Joy Malakoff 12/31/23M IA M I BEACH
BOARD AND CO M MITTEE CHECKLIST ,
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rRu eo. /?//2,Rar uwrr. ------ FOR SCANNER
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FOR CLERK STAFF
o Letter of Appointment
o Letter of Reappointment " ff""7/$59/9/1888rsromeo»sorer e-m ites o cores
o BÖàrd and'Commltlee Application (Completed 7 I
o Résumé/Curriculum Vitae
o Diversity Statistics Reporting (Completed on / d 7 / J-;}.-
º Oath
Liaison on
RECEIVED
JAN 27 2022
IMPORTANT INFORMATION FOR BOARD AND COMMITTEE MEMBERS BOOK
✓City Code Ordinance Section applicable to the agency, board or committee
Y 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 ITY O F M IA M I BEACH
OFFICE OF THE CITY CLER[ o¡tywide Permit Application (Parking Department Form)
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Received on:
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 . I . O DIVERSITY STATISTICS REPORTING e COPY I · I Report.
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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 :\C LER \B O A R D A N D CO M M ITT IE S DATA B A SE\CHECK LI ST MA STER \B&C Ch e cklist 2015 M A STER.docx
WVe are committed to providing excellent public service and safety to all who live, work, and play in our vibrant, tropical, historic community.
12/31/25
MI M IB E
City of Miami Beach, 1ZOO Convon lion Canter Driva, Miami Boach, Eorida 33 139 y¿yy_miaIiLgachf]_go
OFFICE OF THE CITY CLERK, Rafel E. Granado, City Clerk
Tel: 305.673.7411, Fx. 305.673.7254
Email: CiyClerk@miamibeachfl.gov
January 20, 2022
Ms. Joy Malakoff
6415 Pine Tree Drive
Miami Beach, Florida 33141
SUBJECT: Board of Adjustment
RECEIVED
JAN 27 2022
CITY OF MIAMI BEACH
OFFICE OE HE CITY CLERK
Dear Ms. Joy Malakoff:
Congratulations! You have been reappointed by the City Commission to the above referenced board or
committee, 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. Congratulations and good luck.
Respectfully,
Rafael Granado
City Clerk
cc: Monica Beltran, Parking Director
Michael Belush, 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
City of Miami Beach, I/OO Convention Conler Drive, Miami Bach, Horida 33 139 yyywy_IiaIiboachf]_go
OFFICE OF THE CITY CLERK, Rofaol E. Gran ado, City Clerk
Tel: 305.673.7411, Fx. 305.673.7254
Email: Ci/Clerk@miamibeachll.gov
Oath of Office
Oath of Civility
and
Acknowledgements
TO: Ms. Joy Malakoff
RE: Board of Adjustment
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 this
y Clerk
*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 IAM I B EAC H
City of Miami Beach
1 700 Convention Center Drive
Miami Beach, Florida 33139
OFFICE OF THE CITY CLERK
Email: BC@miamibeachfl.gov
Telephon e: 305.673.7411
RECEIVED
JAN 2 7 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):
fi( I am a resident of the City of Miami Beach for six months or longer.
1 p' , 7 Home Aaaress.6'HL5_ je]kee_D)rue
□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).
Name of Business _
Business Address _
□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 tue,y t y /, /
hg Li2'r ,2e2
si re Da 7
1»
NO TA R Y
Sworn to (or affirmed) and subscribed before me, by means o~ysical presence or online notarization,
o Jo1j_.022».JO1 _/A/A(of°
________ (City of Miami Beach Board/Committee Member).
Produced ID
Form of Identification
s... CHARLES J. DAGOSTN ¡'T\ MY COMM ISSION# HH 165705
z " ¿j, „¿! EXPIR E S: December 14, 2025
}7$$" ponded Thru Notary Publle Under writ ers
i i w
(NOT ARY SEAL)
Name of Notary, Typed, Printed, or Stamped
est &EI SOURCE OF INCOME 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
First Name Middle Name/Initial ,
Malling Address - Street Number, Street Name, or P.O. B
È,ri/e
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 here. O
Filing as an Employee (check ono)
[] county □Public Health Trust E] Municipal: t' · g. LV1
(wuriciiity)
Department
PoslUon or Title Employee ID Number
Work address Work telephone Employment began on/ended on
Flin as a Board Member (chock one)
□County M ' · ¡) I E] Municipal: IL L@mt [2€ch
(Municipality)
Board where serving
' oa
Alternate address (If hom Work telephone <et(f
30$774-754
Term began on/ended on - Jw4 222
List below every source of income you received, along with the address and the principat activity of each source. Include your public salary. Place the sources of
income In 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, 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.U
Name of Source of Income Address Description of the Principal Business Activity
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I hereby swear (or affirm) that the information above is a true and correct statement.
siRikiire 6reerson ptsclosing' l2 ge
Daíe signe
RECEIVE D BY ELECTIONS DEPARTM ENT:
X Hardcopy RECEIVED
O Electronic Copy
JAN 2 7 2022
CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
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
17 0 0 C on ven tion C enter Drive
Miami Beach, Florida 33 139
www.miamibeach fl,gov
OFFICE OF THE CITY CLERK
E m ail: BC @ m iam ibeachfl.g ov
Telephone: 305.6 7 3.7 4 11
DIVERSI TY STATI STI CS REPORT
," Joy V u/.
First re 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:
LMate
DO 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
LO Caucasian/white
O Native American/American Indian O Other - Print Race: _
O I prefer not to answer.
Do you consider yourself to be Spanish, Hispanic, or Latinola?
Oves
D No
O I prefer not to answer.
Do you consider yourself Physically Disabled?
ves a+o
O I prefer not to answer this question.
Page 6 of6
F:ICLER\$ALLIREGIBOARD AND COMMITTEE APPLICATIONS FINAL DRAFTS\BOARD AND COMMITTEE APPLICATION REG FINAL.dccx
Updated: June 2020
·
M IAM I BEACH
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 33139
www .miamibeach f.gov
OFFICE OF THE CITY CLERK
Email: BC@miamibeachfl.gov
Telep h on e: 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 Firs Ñafe Middle Initial
I understand that no later than July1,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 Mi am i 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 (For m 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. za 4l Dall 7
1 Members of the Planning Board and Board of Adjustment will be notified directly by the State of Florida,
pursuant to F.S. $112.3145(1)(a), to file a Statement of Financial Interests (Form 1) with the Miami-Dade County
Supervisor of Elections by 12:00 noon, July 1. Planning Board and Board of Adjustment members who file their
Form 1 with the County Supervisor of Elections automatically satisfy the County's financial disclosure
requirement as a Miami Beach City Board/Committee member and need not file an additional form with the Office
of the City Clerk. However, compliance with the County disclosure requirement does not satisfy the State
requirement.
Page 5 of6
F:ICLER1$ALLIREGIBOARD AND COMMITTEE APPLICATIONS FINAL DRAFTSIBOARD AND COMMITTEE APPLICATION REG FINAL.docx
Updated: June 2020