Alan Nieder 4.1.23BOARD AND COMMITTEE CHECKLIST
APPOINTEE: ALAN NIEDER DATE OF APPOINTMENT. 1/23/23 -------
Scan o
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BOARD/COMMITTEE. IGUANA REMEDIATION Appointed by. ""OH"P@o'
FOR SCANNER FoRcLERKsTArr ] p] J
Scan o o Letter of Appointment TERM EN D:I I'23 TERM LIMIT: l l
Scan o o Letter of Reappointment " $'8"))8° f AommenuReappointment e-mated to committee Latson on
o Board and Committee Application (Completed , /l22
o Resume/curriculum Vitae )J3/l
o Diversity Statistics Reporting (Completed on /1/&
o Oath
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
CITY OF MIAMI BEACH ✓Sunshine Law and Public Records - Frequently Asked Questions
OFFICE OF THE CITY CLERK ✓Memorandum - Solicitation by City Board and Committee Members
RECEIVED
FEB 7 2023
o Citywide Permit Application (Parking Department Form)
o Booklet - Guide to Sunshine Amendment & Code of Ethics for Public Officers and Employees
Scan o o Source of Income Statement
Scan o o Acknowledgment of Financial Disclosure Requirement
o Board and Committees Liaison Responsibilities
849089, 9, 35: s , ,9, 2 . ere eo gg%
O DIVERSITY STATISTICS REPORTING Keep COPY in file and ORIGINAL for ,
Received on 1/25/23 sonea oy XAAEDFf
Scanned on:
Date Board or Committee Member
ro e»oso l1? resore labs
Date City Clerk's Office Staff Initial
1a122 tr "h· ,
Date City Clerk's Office Staff Initials
CONCLUDED & RESIGNATION LETTERS
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:\CLER\BOARD AND COMMITTIES DATABASE\CHECKLIST MASTER\B&C Checklist 2015 MASTER.docx
We ore committed to providing excellent public service and solely to all who live, work, and play in our vibrant, tropical, historic community
MI AMIBE
City of Miami Beach, I/0O Convontion Canter Drive, Miami Baach, Florida 33139 yw_miaIIibaachllgo
OFFICE OF THE CITY CLERK, Rafaal E. Granado, Cy Clerk
Tel 305.673.741, Fax 305.673.7254
Email: Cit/Clonk@miamiboochll.gov
January 20, 2023
Dr. Alan Nieder
6340 PINETREE DR
MIAMI BEACH, FL 33141
RE: Ad Hoc Iguana Remediation Advisory Committee
Dear Dr. Alan Nieder:
Congratulations! You have been appointed by Commissioner David Richardson to the above-
referenced Board or Committee, for a term ending: 04/01/2023.
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.
3
Rafjl Granado
City Clerk
cc: Monica Beltran, Parking Director
Adrian Morales, 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
C ity o f M i a m i B e a ch , 1700 C onv on lion Conlet Drive, Miami Beach, Flor i da 33 139 yy_x_miaI ihgachll_go
OFFICE OF THE CITY CLERK, Rafaol E. Granado, City Clork
Tel: 305.673.741, Fax. 305.673.7254
Email: Cily Cl erk@m iam ibeach fl.g ov
Oath of Office
Oath of Civility
and
Acknowledgements
TO: Dr. Alan Nieder
RE: Ad Hoc Iguana Remediation Advisory 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 which I have been appointed for a
term ending: 04/01/2023.
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 Gui to the Sunshine Amendment
and Code of Ethics for Public Officers and understand that as a member o a City of Miami Beach Board
and/or Committee, I must comply with the financial disclosure* require ent of Miami-Dade County or the
State of Florida (depending on the board or committee on which I serv on July 1st, following the closing
of the calendar year on which I have served. v--
Dr. Alan Nieder
Sworn to and subscribed before me this
f
a-er9yr3$9.am s Kt-
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.
MIAMIBE
City of Miami Beach
1 700 Convention Center Drive
Miami Beach, Florida 33139
OFFICE OF THE CITY CLERK
Email: BC@miamibeachfl.gov
Telephone: 305.673 7411
RECE IVED
FEB 72023
CITY OF MIAMI
orifice or?EACH
o+ 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):
0 I am a resident of the City of Miami Beach for six months or longer.
Home Addres6340 PINETREE DR MIAMI BEACH FL 33141
□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).
Name of Business _
Business Address _
□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 _
Business Address ------------------------
"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 perj
are true.
ALAN NIEDER
read the foregoing document and that the facts stated in it
1/25/23
Signature
ALAN NIEDER
Date
Printed Name
NOTARY
Sworn to (or affirmed) and subscribed before me, by means of□physical presence or on line notarization,
ms1 cay o TO} 20 y An MLr
________ (City of Miami Beach Board/Committee Member).
Pt Ow/@tr9e ✓Produced ID
m of Identification
Name of Notarv. Tvoed. Printed. or Stamped
~~ ·o' "; 5s ',
j MY coMusso»
± EXPIRES 1-3-2027
NOTARY SEAL) 2,,.. ,%%
$Sor n.0$ 8!giiii
"ju
MIAMI BE
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 33139
www .miamibeacht].gov
OFFICE OF THE CITY CLERK
Email: BC@miamibeachf_gov
Telephone: 305.673.741 l
DIVERSITY STATISTICS REPORT
NIEDER ALAN M
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:
G..
Ll remale
0 Other
0 I prefer not to answer.
Race/Ethnic Categories:
What is your race?
[]African American/Black
El Asian or Pacific Islander
K Caucasian/white
0 Native American/American Indian D Other - Print Race: _
D I prefer not to answer.
Do you consider yourself to be Spanish, Hispanic, or Latino/a?
LJves
L.~o
0 I prefer not to answer.
Do you consider yourself Physically Disabled?
ve
ho
D I prefer not to answer this question.
Page 6 of6
F:ICLER\$ALL\REG\BOARD AND COMMITTEE APPLICATIONS FINAL DRAFTSIBOARD AND COMMITTEE APPLICATION REG FINAL.docx
Updated: June 2020
MI A MI BE
City o f M ia m i B e a ch
1700 Convention Center Drive
Miami Beach, Florida 33139
www.miamibeachfl.gov
O FFIC E O F TH E C ITY C LERK
Email: BC@miamibeachfl.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(i) (2)
N IE D E R A LA N M
La st N a m e First N am e M iddle Initial
I un d e rsta n d th a t no la te r tha n July.1, of each year all m e m b ers of Bo a rds and C o m m ittee s of the City of M iam i
B e a c h , in c lu d in g tho se of a pu re ly ad viso ry na tu re , are req u ired to com p ly w ith M ia m i-D ade C ounty Financial
D is c lo su re R e q u ire m en ts .
One of th e fo llo w in g fo rm s must be filed w ith the C ity C le rk of M iam i B e ach, 17 00 C onve ntio n C enter D rive,
M ia m i B e a c h , F lo rid a, no la te r than 12 :00 no o n of July 1, of each year:
1. A "S o u rce of In c o m e S ta te m ent;" or
2 . A "S ta te m e nt of F in a n cia l In te re sts (Fo rm 1 )1;" or
3 . A C o p y of yo u r la te st F e d eral Inco m e T ax R e tu rn.
Failure to file on e of th e se fo rm s, pu rsuant to the M ia m i-D ad e C o unty C ode, ay su bj ct the person to a fine
of no m o re th a n $5 0 0 , 6 0 da y s in jail, or both .
A LA N N IE D E R
S ig n a tu re D ate
1 M e m b e rs of th e P lan n in g B o a rd an d B o a rd of A dju stm ent w ill be notifie d directly by the State of Florida,
pu rsu a n t to F .S . §11 2 .3 14 5 (1)(a ), to file a S tate m e nt of Fin a ncia l Interests (Form 1) wi th the M ia m i-D ade County
S u p e rviso r of E le ction s by 12 :00 noo n , Ju ly 1. Pla n n in g B o a rd and Boa rd of A dju stm ent m em bers w ho file their
F o rm 1 wi th the C o u nty S u p erviso r of E lections auto m atically satisfy the C o unty's financial discl osure
re q u ire m e nt as a M ia m i Be a ch C ity B o a rd/C o m m itt e e m em b e r and ne e d not file an ad d itio na l fo rm w ith the O ffice
of th e C ity C le rk. H o w ev e r, co m pliance w ith the C o u n ty disclo sure requirem ent do e s not satisfy the State
re q u ire m e n t.
Page 5 of 6
F:\CLER\$ALL\REG\BOARD AND COMMITTEE APPLICATIONS FINAL DRAFTS\BOARD AND COMMITTEE APPLICATION REG FINAL.docx
Updated: June 2020
MIAMI-DADE.
EII SOURCE OF INCOME STATEM ENT
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
2022 NIEDER ALAN M
Mailing Address - Street Number, Street Name, or P.O. Box
6340 PINETREE DR
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. D
Filing as an Employee (check one)
□County ICll 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 E] Municipal: MIAMI BEACH
(Municipality)
Board where serving
IGUANA REMEDIATION
Alternate address (if home address is exempt) Work telephone 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
MOUNT SINAI MEDICAL 4300 AL TON ROAD PHYSICIAN
CENTER
"
I hereb swear (0l affirm) that the informati above is a true and correct statement. RECEIVED BY ELECTIONS DEPARTMENT:
1A G-- LJ Har@co'ECEIVED
[ ] Electronic Copy
Sig~iatureJ>f Person rclosing FEB 7 2023
251 21023
Date sign d
CITY OF MIAMI BEACH
OFFICE + IT CLERK
OFFICE USE ONLY Accepted: Y / N Deficiency. Processed Date/Initials: Scanned Date/initials:
138_SP-14 COE 2016
CITYW IDE (CW ) BO ARD & COMMITTEES
cmy cot Mtar»i Bea+, PARKING DEPAR TMENT PARKING APPL[CAT[ON
1755 Meridian Avenue, Suite 200/Miami Beach, FL 33139/Ph: (305) 673-7505 or (305) 673-7000 e4. 6200
A cityw ide (C W ) parking perm it is honored at metered parking spaces and restricted residential zones
parking spaces. A CW parking perm it IS N O T 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 unnecessar y enfo rcem ent actions, it is im portant that our records reflect the most current and
accura te inform ation regar ding your vehicle license plate. Inaccurate and/or outdated vehicl e
inform ation may lead to the issuance of par king citation(s) and/or the tow ing of your vehicl e.
Please note that this new access car d C A N N O T be hole-punched or perfo rated in any m anner. To use
the new car d please hold the card at close proxim ity to the reader until the gate opens. You may need
to try the other side of the card. Please ensure you hold the entire surfa ce of the card against the reader
until the gate opens.
A C K N O W LE D G E M E N T: I a ck n o w le d g e th a t sh o u ld m y a cce ss ca rd b e lo st, sto le n o r
d a m a g e , I will b e re sp o n s ib le to p a y a $1 0 .0 0 re p la cem e n t fe e .
B o a rd M em b e r In fo rm a tio n
Date of Application: 1/25/23
Applicant Name: ALAN NIEDER
Board/Committee Name: IGUANA REMEDIATION
Address: 6340 PINETREE DR
E-Moil Address: ALANNIEDER @YAHOO.COM
Work Phone: Home Phone
Cell Phone: 786-514-9457 Preferred Contact Method:
V eh icl e In fo rm a tio n
Tag: NBWW55 Color: BLACK
State: FL Year: 2020
Make: PORSCHE Model: MACAN
. AN NIEDER Applicant Sianature:
Please provide signed form to the Parking Department located at 1755 Meridian Avenue, 2d floor. Working
hours are 8:30 to 5:00 p.m. or email to: P a rk in g R e ce p tio n @ m ia m ib ea ch fl.g o v
e -ma il sub j e ct: B O A RD & C O M MI TT EE PAR K IN G A P P LI C A TIO N -- A P P LI C A N T N A M E
p ki D S ' ar mna epartment ection
PERMIT SYSTEM GARAGE ACCESS
Expiration Date: ID Card Serial #:
Issued By Print Name: Print Name:
Signature: 6 Signature: es
Date Issued: Date Completed:
' pmg man rar torms cw oar is commutees par mgrorm.toc
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