Sandy Rojas 12/31/23MI A MI BE A CH
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o Résumé/Curriculum Vitae ¡_ î ~ 7 .''"'\ _.,.....,,, Y-:)_
o Diversity stat istics Reporting (Completed or g_! D hl
o Oath tr 7
IMPORTANT INFORMATION FOR BOARD AND COMMITTEE MEMBERS BOOK
t 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
Sunshine Law and Public Records - Frequently Asked Questions
Memorandum - Solicitation by City Board and Committee Members
O Citywide Pert Application (Parking Department Form)
O Booklet - Guide to Sunshine Amendment & Code of Ethics for Public Officers and Employees
O Source of Income Statement
O Acknowlec of Financial Disclosure Requirement enes recreo- ..me .u.- ..o»ns»
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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
FICLER BO ARD AND COMMIT TIES DATABASE\CHECKLIST MASTER\B& C Checkl ist 2015 MASTER.docx
Wo ore committed to prodding excellent public service and solety to al who le, wok, onod p'ay in oar vwbvant, topical, historic com munity.
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M IAM I BEACH
City of Miami Beach, 1/OO Convention Conter Drive, Miami Boach, Hlorida 33 139 wNyyw.miaIibachll.goy
OFFICE OF THE CITY CIERK, Rafool E. Granado, City Clerk
Tel: 305.673.7411, Fax. 305.673.7254
Email: CityClerk@mi amibeach ll.gov
December 06, 2021
Ms. Sandy Rojas
1370 Marseille Dr
Miami Beach , FL 33141
SUBJECT: Disability Access 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.
Regards,
Rafael Granado
City Clerk
cc: Monica Beltran, Parking Director
Valeria Mejia, City Liaison
ATT ACHMENTS:
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 - Am en dmen t to City Code Section 2-22
Miami-Dade County Code Section 2-11.1 - Conflict of Interest and Code of Ethics Ordinance
City Wi de Permit Application - (Parking Department Form)
Booklet - Guide to the Sunshine Amendment and Code of Ethics for Public Officers and Employees
M IAM I BEACH
City of Miami Beach, I/OO Convention Canter Drivo, Miami Boach, Florida 33 139 yaw._miamibeach[l.go
OFFICE OF IHE CITY CIERK, Rafaol E. Granado, City Clerk
Tol: 305.673.7411, Fax. 305.673.7254
Emai l: City Clerk@miamibeachll.gov
Oath of Office
Oath of Civility
and
Acknowledgements
TO: Ms. Sandy Rojas
RE: Disability Access 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 requirem ents 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.
Ms. Sandy Rojas
Sworn to and subscribed before me thi,.~-1---~~ dayJ~ 2
ty Clerk
Pl ease visit the City of Miam i Beach web site at www.m iamibeach fl.gov under City Clerk/B oard and
Committees for additional information regarding the Financial Disclosure Requirements.
M IA M I BEACH
Ci ty of Miami Beach
1700 Covontion Cantor Drivo
Miomi Beach, Florido 33139
OFFICE OF THE CITY ClERK
Em ait: BC@miamibeach.gov
Tolo,phono: 305.673.7411
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):
/ tam a resident of the City of Mi a mi Beach for six months or longer.
ore n» 13 7o Maaeile- Da ME Hl 3)9/
(\/"'Ï 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).
o- seos Fxci«.
es )l0 cille D,- lf 54/
ts lama full-time employee of a business (for a minimum of six months) and l am based in an office or
other location of the business that is physically located in Miami Beach (for a minimum of six months).
vars or socs._ lin ch áçop 1.A.7
suness Aas/ D ,/{or b
"O w ners hip Interest' m eans the owners hip or ten perce nt (10%) or m ore (in dm g the ow n~;;f, ,
10% or m ore of th e outst a nding capital stock) in a busin ess.
B usin ess" m eans any sole pro prieto rsh ip , spon sors hip , co rp ora tion, lim ited lia bility com pany, or other
entity or business ass ocia tion.
ecl are that I have read the foregoing docum t and that th facts stated in it
/ 20 20 22-
Date
NOTARY
s10~ (or affir~) and subscribed before me, b ~ion, aa)@a, >
Y, Pro. d
Sign
(NOTARY SEAL)
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jiij?" Bond ed Tu Notary Pubic Underwriters
MIA M EI1 SOURCE OF INCOME STATEMENT
Sect'on 2-11.1/0) ot tho County Eth'cs Codo requlres that certain employoes and publc otfclals file a financial disclosuro Statement on a yearty bas/s by July 1st
of every year.
Dlsclasuro fr Ter Yeor En MIddlo Nome/inltll
CIty, Stata, Z/p
My '
lt your hom e addre ss ls yo ur m alling addre ss, and yo ur hom e addre ss Is ex em pt from public re co rds purs uan t to Fla. Stat. $119.07, road
In stru ction s on tho followi ng page an d ch eck here.El
FIlng as an Empl oyeo (check ono)
E] county [] Public Health Trust E] Munlclpal:
(Mtunlclpalty)
Department
Pus/tlon or Tltle Employee ID Number
Work address ¡work telephone Employment began on/ended on
Fling as a Board Member (chock one)
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property dealings, interest, rents, didends, pensions, IRA distributions, and socla) security payments. Also, Include any source of Income received by another
person tor your benefit However, the come of your spouse or any business partner need not be disclosed. It continued on a separate sheet, check here.L_]
Mamo ot Source of Income Address Description ot the Princlpal Business Activity
yeier e ud.
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REMEMBER TO PRINT, SIGN, AND SUBMIT TO THE OFFICE OF THE crrY ci{bi Ekit on +AnDcoPY.
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M IA M I BEA C H
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florid 33139
www.miamibeachfl.gov
OFFICE OF THE CITY CLERK
Email: BC@miamibeachfl.gov
Telephone: 305.673.7411
DIVERSITY STATIS TICS REPORI
Middle Initial
The following information is voluntary and has no bearing on you
asked to comply with City diversity reporting requirements.
onsideration for appointment. It is being
Gender:
Dtae
!A remale
Cl oner
O I prefer not to answer.
Race/Ethnic Categories:
What is your race?
O African American/Black
O Asian or Pacific Islander LX 6aucasianwite
O Native American/American Indian O Other- Print Race: _
O I prefer not to answer.
Do you consider yourself to be Spanish, Hispanic, or Latino/a? ,
ho
O I prefer not to answer.
Do you consider yourself Physically Disabled?
Lyes
N o
O I prefer not to answer this question.
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F:CLER$ALLURE GBOARD ANDO COMMIT TEE APPLICATIONS FINAL DRAFTSBOARD ANDO COMMITTEE APPLICATION REG FINAL.docx
Updated: June 2020
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MIAMI BEACH
City of Miami Beach
1700 Convenlion Center Drive
Miami Beach, Florida 33139
www.miomibeachfl,goy
OFFICE OF THE CITY CLERK
Email: BC@miamibeachfl.gov
Telephone: 305.673.7411
BOARD & COMM IIIEE 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) íl. ílt> Middle Initial
l 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 fomms 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)';" or
3. A Copy of your latest Federal Income Tax Return.
Failure to file one of these forms, pursuant to the Miami-Dade County Cod4, may subj¡ the person to a fine
of no more th n $500, a ìn{ail, or both. ) .. "'>
/ 0 20
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'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 (Fonn 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 fonn with the Office
of the City Clerk. However, compliance with the County disclosure requirement does not satisfy the State
requirement.
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FCLERSALL REGBOARD AND COMMITTEE APPLICATIONS FINAL DRAFTSBOARD AND COMMITTEE APPLICATION REG FINAL.docx
Updated: June 2020
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