Lisa Cole 12.31.24M IA M I BEACH
BOARD AND COMMITTEE CHECKLIST
APPOINTEE: Lisa Cole ----------------- DATE OF APPOINTMENT. 1/11/2023
BOARDICOMMIT TEE. Police/Citizens Relations Col Appointed by. Commissioner Rosen Gonzalg
FOR SCANNER
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FOR CLERK STAFF
o Letter of Appointment
o Letter of Reappointment
o CQpy of Letter of Appointment/Reappointment e-mailed
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o Board and Committee Application (Completed oj {91 2
o R~sum~/Curriculum Vitae
o Diversity Statistics Reporting (Completed on
o Oath
rRM No: _al@l/2} TERM LuMrr. 12l31/2°
to Committee Liaison on
IMPORTANT INFORMATION FOR BOARD AND COMMITTEE MEMBERS BOOK
✓City Code Ordinance Section applicable to the agency, board or committee RECEIVED Y 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)
F[B l3 ?3/3 t 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
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Scan o
Received on:
Processed on:
Scanned on:
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 O Y in file and ORIGINAL for Annual Report.
1/11/2023 .si on ea »y X_bl-tu
Date Board or Committee Member
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Date City Clerk's Office Staff Initials
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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\BO A R D A ND CO M M ITT IES DATA BA SE\CH EC K LIST MASTER\B&C Checklist 2015 MASTER.dOcx
We are committed to providing excellent public service and safety to all who live, work, and ploy in our vibrant, tropical, historic community.
M l
City of Miami Beach, I/OO Convonlion Canler Drive, Miami Beach, Florida 33 139 yyw_miaIibaachll.gov
OFFICE OF THE CITY CL ER K, Rafool E. Granado, C y Clerk
Tel: 30 5.673.7411, Fax 305.673.7254
Email: Cit Clerk@miamiboochfl.gov
January 10, 2023
Ms. Lisa Cole
5600 Collins Avenue #15 U
Miami Beach, Fl 33140
SUBJECT; Police/Citizen s Relation s Committee
Congratulations! You have been reappointed by Commissioner Kristen Rosen Gonzalez to the above
referenced, board or committee named above, for a term ending: 12/31/2024.
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 305.673.7 411. Please read the enclosed materials carefully.
Congratulations and good luck.
at
~I Granado
City Clerk
cc: Monica Beltran, Parking Director
Chief Rick Clements, 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
MIAM I BEACH
City of Miami Beach, I/OO Convention Canter Drive, Miami Boach, Florida 33 139 yyw _Iiamibgg chf]go
OFFICE OF THE CITY CIERK, Raf0ol E. Granado, City Clok
Tol: 305.673.7411, Fax. 305.673.7254
Email: Ci#yClerk@miamiboochll.gov
Oath of Office
Oath of Civility
and
Acknowledgements
TO: Ms. Lisa Cole
RE: Police/Citizens Relations 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. • \)
LUA(CZ
Ms. Lisa Cole
Sworn to and subscribed before me this [3t1 day of/$9_, 2023
fv
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.
M IA M I 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 13 2023
CITY OF IVIIAMI BEACH
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):
~ I am a resident of the City of Miami Beach for six months or longer.
or»a.. SQ olly,_he, if ts y}ch, l. 2331/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).
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 y ole proprietorship, sponsorship, corporation, limited liability company, or other
entity or business ssociation.
,I declare that I have read the foregoing document and that the facts stated in it
1/11/2023
Signature
Lisa Cole
Date
Printed Name
NOTARY
Sworn to (or affirmed) and subscribed before me, by means of o physical presence or o online notarization,
mnts l? aay r ev0+p, 20l »_L& ol
________ (City of Miami Beach Board/Committee Member).
U po h Produced ID
Name of Notary, Typed, Printed, or Stamped
M IA M I BEACH
City of Miami Beach
l 700 Convention Center Drive
Miami Beach, Florida 33139
www.miamibeach]._gov
OFFICE OF THE CITY CLERK
Email: BC@miamibeachfl.gov
Telephone: 305.673.7411
PIYERSIJY STATISTICS REPORT
Cole Lisa A
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:
LJ Male
[l remale
Ll oner
D I prefer not to answer.
Race/Ethnic Categories:
What is your race?
D African American/Black
D Asian or Pacific Islander
El Caucasian/whi te
Ll Native American/American Indian D Other- Print Race: _
0 I prefer not to answer.
Do you consider yourself to be Spanish, Hispanic, or Latinola?
I ves
N o
0 I prefer not to answer.
Do you consider yourself Physically Disabled?
I ves
zh o
D I prefer not to answer this question.
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F:ICLER\$ALLIREG IB O ARD AND CO M M ITT EE APPLI CATIO NS FINAL DRA FT SIBOARD AND COMMITT EE APPLICATION REG FINAL.docx
Updated: June 2020
M IA M I B EA C H
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 33139
www.miamibeach~l.gov
OFFICE OF THE CITY CLERK
Email: BC @m iam i be ach fl.gov
Telephone: 305.673.7411
BOARD & COMMITTEE FINAN CIAL ACKNOWLE DGE ME NT STATEM ENT
A c k n o w le d g e m e n t o f fin e s/sus pensio n fo r B oard/C o m m itt ee M em bers for failure to com ply w ith M iam i-
D ad e C ounty F ina nc ial D isclosure C ode Provisio n C ode Section 2-11.1(i) (2)
Cole Lisa A
Last Name First Name Middle Initial
I understand that no later than Jul_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.
Fa ilu re to fi le
of no more th
f these forms, pursuant to the Miami-Dade County Code, may subject the person to a fine
0, 60 days in jail, or both.
Signa ure
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.
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F:ICLER \$ALL\REG IB O ARD AND CO M M ITT EE APPLI C ATIO NS FINAL DRA FT S\BOARD AND CO MMITT EE APPLICATION REG FINAL.docx
Updated: June 2020
MIAMI-DAD E. EER SOURCE OF INCOME 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
of every year.
Disclosure for Tax Year Ending I Last Name I First Name Middle Name/Initial
gzr k Cole Lisa A
Mailing Address - Street Number, Street Name, or P.O. Box
5600 Collins Avenue #15 U
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)
D County D Public Health Trust [] Municipal:
(Municipality)
Department
Position or Title Employee ID Number
Work address I Work telephone Employment began on/ended on
Filing as a Board Member (check one)
[] county [] Municipal: M/1an1 Pe@oft
(Municipality)
Board where serving
Re lat@s Pole Ctecn
Alternate address (if home address is exempt) I Work telephone 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
Hilton McLean Va Hotel/Hospitality
I hereby swear affirm) that the information above is a true and correct statement.
Signature of Person Disclosing
Date signed
RECEIVED BY ELECTIONS DEPARTMENT:
JartcoRECEIVED □Electronic Copy
FEB 13 2023
CITY OF MIAMI BEACH
OFFICE OF THE CIT
OFFICE USE ONLY Accepted: Y / N Deficiency: Processed Date/Initials: Scanned Date/initials:
138_SP-14 COE 2016
M IA M I BEACH CITYWIDE (CW) BOARD & COMMITTEES lr.W
City of Miami Beach, PARKING DEPARTMENT PARK! NG APPLICATION 11,111
1755 Meridian Avenue, Suite 200/Miami Beach, 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 areas. An Access Card will be
provided to you for City Hall Garage (GZ) 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: 111112023
Applicant Name: Lisa Cole
Board/Committee Name: Police/Citizens Relations Commitee
Address: 5600 Collins Avenue, #15 U Miami Beach, Fl 33140
E-Mail Address: lisa.cole@hilton.com
Work Phone: 305-332-6454 Home Phone
Cell Phone: 305-796-8383 Preferred Contact Method: work
Vehicle Information
Tag: 75BLWV Color: Black
State: Florida Year: 2022
Make: Hyndai (
Model: Tucson
Applicant Sianature: e5 tis4fl2
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@miamibeachfl.gov
e-mail subject: BOARD 8& COMMITTEE PARKING APPLICATION - APPLICANT NAME
P ·¢ D rt ar mna epa ment ection
PERMIT SYSTEM GARAGE ACCESS
Expiration Date: ID Card Serial #:
Issued By Print Name: Print Name:
Signature: ef Signature: e
Date Issued: Date Completed:
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