Igor Shteyrenberg 12/31/23M IA M I BEACH
FOR SCANNER
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BOARD AND COMMITTEE CHECKLIST ·
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o Letter of Appointment TERM END:de/'le TRMurr:. /et led
o Letter of Reappointment ·7%,$//js sr=mers
pÉ6ah4 and Committee Application (Completed onz4 I/ -1
o Résumé/Curriculum Vitae
o Diversity Statistics Reporting (Completed on - l
o Oath
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RECEIVED
JUL 21 2022
CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
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Received on:
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Date
mittee Liaison on
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 201 O)
✓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
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 DIVERSITY STATISTICS REPORTIN Keep COPY in file and ORIGINAL for Annual Report.
//v _signed by / pp).
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CONCLUDED & RESIGNATION LETTERS
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F:ICLER\BOARD AND COMMIT TIES DATABASE\CHECKLIST MASTER\B&C Checklist 2015 MASTER.docx
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M IAM I BEACH
City of Miami Beach, 1/00 Convention Conler Drive, Miami oach, Hlorida 33 139 yy¿y_miamiboachl]go
OF FICE OF THE CI TY CLERK, Raf ael E. Granado, City Clerk
Tol: 305.673.7411, Fax. 305.673.7254
Emai l: C ityCl erk @mi am i beach fl.gov
M ay 02, 2022
M r. Igor S hteyrenberg
1047 N E 204 Terrace
Miami, FL 33179
RE: Production Industry Council
D ear M r. Igor S hteyrenberg:
C ongratulations! Y ou have been appointed by Commissioner Steven Meiner to the above-referenced
Board or C om m ittee, fo r a term ending: 12/31/2023.
P ursuant to C ity of M iam i Beach C ode Section 2-22 (5)a:
Notw ithstanding any other provision of the C ity C ode or of any Resolution, com m encing w ith
term s beginning on or after January 1, 2007, the term of every board m em ber w ho is directly
appointed by a m em ber of the C ity C om m ission shall autom atically expire upon the latter of:
D ecem ber 31 of the year the appointing C ity C om m issioner leaves office or upon the
app ointm ent/el ection of the successor C ity C om m ission m em ber.
If you are unable to accept this appointm ent, or have any questions, please call the O ffi ce of the C ity
C lerk at 305.673.7411.
P lease read the enclosed m aterials carefully as they concern your duties, responsibilities, and
requirem ents as a board or com m ittee m em ber.
C ongratulations again and good luck.
"3( -. C ity C lerk
cc: M onica Beltran, Parking D irector
V ero nica Hennig, C ity Li aison
ENCLOSURES:
O ath of O ffice/O ath of C ivility/A cknow ledgem ents
C ity C ode/O rdinance section applicable to agency, board or com m ittee
C ity C ode Section s 2-22, 2-23, 2-24, 2-25, 2-26, 2-458 and 2-459
O rdinance No. 2006-3543 - Amendmen t to City Code Section 2-22
M iam i-Dade C ounty C ode S ection 2-11.1 - C onflict of Interest and Code of Ethics
C ity Wi de Perm it Applic ation - (P arking Departm ent Form )
Booklet - G uid e to the S unshine A m endm ent and C ode of Ethics fo r Public Officers and Employees
1
City of Miami Beach, I/o w n»n Conto DNo, Mom+ (ooh, Honda 33 30 www.mlamttolll q
OKI N I« II I(RX Rolol I Granado, Cay Cloul
ll 30$7 7 411 lox 30$ 671 72 5
(mol oN ll 9omboac hhl g
Oath of Office
O ath of Clvlllty
and
Acknowledgements
T O : M r. lg or Sh t e yren b er g
RE: P ro d u ctio n In d u stry C ou n cil
I do so le m nly sw e ar o r affi rm to bea r true faith , lo yalty an d alle g ia nce to the G overn m ent of the U nited
S ta te s, th e Sta te of Florid a , an d the C ity of M iam i Bea ch , and to perf orm all the duties of a m em ber of the
a b o ve -m e n tio ne d boa rd o r co m m itte e of the C ity of M ia m i Be a ch to w hich I have been appointed fo r a
te rm ending: 12/3 1/2 02 3 .
T o m y colle a g ues a n d to all of th o se I rep rese nt and se rve, I ple d g e fairn e ss, integrity and civility , in all
actio n s ta ke n an d all co m m u n ications m a de by m e as a public se rv ant.
I ha ve bee n issu ed a co p y of se ction 2-11 .1 of the M iam i-D a de C ou n ty C ode (C onfli ct of Interest and
C o d e o f Eth ics Or di nan c e ), as w e ll as Flo rid a C om m issio n on Ethics G u id e to the S unshine A m endm ent
a n d C o d e of E th ics fo r P u blic O ffi ce rs and und e rsta nd that as a m em b e r of a C ity of M iam i B each B oard
a n d /o r C om m itt e e. I m ust co m p ly w ith the fina ncia l di scl o su re " req uire m e n ts of M iam i-D ade C ounty or the
S ta te o f F lorid a (d e pe n d in g on th e boa rd or com m itt ee on w hich I serv e ) o July 1st, follow ing the closing
of th e ca len d a r ye a r o n w h ich I have se rv ed.
Sw orn to an d sub scrib e d be fore m e thi s „M
"P le a se visi t th e C ity o f M ia m i B each w e bsi te at w w w .mia mib each fl .gov under C ity Clerk/Board and
C o m m itte e s fo r ad d itio n a l in fo rm a tio n reg arding the Fina ncia l D isclo su re Re q uirem ents.
M IA M I B EACH
City of Miami Beach
1700 Convention Center Drivo
Miomi Beach, Florid 33139
OFFICE OF THE CITY CLERK
Em ail BC@miamibeachf_gov
Telephone: 305.673.7411
RECEIVED
JUL 21 2022
CITY OF MIAM I BEA CH
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):
o I am a resident of the City of Miami Beach for six months or longer.
p f % J ]]f -
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).
[arme f 1y1[eS5-
/
HSyg[moss (}]fros5-
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 ot Business /Hr$ J (Rn f t
Business Address_ k[ _Éy TE D,A@ MA ,u 370
"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 ies of perjury, I declare that I have read the foregoing document and that the facts stated in it
are true. s/6/
Signature bate" 7
Printed Name
NOTARY lm to ( or affirmed) and subscribed before m~ means o~ysical presence or o º?line notarization,
u ors _as2Éo'Sh/eyreuh)
•. F""8" X
Form of Identification
rsp nally Kn o
• /, ,-/., ],g&ii ., CHARLES J. DQTiRY -AL )
si [??"; wrcouussro o 1os7os
ii±,9Na.¿s? ExP RE s: Decem ber 14, 2025 .. r;5x; ponded Thru Notary Public Underwriters
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MIAMl·OA DE.
El SOURCE OF INCOME STATEMENT
Section 2-11.1(0 of the County Ethics Codo roquiros that cortaln omployoos and public otflclals file a financial dlsclosure Statem ent on a yearly b
o( evcry ycar.
Disclosure tor Tax Year Ending Last Name
2021 {Mf6u€3u
First Name
Soor-
Middle Name/Init
Mailing Address - Street Number, Street Name, or P.O. Box
[047 N Z»4 1li
City, State, Zip
M p ,L 33174
If your home address is your mailing address, and your home address is exempt from public records pursuant to Fla. Stat. $119.07,
instructions on the following page and check here. O
Filing as an Employee (check one)
O County O Public Health Trust O Municipal:
(Municipality)
Department
Position or Title Employee ID Numbe
Work address Work telephone Employment began o
Filing as a Board Member (check one)
O County rd worn«cat: cs' o 8t"
(Municipality)
Board where serving
PoDo t+pur?T cova
Alternate address (it home address is exempt) Work telephone Term began on/ended
2»22-
List below every source of incom e you received, along with the address and the principal activity of each source. Include your public salary. Place
Income in descending order, with the largest source first. Examples of sources of Income Include: comp ensation for services, income from busin
property dealings, interest, rents, dividends, pensions, IRA distributions, and social security paym ents. Also, include any source of incom e recei
person tor your benefit. However, the Income ot your spouse or any business partner need not be disclosed. If continued on a separate sheet, c
Name of Source of Income Address Description of the Principal Busin
M\ P£ TE %,
wAt @NL ,l- po
ear (or affirm) that the Information above Is a true and correct statement.
Sign
Date signed
RECEIVED BY ELECTIONS DEPARTMENT
Jar«cofECEIVED
E] Electronlc Copy
JUL 21 2022
OFFICE USE ONLY Accepted: Y I N Deficiency. Processed Date/Initials: Scanned Date/Initials: _
138_SP-14 COE 2016
asis by July 1st
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M IA M I B EA C H
City of Miami Beach
1700 Convention Center Drive
Miomi Beoch, Florido 33139
www,mni am i be ac h(l.gov
O FFIC E O F TH E C ITY C LERK
Email: BC@miamibeachfl.gov
Telephone: 305.673.7411
DIVERSITY STATISTICS REPORI
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:
shh.e
D Female
D Other
O I prefer not to answer.
Race/Ethnic Categories:
What is your race?
O African American/Black
CJ Asian or Pacific Islander
[) Caucasian/white
O Native American/American Indian
O Other -- Print Race: _
O I prefer not to answer.
Do you consider yourself to be Spanish, Hispanic, or Latinola?
ves
2o
O I prefer not to answer.
Do you consider yourself Physically Disabled? • 4i
D I prefer not to answer this question.
Page 6 of6
F:CLERSALLREGBOARD AND COMMITTEE APPLICATIONS FINAL DRAFTS\BOARD AND COMMITTEE APPLICATION REG FINAL. docx
U pdate d:. June 2020
M IA M I BEACH
C ity of M ia m i B e a ch
1700 Convention Center Drive
Miami Beach, Florida 33139
ww.miamibeachfl,goy
OFFICE OF THE CITY CLERK
Email: BC@ miamibeachfl.gov
Telephone: 305.673.7411
B O ARD & COM M ITTEE FINA NCIA L ACKNOW LEDGEMENT 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)
Last Name First Name Middle Initial
l understand that no later than July 1,of each year all members of Boards and Committees of the City of Miam i
Beach, including those of a purely advisory nature, are required to comply with Miami-Dade County Financial
Disclosure Requirements.
0ne of the following forms m ust be fil ed 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)';" or
3. A Copy of your latest Federal Income Tax Return.
Failure t file one of these forms, pursuant to the Miami-Dade County Code, may subject the person to a fine
of no mo than $500, 60 days in jail, or both.
Signature
' 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 wi th 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
FICLER SAL LREGBOAR D AN D COM MITT EE AP PLICATIONS FIN AL DR AFT SBOAR D AN D COMMITTE E AP PLICATION REG FINAL. d0cx
Updated: June 2020
MI A MAN BE A CH CITYWIDE (CW) BOARD & COMMITTEES ta civ sf ii@mi seed, PARRING oEPAR r N r PAR KING PPL[CT[ON
1755 Meridian Avenue, Suite 200/Miami each, FL 33139/Ph: (305) 673-7505 or (305) 673.7000 ex4. 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 oreas. An Access Card will be
provided to you for Cily Hall Garage [G7) access.
IM PORTANT 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 cord CANNOT be hole-punched or perforated in any manner. To use
the new cord 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.
ACKNOW LEDGEMENT: 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: 5//
Applicant Name: re- Yew &u-
Board/Committee Name: o/r1o 1w0/3«at C'o/Ns-
Address:
E-Mail Address: e ( Mt-MSG + FIA. ·&
Work Phone: o -7e4.- q46e Home Phone
Cell Phone: ' t4 Preferred Contact Method: eT-
Vehicle Information
Tag: crzY}o Color: nck
State: FL ear: 202 O
Make: HYvM DPT Model: EL M T •
Applicant Sianature: i
Please provide signed form to the Parking Department located at 1755 Meridian Avenue, 2d floor, Working
hours are 8:30 1o 5:00 p.m. or email to: ParkingReception@mi amibeachfl,gov
e-mail subject: BOARD & COMMITT EE PARKING APPLICATION - APPLICANT NAM E
Parking Department Section
PERMIT SYSTEM ·- GAR AGE ACCE SS
Expiralion Date: ID Card Serial #:
Issued By Print Name: Print Nome:
Signa ture: 6 Signature: 6
Date Issued: Dole Completed:
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