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Jonathan Fryd 12.31.23BOARD AND COMMITTEE CHECKLIST arorEe Hsy/rl.4 £10 oARD/cowMrrrEEe. 'tee d t<"ON·to Aeoitea by AA DL.AA42 DATE OF APPOINTMENT: FOR SCANNER Scan o Scan o Scan o Scan o Scan o FOR CLERK STAFF o Letter of Appointment o Letter of Reappointment o jY of ,Letter of Appointment/Reappointment, e-mailed ]1,/22 ] [ o Board and Committee Application (Completed a DI Lo ] o Resumrcorcutum vtae ] U].3 o Diversity Statistics Reporting (Completed on , l] ') o Oath reRm no.p [l/3 rR uw._p ol 1)2 to Committee Liaison on RECEIVED FEB 14 2023 C ITY OF MI AM I B E A CH OFFICE OF THE CITY CLERK Scan o Scan O IM PORTAN T INFORMATION FOR BOAR D AND COMMITTEE MEMBERS BOOK t 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 t County Code Section 2-11.1 -- Conflict of Interest and Code of Ethics Ordinance (as amended through December 2010) V Amendments to the Code of Ethics Ordinance (September 2009 through July 2012) Y Highlights of the Miami-Dade County Ethics Code t Sunshine Law and Public Records -- Frequently Asked Questions Memorandum - Solicitation by City Board and Committee Members o Cityw ide Permit Application (Parking Department Form) O Booklet - Guide to Sunshine Am endment & Code of Ethics for Public Officers and Em ployees O Source of Income Statement IGINAL. for Annual Report. Received on: O Acknowledgment of Financial Disclosure Requirement O Board an d Committees Liaison Respon sibilities O ,DIVERSITY STATISTICS RE PORTI N G Keep COPY in file and o 2//2 soea» it1, o pe»f = Processed on: yEmployee: l/1 4 "or _________ By Employee:----~~--------------- City Clerk's Office Staff Initials Scanned on: Date 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 AN D COMMIT TIES DATABASE\CHECKLIST MASTER\B&C Checklist 2015 MASTER.docx We ore csated to excellent public servce ad safety to a# who live, wok, and ploy in oar won#, topicai, historic comma@sty City of Miami Beach, I/OO Convention Canter Drive, Miami Beach, Florida 33 139 yxwy.miamihaachll.go OFFICE OF THE CITY CLERK, Raf0al E. Granado, Chy Clerk Tel: 305.673.7 411, Fax. 305.673.7254 Em ai l: CilyCl erk @miamibeoch fl.gov December 29, 2022 Mr. Jonathan Fryd 1708 W. 25th Street Miami Beach, Florida 33140 SUBJECT; Parks and Recreational Facilities Board Congratulations! You have been reappointed by Commissioner Laura Dominguez to the above referenced, board or committee named above, for a term ending: 12/31/2023. 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 Jan uary 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. Congratulations and good luck. Regards, cc: Monica Beltran, Parking Director Cynthia Casanova, 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 - Am endmen t 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 - (Pa rking Department Form) Booklet - Guide to the Sunshine Amendment and Code of Ethics for Public Officers and Employees City of Miami Beach, !0O Convention Coner Drive, Miami Boach, Florida 33 139 yNyw_miamibcachfl.gov OFFICE OF THE CITY CIERK, Rofcal E. Granado, Cy Clerk Tol: 305.673.7411, Fox. 305.673.7254 Email: City Clerk@iamibeachll.gov Oath of Office Oath of Civility and Acknowledgements TO: Mr. Jonathan Fryd RE: Parks and Recreational Facilities Board 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 comm ittee of the City of Miami Beach to which I have been appointed for a term endi ng: 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 Am endment and Code of Ethics for Public Officers and understand that as a membe r of a City of Mi am i Beach Board and/or Comm ittee, 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. MrJ~ Sworn to and subscribed before me this 202% p_ Charles D'Agostin [)f Deputy Cl erk 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 Requirem ents. 1I Al City of Miami Beach 1700 Convention Center Drive Miami Beach, Florido 33139 OFFICE OF THE CITY CLERK Email: BC@miamibeachfl.gov Telephone: 305.673.7411 RECEIVED FEB 14 2023 CITY OF MIAMI BEACH OFFICE OE 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): / 1am a resident of the City of Miami Beach for six months or longer. Home Adas,_Pb_ 0__z of /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 ot osmess_ _ Cvp(6/4gqo«4 - Business Address 2 led ,) Ad #am a full-time employee of a business (for a minimum of six months) and l am based in an office or other location of the business that is physically located in Miami Beach (for a minimum of six months). van e ors0socs f·po f".4f·7 sues Aw e f6 «d·6 2" "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 ace true. ~ '?, L ,+ / 7.-07, '-, Signature ;:.~ Date' ._Jo/A4oS' {4Do Printed Name NOTARY Sworn to (or affirmed) and subscribed before me, by means off physical presence or CJ on line notarization, this /tu day or _Ee ero., _20@.2y )oaf1o r, d (City of Miami Beach Board/Committee Member). Produced ID Form of Identification Personally Known at- === CHRISTINA M FERENO Commission #HH 51997 My Commission Expires October 8, 2024 Signature of Notary Public (NOT ARY SEAL) Name of Notary, Typed, Printed, or Stamped MI A MI City of Miami Beach 1700 Convention Center Drive Miami Beach, Florida 33139 www miamibeachll.gov OFFICE OF THE CITY CLERK Email: BC@miamibeachfl.gov Telephone: 305.673.7411 DIVERSITY STATISTICS REPORT 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. G ender: #~6a [Fem ale .other Ll prefer not to answer. R ace/E thnic C ategories: W hat is your race? Ll African American/Black L} Asian or Pacific Islander Ll Caucasian/white Ll Native American/American Indian El other -- Print Race. toot [K~ prefer not to answer. D o you cons ider yourself to be S panish, H ispani c, or Latinola? Clyes Ao Li prefer not to answer. D o you consider yourself Physically D isabl ed? yes LN 0 I prefer not to answer this question. Page 6 of 6 FACLERISALL\REG\BOARD AND COMMIT TEE APPLICATIONS FINAL DRAFTS\BOARD AND COMMITTEE APPLICATION REG FINAL.docx Updated: June 2020 1/\I/Al City of Miami Beach 1700 Convention Center Drive Miami Beach, Florida 33139 www,miamibeachfl.gov OFFICE OF THE CITY CLERK Email: BC@miamibeachfl.gov Telephone: 305.673.7411 BOARD & COMMITTE E FINANCIAL ACKNOWLEDGEMENT STATEMENT Ackno wledgement 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) -Jo0 7LA Last Name First Name Middle Initial I understand that no later than July1,of each year all mem bers of Boards and Com mittees of the City of Miami Beach, including those of a purely advisory nature, are required to comply with Miami-Dade County Financial Di sclosure Requirem ents. One of the following form s must be filed with the City Clerk of Miami Beach, 1700 Con vention Center Drive, Mi ami Beach , Florida, no later than 12:00 noon of July 1, of each year: 1. A "Source of Income Statemen t;" or 2. A "Stateme nt of Financial Interests (Fo rm 1)';" or 3. A Copy of your latest Federal Income Tax Return. Failure to file one of these form s, pursuant to the Miami-D ade County Code, may subject the person to a fine of no more than $500, 60 days injail, or both. Signa ture Date ' Memb ers of the Planning Board and Board of Adjustm ent will be notified directly by the State of Florida, pursuant to F.S. $112.3145(1)(a), to file a Statement of Financi al Interests (For m 1) with the Miami-Da de County Supervi sor of Election s by 12:00 noon , July 1. Planning Board and Board of Adjustment memb ers who file their Form 1 with the County Supervi sor of Election s automa tically satisfy the County's fina ncial disclosure requirement as a Miam i Beach City Board/Com mittee memb er 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 CL E RI S ALL\R E G\B OAR D AND CO M M ITT EE APPLICATIONS FINAL DRAFTS\BOARD AND COM MI T TEE APPLICATION REG FINAL .docx Up d at ed: June 2020 SOURCE OF INCOME STATEMENT Section 2-111(l) 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 tor Tax Year Ending tast Name First Name Middle Name/Initial 2022 a4 '» 9 TL44 € Mailing Address - Street Number, Street Name, or P.0. BOX 623 , - /€ City, State, Zip M«, 0 cd ~I.. +4 lf your home address ls your mailing address, and your home address ls exempt from publlc records pursuant to Fla. Stat. $119.07, read instructions on the following page and check here. [k Filing as an Employee (check one) [ county [] Public Health Trust [] Municipal: (Municipality) Department Posltlon or Title Employee ID Number Work address I Work telephone Employment began on/ended on Filing as a Board Member (ch eck on e) [] coun t y [+f unicipal: sr4 o€ A 4 t 054 ~ (Municipality) Board where serving } P zca±A o) Alternate address (lt home address Is exempt) I Work telephone I Term began on/ended on 40 €, 284 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 o fr ! I hereby swear (or affirm) that tho Informatlon above ls a true and correct statement. ""'"'re ol '"'" ,11:::z;j Dato signod RECEIVED BY E L] Hardcopy J ectrot- pWy, 14 2023 CITY OF IVIIAMI BEACH OFFICE OF THE ITV CLER K OFFICE USE ONLY Accepted; Y }/ N Delicioncy:....Pr ocessed Date/initials:-Scanned Date/initials:. 138,SP-14 COE 2016 Primary Sources ol lncamo (In generally the ordar oft mos t algnlftcant to ea st}: Source of lncomo Basso Gier Trust FB0 Jan@than Fyd Fryd Mortgage, C Besler Management Corp Kendal 1 Plaza, Ltd Fyd Robhs P, LL.CG Jottoron Plaza Partno ro, Ltd Fyd Rbhs AP, L.C 1234 Partners, Ltd Eatontown Paz, LLC Fryd Oovolopens L. Plaza, Ltd (aao Fryd Chtdren's Trust Isaac Fyd Gra nd ch tt ren's Tru st Aon dL, Inc King s Pall Pla za, Ltd Fyd Famty A soc&at es, Ltd BB Pala tka , Ltd RF Pai Hart or , LL.C Fyd Fem!y Prtnans, Ltd FJ Poportdos, Inc JP Group In c 1234 Gro up Inc. Fyd Famty Corpo ra tion MOGA III, LL.C BanMy Bay Ra te, LL.C Benty Bay Re ta! Fyd , LLC MOGA IV LL.C 1 G n w LL C I 16 Inv@moss Place E, Bldg B, Englewood, CO 80 112 623 Mchlgan Avonuo, Mam Basch, FL. 33 13 9 523 Mchlan Avenuo, MAami Bosch, FL 33 13 9 16 tv om oss Paco E, Bldg B, Englowood, CO 80112 Ona Custom Huso Straot Sulla 4, Prov#dance, RI 02003 T Inv, LLC VI TPG tnvLLC, VII TPG wvX,LL.C TP G t v XI, LLC Ono Custom Houso Stroot Suto 4, Prod anco, R 02903 One Custom House S troo t ulto 4, Prodenc0, RI 02903 Ono Cust om Ho use Struo t Sulto 4, Provd en co, RI 02903 KCISP XI, LLC Addross 623 Michigan vonuo, Mom / Beach, FL 33 13 9 624 Mchgan A vo nuo, Mom! aach, FL. 33 13 9 523 Mchkgan Avoruo, Maml Basch, FL. 33139 $23 Mch kg an Avonuo, Maml Beach, FL. 33 13 9 623 Mchgan Avonuo, Maml Beach, FL 3313 9 623 Mhlgan Avenuo, Mam/ Beach, FL, 33 13 9 523 Mich@an Avenue, Mam Beach, FL, 33139 523 Mchkgan Avarua, Mam! each, FL 33 13 9 623 Mchlgan A von uo, ta m! Bosch, F. 33139 523 Mchgan Avanuo, tami Ba h , H. 33139 623 Mch/an Avoruo, Mami Bo@ch, FL. 33139 623 Mhgen vonuo, Maml o ah , FL 33139 623 Mchgen Avnuo, Mam~ oach, F. 33 13 8 623 Mchl qn Avenuo, Maml Be ach , FL. 33 13 9 523 Mchlgan Avonuo, Miami Boach, P 33139 523 Mchigan Avonuo, Ma mt Bash, FL 3313 9 623 Mchkqan Avonuo, Mam i Bah, FL. 33139 623 Mchlgan Avonua, Mml Beech, FL. 33 13 9 523 Mchlgan Avonuo, Mam ! Beh, FL 33139 623 Mchlgn Avonuo, Mam! Beach, F 3313 9 623 Mchkgan Avonuo, Mam! Bosh, H 3313 9 623 Mch an A von uo, Mam! Bauch, FL. 3313 0 523 Mchkgan A ven ue, Mam! Boach, FL. 33 13 9 Ono Custom House Stroot 5ute 4, Prodenco, RV 02803 O no Cu st om Ho use S troo t Sults 4, Prodenco, R 029 03 TPG Inv XI,LL.C TP G Inv.LLC TPG Iv XVI, LLC TP G Iv XVI LLc 1PG t v X IX LL C TP G Inv XX LL C TP G Inv XX TPG Inv XXII K CI S P Inv LL.Cc 8CFLSP In LL.C PCISP I. LL.C BC S or DI, LL.C O na Cu stom Ho use 8tro t Suto 4, Provd n co, RI 0290 3 On o Cu st om Ho use S troo t Suto 4, Provdenc0, RI 02903 Ona Cu stom House St roo t Sulto 4, Prdenco, RI 02903 Ono Cu stom to usa S troo t Suto 4, Provid an c0 , RI 0290 3 Ono Custom House Strot Suto 4, Prudence, RI 02903 One Cu st om House S troo t Suto 4, Prod onco, R) 02903 Ono Custom Houso Strool Suto 4, Prodenco, RI 02 903 On o Custom Ho use S trea t Suto 4, Prodanco, R! 02903 Ona Custom House Stroot Suto 4, Prodonco, RI 02Q04 Ono Custom House Stroot Suto 4, Prodance, R 0290 3 Ono Custom House 8trot Suto 4, Provdanco, R 02903 Ono Custom House Stroot 5uo 4, Prodanco, RI 02903 Ono Custom Huso Stroot Suto 4, Prodanco, RI 02903 p ri nci pal bu sina ss acti vi ty Re a! Estate Investme nt s Mortgage Lona Ro / Estato Managomanl Roa! Estato Invo stmo nts Ro a! Estat o Inve stmen t Ro a! Estalo lnvostm e nts Ro a! Estat e Ive stmn ets Roa! Estato lnvostmonts Ra l Estato tvoma nta Ro al Estato t vost mo nts Real Estate Invoslmonts Real Eatato Invas!manta Re al Estala ln voslma nt s Real Estato Investmonts Roal Estato tnvostmonts Ro al Esta to ln vostmo nt s Re al Esta te Investments Re al Es ta te In vest me nts Ro g! Estato Invostm on ts Roal Estalo Investmonts Roal Estate Investmants Ro a! Estato In vestm en t s Re! Es tat s lnvestmants OI an d Ga s In vestme nt s Ra/ E!stata tnvostmonts Ra! Etat o Invostmon ts 0l an d Ga s in vest me nt Ra ! E st ata l vost ra nts Ra ! Eastato Invastmnonts Ra / Eatata Investm en ts Roal Eslato Investments Re el Est a to Invostmnan ts Raa! Estat o tnvostmontg Raal E stat e Investments Ro al Esla to l vaslma nts Rao/ E sta te tvostmonts Ro al E st ato In vestme nts Ro sl E stat e I vo rtma nts Roal Et oto In vo stm nts Re al Eslat e Investments Ra o! Esta te lnvostmonta Roal Estato Lnvo stmo nts Ra l E stato t vast mo nts Rat Eatato tnvostmanto Roa! Eastato Invastmonts Roa! Eatato lvostmants RECEIVED 111 A tlan tic P artn er s, LL C 523 M ich ~an A ve Roa! Estate Investmonts FEB 14 2023 CITY O F M IA M I BEA CH O F FIC E OF T H E C ITY C LE R K MI A MI City of Miami Beach, PARKING DEPARTMENT 1755 Meridian Avenue, Suite 200/Miami Bech, FL 33139/Ph: (305) 673-7505 or (305) 6737000 ex4. 6200 CITYWIDE (CW) BOARD & COMMITTEES PARKING APPLICATION 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 ol parking citation(s) and/or the towing ol 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: a/a/a Applicant Name: lo ala) 4z4) Board/Committee Name: f?y- t tdttoo) Address: 20 led I A A) Al E-Mail Address: e @ --to), {440. (a Work Phone: 2,0< L1 244 Home Phone Cell Phone: Preferred Contact Method: Vehicle Information Tag: £6 01 Color: A• State: f Year: Do2l Make: eel Model: 4¢A.} Applicant Sianature: €5 Please provide signed form to the Parking Departm ent located at 1755 Meridian Avenue, 2d foor. Working hours are 8:30 to 5:00 p.m. or email to: ParlingReception@miamileachfl.gov e-mail subject: BOARD & COMMITTEE PARKING APPLICATION - APPLICANT NAME P, ·ki Di s ar .ina .vepartment ection PERMIT SYSTEM GARAGE ACCESS Expiration Date: ID Card Serial #: Issued By Print Name: Print Name: Signature: Signature: Date Issued: Date Completed: