Peter Matos 12.31.23MIAMIBEACH
BOARD AND COMMITTEECHECKLIST
APPOINTEE: Peter A. Matos DATE OF APPOINTMENT: 1/9/23
BOARD/COMMITTEE: Convention Center Advisory 136 Appointed by: Comm Arriola
FOR SCANNER FOR CLERK STAFF
Scan o o Letter of Appointment TERM END:. 11 'a � � TERM LIMIT: 1
Scan o o Letter of Reappointment
o OCopy �ooff Letter of Appointment/Reappointment e-mailed to Committee Liaison on
11
-11
Scan o o Board and Committee Application (Completed on
Scan o o Resume/Curriculum Vitae
o Diversity Statistics Reporting (Completed on V I bn to
Scan o (.) Oath
RECEIVED
',IAN 112023
CITY OF MIAMI BEACH
OFFICE~ OF THE CITY CLERK
Scan o
Scan o
Received on: 1/9/23
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
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 Board and Committees Liaison Responsibilities
o DIVERSITY STATISTICS REPORTING Keep COPY in file and ORIGINAL for.Annua[Repb'rU
Signed by X/Peter Matos/
Date Board or Committee'Memblg _'
Processed on: 6 1] 11113
Date
Scanned on: a11 11 123
--
Date
By Employee: [✓ ' I _
City Clerk's Office Staff Initials
By Employee:
City Clerk's Office Staff Initials
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:\CLERMBOARD AND COMMITTIES DATABASEICHECKLIST MASTERXB&C Checklist 2015 MASTER.docx
We are c yrrstnUted ±_> p,,o i,r!,g .+x:;o ient and saf-rye to 08 w:ho W9, work, and pfby in our obro+nt, fror,.rcc 1, hi.=taric coonmuniry.
City of Miami Beach, 1 /w r onvoni an Conlon l iv , NV arni !. ,, ach, I lai fa
OFF ;: OF Tit . CITY CLERK, R afwl E. Granada, City Cark
Ti"k 305 Fox: 30 x. +73.72 S.d
E.mcail: Cjh/C1eTkftiamibemhfi.9oy
January 09, 2023
Mr. Peter Matos
1465 Cleveland Rd
Miami Beach, FL 33141
SUBJECT: Convention Center Advisory Board
Congratulations! You have been reappointed by Commissioner Ricky Arriola to the above referenced,
board or committee named above, 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.
Congratulations and good luck.
Regards,
Raf el Granado
City Clerk
cc: Monica Beltran, Parking Director
Francys Vallecillo, City Liaison
ATTACHMENTS:
Letter of Appointment
Oath
City Code/Ordinance section applicable to agency, board or committee
City Code Section 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 Ordinance
City Wide Permit Application - (Parking Department Form)
Booklet - Guide to the Sunshine Amendment and Code of Ethics for Public Officers and Employees
/\AIAMIBEACH
City of Miami Beach, 1700 Convention Coninr Dive, Mdumi t-ach, Flo6da 33139 www.miamibmchfl.aov
OFFICE OF THE CITY CLERK, Wool E. Cranado, City clerk
Tel: 305.673.7,411, Fax: 305.673.7254
Email: Cioerk@miamtbemhll.gov
Oath of Office
Oath of Civility
and
Acknowledgements
TO: Mr. Peter Matos
RE: Convention Center Advisory Board
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 Miarni 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: 12/31/2023.
To my colleagues and to all of those I represent and serve, I pledge fairness, integrity and civility, in all
actions taken and all 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 Miami 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 1 st, following the closing
of the calendar year on which I have served.
to
Sworn to and subscribed before me this A day of 4114 , 2023
la -4 i—
fU if Cha les EPAgostin
Deputy Clerk
*Please visit the City of Miami Beach website at www.miamibeac[ifl.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 D[THE CITY CLERK
Email:
Telephone:—_305,673.7411
AFFIDAVIT OF AFFILIATION WITH THE CITY OF MIAMI BEACH
STATE OF FLORIDA
COUNTY 0FMIAM|-DADE
I am in compliance with the affiliation requirement of Miami Beach City Code Sections 2-22 (4), as (check
(�)
all that mpp|y):
m |omaresident ofthe City ofMiami Beach for six months orlonger.
Home Address 1465 C|8YH|aOd Rd' Miami Beach FL 33141
O | have an ownership interest (for a minimum of six months) in ahuminaua established in the City of
Miami Beach (for aminimum ofsix months).
Name ofBusiness
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 ufBusiness
Business Address
Interest" means the ownership of ten percent (109,o) or more (including the ownership of
Y0%urmore ofthe outstanding capital stock) /habusiness.
"Buuinoou"means any sole proprietorship, sponsorship, corporation, limited liability company, o/other
entity urbusiness association.
Underof perjury, |foregoing document and that the facts stated init
are true. /Peter Matos/
1/9/23
GiQnatuoo�~ --- Datu
Peter A. K4Gb]0~�~
Printed Name
NOTARY
Sworn to (or affirmed) and subscribed before me, by means of o physical presence or n online notarization,
3"'
(hio_�`dayuf 20��,by
(City ofMiami Beach Board/Committee /Nombor).
,PfodUced ID NANCY CABRERA
Notary Public - State of Florida
Form of Identification COMMISSIOn # HH 0-11782
ly Known Y COMM, EXPIres Feb 19 2025
bond d ti,
Oakok- L191) Natiotial Notary Assn.
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mSoomnn o/mozu/y rowoc,y '
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Name o/Notary, Typed, Printed, urStamped
MIAMI BEACH
City of !Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 33139
www.miamibeachfl.gov
OFFICE OF THE CITY CLERK
Email: BCOmiamibeachfl.gov
Telephone: 305.673.741 1
BOARD & COMMITTEE FINANCIAL ACKNOWLEDGEMENT STATEMENT
Acknowledgement of fines/suspension for Board/Cornmittee Members for failure to comply with Miami -
Dade County Financial Disclosure Code Provision Code Section 2-11.1(1) (2)
Matos Peter A
Last Name First Narne 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,_pursua.nt_to the Miami -Dade County Code, may subject the person to a fine
of no more than $500, 60_d.ays`in jail, or oth:`_`11_ __-
o'
/Peter Mato s/ '`,r..._ 1/9/23
Signature r --.. _ -- �`` Date
�x
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:\CI.FR\$ALL\REG\BOARD AND COMMITTEE APPLICATIONS FINAL DRAFTS\BOARD AND COMMITTEE APPLICATION REG FINAL.dorx
Updated: June 202.0
MIAMI BEACH
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 33139
www.miamibeachfl.aov
OFFICE OF THE CITY CLERK
Email: BC(abmiamibeachfl.gov
Telephone: 305.673.7411
Matos
Last Name
DIVERSITY STATISTICS REPORT
Peter
First Name
A
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:
Q Male
❑1
Female
I Other
I prefer not to answer.
Race/Ethnic Categories:
What is your race?
F-3 African American/Black
01 Asian or Pacific Islander
n✓��. Caucasian/White
Native American/American Indian'
Other— Print Race:
0j I prefer not to answer.
Do you consider yourself to be Spanish, Hispanic, or Latino/a?
—✓01 Yes
l No
0 I prefer not to answer.
Do you consider yourself Physically Disabled?
CJ1 Yes
M No
M-- I prefer not to answer this question.
Page 6 of 6
FACLER\$ALL\REG\BOARD AND COMMITTEE APPLICATIONS FINAL DRAFTS\BOARD AND COMMITTEE APPLICATION REG FINAI..docx
Updated: June 2020
SOURCE OF INCOME STATEMENT
COUNTY
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 Last Name First Name Middle Name/Initial
2021 Mates Peter Anthony
Mailing Address — Street Number, Street Name, or P.Q. Box
1465 Cleveland Rd
City, State, Zip
Miami Beach, FL 33141
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 111 Employee (check one)
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)
0 County
0 Municipal: Miami Beach
(Municipality)
Board where serving
Convention Center Advisory Board
Alternate address (if home address is exempt) lWorktelephone 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.❑
Name of Source of Income
Address
Description of the Principal Business Activity
Peter A. Matos PL
1465 Cleveland Rd
Miami Beach, FL 33141
Law Practice
I hereby swear (or affirms that the information above is a true and
Signature of
01/09/2023
Date signed
RECEIVED BY ELECTIONS DEPARTMENT.
❑ Hardcopy
❑ Electronic Copy
OFFICE USE ONLY Accepted: Y / N Deficiency: _._ ... _........ __.... .... Processed Date/initials:- Scanned Date/Initials:
138. -SP -14 GOE 2016
MIAMI BEACH CITYWIDE (CW) BOARD & COMMITTEES
City of Miami Beach, PARKING DEPARTMENT PARKING APPLICATION
1765 Meridian Avenue, Suite 200/Miami Beach, FL 33139/Ph: (305) 673-7505 or (305) 673-7000 ext, 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: 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: 1/9/23
Applicant Name: Peter A. Matos
Board/Committee Name: Convention Center Advisory Board
Address: 1465 Cleveland Rd, Miami Beach FL 33141
E -Mail Address: pmatos@malloylaw.com
-Work Phone: 3058588000
Home Phone
Cell Phone: 3055461959
. . . . . ... . ................. . .... . ................
Preferred Contact Method: Cell Phone
Vehicle Information
Tag: LTVQ93 Color: Orange
. . .. . ...............
State: FL Year: 2020
Make: Jeep Model: Wrangler
..... ......
/Peter Matos/
Applicant /Peter
Please provide signed form to the Parking Department located at 1755 Meridian Avenue, 2nd floor. Working
hours are 8:30 to 5:00 p.m. or email to: ParkingReception@miamibeachfi.go
e-mail subject: BOARD & COMMITTEE PARKING APPLICATION - APPLICANT NAME
................................
Parkina DeDartment Section
PERMIT SYSTEM
GARAGE ACCESS
Expiration Date:
ID Card Serial #:
Issued By Print Name:
Print Name:
Signature: -�
......... .
Signature:
Date Issued:
........ . .. . ..................... . ....
Date Completed: