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William Schachte 12/31/22M IA MIBE BOARD AND COMMITTEE CHECKL IST APPOINTEE: William Schachte Are or ArronreNT:_" """ BOARD/COMMITTEE: LGBTQIA+ Advisory Commit(@° Appointed by: Commissioner Mark Sam uelian ±22 2.. reos.1/1h2 o 12/3L/9 Scan o o Letter of Reappointment o fJ,7 /lzLettfr of Appointmenl/Reappointment ommittee Liaison on Scan o o Board and Cofiïm~plication (Completed on___,'1"'-.L---'----+''-6d- Scan o o Résumé/Curriculum Vitae o Diversity Statistics Reporting (Completed on I ! » o Oath Scan o RECEIVED M4AR 31 2027 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 t Sunshine Law and Public Records --- Frequently Asked Questions t Memorandum - Solicitation by City Board and Committee Members CITY OF MIAMI BEA CH OFF' TH4E CIT"ERl citywide Permit Application (Parking Department Form) Scan O Scan o Received on: Processed on: Scanned on: O Booklet -- Guide to Sunshine Am endment & Code of Ethics for Public Officers and Employees o Source of Income Statement o Acknowledgment of Financial Disclosure Requirement O DIVERSITY STATISTICS REPORTING Keep COPY in file and OR IGINAL for Ann ual Report. March 31, 2022 _Si@nea , X Wiiam L Schachte " hffi 3/37/2 . Dai 3/37/22 Date [}y [rrp[O\/@C, -y 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 are committed to providing excellent public service and safety to oll who live, work, and ploy in cur vibrant, tropical, historic community M IAM I BEACH City of Miami Beach, 1/O0 Convention Conler Drive, Miami Boach, Hlorida 33 139 yyw._miamiboachll.goy OFFICE OF THE CITY CLERK, Raf0ol E. Granado, City Clerk Tel: 305.673.7411, Fax. 305.673.7254 Email: City Clerk@miamibeachfl.gov March 16, 2022 Mr. William Schachte 540 West Avenue Unit 2214 Miami Beach, FL 33139 RE: LGBTQIA+ Advisory Committee Dear Mr. William Schachte: Congratulations! You have been appointed by Commissioner Mark Samuelian to the above-referenced Board or Committee, for a term ending: 12/31/2022. Pursuant to City of Miami Beach Code Section 2-22 (5)a: Notwithstanding any other provision of the City Code or of any Resolution, commencing with terms beginning on or after January 1, 2007, the term of every board member who is directly appointed by a member of the City Commission shall automatically expire upon the latter of: December 31 of the year the appointing City Commissioner leaves office or upon the appointment/election of the successor City Commission member. 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 as they concern your duties, responsibilities, and requirements as a board or committee member. Congratulations again and good luck. Rafael Granado City Clerk cc: Monica Beltran, Parking Director Nattaly Cuervo, City Liaison ENCLOSURES: Oath of Office/Oath of Civility/Acknowledgements City Code/Ordinance section applicable to agency, board or committee City Code Sections 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 City Wide Permit Application - (Parking Department Form) Booklet - Guide to the Sunshine Amendment and Code of Ethics for Public Officers and Employees t 1A/i City of Miami Beach, 1/00 Cononlion Conter Divo, Miami Boach, Tlorida 33139 yyyy_miaIihachllqo OFFICE OF THE CITY CLERK, Ralaol E. Granado, Cy Clerk Tel: 305.673.741 1, Fox 305.673.7254 Email:. Ci/Clerk@mtamibeachfl.gov Oath of Office Oath of Civility and Acknowledgements TO: Mr. William Schachte RE: LGBTQIA+ Advisory Committee 1 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 en ding: 12/31/2022. 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 coa or Ethtcs tor Public Orcers and understand that as a member or a cy or Mlami 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 Please visit the City of Mi a m i Beach website at www.miamibeachfl.gov under City Clerk/Board and Committees for additional inf or m at ion regarding the Financial Disclosure Requirements. MI A AAI BEA CH 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 MAR 31 2022 CITY OF MIAMI BEACH OFFICE OF THE CITY CLE RK 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):. X lam a resident of the City of Miami Beach for six months or longer. Home Address 540 West Avenue Unit 2214, Miami Beach FL 33139 ,x 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 Sobe Luxury Travel Business Address 540 West Avenue Unit 2214 Miami Beach FL 33139 o 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). 9 [[q/ne of [$[SI[@Sb-- 11S/[@s J\(]Hf9Si "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 solo proprietorship, sponsorship, corporation, limited liability company, or other entity or business association. Under penalties of perjury, I declare that l have read the foregoing document and that the facts stated in it are true. J.â.. March 31, 2022 Signature T pr William L Schachte Ill Printed Name NOTARY Sworn to (or affirmed} and subscribed before me, by means o~sical presence r r online notarization, w.,hgt,% LU[laa ckach/@ Produced ID (City of Miars' Beach Board/Committee Member). F uct s eo 5 Form of Id ntifícation lly Known Signa Name of Notary, Typed, Printed, or Stamped @w». CHARLES J. DAGOSTIN {1Î¡Ïf\", '~\ MY COMMISSION HH 165705 ii,, „3;i EXPI RES: Decom bor 14, 2025 ; ,„ea mu Notary Pubic Underwriters 8%,<l6" eu» · MAIBEA H City of Miami Beach 1700 Convention Center Drive Miami Beach, Florida 33139 www.miamibeachfl.gov OFFICE OF THE CITY CLERK Email: BC@miamibeachfl.gov Telephone: 305.673.7411 DIVERSITY STATISTICS REP'ORI Schachte William L 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: [Kl Male Llremale LCl other Ll1prefer not to answer. Race/Ethnic Categories: W/hat is your race? O African American/Black Ll Asian or Pacific Islander Ll Caucasian/white Ll Native American/American Indian [J Other Print Face. O I prefer not to answer. Do you consider yourself to be Spanish, Hispanic, or Latinola? Xl ves INo Dl prefer not to answer. Do you consider yourself Physically Disabled? Iles g0 Ro D I prefer not to answer this question. Page 6 of 6 F:CLER\SALL\REG\BOARD AND COMMITTEE APPLICATIONS FINAL DRAFTS\BOARD AND COMMITTEE APPLICATION REG FINAL.docx Updated: June 2020 MIAN\IBE H City of Mi ami Beach 1700 Convention Center Drive Miami Beach, Florido 33139 www.miamibeachll.gov OFFICE OF THE CITY CLERK Email: BC@m iamibeachfl.go Telephone: 305.673.7411 BOARD & COMMITTEE EINANCIAL ACKNOWLEDGEMENT STATEMEN T Acknowledgem ent 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) Schachte William L Last Name First Name Middle Initial I understand that no later than July1, of each ear 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 Con vention 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 than $500, 60 days in jail, or both. William L Schachte u ht, Signature March 31, 2022 Date 1 Members of the Planning Board and Board of Adjustment will be notified directly by the State of Florida, pursuant to F.S. 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:ACLERISALL\RE GIB3OARD AND COM MITTEE APPLICATIONS FINAL DRAF TS\BOARD AND COMMITTEE APPLICATION REG FINAL.docx Updated: June 2020 MI AM I- EGRI 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 rast Name First Name Middle Name/initial 2021 Schachte William L Mailing Address -- Street Number, Street Name, or P,0, Box 540 West Avenue Unit 2214 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. $119.07, read instructions on the following page and check here.[] Filing as an Employee (check one) [] county [] Public Health Trust [] Municipal: (Municipality) Department Position or Title Employee ID Number Work address I Work telephone Employment began on/ended on Filing as a Board Mlember (check one) K] county [] Municipal: City of Miami Beach (Municipality) Board where serving LGBTQIA+ Advisor Committee lternate address {if home address is exempt) Work telephone 305.916.1470 Term began on/ended on March 16, 2022 List below every source of income you received, along with the address and the principal activity of each source. Include your public salary. Place the sources of income in descending order, with the largest source first, Examples of sources of income include: compensation for services, income from business, gains from properly dealings, interest, rents, dividends, pensions, IRA distributions, and social security payments. Also, include any source of income received by anothgr person for your benefit. However, the income of your spouse or any business partner need not be disclosed. If continued on a separate sheet, check here.]] Name of Source of Income Address Description of the Principal Business Activity Sobe Luxury Travel 540 West Ave Unit 2214 Travel Agency Miami Beach FL 33139 I hereby swear (or affirm) that the information above is a true and correct statement. William L Schachte Ill Signature of Person Disclosing 31 March 2022 Date signed saos a%#"#% (Jar4coy :lVED L ] Electronic Copy, AR 31 2022 CITY OF MIAMI BEACH OFFICE OF TE CITY CLERK OFFICE USE ONLY Accepted: Y / N Deficiency. Processed Date/initials: Scanned Date/initials;-. 138._$P-14 COE 2016 /\l/A//\/ BE, ,(C} cmwE (Cw) OARD & COMMITTEES cwy o ter»i sea, PARKING DEPAR TM Nr PARKING PP][CAT[ON 1755 Meridian Avenue, Suite 200/Miami Beach, FL 33139/Ph: (305) 6737505 or (305) 673-7000 ex4. 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. 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: 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 information Date of Application: 31 March 2022 Applicant Name: William L Schachte ' oso , Board/Committee Name: [_GBTQIA+ Advisory Committee « .I,Il"e omeo o Address: 540 West Avenue Unit 2214 Miami Beach FL 33139 E-Mail Address: william_schachte@h otmail.com Work Phone: 305.916.1470 Home Phone 305.916.1470 Cell Phone: 305.916.1470 Preferred Contact Method: Cell Phone Vehicle Information Tag: CHNL 305 Color: White State: FL Year: 2013 Make: Mercedez Benz Model: GLK 350 Ae l lff52j,5wnam L schachte II pplicant Sianatur6;l ' Please provide signed form to the Parking Department located at 1755 Meridian Avenue, 2d floor. Working hours are 8:30 to 5:00 p.m. or em ail to: ParkingReception@mniamnibeachfl.gov e-mail subject: BOARD 8 COMMITTEE PARKING APPLICATION - APPLICANT NAME P, ·td D 'arana epartment ection PERMIT SYSTEM GARAGE ACCESS Expiration Date: JD Cord Seriol #: lssued By Print Name: Print Name: Signature: e Signature:. 6 Dale Issued: Date Completed: s, · orm pa0