Louise DePodesta 12/31/23MIAMI BEACH
BOARD AND COMMITTEE CHECKLIST
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scan o otetter ot Appointment TERM END:_'''' TERMLurr: /e I./
Scan o o Letter of Reappointment
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scan o o oar@ an@ éorritee Application (competed ,_,]7 9
scan o o Résumé/curriculum vi ta e yy; /2}
o Diversity Statistics Reporting (Completed on )_y c>o/-
Scan o o Oath
RECEIVED
MAY 31 2022
CITY OF MIAMI BEACH
OFFICE OF TE Cir OLE#k
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
✓Sunshine Law and Public Records - Frequently Asked Questions
✓Memorandum - Solicitation by City Board and Committee Members
Scan o
Scan o
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 Requirement ! O DIYE~SITV STATISTICS REPORTING Keep COPY in file and ORIGINAL for Annual Report.
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CONCLUDED & RESIGNATION LETTERS
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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
We are committed to providing excellent public service and safety to all who live, work, and play in our vibrant, topical, historic community.
M IA M I BEACH
C ity of M iam i Beach, 1/OO Convention Conter Drive, Miami Boa ch, Horida 33139 wywy._miamibeachl].goy
OF FI CE OF THE CITY CI ERK, Raf0ol E. Gr an ad o, City Cl erk
Tol : 305.6 73.7 4 11, Fax. 305.673.7254
Email: CilyClerk@miamibeachfl.gov
M ay 26, 2022
M s. Louise D e Podesta
5 Island Ave Apt.11 c
M iam i Beach, FL 33139
R E : Miam i B ea ch Comm issi on For W om en
Dear M s. Louise De Podesta:
Congratulations! You have been appointed by C o m m issio ner K risten R osen G o nzalezto the above-
referenced Board or Comm ittee, for a term ending: 12/31/2023.
Pursuant to City of M iami Beach Code Section 2-22 (5)a:
Notw ithstanding any other pro vision of the City Code or of any Resolution, commencing with
terms beginning on or after January 1, 2007, the term of every board m ember who is directly
appointed by a mem ber of the City Commission shall automatically expire upon the latter of:
Decem ber 31 of the year the appointing City Commissioner leaves office or upon the
appointm en t/el ection of the successor City Commission member.
If you are unable to accept this appointment, or have any questions, please call the Of fice of the City
C lerk at 305.673.7 411.
Please read the encl osed materials carefully as they concern your duties, responsibilities, and
requirements as a board or committee m ember.
C ongratulations again and good luck. R eri
R afael Granado
City C lerk
cc: M onica Beltran, Parking Director
Monica M atteo-Salinas, City Li aison
EN C LO S U R E S :
O ath of O ffice/Oath of Civility/Acknow ledgements
City C ode/O rdinance section applicable to agency, board or committee
City Code Sections 2-22, 2-23, 2-24, 2-25, 2-26, 2-458 an d 2-459
O rdinance No. 2006-3543 - Am endm ent to City Code Section 2-22
M iam i-Dade County Code Section 2-11.1 - Con flict of Interest and Code of Ethics
C ity Wi de Permit Ap plication - (Parking Department Form)
Booklet - G uide to the Sunshine Amendment and Code of Ethics for Public Officers and Employees
MIA#IBEACH
City of Miami Beach, /0O Convention Canter Drive, Miami Boach, Hlorida 33 139 yyw_IiaIibcachll.goy
OFFICE OF THE CITY CLERK, Ralaal E. Granado, City Clerk
Tel: 305.673.7411, Fax. 305.673.7254
Email: CilyClerk@miamibeachfl.gov
Oath of Office
Oath of Civility
and
Acknowledgements
DK·
TO: Ms. Louise De Podesta
RE: Miami Beach Commission For Women
I 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 ending: 12/3 1/202 3.
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 Code of Ethics for Public Officers and understand that as a member of a City of M iam i 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 g,_ l1_,2 02 2
*Please visit the City of Miami Beach website at www.miamibeachfl.gov under City Clerk/Board and
Committees for additional information regarding the Financial Disclosure Requirements.
MIAMI BEACH
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 33139
OFFICE OF THE CITY CLERK
Email: BC@miamibeachfl.gov
Telephone: 305.673.7 411
RECEIVED
MAY 31 2022
CITY OF MIAMI 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
(/) al l that apply):
✓I am a resident of the City of Miami Beach for six months or longer.
Home Address S 1N° A ot c ox! ßac 33\1
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).
[[qmqe f [[Is[Fess
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).
Name of Business -----------------------
3[Is]f@SS [(l(]f@SS
"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
"KM94 5b722
Signature Date
loos Do m
Printed Name
NOTARY
Sworn to (or affirmed) and subscribed before me, by means of o physical presence or o online notarization,
ou?1.y on_L(4 ,zoo»_le Depakecl__
/ (City of Miami Beach Board/Committee Member).
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Name of Notary, Typed, Printed, or Stamped
MI A \I BE A CH
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 33139
www.miami beach hl, goy
OFFICE OF THE CITY CLERK
Email: BC@miamibeachfl.gov
Telephone: 305.673.7411
BOARD & COMMITTEE FINANCIAL ACKNOWLED GEME NT STA TEMENT
Acknowledgement of fines/suspension for Board/Committee Members for failure to comply with Miami-
Dade County Financial Disclosure Code Provision Code Section 2-11.l(i} (2)
Lo ot> A
Last Name First Name Middle Initial
I understand that no later than July_l, 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:
l. 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.
4462 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 l. 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 of6
F:\CLER\$ALL \REG\BOARD AND COMMITTEE APPLICATIONS FINAL DRAFTS\BOARD AND COMMITTEE APPLICATION REG FINAL.docx
Updated: June 2020
MIAMI BEACH
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 33139
www.miam ibeach[l.gov
OFFICE OF THE CITY CLERK
Email: BC@rniarnibeachfl.gov
Telephone: 305.673.7 411
DIVERSITY STATISTICS REPORT
L-0sz 4
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:
LlMate
diemate
loner
O I prefer not to answer.
Race/Ethnic Categories:
What is your race?
O African American/Black
O Asian or Pacific Islander I caucasianwwite
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?
Tves
hi
O I prefer not to answer.
Do you consider yourself Physically Disabled?
Lyes
1No
O I prefer not to answer this question.
Page 6 of6
F:\CLER\$ALL \REG\BOARD AND COMMITTEE APPLICATIONS FINAL DRAFTS\BOARD AND COMMITTEE APPLICATION REG FINAL.docx
Updated: June 2020
MIAM •• Em SOURCE OF INCOM E 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 LastName p First Name Middle Name/Initial
2021 Dt '6Osn L o0s A
Mailing Address - Street Number, Street Name, or P.O. Box
\et s 1AD {ue c
City, State, Zip
{-L- pt(Awu ~q_-l 3533
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. O
Filing as an Employee (check one)
EI county □Public Health Trust [] Municipal:
(Municipality)
Department
Position or Title Employee ID Number
Work address Work telephone Employment began on/ended on
Filing as a Board Member (check one)
[] county [·Kunicial: MA«l pc
(Municipality)
Board where serving
fo Joe) Couw 3 to
Alternate address (if home address is exempt) Work telephone "pon 5/ - z)'3 .
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
1«<A DO>TR O TA Cua> 5H0 /o &ot 8g! Ay S «e
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I hereby swear {or affirm) that the information above is a true and correct statement.
.-2é>
Date signed
RECEIVED BY ELECTIONS DEPARTMENT:
J artcow»RECEIVED
O Electronic Copy
MWAY 31 2022
CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
OFFICE USE ONLY Accepted: Y / N Deficiency. Processed Date/Initials: Scanned Date/Initiais: _
138_SP-14 COE 2016
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