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Wende Weber 12/31/23M IA M I BEACH B O AR D AN D C OM M ITTEE C H ECKLIST APPOINTEE: Wende "SUNNY" Weber DATE OF APPOINTMENT: Jan 20, 2022 BOARD/COMMITTEE: Human Rights Committee Appointed by: Commissioner David Richardson FOR SCANNER Scan o Scan o Scan o Scan o Scan o RECEIVED JAN 26 2022 FOR CLERK STAFF o Letter of Appointment o L intment o r of :ointment/Reappointment e- 02 ' ,,gua 4.,4z<{+(6e fpplication (Completec y''' o Résumé/Curriculum Vitae o Diversity Statistics Reporting (Completed on 2 w º Oath sol2/Lb3/2/L7 ttee Liaison on >/ 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 ✓Sunshine Law and Public Records - Frequently Asked Questions ✓Memorandum - Solicitation by City Board and Committee Members C IT Y O F M IA M I B E A C H OFFICE OF THE CITY CLERK o Citywide Permit Application (Parking Department Form) Scan o Scan o 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 COPY in file and ORIGINAL for Annual Report. o DIVERSITY STATISTICS REPORTING Received or "c" sor e by X._.....M~-"W~.l'-lJl~i-.-~,....,..~~---~---- / Date j Processea on._/ 25]0e noyee: .. Ll2]2 22 e. L A i rr 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 COMMITT IES DATABASE\CHECKLIST MASTERIB&C Checklist 2015 MASTER.docX WVe are committed to orovding excellent public servce and safety to all who live work and olay in cur vibrant topcal histouc communNy Electronically Signed usung eSgnOnline"[ Session ID 76133e8-b8624017-a8bc-et5405397/9e ] MIAMI BEACH City of Miami Beach, 1ZOO Convention Con ter Drive, Miami Bach, Horida 33 139 yyNy_miamnibeachfl_go OFFICE OF THE CITY CLERK, Rafael E. Granado , City Clerk Tel: 305.673.7411, Fax. 305.673.7254 Email: CiyClerk@miamibeachfl.gov January 20, 2022 Ms. Wende "SUNNY" Weber 435 21st Street #202 44 324 Miami Beach, Florida 33139 RE: Human Rights Committee Dear Ms. Wende "SUNNY" Weber: Congratulations! You have been appointed by the City Commission to the agency, board or committee named above for a term ending: 12/31/2023. 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. "2 Rafael Granado City Clerk cc: Monica Beltran, Parking Director Lana Hernandez, City Liaison ENCLOSURES: Oath of Office/Oath of Civility/Acknowledgements 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 an d 2-459 Ordinance No. 2006-3543 - Am endment to City Code Section 2-22 Miami-Dade County Code Section 2-11.1 - Conflict of Interest and Code of Ethics City Wi de Permit Application - (Parking Department Form) Booklet - Guide to the Sunshine Amendment and Code of Ethics for Public Officers and Employees Electronically Signed using eSgnOnlne "" [ Session ID 76133e8¢-b862-4017-a8bc-et54d5397t9e ] MIA M I BEA CH City of Miami Beach, 1/0O Convention Center Drive, Miami Beach, Florida 33 139 yywwy_miamibgachf]_gov OF FICE OF THE CITY CLERK , Rafel E. Granado, City Clerk Tel: 305.673.7411, Fax 305.673.7254 Email: CilyClerk@miamibeachfl.gov Oath of Office Oath of Civility and Acknowledgements T O : M s. W ende "SUNNY" W eber R E : H um an R ights C om m ittee I do so le m n ly sw ear or affirm to bear true faith, loyalty and allegiance to the Govern m ent of the U nited States, the State of Florida, and the C ity of M iam i Beach, and to perf or m all the duties of a m em ber of the above-m entioned board or com m ittee of the C ity of M iam i Beach to w hich I have been appointed fo r a term ending: 12/31/2023. T o m y colle a g ue s and to all of those I represent and serv e, I pledge fairn ess, integrity and civility, in all actions taken and all com m unications m ade by m e as a public serv ant. I have be e n issue d a copy of section 2-11.1 of the M iam i-D ade C ounty C ode (C onflict of Interest and C ode of Ethics O rdinance), as w ell as Florida C om m ission on Ethics G uide to the Sunshine Am endm ent and C od e of Ethics fo r Public O ff icers and understand that as a m em ber of a C ity of M iam i Beach Board and/or C o m m itt ee , I m ust com ply w ith the financi al di scl osure requi rem en t s of M iam i-Dade County or the State of F lo rid a (depending on the board or com m ittee on w hich I serv e) on July 1st, fo llow ing the closing of the calendar yea r on w hich I have serv ed. ewde eboer M s. Wende "SUNNY" W eber Sw orn to an d subs cribed before m e thi s 011242022 > p le a se vi sit the C ity of M iam i Beach w ebsite at w w w .m iam ibeachfl.gov under C ity Clerk/Board and C om m itt ees fo r additional info rm ation regarding the Financial D isclosure Requirem ents. Electronically Signed using eSgnOnline" [ Session ID 76133e8c-b862.4017.a8bc-et5485397/9e ] M IA M I BEACH City of Miami Beach 1 700 Convention Center Drive Miami Beach, Florida 33139 OFFICE OF THE CITY CLERK Email: BC@miamibeachfl.gov Telephone: 305.673.7 411 RECEIVED JAN 26 2022 CITY OF MIAMI BEACH 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): r/ I am a resident of the City of Miami Beach for six months or longer. Home Address 435 21st Street #324 Miami Beach FL 33139 d 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). Name of Business Sunny Beach Properties B . Add 435 21st Street #324 Miami Beach FL 33139 ]][], [[,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 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. Under penalties of perjury, I declare that I have read the foregoing document and that the facts stated in it are true. ede el0er 01/24/2022 6.57 PM EST Signature Wende Weber Date Printed Name NOTARY Sworn to (or affirmed) and subscribed before me, by means of physical presence opá online notarization, 2'1.J4/4.a02_yee _SV7 L/elogr? Produced ID (City offr.·ami Beach Board/Committee Member). r,!!!!!!!!!!!!.J!!!!!!!!!!!!!~~~~~=~7' [ -f,jeu'S h(( 2, e .g2%z. RRE si.Gosnw [ va o? 1%jê wcouussio+ tsrs Form of Identification [%,,¿sS ExP RES: December 14, 2025 7232$.z ,„„aA Tru Notary Public Underwriters "%9f±'°' to9ou "ma y (NOTARY SEAL) Sig Name of Notary, Typed, Printed, or Stamped Electronically Sign ed usng eSignOnline" [ S es si on ID 76133e8-b862-4017-a8b-ef5405397/9e ] M IA M I B EA CH 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 DIVERSITY STATISTICS REPORT Weber Wende L 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: JMae (l remale 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/W hite [Zl 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? ves 4o O I prefer not to answer. Do you consider yourself Physically Disabled? 9ves [lj No O I prefer not to answer this question. Page 6 of 6 F:\CLER\$ALL\REG \BO ARD AND CO M M ITT EE APPLI CATIO NS FINAL DRAFT S\BOARD AND COMMITT EE APPLICATION REG FINAL.dccx Updated: June 2020 Electronically S ign ed using eSgnOnlne"[ S es si on ID 76133e80-b862-4017-a8b0-ef5405397/9e ] M IA M I BEACH 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 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) Weber Wende L 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 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 $500, 60 days in jail, or both. V el e W eb0er 01/24/2022 6.57 PM EST Signature Date 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 LER\$ALL\REG \BO ARD AND CO M M ITT EE APPLI CATIO NS FINAL DRAFT S\BO ARD AND COMMITT EE APPLICATION REG FINAL.dccx Updated: June 2020 Electronically Signed usng eSgnOnline" [ Session ID 76133e8-b862-4017-a8bc-e(5405397t9e ] MIAMI-DAD E- ETEI Clear From Print Form SOURCE OF INCOME STATEMENT Section 2-11.1(i) of the County Ethics Code requires that certain em ployees and public offi cials file a financial disclosure Statement on a yearly basis by July 1st of every year. Disclosure for Tax Year Ending I Last Name First Name Middle Name/Initial 2021 W eber W ende Lynn Mailing Address - Street Number, Street Name, or P.O. Box 435 21st St #324 City, State, Zip M ia m i Be ach F L 33 13 9 If your hom e addre ss is your m ailing addre ss, and your hom e addre ss is exem pt fro m public re cords pursuant to Fla. Stat. §119.07, re ad instru ctions on the follow ing page and check here. D Filing as an Employee (chec k one) [] county □Public Health Trust O Municipal: (M unicipality) Department Position or Title Employee ID Number Work address I Work telephone Employment began on/ended on Filing as a Board Member (chec k one) D County LTunicipal: C ity of M iam i Beach (M unicipality ) Board where serving H um a n R ig hts C om m itt ee Alternate address (if home address is exempt) I Work telephone I Term began on/ended on 329.96 1.0493 Beg. Jan 2022 List below every source of incom e you received, along with the addre ss and the principal activity of each source. Include your public salary. Place the sources of incom e in descending order, w ith the largest source first. Exam ples of sources of incom e include: com pensation for services, incom e fro m business, gains from pro pert y dealings, interest, rents, dividends, pensions, IRA distributions, and social security paym ents. Also, include any source of income received by another person fo r your benefit. How ever, the incom e of your spouse or any business partner need not be disclosed. If continued on a separate sheet, check here.[] Name of Source of Income Address Description of the Principal Business Activity R e a l Estate-In de p end ent 435 21st S t #324 M iam i Beach R eal Estate C o ntractor FL 3313 9 N e w W orld S ym phony 500 17 th St M iam i Beach FL 33139 Floor M anager during events 435 21st St #324 M iam i Beach C am paign M anager, Consultant, C a m p a ign C onsulting and C anvasser FL 3313 9 I hereby sw ear (or affirm ) that the info rm ation above is a tru e and corre ct statem ent. RECEIVED BY ELECTIONS DEPARTMENT: ewde el0er -"EVE O Elect o Signature of Person Disclosing M 9«7 JAN 6 01/24/2022 6:58 PM EST CITY OF MIAMI BEACH Date signed ri rrv(y pp vr ~-~ R E M E M B E R TO PR IN T , SIG N , A N D SU B M IT TO TH E O FF IC E OF THE C ITY C LE RK V IA EM AIL O R HARDCO PY. Ele ctro nic ally Si g n e d usu n g eS ig n 0 nln e " [ S essi o n ID 76 13 3e80-b862-4 0 17-a8b c-ef54 05397/9e ] M IAM I BEACH CITYWIDE (CW) BOARD & COMMITTEES a City of Miami Beach, PARKING DEPARTMENT PARKING APPLICATION 1755 Meridian Avenue, Suite 200/Miami Beach, FL 33139/Ph: (305) 673-7505 or (305) 673-7000 ex. 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. Board Member Information Date of Application: or24n2022 s.se PM EST Applicant Name: Wende "SUNNY" Weber Board/Committee Name: Human Rights Committee Address:435 21st St #324 Miami Beach FL 33139 E-Mail Address: sunnybeachrealtor@gmail.com Work Phone: Home Phone Cell Phone: Preferred Contact Method: Vehicle Information Tag: Color: State: Year: Make: Model: Applicant Sianature: e Please provide signed 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 Parkina Department Section PERMIT SYSTEM GARAGE ACCESS Expiration Date: ID Card Serial #: Issued By Print Name: Print Name: Signature: Signature: e Date Issued: Date Completed: tpmg \2man rar \torms \cw boards&committees parkingtorm.doc rorm updated /Ol U Electronically Signed using eSgnOnline" [ Session ID 76133e8-b862-4017-a8bc-e/5405397/9e ]