Maria Algarra 12/31/23M IA M I BEACH
APPOINTEE:
BOARD AND COMM ITTEE CHECKLIST
Maria Jose Algarra DATE OF APPOINTMENT: ij/~ I ;)o ,)-;;;;
BOARD/COMMITTEE: Sustainability Commitee Appointed by._Nerfenandoz
2:2 %2.... r o » /./1/so r . 12/31/27
• I Scan o o Letter of Reappointment 2% 5_%/%g om m onvR e aoom m ont e-m ate4 o contee arso on
Scan o o BGa'rd añdbômhiitt€e ~cation (Completed on ~~~7 ~J-
Scan o o Résumé/Curriculum Vitae ~ , 7' "'J..n
o Diversity Statistics Reporting (Completed on'' r " »
Scan o o Oath
RECEIVED
PR 27 2022
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
CI TY OF MIAM I BEACH
OFFICF OF TH E CITY CL ER K, . +. • - O Citywide Permit Application (Parking Department Form)
Scan o
Scan o
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
O DIVERSITY STATISTICS REPORTING Keep COPY in file and ORIGINAL for Annual Report.
04/27/2022 _Signed by X M aria Jose Algarra ---------------------
Processed on:
Scanned on:
, / Date / '1/27 22 Employee: ----,,,__.,......,,.._....,,._.,. _
I Date I
/,27'2%nos
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\BO ARD A ND CO M M ITT IES DATABASE\CHECKLIST MASTER\B&C Checklist 2015 MASTE R.docx
We are committed to providing excellent public service and safety to all who live, wor k, and polay in our vibrant, tropical, histonic community.
M IAM I BEACH
City of Miami Beach, 1/0O Convention Con ter Drive, Miami Boach, Hor id a 33139 y.miamibeachll.goy
OFFICE OF THE CITY CIERK, Rofaol E. Granado, City Clerk
Tol : 30 5.6 73.7 4 11, Fax. 305.673.7254
Emai l: CiyCl erk@mi amibeach fl.gov
A pril 25, 2022
M s. M a ria A lg a rra
833 W est A ve A pt 404
M ia m i Bea ch, F l 33 139
RE : Sustainability Comm ittee
D ear M s. M a ria A lgarra:
C o ngratulatio ns! Y ou have been appointed by Commissioner Alex Fernandez to the above-referenced
Boa rd or C om m itt ee , fo r a term ending: 12/31/2023.
P ursua nt to C ity of M iam i Beach C ode Section 2-22 (5)a:
N otw ithstanding any other pro vision of the C ity C ode or of any R esolution, com m encing w ith
term s beginning on or aft er Jan uary 1, 2007, th e term of every board m em ber w ho is directly
appo inted by a m em ber of the C ity C om m ission shall autom atically expire upon the latter of:
D e cem ber 31 of the year the appointing C ity C om m issioner leaves office or upon the
appo intm ent/ele ction of the successor C ity C om m ission m em ber.
If yo u are unab le to accept this appointm ent, or have any questions, please call the Offi ce of the C ity
C le rk at 305 .673 .7411.
P le ase re ad th e encl o sed m a te ria ls carefully as the y conce rn your duties, responsibilities, and
requirem e nts as a board or com m itt ee m em ber.
C ongratulations aga in and good luck.
%
Raz Granado
C ity C le rk
cc: M o nica Be ltran, Parking D irector
Al y ssia Berth o um i e ux, City Li aison
ENCLOSURES:
O ath of O ff ice/O ath of C ivility/A cknow ledgem ents
C ity C ode/O rdina nce section applicable to agency, board or com m ittee
C ity C o de Se ctions 2-22, 2-23, 2-24, 2-25, 2-26, 2-458 and 2-459
O rdina nce N o. 20 06-3543 - Am endm en t to C ity C ode Section 2-22
M ia m i-D ad e C o unty C ode Section 2-11.1 - C on flict of Interest and C ode of Ethics
C ity Wi de Perm it Ap plication - (P arkin g D epartm ent Form )
Boo klet - G uid e to the Sunshine A m endm ent and C ode of Ethics fo r Public O fficers and Em ployees
M IA M I BEACH
City of Miami Beach, I/O0 Convention Conler Drive, Miami Boach, Florida 33 139 yyw._miaIibachll.go
OFFICE OF THE CITY CIERK, Rafool E. Granado, City Clark
Tol: 305.673.7411, Fax. 305.673.7254
Email: CiNyClerk@mi amtbeachll.gov
Oath of Office
Oath of Civility
and
Acknowledgements
T O : M s. M aria A lga rra
R E : S ustaina bility C om m itt ee
I do so le m nly sw ear or affirm to bear true faith, loyalty and allegiance to the Govern m ent of the United
States, the State of Florida, and the C ity of M iam i Beach, and to perform all the duties of a m em ber of the
above-m entione d board or com m ittee of the C ity of M iam i Beach to w hich I have been appointed fo r a
term end ing: 12/31/2023.
T o m y collea g ues and to all of those I represent and serve, I pledge fa irn ess, integrity and civility, in all
actio ns taken and all com m unications m ade by m e as a public serv ant.
I ha ve be en issued a copy of section 2-11.1 of the M iam i-D ade C ounty C ode (C onflict of Interest and
C ode of Ethics O rdinance), as w ell as Florida C om m ission on Ethics G uide to the Sunshine Am endm ent
and C ode of Ethics for Public O ff icers and understand that as a m em ber of a C ity of M iam i Beach Board
and/or C o m m itt ee , I m ust com ply w ith the financial dis closure requirem en ts of M iam i-Dade County or the
State of Flo rida (de pending on the board or com m ittee on w hich I serv e) on July 1st, fo llow ing the closing
of the calendar yea r on w hich I have serv ed.
»
M s. M aria Algarra
¢
Sw orn to and subscribed befo re m e th~
ries D'Agostin
Deputy Clerk
pl ease vi si t the C ity of M ia m i Beach w ebsite at w w w .m iam ibeachfl.gov under City Clerk/Board and
C om m itt ees fo r additional info rm ation regarding the Financial D iscl osure Requirem ents.
MIAMI BEACH
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
APR 2 72022
CITY OF MIAMI BEACH
OFFICE OF TAE 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):
XI I am a resident of the City of Miami Beach for six months or longer.
Home Address 833 West Ave, Miami Beach, FL
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 Clean This Beach Up Org
Business Address ------------------------
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).
[Jarne f Pys[%SS
[ys[fess [(]]resS
"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 true. 2i 04/27/2022
Signature
Maria Jose Algarra
Date
Printed Name
NOTARY
Sworn to (or affirmed) and subscribed before me, by means of }physical presence or a online notarization,
2 7l a p ,] 602 AAA JOSE AL 6RÇ4
(City, of Miami Beach Board/Committee Member). F bucrS lene Produced ID
, Form of Identification
Peysonally Known
iii., CHARLES J. DAGOSTN Cf$"f? wrcownssiovii«srs
%¿j,a gd.ii ExPREs: Decombor 14, 2025
jf? Bonded Tu Notary Public Underwriter s
(NOTARY SEAL)
Signa
, Typed, Printed, or Stamped
MIAMl·DADE-
EETEI 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 Algarra Maria Jose
Mailing Address - Street Number, Street Name, or P.O. Box
833 West Ave
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 E] Municipal: Miami Beach
(Municipality)
Department
Position or Title Employee ID Number
Lead Server 815224696
Work address I Work telephone Employment began on/ended on
90 NE 39th st, Miami, FL 33137 (305) 704-0094 04/15/2021
Filing as a Board Member (check one)
[] county [] Municipal: Miami Beach
(Municipality)
Board where serving
Sustainability Committee
Alternate address (if home address is exempt) I Work telephone I Term began on/ended on
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.lZ]
Name of Source of Income Address Description of the Principal Business Activity
Groot Hospitality
I hereby swear (or affirm) that the information above is a true and correct statement.
Signature of Person Disclosing
04/27/2022
Date signed
RECEIVED BY ELECTIONS DEPARTMENT:
Jar«co» RECEIVED
[K] Electronic Copy
APR 2 7 2022
CITY OF MIAMI BEACH
OFFICE USE ONLY Accepted: Y / N Deficiency: Processed Date/Initials: Scanned Date/initials:
138_SP-14 COE 2016
M IA M I BEACH
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 33139
www.miamibeach[l.gov
OFFICE OF THE CITY CLERK
Email: BC@miamibeachfl.gov
Telephone: 305.673.7411
DIVERSITY STATISTICS REPORI
Algarra Maria Jose
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:
DMate
[?l Female
O Other
O I prefer not to answer.
Race/Ethnic Categories:
What is your race?
O African American/Black
O 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?
gl Yves
No
O I prefer not to answer.
Do you consider yourself Physically Disabled?
ves
00o
O I prefer not to answer this question.
Page 6 of 6
F:ICLER \$ALL\REG \BO ARD AND CO M M ITT EE APPLICATIO NS FINAL DRAFTS\BOARD AND COMMITT EE APPLICATION REG FINAL.docx
Updated: June 2020
M IA M I BEACH
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 331 39
www.miamibeachfl.gov
OFFICE OF THE CITY CLERK
Email: BC@miamibeachfl.gov
Telephone: 305.673.7411
BOARD & COMMIIIEE 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)
Algarra Maria Jose
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.
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.
04/27/2022
Signature Date
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 :IC LE R \$A LL\R E G \B O A R D A N D C O M M ITT E E A P P LI C A TIO N S FIN A L D R A FTS\BO A R D A N D CO M M ITT EE A PPLI C A TIO N REG FIN A L.dccx
Updated: June 2020
2\9£4.4 1 7 ±.a l Lal
1755 Meridian Avenue, Suite 200/Miami Beach, FL 33139 /Ph: (305) 673-7505 or (305) 673-7000 ext. 6200 PARKING
A city w ide (C W ) parking perm it is honored at metered parking spaces and restricted residential zones
parking spaces. A CW parking perm it IS NOT honored in prohibited ar eas. An Access Car d will be
provided to you fo r City Hall G ara ge (G 7) access.
IMPORTANT NOTE: Your vehicle license plate serves as your "par king perm it". In order to avoid
any unnecessar y enfo rcem ent act ions, it is im portant that our records reflect the most current and
accura te info rmation regar ding your vehicle license plate. Inaccurate and/or outdated vehicle
info rmation m ay lead to the issuance of par king citation(s) and/or the towing of your vehicle.
Please note that this new access car d CANNOT be hole-punched or perfo rated in any manner. To use
the new car d please hold the car d at close proxim 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 surface of the car d against the re ader
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
D a te o f A p p licatio n : 04/27/2022
A p p lica nt N a m e : M a ria Jose A lgarra
Bo a rd /C o m m ittee N a m e : S ustainability C om m ittee
A d d re ss: 833 W est A ve M iam i Beach Fl 33139 ' '
E-M a il A d d re ss: m j.cl ea nthisbeachup@ gm ail.com
W o rk Pho ne : 786 5713862 H om e Phone
C e ll Pho ne : Preferred Contact M ethod:
Vehicle Information
Ta g : 25B JU N C olor: Black/G ray
Sta te: Florida Y ear : 2017
M a ke : C hevrolet M odel: Equinox LT
Ap p l ican t Sia na ture: e
Pl e a se provid e sig n e d form to th e Par ki ng D ep ar tm en t located at 1755 M eridian Aven ue, 2d floor . W orking
ho urs a re 8:30 to 5:0 0 p.m . or em a il to : ParkingReception@miamibeachfl.gov
e-mail subject: BOARD 8& COMMITTEE PARKING APPLICATION - APPLICANT NAME
P ·ki D ar mna epartment ection
PERMIT SYSTEM GARAGE ACCESS
Expiration Date: ID Card Serial #:
Issued By Print Name: Print Name:
Signature: e Signature:
Date Issued: Date Completed:
s
:' pmng man rar' torms cw oars «commtees parkmngtorm.toc orm up ae