Jonathan Fryd 12/31/23r,
AMMIBEACH
BOARD AND COMMITTEE CHECKLIST
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APPOINTEE:_ .loo_L-A_ <e«9 _DATE OF APPOINTMENT: //_oz
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BOARD/COMMITTEE. fN@, 4 ttex) _Appointed by:. $A4Qt4a
FOR SCANNER FOR CLERK STAFF .,_ / ,.__~ /.' "ì I 3 / /~ r--
Scan o o Letter of Appointment TERM END: /,'3 rERMLIMIT: 'oh' /A>
Scan o o Letter of Reapp. intment
o C y· l};e er. of AppointmenUReappointment e-mailed f. Committee Liaison on
• 6arad d cominee Aocato comotees o_/2//12(
o Résumé/curriculum Vitae ,12/- ],
o Diversity statistics Reporting (completed on./ y_]_/ )[
o Oath 7
IMPORTANT INFORMATION FOR BOARD AND COMMITTEE MEMBERS BOOK
✓City Code Ordinance Section applicable to the agency, board or committee
ECElVED ✓City Code Sections 2-21, 2-22, 2-23, 2-24, 2-25, 2-26, 2-458 and 2-459 R ✓County Code Section 2-11.1 -- Conflict of Interest and Code of Ethics Ordinance (as
amended through December 2010)
DEC 1 7 2021 Amendments to the Code of Ethics Ordinance (September 2009 through July 2012)
✓Highlights of the Miami-Dade County Ethics Code
CITY OF MIAMI BEACH ✓Sunshine Law and Public Records - Frequently Asked Questions
OFFICE OF THE CITY CLERK ✓Memorandum - Solicitation by City Board and Committee Members
o Citywide Permit Application (Parking Department Form)
O Booklet - Guide to Sunshine Amendment & Code of Ethics for Public Officers and Employees
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GINAL for Annual Report
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o Source of Income Statement
o Acknowledgment of Financial Disclosure Requirement
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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 COMMITTIES DATABASE\CHECKLIST MASTER\B&C Checklist 2015 MASTER.docx
We are committech to providing excellent public service and saloty to all who live, work, and play in our vibrant, topical, historic community
M IA M I BEACH
City of M iam i Beach, 1/OO Convention Conler Divo, Mia mi Boach, Hlorida 33 139 yyw_miamibggchll.go
OFFICE OF THE CITY CIERK, Rafael E. Gran ado, City Clerk
Tol: 305.673.7411, Fax. 305.673.7254
Email: CityCl erk@mi am ibeoch fl.gov
December 17, 2021
Mr. Jonathan Fryd
1708 W. 25th Street
Miami Beach, Florida 33140
SUBJECT; Parks and Recreational Facilities Board
Congratulations! You have been reappointed by Commissioner Mark Samuelian to 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
C ity Clerk
cc: Monica Beltran, Parking Director
Cynthia Casanova, City Liaison
ATTACHMENTS:
Letter of Appointment
Oath
City Code/Ordinance section applicable to agency, board or commillee
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
MI AM I BEA CH
City of Miami Beach, 1ZOO Convonlion Con ler Dive, Miami Bouch, florida 33139 wy.miamibgachll.goy
OFFICE OF THE CITY CLERK, Rafaal E. Granado, Cy Clerk
Tel: 305.673.7411, Fox: 305.673.7254
Email: CiyClerk@miamibeachfl.gov
Oath of Office
Oath of Civility
and
Acknowledgements
TO: Mr. Jonathan Fryd
RE: Parks and Recreational Facilities Board
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. ~
Mr. J n F
ssos+aseo.«.. /7u./)e„,
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 AM/BEAC
C ity of M ia m i Be a ch
l 700 Convention Center Drive
Miami Beach, Florida 33139
OFFICE OF THE CITY CLERK
Email: BC@miamibeachfl.gov
Telephon e: 305.673.7411
RECEIVED
DEC I 7 2021
C ITY O F M IA M I BE A C H
OFFICE OF THE CITY CLERK
AFFIDAVIT OF AFFILIATION WITH THE CITY OF MIAMI 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 that apply):
✓I am a resident of the City of Miami Beach for six months or longer.
Home Address_ I} g 2" r_ H, 1k0
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).
[]Q m ([ P/1][Q@Si
[[I[res,S /\(]([@S5
¡y' 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).
Name or Business @GT HAO-eve[
Business Address __ 4_1-_::i,_f-.Ä __ ' l_..l_,_~~"_tJ __ ;._..t_~_- r-J, __ 33134
"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. ~ / / k oz
gnature" Date 7 "
Jr L oS y
Printed Name
NOTARY
Sworn to (or affirmed) and subscribed before me, by means of physical presence or o online notarization,
this i day of D,, 203! b y_Crisis sreno-o
________ (City of Miami Beach Board/Committee Member).
Produced ID
Form of Identification
_{ Personally Known
@ka.E 2e
CHRISTINA M FERENO
Commission #HH 51997
My Commission Expires
October 8, 2024
(NOTARY SEAL)
Signature of Notary Public
Name of Notary, Typed, Printed, or Stamped
M IAN\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 ER K
Email: BC@miamibeachfl.go
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)
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.
Failure to file one of these forms, pursuant to the Miami-Dade County Code, may subject the person to a fine :.s --e o
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.
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F:IC LER \$A L LIR E G IB O A R 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 R A FT S \B O A R D A N D C O M M ITT E E A P P LI C A T IO N R E G FI N AL .do cx
Updated: June 2020
±%9 24 .4 E 32%± La
1755 Meridian Avenue, Suite 200/Miomi Beach, Fl 33139 /Ph: (305) 673-7505 or (305) 673-7000 ext. 6200 PARKIN G
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, il 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
lo 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 $10.00 replacement fee.
Board Member Information
Date of Application: • /+/ a
Applicant Name: --Jo,Jtl.-I 4a4o
Board/Committee Name: ß)A ¢, 4 act(o0
Address: 62, M,¢lt4Aal Al2 M, ,13{
E-Mail Address: 4 ?6 @ -lo4 , 4e4 o·t
Work Phone: 6 c1 , 24 4 4 Home Phone 6 u1, z4%
Cell Phone: Preferred Contact Method: l»=
Vehicle Information
Tag: 166 >o! Color: A!
State: Jo «+o4 Year: 1o z \
Make: ,de Model: +\A I
Applicant Sianature: es M/ 20
Please provide signed form to the Parkiág Department located at 1755 Meridian Avenue, 2d floor. Working
hours are 8:30 to 5.00 p.m. or email to: ParkingReception@miamibeachfl.gov
e-mail subject: BOARD & COMMITTEE PARKING APPLICATION - APPLICANT NAME
p, ·ki ar ina Department ection
PERMIT SYSTEM GARAGE ACCESS
Expiration Date: ID Card Serial #:
Issued By Print Name: Print Name:
Signalure: 6 Signature: 5
Date Issued: Date Completed:
s
.«pig ·man rar' torms cw oar·Is «commuttees pa'angtorm, toc
MI AM'BEA CH
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 33139
www.miamibeachll,gov
OFFICE OF THE CITY CLERK
Email: BC@miamibeachfl.gov
Telephone: 305.673.7411
DIVERSITY ST A TISTICS REPORT
€
Last Name First Name Middle Initial
The following information is voluntary and has no bearing on your consideration for appointment. It is being
asked to comply with City diversity reporting requirements.
Gender:
±ííae
.Female
O Other
O I prefer not to answer.
Race/Ethnic Categories:
What is your race?
O African American/Black
O Asian or Pacific Islander
O Caucasian/White
O Native American/American Indian
O Other - Print Race: ------------ L prefer not to answer.
Do you consider yourself to be Spanish, Hispanic, or Latino/a?
Jves
No
Lhí refer not to answer.
Do you consider yourself Physically Disabled?
yes
±Tio
O I prefer not to answer this question.
Page 6 of 6
F:ICLERl$ALLIREGIBOARD AND COMMITTEE APPLICATIONS FINAL DRAFTSIBOARD AND COMMITTEE APPLICATION REG FINAL.dccx
Updated: June 2020
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