Scott Diffenderfer 12/31/23Ml MI BE
BOARD AND COMMITTEE CHECKLIST
APPOINTEE: Scott Diffenderfer
BOARDcoMMurTEEe: POSS Fe@ "a"d Arrointea by. City Commission
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DATE OF APPOINTMENT. 1/20/2022
FOR SCANNER
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FOR CLERK STAFF
o Letter of Appointment
o Lett r of Reappointment
o C f etter Qf Appoi ntm en t/R eappoi ntm en t
o' Jar~ aid'cGn#6C kpcaton (completed on_/ t ts ]
o Résumé/Curriculum Vitae
o Diversity Statistics Reporting (Completed on dl
º Oath
Committee Liaison on
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HECEIVED
FEB -9 2022
OF MIAMI BEACH gii«ervii#i
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
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Received on:
Processed on:
Scanned on:
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 Re irement ! (1/~VERSITY STATISTICS REPORTI K ep COPY in fi l/ /dé , soca» ? ,Jß,dé_k1< 1}
2/f] 202.» AA...±
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2/7_190 or ee 1
r 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 COMMITTIES DATABASE\CHECKLIST MASTER\B&C Checklist 2015 MASTER.docx
Ve ore committed to providing excellent public service and safety to alt who live, work, ond play in our vibrant, tropical, bistoic community.
City of Miami Beach, 1/00 Convention Conter Divo, Muami Beach, Tonda 33 139 yx_miamiboachfl go
OF FICE OF THE CI TY CLER K, Ralaal E. Gran ado, Cly Clerk
Tel: 305.673.7411, Fax. 305.673.7254
Email: Cit/Clerk@miamibeochfl.gov
January 20, 2022
M r. S cott D iffenderfer
9 Island A venue A pt 1501
M iam i Beach, Florida 33139
SUBJECT: Design Review Board
Dear M r. S cott D iffenderf er:
C ongratulations! Y ou have been reappointed by the City Commission to the above referenced board or
com m ittee, fo r a term ending: 12/31/2023.
If you are unable to accept this appointm ent or have any questions, please call the O ffice of the City C lerk
at 305.673.7411.
P lease read the enclosed m aterials carefully. C ongratulations and good luck.
R espectfully,
R afael G ranado
C ity C lerk
cc: M onica B eltran, Parking Director
Michael Belush, City Liaison
ATTACHMENTS:
Letter of Appointment
O ath
C ity Code/O rdinance 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
O rdinance No. 2006-3543 - Am endment to City Code Section 2-22
M iam i-Dade C ounty Code S ection 2-11.1 - Conflict of Interest and Code of Ethics Ordinance
City Wide Permit Application - (Parking Department Form)
B ooklet - G ui de to the S unshine A m endment and Code of Ethics for Public Officers and Employees
City of Miami Beach, 700 Convention Conter Drive, Miami Beach, Horida 33 139 y¿_miamihoachll go
OFFICE OF THE CITY CLERK, Ral0al E. Granado, City Clerk
Tl: 305.673.7411, Fax€ 305.673.7254
Ema il: Ci/Clerk@miamibeochfl.gov
Oath of Office
Oath of Civility
and
Acknowledgements
T O : M r. S cott Di ff e nde rf er
R E : D e sig n R evie w B oard
I d o so le m n ly sw ea r or affirm to b e a r true faith , loya lty and a lle g ia nce to the G o ve rn m e nt o f the U n ited
S tates, the S tate of Florida, and the City of Miami Beach, and to perform all the duties of a member of the
ab ove-m e ntio ne d b o ard o r com m itt e e of the C ity o f M ia m i B e ach to w hich I h a ve b e e n a pp o inte d fo r a
term e nding: 12/31/2023.
T o m y co lle ague s and to a ll of tho se I represe nt a nd se rve , I ple dg e fairn e ss, integrity a nd ci vility, in a ll
a ctio ns taken and a ll com m unicatio ns m a de by m e as a p ublic serv ant
I ha ve b e e n issu e d a co py o f section 2-1 1.1 of the M ia m i-D a d e C o u n ty C o d e (C o n flict o f In te rest and
C o de o f E thics O rdina nce), a s w ell a s F lo rida C o m m issio n on E thics G u ide to the S u nshine A m e nd m e nt
a nd C o de o f E thics fo r P ub lic O fficers a nd und e rstand that a s a m e m b e r of a C ity o f M ia m i B each B o ard
a nd/or C o m m itt ee, I m ust com p ly w ith the fina ncia l d iscl o sure * requirem e n ts o f M ia m i-D a de C o unty o r the
S tate o f F lo rida (de pe nding on the b oard o r com m itt ee o n w hich I serve) o n July 1s t, fo llow ing the cl o sing
o f the ca le nd ar yea r on w h ich I have served.
S w orn to a nd subscrib ed b efo re m e this ~~--
*P le a se visit the C ity o f M ia m i B e a ch w e b site a t w w w .mi am i b e a chfl .g o v u n d er C ity C le rk/B o a rd an d
C o m m itt ees fo r a dd itio na l info rm atio n rega rding the F inancia l D iscl osure R equirem e n ts.
1\IA\IB
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 33139
OFFICE OF THE CITY CLERK
Email: BC@miamibeachfl.gov
Telephone: 305.673.7411
RECEIVED
FEB - 9 2022
CIT OF MIAM I 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):
✓I am a resident of the City of Miami Beach for six months or longer.
Home Address 9 Island Ave. #1501, Mlami Beach, FL 33139
o 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 Compass Florida LLO
sinos soros 005o"o"oaa7too MamBao.FL331a9
"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.
th t I have read the foregoing document and that the facts stated in it
3//2023
Date I
Printed Name
NOTARY
Sworn to ( or affirmed) and subscribed before me,~ means of □phy22.I P'.~e ;;;l{online notarization,
6 a.a /lep), x oht vit»dc?
Produced ID
(Ë!l' Mia¡ach Board/Comm/tee. Member). toe'5 / go e
r6rm of Identification
Signature
¿i, CHARLES J. DAGOSTIN êj$"f wcouussroN 1os70s
è,<d,is$ ExREs: Dec(@torr2vs EJjL.) á ponded Tu Notary Public Underwriters
»»
Name of Notary, Typed, Printed, or Stamped
MIAMIB
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 33139
www.miamibeachhl,goy
OFFICE OF THE CITY CLERK
Email: BC@miamibeachfl.gov
Telephone: 305.673.7411
DIVERSITY STATISTICS REPORT
Diffenderfer Glenn Scott
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:
tsee
O Female
O Other
O I prefer not to answer.
Race/Ethnic Categories:
What is your race?
O African American/Black □Asian or Pacific Islander
[! Caucasian/white
O Native American/American Indian
O Other - Print Race: ------------- □I prefer not to answer.
Do you consider yourself to be Spanish, Hispanic, or Latino/a?
T ves
o
O I prefer not to answer.
Do you consider yourself Physically Disabled?
ves to
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
MIAMI
City of Miami Beach
1700 Convention Center Drive
Miam i Beach, Florida 33139
www.miamibeachll,goy
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)
Diff enderf er Glenn Scott
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 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)1" or
3. A Copy of your latest Federal Income Tax Return.
¢
mi-Dade County Code, may subject the person to a fine
.•3/£/o7a
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:ICLER\$ALL\REG\BOARD AND COMMITTEE APPLICATIONS FINAL DRAFTS\BOARD AND COMMITTEE APPLICATION REG FINAL.docx
Updated: June 2020
MIAMI-DAD E-
&II SOURCE OF INCOME STATEMENT
Section 2-11.1 (i) 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 I Last Name First Name Middle Name/Initial
2021 Diffenderfer Glenn Scott
Mailing Address - Street Number, Street Name, or P.O. Box
9 Island Ave. #1501
City, State, Zip
Miami Beach, FL 33139
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. □
Filing as an Employee (check one)
O 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)
O County /w unienat: City of Miami Beach
(Municipality)
Board where serving
Design Review Board
Alternate address (if home address is exempt) I Work telephone I Term began on/ended on
Jan 2022
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. O
Name of Source of Income Address Description of the Principal Business Activity
Compass Florida LLC 605 Lincoln Road, 7th FL Real Estate Sales
Miami Beach, FL 33139
RECEIVED BY ELECTIONS DEPARTMENT:
[ ] Hardcopy RECEIVED
□Electronic Copy
FEB - 9 2022
CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
OFFICE USE ONLY Accepted: Y / N Deficiency: Processed Date/initials: Scanned Date/Initials: _
138_SP-14 COE 2016
M IA M I
City of Miami Beach, PARKING DEPARTMENT
1755 Meridian Avenue, Suite 200/Miami Beach, FL 33139 /Ph: (305) 673-7505 ar (305) 673-7000 ext. 6200
CITYWIDE (CW) BOARD & COMMITTEES
PARKING APPLICATION
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:
Applicant Name:
Board/Committee Name:
Address:
E-Mail Address:
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@mniamibeachfl.gov
e-mail subject: BOARD & COMMITTEE PARKING APPLICATION - APPLICANT NAME
P ·i D ar una epartment ection
PERMIT SYSTEM GARAGE ACCESS
Expiration Date: ID Card Serial #:
Issued By Print Name: Print Name:
Signature: e Signature: e
Date Issued: Date Completed:
s .