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Linda Kolko 12.31.24MI A MI BEA CH BO A R D AN D CO M MIT TEE CH ECK LIST A PP O INTE E. linda Borst Kolko DA TE O F AP POI NT MENT. 2/7/2023 B O A R D/CO M M ITTE E: Transportation, Parking & Bicycl Appointed by: Comm issioner David Richards FOR SCANNER Scan o Scan o Scan o S c a n o Scan o FOR CLERK STAFF o Lett er of A ppointm ent o Le tt er of R eappointm ent o C opy of Lett er of A ppointm ent/R eappointm ent e-m ailed 2[[2,3 ] o B o ard and C omm i ttee Ap plic ation (C omp l ete d on [Q v]b l o R ~sum ~/C urriculu m Vitae o Div ersi ty Statistics R ep or ting (C omp l et ed on 2]10J2 y o O ath TERM END. 12/31/2024 TERM LMr. 2l31l21 to Com m ittee Li aison on IMPORTANT INFORMATION FOR BOARD ANO COMMITTEE MEMBERS BOOK RE CE IV ED ✓C ity C ode O rdinance S ection applicable to the agency, board or com m ittee ✓C ity C ode S ection s 2-21, 2-22, 2-23, 2-24, 2-25, 2-26, 2-458 and 2-459 ✓C ounty C ode S ection 2-11.1 -- C on flict of Interest and Code of Ethics O rdinance (as FEB 102023 am en de d thro ugh D ecemb er 2010 ) ✓A m endm e nts to the C ode of Ethics O rdinance (S eptem ber 2009 thro ugh July 2012) CI TY O F MIA MI B E A CH Hi gh light s of th e Mia mi -D ade C ounty Ethi cs C ode O FF IC E O F TH E C ITY C LER K ✓S unshine Law and Public R ecord s -- Frequentl y A sked Q uestions ✓M em or an dum - S ol ici tation by City B oard and C om m ittee M em bers Scan o Scan o R e ce ive d on : o C ityw ide Perm it A pplication (P arking D epartm ent Form ) o B o okl et -- G uide to S unshine A m endm e nt & Code of Ethics fo r Public O ffi cers and Em ployees o S ource of Incom e S tatem ent o A cknow ledgm ent of Fina nci al Di sclosure R equire m ent o B o ard and C om m ittees Li aison R esponsibili ties o DIVERSITY STATISTICS REPOR ING 2/0/083 signed y hc /1 S ca n ne d on : I ~at}e q Board or C ~/rn~t~ M em ber Pr o cesse d on:,'' ' By t m wo veer f'l D a te C ity Clerk's O ff ice S taff Initials l"l? or y//} ae cy cod eons arrives CONCLUDED & RESIGNATION LETTERS T e rm Ex p ire d Le tt er D ate Pro cessed Initials Scan o R em o val L e tter due to absen c es !/ ._'' ' ,, ~. •. % D ate P ro cessed D ate pro cessed Initials Scan o Initials Scan o } ; ++,sirs . ; F:\CLER\BOARD AND COMMIT TIES DATABASE\CHECKLIST MASTER\B&C Checklist 2015 MASTER.docx \ .··~·: ,o11 1 ' .... ~.·' '1 /( 0... WVe are commit&kt~ bioiding vex'lent public service and saley to all who live, work, and play in our vibrant, tropical, historic community. ,aw C it y o f M ia m i B ea ch, I/00 Con ven tion Contor Drivo, Miam i Boa ch, Florida 33139 yyws _Ii amih aachll.g o: OF FICE OF THE CI TY CLERK, Ralaal E. Granado, City Cl erk Tel: 305.673.741I, Fax. 305.673.7254 Emai l: Cit/Cl erk@miamibeach fl.gov February 06, 2023 Ms. Linda Kolko 334 W 25 St #9 Miami Beach, FL 33140 SUBJECT: Transportation. Parking and Bicycle-Pedestrian Facilities Committee Dear Ms. Linda Kolko: Congratulations! You have been reappointed by the City Commission to the above referenced board or committee, for a term ending: 12/31/2024. 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. t Rafael Granado City Clerk cc: Monica Beltran, Parking Director Monica Beltran, 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 H City of Miami Beach, 1/O Convention Conte Drive, Miami Beach, Hoda 33139 yy.Iiarr_ih_Qhll_gov OFFKCE OF THE CITY CIERK, Rafael E. Granado, City Clerk Tel 305.673.7al1, Fax. 305.673.7254 Email: CiNyCl erk@miamibeach fl. gov Oath of Office Oath of Civility and Acknowledgements TO: Ms. Linda Kolko RE: Transportation, Parking and Bicycle-Pedestrian Facilities 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: 12/31/2024. 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 1st, following the closing of the calendar year on which I have served. &,' Ms.Linda~ Sworn to and subscribed before me this _/ V __ K es 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. MIAMI BEACH City of Miami Beach 1700 Convention Center Drive Miami Beach, Florida 33139 OFFICE OF THE CITY CLERK Email: BC@miamibeachfl.gov Telephone: 305.673.7411 RECEIVED FEB 10 2023 CITY OF MIAMI BEACH OFFICE CE 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): t I am a resident of the City of Miami Beach for six months or longer. Home Address 334 W 25 St. #9 Miami Beach FL 33140 ia 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 Flamingo Terrace Enterprises, Inc. Business Addres834 W 25 St Suite 9 Miami Beach, FL 33140 □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. U=ll:.ess of~:=: have read the foregoing document and that the facts stated in it "? Put kt <lo/as3 Signature Date Linda Borst Kalka Printed Name NOTARY Sworn to (or affirmed) and subscribed before me; by means of□physical presence or o online notarization, ________ (City of Miami Beach Board/Committee Member) . / roduce@ P oye@ LLUo- ~ J7 1dentification Person~ Signature of Notary Public Name of Notary, Typed, Printed, or Stamped M IA M I B E A C H Ci t y of Miami Beach 1700 Convention Center Drive Miami Beach, Florida 33139 www.miamibeachfl.gov OFFICE OF THE CITY CLERK Email: BC@miamibeachfl.gov Telephone: 305.673.7 411 DIVERSITY STATISTICS REPORT K olko Li nda B Last Nam e 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: LJ Mate El Female Ll oner D I prefer not to answer. Race/Ethnic Categories: What is your race? [] African American/Black D Asian or Pacific Islander El Caucasian/white D Native American/American Indian D Other - Print Race: ------------ El prefer not to answer. Do you consider yourself to be Spanish, Hispanic, or Latino/a? LJves [lo El prefer not to answer. Do you consider yourself Physically Disabled? Lee lo D I prefer not to answer this question. Page 6 of 6 F:\CLER\$ALL\REG\BOARD AND COMMITTEE APPLICATIONS FINAL DRAFTS\BOARD AND COMMITTEE APPLICATION REG FINAL.docx Updated: June 2020 MIAM AI BEACH City of Miami Beach 1700 Convention Center Drive Miami Beach, Florida 33139 www.miamibeachfl,_gov OFFICE OF THE CITY CLERK Email: BC@miamibeachf.gov Telephone: 305.673.7 411 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) Kolko Linda B Last Name First Name 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, pursuant to the Miami-Dade County Code, may subject the person to a fine "21 %2" ts Signature r Date 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:\CLER\$ALL\REGIBOARD AND COMMITTEE APPLICATIONS FINAL DRAFTS\BOARD AND COMMITTEE APPLICATION REG FINAL.docx Updated: June 2020 MIAM1,6.Aoe- EEE SOURCE OF INCOME STATEMENT Section 2-11.1(@) of the County Ethics Gode 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 Vear Ending Last Name First Name Middle Name/Initial 2022 Kolko Linda Borst Mailing Address - Street Number, Street Name, or P.O. Box 334 W 25 St. #9 City, State, Zip Miami Beach FL 33140 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 □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] Municipat:. City of Miami Beach (Municipality) Board where serving Transportation, Parking and Bicycle-Pedestrian Facilities Committee Alternate address (if home address is exempt) Work telephone Term began on/ended on 301-785-1342 8/17/2021 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 Office of Personnel Management Retirement Operations Federal Pension (40 years of federal PO Box45 service-last 20 years at the Boyers PA 16017-0045 Inter-American Foundation Thrift Savings Plan PO Box 385021 Federal Employee 401-K Plan Birmingham AL 35238 Exelon Corporation PO Box64945 stocks-energy company St.Paul MN 55164-0945 (or affirm) that the information above is a true and correct statement. bk- Signature of Person Disclosing a/0/023 Date signed RECEIVED BY ELECTIONS DEPARTMENT: LJ HardcoRECEIVED [] Electronic Copy FEB 10 2023 CITY OF MIAMI BEACH OFFICE OF THE CITY CLERK OFFICE USE ONLY Accepted: Y / N Deficiency. Processed Date/initials: Scanned Date/Initials: 138_SP-14 COE 2016 SO U RC E O F INC O M E STATEMENT 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 0f every year. Disclosure for Tax Year Ending Last Name First Name Middle Name/initial 2022 Kolko Linda Borst Mailing Address -- Street Number, Street Name, or P.0. Box 334 W 25 St#9 City, State, Zip Miami Beach FL 33140 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.El Filing as an Employee (check one) [] county [] Public Health Trust [] Municipal: (Municipality) Department Position or Title Employee ID Number Wiork address Work ieiephone Employment began on/eniei on Filing as a Board lember (check one) L] county E] Municipat: City of Miami Beach (Municipality) Board where serving Transportation, Parking and Bicycle-Pedestrian Facilities Alternate address (if home address is exempt) Work telephone I Term began on/ended on (301) 785-1342 8/17/21 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 firs t. 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 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 Incom e Address Description of the Principal Business Activity Morgan Stanley Suite 700South Flagler Dr energy stocks & MD State Palm Beach Complex 777 Municipal Bonds West Palm Beach FL 33401 Flamingo Terrace Enterprises, 334 W 25 St Owner of 9-unit apartment Inc Miami Beach FL 33140 building-rents I hereby swear (oy affirm) that the information above is a true and correct statement. -~--~/!:!ff~.:;______ _ Signature of Person Disclosinj aliola0o3 Date signed RECEIVED BY ELECTIONS DEPARTMENT: [] Hardcopy t) Petrone6EIVED FEB 10 2023 CITY OF MIAMI BEACH OFFICE USE ONLY Accepted: / N Deficiency:.. Processed Date/initials:--Scanned Date/initials:_- 136_SP-14 COE 2016 M/\4 A//\/BE(C L CI1WIDE (CW) BOARD & COM»mEts g .g or ·torr eves., wee ow«mwor PARKING APPLICATION [.Em# PARKING 1755 Meridian Avenue, Suite 200/Miami Beoch, FL 33139/Ph: (305) 673-7505 or (305) 673-7000 ex4. 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: Applicant Name: Linda Borst Kolko Board/Committee Name: Transportation, Parking & Bicycle-Pedestrian Facilities Address: 334 W 25 St #9 Miami Beach FL 33140 E-Mail Address: 127lkolko@gmail.com Work Phone: Home Phone Cell Phone: 301-785-1342 Preferred Contact Method: email/phone/text Vehicle Information Tag: ECY9U Color: Blue State: Florida Year: 2015 Make: Subaru Model: Outback Applicant siaatore: 'foh 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: ParkingReception@miam ibeachfl.gov e-mail subject: BOARD & COMMITTEE PARKING APPLICATION - APPLICANT NAME p ·ki Di S ar mna epartment ection PERMIT SYSTEM GARAGE ACCESS Expiration Date: ID Card Serial #: Issued By Print Nome: Print Name: Signature: 5 Sign ature: es Date Issued: Date Completed: -. ~. I' '.,' , c~rse • --_he'--