of Miami Beach
1700 Convention Center Drive
Miomi Beach, Florida 33139
www.miamibeachfl.gov
OFFICE OF THE CITY CLERK
Email: BC@miamibeachfl.gov
Telephone: 305.673.7411
PIYEBSJIY STATISTICS REPORT
Love f 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.
G e n d e r:
fí,
LN rem ale
l o ner
O I prefer not to answer.
R a c e/E th n ic C a teg o rie s :
W h a t is y o u r rac e ?
O African American/Black
O Asian or Pacific Islander
O Caucasian/White
L_Native American/American Indian)
Do her -Print Race: Cc«)_PS/+an
L}I prefer not to ans y'
D o yu con si d er y o u rse lf to be S p an i s h , H isp a ni c, or L atin o /a ?
l v ,
o
O I prefer not to answer.
D o y o u co n s id e r y o u rse lf P h y s ic a ll y D is a b le d ?
aves
1No
O i prefer not to answer this question.
Page 6 of 6
F:ICLER\$ALLIREGIBOARD AND COMMITTEE APPLICATIONS FINAL DRAFTS\BOARD AND COMMITTEE APPLICATION REG FINAL.dccx
Updated: June 2020