Elizabeth Resnick 12/31/23BOAR D A ND COM M ITT EE CHECKLIST
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R EC E IVED
JUN 02 2022
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 C ITY O F M IA M I B E A C H
O F F IC E O F T H E C ITY C LE R K
O Citywide Permit Application (Parking Department Form)
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DATE or APP oI T er . _S]3]_/30
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Apointea y.. an )tg\o f
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e Letter of Appointment TERM EN D:] 09
o Letter of Reappointment I
y. "72'jvommenvReaoomtmet e-man ea
o Board and Cor imittee Application (Completed on _)
• e som r c or@ t on veé //?2,93 9
c Diversity Statistics Reporting (Completed on_Or<z,7l" >'
o Oath 7
to Committee Liaison 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 K eep ç Py in file an d O RI GI NAL for A nnual R ep or t.
sones o,X oo R ece iv ed o n 3/ 31//-'"~{3-
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Date
CONCLUDED & RESIGNATION LETTERS
Term Expired Letter Date Processed Initials S can O
Resignation Letter Date Processed Initials Scan O
Removal Letter due to absences Date processed Initials Scan O
FACLERBOARD AND COMMIT TI E S DAT AB AS E \CH ECK LI S T MA STER\B &C Checklist 2015 MA STE R.docx
M IAMI BEACH
City of Miami Beach, 1/OO Convention Center Drive, Miami Beach , Florida 33 139 yyw_miamnibeachll go
OFFICE OF THE CITY CLERK, Rafael E. Granado, City Clerk
Tel: 305.673.7411, Fax. 305.673.7254
Email: CityClerk@miamibeachll.gov
May 27, 2022
Ms. Elizabeth Resnick
6475 Allison Road
Miami Beach, Florida 33141
RE: Miam i Beach Com mission For Women
Dear Ms. Elizabeth Resnick:
Congratulations! You have been appointed by Commissioner Steven Meiner to the above-referenced
Board or Committee, for a term ending: 12/31/2023.
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.
Regard7<1
Rafael Granado
City Clerk
cc: Monica Beltran, Parking Director
Monica Matteo-Salinas, 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
B E A C H
City of Miami Beach, !/OO Convention Cents DrNo, Mami Bach, Honda 33139 yywy_maA._all]_qo
OF FICE O THE CITY CIERK . Ral o l E Granado, Cay Cler k
Il. 305673.7411, Fax 305 673.7254
E moil. CityCler l @miamboach ll.gov
Oath of Office
Oath of Civility
and
Acknowledgements
TO: Ms. Elizabeth Resnick
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 en ding: 12/31/2023.
To my colleagues and to all of those I represent and serve, I pledge fairness, integrity and civility, in all
actions taken and all co mmunications 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 Miami Beach Board
and/or Committee, I must co mply 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.
s. izabeth Res#R">
Sworn to and subscribed before me this 3 day o;;-~ 2022
Pl ease visit the City of Miami Beach website at www.miamibeach fl.gov under City Clerk/Board and
Com m ittees fo r additional inform ation regarding the Financial Disclosure Requirements.
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 33139
OF FICE OF THE CITY CLERK
Email: BC@miamibeach].gov
Telephone: 305.673.7411
RECEIVED
JUN 02 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
l am in compliance with the affiliation requirement of Miam i Beach City Code Sections 2-22 (4), as (check
(/) all that apply):
s lam a resident of the City of Miami Beach for six months or longer.
n 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).
fare f Ht4mes
Business Address -----------------------
a lama full-time employee of a business (for a minimum of six months) and l 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 -----------------------
3y1f}%g (St]fSS
"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 pen alties of perjury, I declare that l have read the foregoing document and that the facts stated in it cg>rH-< <paya0a, Wn~ -D-a-te~!---~,-""'---=-.,__._ _
2gr ii,
Printe
NOTARY
Sworn to (or affirmed) and subscribed before me, _by means *ysìcal pre,;i ce or a online notarization,
3bf« 01 as tLzlet sol
Produced ID
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5ii?' Bonded Thru Notary Public Underwriters
(NOTARY SEAL)
MIA M1BEA CH
City of Miami Beach
1700 Convention Center Drive
Miami Beach, florid 33139
www.miamibeochtl.goy
OFFICE OF THE CITY CLERK
Em ail:. BC@miamibeachfl_gov
Telephone: 305.673.7411
DIVER SITY STATI STI CS REPOR T
First
A
Last 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:
lMale
Dà remale
Coner
El prefer not to answer.
Race/Ethnic Categories:
What is your race?
L} African American/Black
Ll Asian or Pacific Islander
fQ Caucasian/white
DNative American/American Indian
[other -Print Face. -
[ll prefer not to answer.
Do you consider yourself to be Spanish, Hispanic, or Latino/a?
Tves Eo EB prefer not to answer.
Do you consider yourself Physically Disabled?
D i,'es
No
Llyprefer not to answer this question.
C ity of Miami Beach
1700 Convention Center Drive
Mi am i Beach, Flor ida 33139
www_miamibeach!l gov
OFFICE OF THE CITY CLERK
Email: C@miamibeachf.goy
Telephone. 305.673.7411
BOARD S 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)
La st N a m e
£
Mid dle Initial
l u n d er st a n d that no la ter th a n Ju]y 1, of each year al l m emb ers of Boards an d C omm i ttees of the City of M iam i
Beach, including those of a purely advisory nature, are required to co mp ly with Mi a mi -D ade County Fin an cia l
D iscl o sure R e q ui reme nts .
One o f th e fo llo w in g form s must be filed with th e City Clerk of Miami B each , 17 00 Convention Center Dr ive,
Miami Beach, Florida, no later than 12.00 noon of July 1, of each year:
1. A"Source of Income Statemen t;" or
2. A"Statement of Financial Int e re sts (Form 1)';" or
3. A C op y of your latest Federal Income Tax Return.
Failure to file o n e of th e se form s, pu rsuant to the M iam i-D ade C ount y C od e , m ay subj ect th e per son to a fine
o f n o m ore th an $500, 60 da ys in jai l, or bot h .
tc 2e ,., , s aleT 7
' Members of the Planning Board and Board of Adjustment will be notified dire ctly by the State of Fl o rid a,
pur s u a n t to F .S. $1 12.3 14 5 (1)(a ), to file a S tat e m e nt of Financial Interests (Form 1) with th e Mi a mi -D ad e County
S up e rvi sor of E le ct io n s by 12.0 0 noon , July 1. P lann ing Bo ar d an d Board of A dj ust m ent members wh o file their
Form 1 with the C o un ty S uper vi sor of El ect ion s automa tica lly satisfy the County's finan cial di s cl osur e
req u ire m en t as a Miami Beach C ity 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
re q u irem e nt .
Page 5 of 6
M IA M ,. Emmi SOURCE OF INCOME STATEMENT
Section 2-11.1(@) of tie 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 Las} Name
2o21 €5l'
Malling Address - Street Number, Stregtame, or PO. BOY
GO5 Dl i , Hl,
First Name MidÄme/lnitlal
City, State, Zip
5 32)
lf 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)
ublic Heal th Trust
"
[] M unicipal:
(M un icipality)
Department
Position or Title
Work address Work telephone
Employee ID Number
Employment began on/ended on
Fling as a Board fAember (cbeck e)
[] county ínonconv
(Municipality)
Board where serv ing
11 Coro sss, { e
t erna te address (it hom e address is exempt) Work telephone
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
incom e in descending order, with the largest source first. Examples of sources of income include: compensation for services, income from business, gains from
prop erty 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 I Description of the Principal Business Activity
P@ /rule+,/€66»
05 9\)3 (0 ) Hi4pw4 €+saus,
r3 F 33 1 \ Mr omsh, P2
I hereby swear (or affirm) that the information above is a true and correct statement.
2Ea=- Signature of Person o~,,.;;......---"
RECEIVED BY ELECTIONS DEPARTMENT:
J ar@so » RECEIVED
[] Electronic Copy
JUN 02 2022
CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
\///\//\/pEA¡ ,CITYWIDE (CW4 B8OARD & COMMITTEEs g .pg r «i noni i.ás. éi@a si«nisr PARKING APPLICATION lhlESE
1755 Merid Avenue, Suite 200/Miami Beoch, FL 33139/Pl: (305) 673.7505 r (305) 6737000 et. 6200 PARKING
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 entorcemenl actions, il is important that our records reflect the most current and
accurate information regarding your vehicle license plate. Inaccurate and/or outdated vehicle
information m ay lead to the issuance of parking citation(s and/or the towing ol your vehicle.
Pl e a se nol e th a t th is ne w a c ce ss car d CANNOT b e hole-punched or perforated in a n y m a nn er . To use
the new card please hold the card at close proxi mi ty to the reader until the gate opens. You may need
to try the other side of the card. Plea se ensure you hol d th e entire surface of the card again st 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
Dote of Application:)g
Mol Adres: li2re8 o.].C
Work Phone: Home Phone
cell e on 305-7233- ))51 Preferred Contact Method: QI)
Vehicle Information
Tog: +ve£l Color: wbk
State: Fo1O Year: 200
Make: )er codas Model: 545o
-= Ea? Applicant Sianature: s 7
Please provide signed form o the)Parking Department located at 1755 Meridian Avenue, 2° floor. Working
hours are 8:30 to 5.00 p.m. or ema il to: ParkingReception@mniamibeachfl,gov
e-mail subject: B O ARD & C O MM ITTE E PA RKI N G A P PL I C ATI O N -- APPLICANT NAME
P, ·ki D g r' ing e p ga r m e nt 1on
PERMIT SYSTEM GARAGE ACCESS
Expiration Dole: ID Card Seriol #:
lssued By Print Name: Print Name:
Sig0lure: Signature: S
f.4- 1.,-o.± l m.. ..--.a-à.
Se:ti
Florida Ra rvr LUCENSE
R252-221-76-514-0"E
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