Alberto Ravelo 12/31/24BOARD AND COM MITTEE CHECKLIST
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BOARDICOMMIT TEE:
FOR SCANNER
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12/31/24
to Committee Liaison on
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FOR CLERK STAFF
Letter of Appointment
Letter of Reapointrrent
$f$4pf($ Jetter ot AppointmeReappointment e-mailed
Boaro a@ Cormttee ppcator (Completed on ""
Resume/Curriculum Vitae 2/2/2022
Dversty Statistics Reporting Completed on)
Oath
IMPORTANT INFORMATION FOR BOARD AND COMMITTEE MEMBERS BOOK
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Received February 2, 2022
Office of the City Clerk
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City Code Ordinance Section applicable to the agency. board or comrrttee
Cty Code Sectons 2-22,2-23,2-24 2-26, 2-458 and 2.459
County Code Secton 2.11.1 - Conflict of interest and Code of Ethcs Ordnance (as
amended through Oecember 2010)
Amendments to the Code ot Ethics Ordnance (September 2009 through July 2012)
Highlights of the Miami- Dade County Ethics Code
Sunstune Law and Pubic Records - Frequently Asked Questions
Memorandum - Solicita tion by City Board and Committee Members
Scan a
Scan O
Citywide Permit Applicatgn (P arki ng D epa rtment Form}
O Boklet - Guide to Sunshine Amendment & Cade of Ethi cs ta: Pup Officers and Employees
3 Source of Income Statement
O Acknowledgment of Financial hisclo
DIVERSITY STATISTICS
e Requirement)
and ORI GIN AL for Annual Report.
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CONCLUDED & RES IG NA TIO N L E T T E R S ran eaces eer
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Removal Letter due to absences
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#KC£ C IE CITY CIrRs:, tolosi t. Grans±, Cay CGaul
1al 30$ 6/3./411, fa» 305 473224
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January 20, 2022
Mu Al tgt o Favel0
5838 Coll«s Ave pt 9G
Mdam !each, Florids 33140
D ear r up ert o R avelo.
Congatlations! 'You have been appointed by the City Commission to the agency. board or commuttos
named atove tor a term ending 12/31/2024.
If you ate unabte to accept this appointment or have any questions please call tte Office of the C ty
Cetk at 305 673 7411
Pt@ase ead the enclosed materials carefully as they concern yout duties, responsibilities, and
requirements as a board or committee m emb er
Rafael Granado
CIty Clerk
cc Monica Beltran, Parkin g Director
Brandi Re&dick. City Liaison
ENCLOSURES:
O ath a! Of fi ce/O ath of City'knowledge ments
City C ode/O rdina nce section a pplicable to agency. board o r committee
City ode Sect0 2-22, 2-23,2-24 2-25, 2-26, 2-458 and 2.459
O rdn anc e No 2006-3543 - Amendment to City C ode Section 2-22
MA«am -Da de County Ccde Section 2-11 1-Confict of Interest snd Code of Eth«cs
Ci ty 'de Permit App lication • {P arkin g Department Form)
ok le t - Guide to the Sunshine #Amendmen t and C ade f E thic s for Public Officers an d Employees
FACT CO THE CITY CLARK, Rall f. Geo9de, City Ck
1ol. 305 6737411, fa 3 0 6/1.7254
mat Cm.Cel.esautes hl. g
Oath oft Office
Oath of Civility
and
Acknowledgements
TO M: theta Ravelo
RE Cultural Arts Cour.il
l d o solemnly sw @ at or affirm ta teat true faith loyal ly and allegiance to th e Government of the United
Stat es, the State cf Flori da and the City of M iam i Beach, and to perform all the dates of a mem ber of the
above mentioned boari or comm ittee of the City of M4ari Beach to whit:h have teen appointed for a
term end ing. 12/31/2024.
To my colleagues and to alt of those l represent and serve, pledge fairness integrity and civility in all
actions taken and all communications made by me as a public servant
I havo been issued a copy f section 2-11 1 l 1e Mami-ade County Code (Conti:t at Interest and
Code of Ethics Ordinance). as well as Florida Commi ssion cn Ethics Guide to the Sunshine Amendment
and Co de of tU1ics filr Phblk:: O ffr cêrs and ,md<;1írsl;ind 1tt~f: <ils à member o! a è it¡• ".:i f Miami Jì~èh &ard
and!ca Ccmmwttee, I mu st com ply with the financial disclosure' requirements ot Miam i-Da de Ccinty cr the
State úf Florida {depending cn the board or committee on which I serve} on July 1st, 1gthe closing
of the calendar year on which l have served
o<ay
·Please visit the City of Miami Beach website at wsww mwa mube achi l.gov under City Clerk/Board and
Committees for additional information regarding the Financial Disclosure Requirements
MCHAEL , G0NG0
WY COM44sS4ON G3 $65671
EXPI RES: A0u t 14, 223
C ity of Mi am i Beach
73 C.ow6ntion rive
Miami Be sch , Fland 33139
OFFICE OF THE OIY CLERK
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Talep one. 305.673.7411
Received February 2, 2022
Office of the City Clerk
AFFIDAVIT O F A F FI LIA TI ON WI TH THE CITY OF M IA MI BEACH
ST4TE OF FLORIDA
COUNTY OF MIAMI-OADE
t am in compliance with the afflianon requirement af Miar each City Code Sections 2-22 {4) as {check
(/4 all that app%y)
si lam a resident of the City of tam Beach tar six months or longer
k' Hame ddress.kdd d'lorn"
I have an ownersnup interest (for a mnurnum of six months} in a business established in the City ut
Miami Beach ifot a minimum of six months)
n1 lam a fuli-time employee of a busin ess for a minimum a f sx msntts} and am based in an office or
other locatian of the business that is physically located in Miami Beach (for a minimum of six mo nths1
Name of 8usinessA Iii }
ML /A+AL, E 3 3 (7
nership interest means the wn orsbp cf ten percent (10%) 0 more (inc!sdng tte ownersnp of
10 % or more of tho autstanding capital stock} in a busiess
Busiess" means any sole proprietorship, sponsorship, corporatkon, mites liability company or other
entity or business 0ssçietm
re that I have read the foregoing document and that the facts stated in t
Pennted Name
NOTARY
Swmn to (or affirmed) and subscribed tefore me by means at?physical presence or .u online notarzatn.
e
ms sou __Asa4_ 2o2_y , . ......., l
City of tam Beach Bçard;Cmittee Member)
Produced ID
form ct iden tification
i@me of Notary T ype d Printe d, or tamped
E H
City of Miami Beach
'7 Carenton Celer Drive
331
OHFCE OF THE CITY CLERK
Ena BG@naube ahf.gov
lalephone. 305.673.7411
DIVERSITY STATISTICS REPORT ·······. .. . .
A/EL_O l/
Last Name First Name i@aie initial
The toilowing information is voluntary and has no bearing on your consideration for appointment It is being
asked comply with City diversity reporting requirements
Gender;
&0 a te
.J Female
o her
DC prefer not to answer
Race/Ethnic Categories:
What is your race?
DIAtnican American/Black
Asian or Pacific Islander
Caucasian/White
[Native moncan/American Indian
[yQther -- Print Race. -
[lpreter not to answer
Do you consider yourself to be Spanish, Hispanic, or Latino/a?
d ves
Jo
[l prefer not to answer
Do you consider yourself Physically Disabled?
lv a
'lt prefer not to answer this question
Page 6cf6
+ £LER SALI RÉGBCD» ME MT1EE 4BAINS F At DRAT'TB3AR3 AD CC3MAI#TEE #PLIA 'IN RE G FINAL, SEcx
c9te$ 3une 202
City of Miami Beach
N70 Convention Center Drive
Mi Beach. Florida 33139
OFFICE OF THE CITY CIE&K
Emoit.
Telephone: 305 673 7411
BOARD & COMMITTEE FINANCIAL ACKNOWLEDGEMENT STATEMENI
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)
Middle Initial
t 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 foliowing forms must be tiled with the City Clerk of Miami Beach, 700 Convention Center Drive
Miami each, Florida, no later than 1200 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 - pursuant to the Miami-Dade County Code may subject the person to a fine
or both
'Members of the Planning Board and Board of Adjustment will be notifed directly by the State of Fonda
pursuant to F.S. $112 3145(1)(a), to file a Statement of Financial Interests {Form t) with the Miami-Dade County
Supervisor of Elections by 1200 noon. July 1 Planning Board and Board of Adjustment members who file the
Form 1 with the County Supervisor of Elections automatically satisfy the County's financial disclosure
requirement as a Miami Beach Cty 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 5016
GAER'SAL!REG/BA8D A#t CM!Ms7TEE APA HING F MAL ORF TS£MARO AND«CAT£E APPLICATE HE G FINAL 00¢«
Ip4at0d June 202¢
M.·l·A···.· .... M ... ·.,.·.Di-. ' .. · Emr SOURCE O F INC O M E STATEMENT
Sect9n 2-11 14 cl the ourty £twzs de reties tat certain mp4aye@s ad pt !fzals file a trancat distlosure Statemert ca a weary ass trul y 'st
ot every year
0isctasure tor Tax Year Ending
2021
Last tame First lame
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tt your home aduress s your mailing ax#dress, and ycur tame address ts exempt from publr: records pursuant to Fla. Stat. $119.07. read
instructions on the foawin; page and check here. []
Filing as an Employee (check one)
[] county [ Public Heal th Trust [ Mun i cip al.
Department
sitien ar Tit#e
Work address
Empl oyee ID tumber
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RECEIVED 8Y ELECTIONS DEPARTMENT.
worco RECEIVED
Electronic Copy
FEB 3 2022
C ITY OF MI AM I BE A CH
OFFIEg£ 'HAE I CLERk
OFFICE USE ONLY KA&Ad /A Deter
·3£ a A1£70°%
1BE
City of Mimi Besch, PARKING DEPARTM ENT
CITYWIDE {CW) BOARD & COMMITTEES
PARKING APPLICATION
A citywide {CW ] par king permit is honored at metered parking spaces and restricted residential zon es
parking spaces, A CW parkin g permit IS NOT honored in prohibited areas. An Access Card will
provided to you for City Hall Garage (G?] access.
IMPORTANT NOTE: Yout vehicle license plate serves as your "parking permit". In order to avoid
any unnecessary enforcement actions, it is imp ortant that our record s reflect the most current and
accurate information regarding your vehicle license plate. inaccurate and/or outdated vehicle
information may lead to the issuance oh parking citation(s) and/or the towing of your vehicle .
Please note that this new access card CA NNOT be hole punched or perfor ated in any manner. To use
the new cord 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, stole n or
damage, I will be responsible to pay a $10.00 replacement fee.
pplican! s
Pease provide signed form to the Parking Dearment locoed an 1755 Meridian Avenue, 2 " floor Working
/hours are 8:30 1o 5.00 •• r eel t: ParkingReception@miamibeachfl,gov
l email subject: BOARD & CO MMITTEE PARKI N G APPLICATION - APPL ICAN T NA ME
I GARAGE ACCESS
'i Card Serl #
Sgnature «
Dote {Completed
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