Daniel Aronson 12/31/23M IA M I BEACH
FOR SCANNER
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BOARD AND COMMITTEE CHECKLIST
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FOR CLERK STAFF
o Letter of Appointment
o Letter of Reappointment
o py of l. tt r;to~o/ntment/Reappointment ~-mailed to Committee Liaison on
o Soard'and ommittee Application (Completed on , „ )
o Rsumercuricutoum vtae j)/]/,)
o Diversity statistics Reporting (Completed on1 .), )/0À]
o Oath
RECEIVED
DEC 15 2021
C ITY O F MIAMI BEACH
O FF I CE OF THE CITY CLER$
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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 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
) 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
Scan o o Acknowledgment of Financial Disclosure Requirement r,¡ / O DIVrSITY STATISTICS REPORTING Keep COPY in file and ORIGINAL for Annual Report.
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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:\CLER\BOARD AND COMMITTIES DATABASE\CHECKLIST MASTER\B&C Checklist 2015 MASTER.dccx
We are committed to porovidng excellent public service and salery to ail who lve, work, and play in our vibrant, top:col, hustoric community.
MI M IB E
City of Miami Beach, 1/OO Convonlion Conler Driva, Miami Boach, Eorida 33 139 yy¿yy_miarniboachhl_go
OFFICE OF THE CITY CIERK, Rofool E. Granado, City Clerk
Tel: 305.673.7411, Fax. 305.673.7254
Email: Cit/Clerk@miamibeachfl.gov
December 13, 2021
Mr. Daniel Aronson
1440 N. View Dr.
Miami Beach, Florida 33140
SUBJECT: Police/Citizens Relations Committee
Congratulations! You have been reappointed by Mayor Dan Gelberto 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.
Regards,
âado
City Clerk
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
MIAM[BEACH
City of Miami Beach, 1700 Convention Conler Drivo, Miami Boach, Florida 33 139 wwwy.miamibaachll.gov
OFFICE OF THE CITY CLERK, Rlaol E. Granado, Ciy Clonk
Tel: 305.673.7A11, Fax. 305.673.7254
Email: CilyClerk@mamtbeachfl.gov
Oath of Office
Oath of Civility
and
Acknowledgements
TO: Mr. Daniel Aronson
RE: Police/Citizens Relations 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 thi . · day of'/)-e~021
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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.
M IA M I BEACH
City of Miami Beach
1700 Convention Center Drive
Miami Beach , Flo rida 33139
OFFICE OF THE CITY CLERK
Email: BC@miamibeachfl.gov
Telephone: 305.673.7411
RECEIVED
0E C 17 U ZI
CITY OF M IAM I BEA CH
OFFICE OF THE CITY CLERK
AFFIDAVIT OF AFFILIATION WITH THE CITY OF M IA M I BEACH
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
(/) all th at ap ply):
VI am a resident of the City of Miami Beach for six months or longer.
Home Address. [O NL /eco Dye
I
9_ 321ro
7
o I have an ownership interest (for a minimum of six months) in a business establisl d in the City of
Miami Beaclì'i~um of six months).
[]are f [3uses$ ----~ [3us[negs ddreSS
+
lam 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 phy sically located in Miami Beach (for a minimum of six months).
--
Name of Business
« [jg [res,S (]]feSS- ......
"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
arete, 12/15/202.y
Signature Date
A, IA Aono
Printed Name
NOTARY
Sworn to (or affirmed) and 5llbscribed before mc, by means of ~al presence or o online notarization,
,fa./)ge/ro_„2by
________ (City of Miami Beach Board/Committee Member). Ftp»cps Lese X Produced ID
Form of Identification .Zer=
sarai on 6a une
Name of Notary, Typed, Printed, or Stamped
(NOTARY SEAL)
gèijéç¿, CHARLES J. DAGOSTIN ?% wcouwssoN RH 16s7os
¿j,9Nd.is; ExPRts: Decem ber 14, 2025
$jig Bonded Tru Notar y Public Underwriters
MIAMl•DADE• EEMI 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 Last Name Middle Name/Initial
2020 0NJ5OM/ N IL
Mailing Address - Street Number, Stree Name, or P.O. Box
IO A Ve)
City, State, Zip y
ow. Each L
)
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 Ieile.
Filing as an Employee (check one)
D County □Public Health Trust E] Municipal:
(@unicipáiwwJj
Department
Position or Title
Work telephone
Employee ID Number
Employment began on/ended on
Filing as a Board eI (check on e)
D County
Board where serving
l ei C h z
Alternate address (if home address is exempt)
(Municipality)
Work telephone
305- 71H4-432
Term began on/ended.on
O1 o1 2022
à $
List below every source of incom e you received, along with the address and the principal activity of each source. Include your public salary. Place the sources of
income in desce nding order, with the largest sóürce 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. O
Name of Source of Income Address Description of the Principal Business Activity
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I hereby s ion above is a true and correct statement.
12 ]s /2 02 1
Date signed 7
c ore"HE 6E I7EB5 O Hardcopy
[] Electronic Copy
DEC 15 2021
C ITY O F M IA M I B EA C H
O FFIC E O F TH E CITY CLER K
REMEMBER TO PRINT, SIGN. AND SUBMIT TO THE OFFICE OF THE CITY CLERK VIA EMAIL OR HARDCOPY.
M IA M I BEACH
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 33139
www.miamibeachfl.gov
O FFIC E O F TH E C ITY CL ERK
Email: BC@miamibeachfl.gov
Telephone: 305.673.7411
BO ARD & COM M ITTEE FINANCIAL ACKNOW LEDGEM ENT 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)
Last Name t Name Middle Initial
I understand that no later than July1of each ear all members of Boards and Committees of the City of Mi am i
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 $5ö0, 60 days in jail, or both. s:.,~v:er=== Date\ 1 I \ s /-;¡_ o 2 l
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
F:\C L E R \$A LL\R E G IB O A R O A N D C O M M ITT E E A P P LI C A TIO N S FI N AL D R AF T S\B O AR D AN D CO M M ITT EE A P P LI C A TIO N R E G FIN A L.docx
Updated: June 2020
M IA M I BEACH
City o f M iam i Beach
1700 Convention Center Drive
Miami Beach, Florida 33139
www miamibeachfl,gov
OFFICE OF THE CITY CLERK
Email: BC@miamibeachfl.gov
Telephone: 305.673.7411
DI V E RSI T Y STA TI S TIC S RE P OR T
L-as [ame
sk Fi rst ,fame
Ler
T he fo llow ing info rm atio n is volu nta ry and has no bearing on your consideration fo r appointm ent. It is being
asked to co m p ly w ith C ity dive rsity report ing requirem ents.
M iddle Initial
Gender-
hwae
O F e m a le
O O the r
O I prefer not to answ e r.
Race/Ethn ic Categories:
W hat is your race?
O A fr ica n A m e rica n/B la ck
[l Asi an or P acifi c Isl an d er
_lí C a ucasi an /Wh ite
O N a tive A m e rica n/A m e rica n India n
O O th er - P rint R a ce: ------------- □I prefe r not to answ er.
Do you co nsid er yourself to be Spanish, Hispanic, or Latino/a?
Pes
I o
Ll 1 pre fer not to answer.
Do you consider yourself Physically Disabled?
I pre fer not to answ er this questio n .
Page 6 of 6
F:ICLER\$ALLIREG\BOARD AND COMMITTEE APPLICATIONS FINAL DRAFTS\BOARD AND COMMITTEE APPLICATION REG FINAL.dccx
Updated: June 2020
...2£4.2 ± 2 • ± Il
1755 Meridian Avenue, Suite 200/Miami Beach, FL 33139/Ph: (305) 6737505 r (305) 673-7000 ox4. 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.
B o a rd M e m b e r Info rm a tio n
Date of Application:
Applicant Name: • \ LL • }e, H. oso
Board/Committee Name: O - p \ ] , ')] Id e Zcg k,Aows (osa lFee
Address:
E-Mail Address:
Work Phone:
Cell Phone:
om e Phone -
Preferred Contact Method \,3a/
V e h icl e In fo rm a tio n
Tag:
State:
M ake:
color: l le
Year:
Model: CLS so
Applicant S¡unature: e
Please provide signed form to tfe Pc king epartment located at 1755 Meridian Avenue, 2" floor. Working
hours are 8:30 to 5:00 p.m. or email to. a k in Re ce tion@ m ia m ib eachfl. ov
e -m a il subi e ct: BOARD & COMMITTEE PARKING APPLICATION - APPLICANT N A M E
p ki ar ng Department ection
PERMIT SYSTEM GARAGE ACCESS
Expiration Date: ID Card Serial #:
Issued By Print Name: Print Name:
Signature: € Signature: e5
Dote Issued: Date Completed:
s .
D a n ie l H . A ro n so n
From:
Sent:
To:
Subject:
Daniel H. Aronson
Wednesday, December 15, 2021 12:25 PM
Daniel H. Aronson
Driver License
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