George Neary 12/31/23M IA M I BEACH
BOARD AND COMMITTEE CHECKLIST
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F O R S C A N N E R
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F O R C L E R K S T A F F
o Letter of Appointment
o Letter of Reappointment
° C9PY/ 9"PP Ppointmen/Reappointment e-mailed to committee Liaison on
o Bo r and o mittee Application (Completed 7
o Resume/curriculum vtae ] oh 3
e Diversity savscs Repormno (completed on. [A
º Oath 1
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RECEIVED
JAN 28 2022
CI TY O F MI AM I BE A CH
OFFICE OF THE CITY CLERK
IM PO RTANT IN FO R MATIO N FO R BO A RD A ND CO MM ITT EE MEM B ER S BO O K
✓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 201 O)
✓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
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o Citywide Permit Application (Parking Department Form)
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
o D IVERSITY STATIST IC S REPO RTING
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Scanned on:
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Date
C O N CL U D E D & RE S IG NA T ION L E T T ER S
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
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We are committed to providing excellent public service and safety to all who ve work. and play in our vibrant tcpcal, historic community
MI A M[BEACH
City of Miami Beach, 1/00 Convention Conter Drive, Miami Beach, Horida 33 139 y¿y_miamibachfl_go
OFFICE OF THE CITY CLERK, Rafaol E. Granado, City Clerk
Tel: 305.673.74 11, Fax. 305.673.7254
Email: City Clerk@miamibeachfl.gov
Jan uary 21, 2022
Mr. G eorge Neary
10 00 Q uayside Terrace PH8
M iam i, Florida 33135
SUBJECT; Visitor and Convention Authority
D ear M r. George Neary :
Congratulations! You have been reappointed by the City Commission to the above referenced board or
com m ittee, 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 encl osed m aterials carefully. Congratulations and good luck.
cc: M onica Beltran, Parking Director
G risette R oque, City Li aison
ATTACHMENTS:
Letter of Appointment
O ath
City C ode/Ordinance section applicable to agency, board or committee
City C ode Section 2-22, 2-23, 2-24, 2-25, 2-26, 2-458 an d 2-459
Ordinance No. 2006-3543 - Amen dm ent to City Code Section 2-22
Miam i-Dade C ounty Code Section 2-11.1 - Confl ict of Interest and Code of Ethics Ordinance
City Wi de Permit Application - (Parking Department Form )
Booklet - Guid e to the Sunshine Amendment and Code of Ethics for Public Officers and Employees
C i t y o f M i a m i B e a c h , /OO Con ven tion Conter Drive, Miami Booch, Horida 33 139 yw_miamnibachllgo
OFFICE OF THE CITY CLERK, Rafool E. Granado, City Clerk
Tel: 305.673.7411, Fax. 305.673.7254
Email: CiNyClerk@miamibeachfl.gov
Oath of Office
Oath of Civility
and
Acknowledgements
TO : M r. G eorge N eary
R E: Visitor and Convention Authority
I do solem nly sw ear or affirm to bear true faith, loyalty and allegiance to the G overn ment of the United
States, the State of Florida, and the City of M iam i Beach, and to perfor m all the duties of a m ember of the
above-m entioned board or com m ittee of the City of Miami Beach to which I have been appointed for a
term ending: 12/31/2023.
To m y colleagues and to all of those I represent and serve, I pledge fairn ess, integrity and civility, in all
actions taken and all comm unications m ade by m e as a public servant.
I have been issued a copy of section 2-11.1 of the Miam i-Dade County Code (Conflict of Interest and
C ode of Ethics O rdinance), as w ell as Florida Com m ission on Ethics G uide to the Sunshine Amendment
and C ode of Ethics for Public Officers and understand that as a m ember of a City of M iami Beach Board
and/or Com m ittee, I m ust comply w ith the finan cial disclosure" requirem ents of M iami-Dade County or the
State of Florida (depending on the board or comm ittee on which I serve) on July 1st, fo llowing the closing
of the calendar year on w hich I have serv ed. - /.
ge-
Sworn to and subscribed before m e this ' day of •, 2022
*Please visit the City of Miam i Beach website at www .m iam ibeachfl.gov under City Clerk /B oard and
Comm ittees fo r additional info rm ation regarding the Financial Di sclosure Requirements.
MIAMI B EAC H
City of Miami Beach
17 0 0 C onve ntion C enter Drive
M iam i Beach, Flo rid a 33 13 9
OFFICE OF THE CITY CLERK
Em ail: BC@ m iam ibeachfl.gov
Telephone: 30 5.6 7 3.7 4 11
RECEIVED
JAN 28 2022
CITY OF MIAM I BEACH
OFFIC E OF THE CITY CLERK
AFFIDAVIT OF AFFILIATION WITH THE CITY OF MIAMI BEACH
ST A T E O F FLO R ID A
C O U N T Y O F M IA M I-D A D E
I am in com p lia nce w ith the affi liation requirem ent of M iam i Beach C ity C ode Sections 2-22 (4), as (check
( ✓) all that ap ply):
o I am a resident of the C ity of M iam i Beach fo r six m onths or longer.
H o m e A dd ress _
o I have an ow ne rship interest (fo r a m inim um of six m o nths) in a business established in the City of
M ia m i Beach (fo r a m inim um of six m onths).
N a m e of Busin ess _
B usin e ss A ddress _
X I am a full-tim e em ployee of a business (fo r a m inim um of six m onths) and I am based in an offi ce or
othe r locatio n of the business that is physically located in M iam i Beach (fo r a m inim um of six m onths).
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"O w nership 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 pro prietorship, sponsorship, corporation, limited liability company, or other
entity or business association.
m ent and that the facts stated in it
Printed N ar
N O T A RY
Sw orn to (o r affi rm ed ) and subscribed befo re m e, by m eans of~sical presence or o online notarization,
23a.0123, écore NA-f
_________ (C ity of M iam i Beach Board/C om m ittee M em ber).
X Pr o d ucen o bu s le
Form of Identification
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¿? bi ?? Mr co»u ussoN # HH ts7os
}gita&si ExP REs: Decamber 14, 2025
í@;i" Bonded Tu Notary Pubic Underwriters
(NO T ARY SEAL)
Sign
M IA M I BEACH
City of Miami Beach
l 700 C o nve n tio n C ente r D rive
M ia m i Be ach , Flor id a 33139
www _mi a m ib e ach t]_go v
OFFICE OF THE CITY CLERK
E m ai l: 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 I 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)';" 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 tha 00, 60 day in jail, or both.
7_ /easy 2j, 2022 e7
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:\CLER\$ALL\REG\BOARD AND COMMITTEE APPLICATIONS FINAL DRAFTS\BOARD AND COMMITTEE APPLICATION REG FINAL.dccx
U p d ated : Jun e 20 20
MIAMI-DAD E- EII 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
2021
Mailing Address - Street Number
33 0 2
City, State, Zip
Middle Name/Initial
7-
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. D
Filing as an Employee (check one)
[] county [] Public Health Trust O Municipal:
(Municipality)
Department
Position or Title Employee ID Number
Work address I Work telephone Employment began on/ended on
Filing as a Board Member {check one)
D County [] Municipal: ZHr HL l
(Municipality)
Board where serving
Vis;Tss C«de[o «TkT,
Alternate address (if home address is exempt) / l3rk telephone , ·Jerm began on/ended on
0-2g2-37f
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 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.[]
Name of Source of Income Address Description of the Principal Business Activity
7/mu¡Teo ET 23 , 2sq atzt e.T-
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at the information above is a true and correct statement.
7:
2-5, 2022 -.-.+---------Ï
RECEIVED BY ELECTIONS DEPARTMENT:
O Hardcopy
Electronic cop EC EIVE D
JAN 2 8 2022
OFFICE USE ONLY Accepted: Y I N Deficiency. Processed Date/Initials: Scanned Date/Initials:
138_SP-14 COE 2016
MIAMI BEACH
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 33139
wwwmiamibeacht]_gov
OFFICE OF THE CITY CLERK
Em ail: BC@ m iam ibeachfl.gov
Telephone: 305.673.7411
DIVERSITY STATISTICS REP ORI
7
Last Name 1 First iaR 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.
G en d er;
~e
O Female
O Other
D I prefer not to answer.
Race/Ethnic Categories:
What is your race?
O African American/Black
l_/ Asian or Pacific Islander
Ld Caucasian/Wh ite
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?
ves
3i o
O I prefer not to answer.
Do you consider yourself Physically Disabled?
Dyes
Ai o
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.dccx
U p dated : June 20 20
.....£. #£2l% Ia
1755 Meridian Avenue, Suite 200/Miami Beach, FL 33139/Ph: (305) 673-7505 or (305) 673-7000 ext. 6200 PARKING
A cityw ide (C W ) par king perm it is honored at m etered par king spaces and restrict ed residential zones
par king spaces. A CW par king perm it IS NOT honored in pro hibited areas . An Access Car d will be
provided to you fo r C ity Hall G ar age (G 7) acce ss.
IMPORTANT NOTE: Your vehicl e license plate serves as your "par king perm it". In order to avoid
any unnecessar y enfo rce m ent act ions, it is im portant that our reco rds reflect the most current and
accura te info rmation regar ding your vehicl e license plate. Inaccurate and/or outdated vehicle
info rmation may lead to the issuance of par king citation(s) and/or the towing of your vehicle.
Pleas e note that this new access car d CANNOT be hol e-punched or perforated in any manner. To use
the new car d please hold the car d at close pro xim ity to the reader until the gate opens. You may need
to try the other side of the car d. Please ensure you hold the entire surfa ce of the car d 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:
Applicant Name:
U C A
Address: 33 w 2 # /4, 33/¢0
E-Mail Address:
Work Phone: Home Phone -·
col Phone 305- 28 -3772 referred gemod
Vehicle Information
Tag: J#RUA¥ Color: GK
State: 7/ Year: 20j2-
Make: C k ?/S IC Model: Cc e T b1€,
Ap plicant Sianature: e
Please provide signed form to the Parking Departmen t 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
P, ·kd D a r Ina e p a m e n e c'Io n
PERMIT SYSTEM GARAGE ACCESS
Expiration Date: ID Card Serial #:
Issued By Print Name: Print Name:
Signature: Signature: e
Date Issued: Date Completed:
rt t S ·ti
'pug man ror toms cw ar communees par.ang+ rm.toC
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REST: A-Corr Lenses
END: None
CLASS:E - Any non-commercial veh with a GvwR « 26.001 lbs. or any H
laman
Organ
Donor
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The state of FL retains all p. -- -- ein. I
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