Enilda Thomas 12.31.23MI MIBE
BOARD AND COMMITTEE CHECKLIST
APPo T E:. ___LLD _L L lop! A r or APPor ENr:.21J
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reno Eno. 12[sIh23 reRouw: t /3th23 FOR SCANNER
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to Committee Liaison on
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FOR CLERK STAFF
o Letter of Appointment
o Letter of Reappointment
o Copy gt Lotter of Appointment/Reappointment e-mailed 3 at2s l BG6a@ an@ committee Application (completed on I]20 b]
o R~sum~/Curriculum Vitae ] ,13,3
o Diversity Statistics Reporting (Completed on 2j (2,
o Oath
RECEIVED
FEB 13 2023
CI TY OF MIAMI BEACH
OFFICE O F THE CI TY CLERK
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IMPORTAN T INFORMATION FOR BOARD AND COMMITT EE MEMBE RS BOOK
✓City Code Ordinance Section applicable to the agency, board or committee
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)
✓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 Am endm ent & Code of Ethics for Public Officers and Employees
o Source of Income Statement
o Acknowledgment of Financial Disclosure Requirement
Received on:
Scanned on:
o Board and Committees Liaison Responsibilities
O DIVERSITY STATISTICS REPORTING Keep COPY in file and ORIGINAL for Annual Report. • 2/to/42l3 sonea»,X 2Lo @- 5f3 a%ppis
Processed on:_i ( By Employee: !'! tp)$5 cs cs,9/e so owe
_________ By Employee: f-/ __ v / _
Date City Clerk's Office Staff Initials
C O N C L U D E D & R E S IG N A T IO N LE T T ER S
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
E:CLER\BOARD AN D COMMITT IES DATABASE\CHECKLIST MASTER\B&C Checklist 2015 MASTERdocx
1\+A MI B
City of Miami Beach, ZOO Coventon Cante Dvo, Miami Boa«ch , Flor id a 33 139 www.miaibgachll. gay
OFFICE OF THE CITY CL ERK, Rafa»l E. Gran ado, Cy Clo«k
Tel: 305.673.7411, Fax 305.673.7254
Emal: Ci#/dork@miariboochll.gov
O ath of O ff ice
O ath of Civili ty
and
Ackn owl edgem ents
TO: Ms. Enilda Thomas
R E: Senior Affairs 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: 12/31/2023.
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 1st, following the closing
of the calendar year on which I have served.
Ms. Enilda Thomas
Sworn to and subscribed before me this _L d94y of4 472023
Keila Mena Caceres
Dep uty 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.
C ity of Miami Beach, 1700 Convention Canter Drivo, Miami Beach, Florida 33 139 gyws._IiaIihoachll.gov
OFFICE OF THE CITY CLERK, Ralaol E. Granado, Ciiy Clerk
Tel: 305.673.741I, Fax. 305.673.7254
Email: Cit/Clerk@miamiboachfl.gov
February 06, 2023
Ms. Enilda Thomas
3800 Collins Avenue #1106
Miami Beach, Florida 33140
SUBJECT: Senior Affairs Committee
Dear Ms. Enilda Thomas:
Congratulations! You have been reappointed by the City Commission to the above referenced board or
committee, 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. Congratulations and good luck.
Rafae rana o
City Clerk
cc: Monica Beltran, Parking Director
Luis Callejas, 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
M IA M I
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florido 33139
OFFICE OF THE CITY CLERK
Em ail: BC@m iamibgachf] gov
Telephone: 305.673.7411
RECEIVED
FEB 13 2023
CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
AFFIDAVIT OF AFFILIATION WITH THE CITY OF MIAMI BEACH
STATE OF FLORIDA
COUNTY OF MIAMI-DADE
l am in compliance with the affiliation requirement of Miami Beach City Code Sections 2-22 (4), as (check
(/) all that apply):
p lam a resident of the City of Miami Beach for six months or longer.
Home Address 3800 Collins Ave. apt 1106 -Miami Beach FL 33140
] I have an ownership interest (for a minimum of six months) in a business established in the City of
Miam i Beach (for a minim um of six months).
[g ar1$ f Pt1,[fPe».
P[Jg{/Po5S, JP]PF@Si»
II lam a full-tim e em ployee 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 EHDOC Council Towers South
Business Adare 33 Collins Ave. 2nd Floor - Office - Miami Beach FL 33121
"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 perjury, I declare that I have read the foregoing document and that the facts stated in it
"}.ote. Tr. 210°
Signature Date
ENILDA F THOMAS
Printed Name
NOTARY
Sworn to (or affirmed) and subscribed before me, by moans of physical presence or onlino notarization,
ms I2,day or Feboay o22», el/kl to pas
1
(City of Miami Beach Board/Committee Member).
Produced ID
ntification
SIXT0 ANTONIO ACEA
Notary Public · State of Florda
Cmnmmtssior = GG 317512
, Comm. Ex3ires Mar 28. 2023
3orcec through Natior al Notary Assn.
(NOTARY SEAL)
Signature of Notary Publi
j to Ho d. ceo
Name of Notary , Typed, Printed, or Stam ped
M IA M IB E C H
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 33139
www.miamibeachfl,goy
OFFICE OF THE CITY CLERK
Email: BC@miamibeachfl.gov
Telephone: 305.673.7411
DIVERSITY STATISTICS REP OR T
Thomas Enilda F
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:
LJale
[Zl remale
Cl oner
D I prefer not to answer.
Race/Ethnic Categories:
What is your race?
[]African American/Black
E]Asian or Pacific Islander
0 Caucasian/White
0 Native American/American Indian
[l Other - Print Face.-
El prefer not to answer.
Do you consider yourself to be Spanish, Hispanic, or Latino/a?
[ZJves
Jo
El prefer not to answer.
Do you consider yourself Physically Disabled?
lee
ho
D I prefer not to answer this question.
Page 6 of 6
F CLER\SALL REG\BOARD AND COMMITTEE APPLICATIONS FINAL DRAFTS BOARD AND COMMITTEE APPLICATION REG FINAL docx
Updated: June 2020
B
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 33139
www.miamibeachfl.goy
OFFICE OF THE CITY CLERK
Email: BC@miamibeachf].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 Pro visi on Code Section 2-11.1(i) (2)
Last Name First Name Middle Initial
I understand that no later than Jul y 1 of each ear all members of Boards and Committees of the Ci ty of Mi am i
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 fil ed wi th the Ci ty 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 (For m 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 more than $500, 60 days in jail, or both. ,
@Lu_@ea_ t 1lo ? lo/oA
Date 1 7
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) wi th 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 S tate
requirement.
Page 5 of 6
F?CLER\SALL\REG\BOARD AND COMMITTEE APPLICATIONS FINAL DRAFTS\BOARD AND COMMITTEE APPLICATION REG FINAL.docx
Updated: June 2020
S O U R C E O F IN C O M E S TAT EM EN T
Section 2-11,1() 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 Thomas Enilda F
Mailing Address - Street Number, Street Name, or P.0. Box
3800 Collins Ave. Apt. 1106
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. [l
Fling as an Employee (chock one)
L] county [] 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 Herber (check one)
[] county E] Municipal: Miami Beach
(Municipality)
Bard where serving
Senior Affairs Committee
Alternate address (if home address ls exempt) I Work telephone I Term began on/ended on
N/A
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. ff continued on a separate sheet, check here.[]
Name of Source of Income Address Description of the Principal Business Activity
EHDOC - Elderly Housing 533 Collins Ave. 2nd Floor Office Adm. of a Section 8 Building for
Development & Operations Corp. Miami Beach, FL 33139 Seniors
SEIUC Pension Benefit Funds 1800 Massachusetts Ave. NW Pension
Suite 301 Washington DC 20036
Chase Savings Account 1801 Alton Road Miami Beach, Financial Institution
FL 33139
I hereby swear (or affirm) that the information above is a true and correct statement.
Signature of Person Disclosing
2
RECEIVED BY ELECTIONS DEPARTMENT:
or«so» RECEIVED
[] Electronic Copy
FEB 13 2023
CITY OF MIAMI BEACH
.r
OFFICE USE ONLY Accepted; Y I N Deficiency.. Processed Date/initials.... Scanned Date/initials...
138 $P-14 COE2016
CITYWIDE (CW ) BOARD & COMMITT EES
cwy of niem»i ea±, PARKING DEPARTMENT PARKING PPL[CAT[ON
1755 Meridian Avenue, Suite 200/Miami Beach, FL 33139/Ph: (305) 673-7505 or (305) 673.7000 ex1. 6200
A city wide (CW ) parking permit is honored at metered par king spaces and restricted residential zones
parking sp aces. A CW parking permit IS NOT hon ored in proh ibited areas. An Access Card will be
provided to you for City Hall Garage (G7) access.
IMPORTANT NOTE: Your vehicle licen se plate serves as your "parking permit". In order to avoid
any unnecessary enforcemen t action s, it is important that our records reflect the most curren t 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 hol e-p unch ed or perforat ed 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 car d. Please ensure you hold the entire surface of the car d against the reader
until the gate op en s.
ACKNOWLEDGEMENT: I acknowledge that should my access card be lost, stolen or
dam age, I will be responsibl e to pay a $10.00 replacem ent fee.
board liember Information-
Date of Application:
Applicant Name:
Address:
W ork Ph on e: 3oS-.G»
Cell Phone: 94- 9 33 Preferre d Contact Method:
Vehicle lnformation
Tag: 240eY Color: 0 &
State: #l Year: 0.22
Make: }d Model: 0to co/
Applicant Sia nature:~--~_:;:, ""r/~- d.:.f.:.?- 7 -2 / ts ,
Please provide signed form to the Parking Department located at 1755 Meridian Avenue, 2" floor. W orking
hours are 8:30 to 5:00 p.m . or email to: Parking~Reception@miamibeachfl.gov
e-m a il su bj ect: BOARD & COMMITTEE PAR K I N G APPLICATION -- APPLICANT NAME
P ki D ar tnca epartment ection
PERMIT SYSTEM GARAGE ACCESS
Expiration Date: ID C ard Serial #.
Issued By Print Name: Print Name:.
Signature: 6 Signature:. es
Date Issued: Date Completed.
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