Susan Askew 12.31.23MIA MI B
B O ARD A N D C O M M IT T E E C H E C KL IS T
APPOINTEE. Susan Askew
BOARD/COMMITTEE. GO Bond Oversight
DATE OF APPOINTMENT. 2/1/2023
FOR S C AN N ER
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R E C E IV E D
FEB 2023
CITY OF MIAMI BEACH
OFFICE Or IF CITY CLERK
FOR CLERK STAFF
o Letter of Ap pointment
o Letter of Reappoi ntm ent
o C9PYO! Letter of Appointment/Reappointment e-mailed
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o Board and Committee Application (Completed on
o R 6sum 6/C urri cul um Vi ta e 13h3
o Diversity Statistics Reporting (Completed on_ 2
o O a th
Appointed by. Gity Com mission
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to Committee Liaison on
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IMPORTANT INFORMATION FOR BOARD AND COMMITTEE MEMBERS BOOK
Ci ty C o de Or d inan ce Section app lic ab le to the agen cy, board or commi ttee
City C o de Section s 2-21, 2-22, 2-23, 2-24, 2-25, 2-26, 2-4 58 and 2-459
C o u nty C o d e S e ction 2-11 .1 - C onfli c t of Intere st and C ode of Ethi cs Ordinance (as
amended through December 2 0 10 )
Y Amendments to the Code of Ethics Ordinance (September 2009 thro ugh July 2012)
t Hi gh ligh ts of the Mi am i -D ade C ounty Ethi cs Code
S u n shin e Law and Pub lic R ecor d s - Frequently A ske d Q uestions
M emo ran d um - Solicitation by City Board and C ommitt ee M emb ers
O Ci tywi de Permi t Ap plication (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 D iscl osure Requirement
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o DIVERSITY STATIS
R eceiv ed on. 2/3/2023 sionea oX ,JAu
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D at e City Cl erk's Of fi ce Staf f Initials
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ate cy oh~ orco siai ii~as
CONCLUDED & RESIGNATION LETTERS
Term Expired Lett er Date Processed Initials Scan O
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 conmitted to providing excellent public service and salety to all who lve, work, and play in our vibrant, tropicoi, historic communiNy
Ml
City of Miami Beach, I/OO Convention Cantor Drive, Miami Beach, Florida 33 139 yxwy_miarIibaachllgo
OFFICE OF THE CITY CLERK, Ralaol E. Granado, City Clerk
Tel: 305.673.7411, Fax: 305.673.7254
Emai l: Ci#yClerk@miamiboochll.gov
February 02, 2023
Ms. Susan Askew
9 Island Avenue, #407
Miami Beach, FL 33139
RE: Gen er al Ob ligati on (G.0.) Bond Oversight Committee
Dear Ms. Susan Askew:
Congratulations! You have been appointed by the City Com m ission to the agency, board or committee
named above for a term ending: 12/31/2023.
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.
$
Rafael Granado
City Clerk
cc: Monica Beltran, Parking Director
Maria Hernandez, City Liaison
ENCLOSURES:
Oath of Office/Oath of Civility/Acknowledgements
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
City Wide Permit Application - (Parking Department Form)
Booklet - Guide to the Sunshine Amendment and Code of Ethics for Public Officers and Employees
/IAMIBE
City of Miami Beach, 1/oo Conortion Cont Dwvo, Mom» oath, Honda 33 139 ww.Iiamibaachll.gay
OFTKCT OF TH CIY CIRK, Rotool t. Grando, City Clerk
Tel: 30$.673.7a11, fox 305.673.7254
£moll. CmyCdork omtomtboochfl.gov
Oath of Office
Oath of Civility
and
Acknowledgements
TO: Ms. Susan Askew
RE: General Obligation (G.0.) Bond Oversight Committee
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 wh ich 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 ly 1st, following the closing
of the calendar year on which I have served.
Sworn to and subscribed before me this
Keila Mena Caceres
Deputy Clerk
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.
1lAMi
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 33139
OFFICE OF THE CITY CLERK
Email: BC @mia m o achf\. gov
Telephon e: 305.673.7411
RECEIVED
FEB 12023
CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
AFFIDAVIT OF AFFILIATION WI TH TH E CITY OF MI AMI BEACH
STATE OF FLORIDA
C O U N TY OF MI A MI -DAD E
I am in compliance wi th (he affillation requireme nt of Miami Beach City Code Sections 2-22 (4), as (check
() all that apply):
ta lam a resident of the C ity of Miami Beach for six months or long er.
H ome Adores O Island Ave, #407, Miami Beach, FL 33139
] 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).
N am e of B u si ne ss Feanimar LL
woe
B usin ess A ddres 9 Island Ave, #4 0 7, Miami Beach, FL 33139
lam a fu ll-tim e employee o f a bu sine ss (for a mi nim um of six months) an d I am based in an o ffi ce or
other location of the bu sine ss th at is p hysi ca lly located in Mi am i Beach (for a minimum of six months).
Name of B usine ss ----------------------
p115fess k (]}fe S Sr
"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 enalties of perjury, I declare that I have read the foregoing document and that the facts stated in it
2/3/2023
D at e
Printed Name
NOTARY
Sworn to (or affirmed) and subscribed before me, by means of a physical presence or on line notarization,
»5 flruay,s73 s» Cu5an Pskl
(Ci ty of Miami Beach Board/Committee Member).
, ~·.. Notary Publl.c Sttto of Flotld•
4 ow#elks#ht3 +; • HH 27$48 •• p Exp. 7iii~iozs ,
MIAMIBEACH
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florid 33139
www.miamibeachll.gov
OFFICE OF THE CITY CIERK
Emoil: BC@m iamibeachl.gov
Telephone: 305.673.7411
BOARD & 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(1) (2)
Askew Susan w
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 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 he 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)':" 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 moy than $500, 60 days in jail, or both. • Isle±;
' Members of the Planning Board and Board of Adjustment will be notified directly by the State of Florida,
pursuant to F.S. $112.3145(1)(a), to file a Statement of Financial Interests (Form 1) with the Miami-Dade County
Supervisor of Elections by 12:00 noon, July 1. Planning Board and Board of Adjustment members who file their
Form 1 with the County Supervisor of Elections automatically satisfy the County's financial disclosure
requirement as a Miami Beach City Board/Committee member and need not file an additional for with the Office
of the City Clerk. However, compliance with the County disclosure requirement does not satisfy the State
requirement.
Page 5of6
FACLERI$ALLREGBOARO AND COMMITTEE APPLICATIONS FINAL DRAFTS\BOARDO AND COMMITTEE APPLICATION REG FINAL.docx
Updated: Juno 2020
MI AMIBE, CH
City of Miami Beach
1700 C onvention Center Dr ive
Miami Beach, Flor id o 33139
www.miamibeachfl,go
OFFICE OF THE CITY CLERK
Email: BC@miamibeachf.go
Telephone: 305.673.7 411
DIVERSITY STATISTICS REPORT
Askew Susan W
Last Name First Name Middle Initial
The following information is voluntary and has no bearing on yo ur consi derat ion for appointment. It is being
asked to comply with City diversity reporting requirements.
Gender:
[JMuale
Ll remale
) oner
El t prefer not to answer.
Race/Ethnic Categories:
What is your race?
[lAtican Am erican/Black
El Asian or Pacific Islander
El Caucasian/white
L]Native American/American Indian
l[Oth er - Print Race.
Ell prefer not to answer.
Do you consider yourself to be Spanish, Hispanic, or Latinola?
Jves
[h o
El prefer not to answer.
Do you consider yourself Physically Disabled?
va» zl
Llt prefer not to answer this question.
Page 6 of6
F:ACLERSALL RE GBOARD AND COMMITTEE APPLICATIONS FINAL DRAF T S\BOAR D AN D COMMITTEE APPLICATION REG FINAL.docx
Updated: June 2020
.5» &I SOURCE OF INCOME STATEMENT
Section 2-11.1(@) of the County Ethlcs Code requires that cortaln employees and public officials file a financial disclosure Statement on a yearly basis by July 1st
of every year.
msc1osu. re tor Tax Year Ending ltai;t Nii me
2022 Askew
failing Address - Sir@t Number, Street Name, r Pi, fol
9 Island Ave, #407 1-_,..,~~------~------~·-~~··----~--~-----~------1 City, State, Zip
Miami Beach, FL 33139
FIrst Name
Susan
Middle Name/Initial
w
I 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.L]
FTg as an E~ . ..::..<clteck~·-· -•-•.....:.> __,
[] county [] Public Heatth Trust [] Municipal:
(Municipality)
Department
Positi on or Title Employee ID Number
Work address I Work telephone Employment began on/ended on
Filing as a Board ember (check one)
[] county [] Municipal: City of Miami Beach
(Municipality)
Board where serving
GO Bond Oversight Committee
Alternate address (if home address is exempt) I Work telephone I Tenn began on/ended on
(703) 966-6058 2/1/2023
List below every source of income you received, along with the address and the principal activity of each source. Include your public sal ary. 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
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 h
Name of Source of Income Address Desc ription of the Prin cipal Business Activity
Miami Beach Botanical Garden 2000 Convention Center Dr Non-profit Garden Conservancy
(Nov 4, 2021 - Oct 31, 2022) Miami Beach, FL 33139 managing City-owned Botanical Garden
(or affirm) that the information above is a true and correct statement.
(lo
gnature of Person Disclosing
2 /4/2023
Date sired
RECEIVED BY ELECTIONS DEPARTMENT:
narace RECEIVED
[] Electronic Copy
FEB 7 2023
CITY OF MIAM I BEACH
OFFICE CF THE CITY CLERK
OFFICE USE ONLY Accepted: Y I N Deficlency:. Processed Date/initials:. Scanned Date/initials:
TH bl»[d [))[b oo- +
\l, ([BE,_ CIw DE (CW) OARD & COMMITTEES
cry or eri seed± Pinkie r i nrtNr _ PARKING APP[[CAT[ON
1755 Meridion Avenue, Soi 200/Miomi Beach, FL 33139/Pl- (305) 673.7505 o r (305) 673-7000 04. 6200
A citywide (CW] parking per mi t is honored al 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 retlect 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 o 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.
ACKNOWLE DGEMEN T: I acknowl edge that sho uld my access card be lost, stolen or
damage, I will be responsible to pay a $10.00 replacement fee.
Board Member information
Do te of Application: 2/3/2023
Applicant Name Susan Askew
Board/Committee Name: GO Bond Oversight
Address: g Island Ave, #407, Miami Beach, FL 33139
E-Moil Address susanWaskew@gmail.com
Work Phone: Home Phone
Cell Phone: 703.966.6058 Preferred Contact Method: Email
Vehicle information
Tag: HHFB51 Color: Gray
State: Florida Year: 2009
Make: BMW Model: 328i
Applicant Sianature: )4 S
Please provide si gned form to the Parking Department located at 1755 Meridian Avenue, 28 floor. W orking
hours are 8:30 to 5.00 p.m. or email to: P arking Re cep tion@ m iam ibe achfl .gov
e-mail subject: BOARD 8 COMMITTEE PARKING APPLICATION - APPLICANT NAME
a rl i n g D e p a rt m e n t S e ctio n
PERMIT SYSTEM GARAGE ACCESS
Expi ration D ate: ID C ard Serial #:
Issued By Print Name: Print Name:
Signature: S Signature:
s
S
Dote lssued: Date Complet ed:
P, ·d