Stuart Reed 12/31/23MITTEE CHECKLIST
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BOARD/COMMITTEE:_LDf '== Kl' '2 _Appointed by.. J
TERM END: /:}ß ' , TERM LIMIT: 7 FOR SCANNER
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FOR CLERK STAFF
o Letter of Appointment
o Lette of Reap ointment
o o y Le e~ointment/Reappointment Committee
o o rd and Committee Application (Completed on+-+--+---.+-_,__-'~"'--)
o Résumé/Curriculum Vitae ~d-
o Diversity Statistics Reporting (Completed on_ )7-
o Oath
Liaison on
IMPORTANT INFORMATION FOR BOARD AND COMMITTEE MEMBERS BOOK
✓City Code Ordinance Section applicable to the agency, board or committee
ECE\VED ✓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) JAN 272022 Amendments to the Code of Ethics Ordinance (September 2009 through July 2012)
✓Highlights of the Miami-Dade County Ethics Code
pH " Sunshine Law and Public Records Frequently Asked Questions
IT( OF MIAMI BEE / Memorandum - Solicitation by City Board and Committee Memb ers
OFFICE OF THE CITY CLERK
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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Received on:
o Source of Income Statement
O Acknowledgment of Financial Disclo
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CONCLUDED & RESIGNATION LETTERS
1erm 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:ICLERIBOARD AND COMMITTIES DATABASE\CHECKLIST MASTERIB&C Checklist 2015 MASTER.docx
We are committed to providing excellerr public service and salety to all who live, work, and ploy in our vibrant, tropical historic ccom:muniy.
//A //3E= t lu, l. \ ln-.
City of M ia m i B e ach, !ZOO Convontion Canlor Drivo, Miami Bach, Fonida 33139 wgN_miamihaarchllgo!
OFFICE OF THE CITY CLERK, Ralaol E. Granado, Cy Clark
Tol: 305 .673.741I, Fa . 305.6 73.72 54
Email: City.Cl erk.@iamibeach fl.gov
Oath of Office
Oath of C ivi lity
and
A ckno w ledgem ents
T O : M r. S tu a rt R ee d
R E : H isto ric P re serv a tion B o a rd
I d o so le m n ly sw e ar or aff irm to be ar tru e fa ith, loyalty a n d alle giance to the G overn m ent of the U nited
S ta te s, th e S tate of Florida, an d the C ity of M iam i B each , and to perfo rm all the duties of a m em ber of the
a b o ve -m e n tion ed boa rd o r com m itt ee of th e C ity of M iam i B ea ch to w hich I have been appointed for a
te rm ending: 12/31/2023.
T o m y co llea gu es a n d to a ll o f th ose I re p resent a nd serve, I pled ge fairn ess, integrity and civility, in all
actio n s ta ke n a n d a ll co m m un ica tions m ade by m e as a public se rv a nt.
I ha ve b e en issu ed a cop y o f se ction 2-11 .1 of the M iam i-D ade C oun ty C ode (C onfli ct of Interest and
C o d e o f E th ics Or di na nce ), as w ell as Florid a C om m ission o n Ethics G u ide to the S unshine A m endm ent
an d C o d e of E th ics fo r P u blic O ff icers a nd un d e rsta nd th a t as a m em ber of a C ity of M iam i Beach B oard
a n d /o r C om mi tte e, I m u st com pl y with th e fin an ci al discl o su re requireme nts of Miami-t ¡de C ounty or t
S ta te o f F lo rida (d ep en din g o n th e board or com m itt ee on w hich I se rv e) o ly 1s fo l w ing th e clo: n
of the ca le n d ar ye a r o n w hich I ha ve serv ed .
M r. S tuart R eed
S w o rn to a nd su b scrib e d be fo re m e th i"'";;<:...J-..l.-r ªY of~022
pl e a se vi s it th e C ity o f M iam i B ea ch w ebsite at ww w .m iam i b each fl .go v under C ity C lerk/B oard and
C o m m itt e e s fo r a d ditio n a l info rm atio n reg a rd ing the Fina n cial D iscl osu re R e q u irem ents.
1\ABI BEA
City of Miami Beach
1700 Con ven tion Center Drive
Miami Beach, Florida 33139
OFFICE OF THE CITY CLERK
RECEIVED
JAN 27 2022
CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
Em ai l: BC @m iam i be achfl.g oy
Telep hon e: 305.7 3.7 ]] .-<
e
AFFIDAVIT OFAFF1_l,ll(î10N WITH THE CITY OF MIAMI BEACH (lj
m e es.ga /}{p 18-4o? éöüiñr or ii@iii-ope JU I/ p 5 íO
I am in compii· ce with the affilidtion requirement of MiJmí Beach City Code Sections 2-22 (4), as (check
0a ata Jafe so€-l cpe
□I am a resident f the City f Miariíi ~=~~ for six months or longer. p f1
Hom e Address y€ on b).
tu I have an ownershit six month in a business establish ·
Miami Beach (for a mi
[/are tf [1Iç[fes5u
[3yg1fess [(ddf@$Sh
□I am a full-time employee of a busine
other location of the business that is p
month based in an office or
i Beach · um of six months).
[[are (f [I S [[]%S S.he
[[4g[fess [(]dross
"Ownership Interest" means the, mnership of ten percent (10%) more (including the owners p of
10% or more of the outstandis capital stock) in a business.
"Business" means any íle proprietorship, sponsorship, corporation, lim itec "ab ility company, or other
entity or business ciation. a r
Under pen alties oft y.1declare/ha Tag re@d{ > foregoing docum erj and that the tacts stated in it
aone. 9lo2?
Signature <"°' í) º-~ Date
(fa (<€Ge4
Printed Name
NOTARY
Sworn to (or affirmed) and subscribed before me, by means of o physical presene .. tarization,
o2 %a99M1.a2r ero vdu
Name of Notary, Typed, Printed, or Stamped
a#jP%?' ososn 5? } ", MY co»Musso» # H 1es7os
?3gda&$$ ExPRs: Decamer 14, 202s
",jEj&"" Bonded Thru Notary Public Underwrit ers
/\ /\ I A· 1\1'\ H~c(:
a i la. É,
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 33139
www_miamibeacht].gov
OFFICE OF THE CITY CLERK
Emai l: BC@m iamibeachfl.gov
Telephone: 305.673.7411
Last Name
DIVERSITY STATISTICS REPORT ge
it sane
_£_
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.
rt
Ll remal e
(l ohe
O I prefer not to answer.
Race/Ethnic Categories:
What is your race?
EM At m American/Black
tl
i, Caucasian/White
O Native American/American Indian
[l Other - Print Race.
Lli prefer not to answer.
Do you consider yourself to be Spanish, Hispanic, or Latino/a? r..
äs
O I prefer not to answer.
Do you consider yourself Physically Disabled?
□✓.- a
O I prefer not to answer this question.
Page 6 of 6
F:\CLER\$ALL\REG\BOARD AND COMMITTEE APPLICATIONS FINAL DRAFTS\BOARD AND COMMITTEE APPLICATION REG FINAL.docx
Updated: June 2020
City of Miami Beach
1700 C o nven tio n C e nte r D rive
Miami Beach, Florida 33139
www.miamibeachhl.goy
OFFICE OF THE CITY CLERK
Email: B C @m i am i be a chfl .g o v
Telephone: 305.673.7411
BOARD & COMMITTEE FINANCIAL ACKNOWLEDGEMENT STATEMENT
Acknowledgement of fines/suspension for Board/Committee Members for failure to comply with Miami- f Dade County Financial Disclosure Code Provision Code Section 2-11.1(i) (2)
lee? Sag 2
Last Name First Name Middle Initial
l understand that no later than July_1, gf 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)';" or
3.
r uant to the Miami-Dade County Code, may hject the person to a fine
r both. /
-st [[74 02Z_
Signature [n-
Failure to
of no mor
1 Members of the Planning Board and Board of Adjustment will be notified directly by the State of Florida,
pursuant to F.S. $112.3145(1)a) to file a Statement of Financial Interests (Form 1) with the Miami-Dade County
Supervisor of Elections by 12:00 noon, July 1. Planning Board and Board of Adjustment members who file their
Form 1 with the County Supervisor of Elections automatically satisfy the County's financial disclosure
requirement as a Miami Beach City Board/Committee member and need not file an additional form with the Office
of the City Clerk. However, compliance with the County disclosure requirement does not satisfy the State
requirement.
Page 5 of 6
F:\CLERl$ALL\REG\BOARD AND COMMITT EE APPLICATIONS FINAL DRAFTS\BOARD AND COMMITT EE APPLICATION RE G FINAL.docx
Updated: Jun e 2020
SOURCE OF INCOM E 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 Year Ending Last Name
2021
Mailing Address-- Street N
42o
City, State, Zip
Middle
If your home address is your mailing addres s, and your home address is exempt from public records pursuant to Fla. Stat. S119.07, read
instructions on the following page and check here. O
Filing as am Employee (check one)
E] county [] Municipal:
Department
Position or Title
Work address Work telephone
Employee ID Number
Employment began on/ended on
Filimgy as a Board lemboer (check one)
[] county
Board where serving
Alternate address (if home address is exempt) an on/ended on
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 ín 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, IR 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 Busines livity
I hereby s uvand correct statement. RECEIVED BY ELECTIONS DEPARTMENT:
or 4co» RECEIVED
[ Electronic Copy
JAN 27 2022
CITY OF MIAMI BEACH rr
OFFICE USE OWL Accepted: Y / N Deficiency: Processed Date/initials:Scanned Date/Initials:
138_$P-14 COE 2016
/\/\l/A\//\/BE" CwDE (CW) BOARD & COMMITTEES
cwy of wtani seat, PARING DAnrwr PRKING PPL]CAT[ON
1755 Meridian Avenue, Suite 200/Miami Beach, FL 33139/Ph. (305) 673-7505 or (305) 673-7000 ext. 6200
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. Ina ccurat e 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: l acknowledge that should my access card be lost, stolen or
damage, I will be responsible to pay a $10.00 replacement fee.
Board Member info e
Date of Application:
Applicant Name:
Address:
E.M ail Address:
Work Phone:
conos o S 2oS
State:
Make:
Applicant St@nature: e
Preferred Contact Method:
Please provide signed form to the (king Department locafed at 1755 Meridian Avenue, 2" floor. Working
hours are 8:30 to 5.00 p.m. or em ail to: ParkingR eception@ mniamibe achfl.gov
e-mail subiect: BOARD & COMMITTEE PARKING APPLICATION - APPLICANT NAME
P ·ki Di rt tS :ti car una epa men econ
PERMIT SYSTEM GARAGE ACCESS
Expiration Date: ID Card Serial #:
Issued By Print Name: Print Name:
Signature: e Signature: e6
Date Issued: Date Completed:
: pig mcnaat terms cw oar(sc&commutes porkmgtao.doc