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Joshua Robins 12.31.23MI MI B O A R D A N D C O M M IT T E E C H EC K LIS T A P P O IN T E E : Joshua Robins B O A R D /C O M M IT T E E : Next Generation Council FOR SCANNER Scan o Scan o DATE OF APPOINTMENr. 2/14[2 Aoitea oy. Dun olb rEeRM w Eno:_p[3/h3 rerawuwn r.2/ll8 Scan o Scan o Scan o FOR CLERK STAFF o Letter of Appointment o Letter of Reappointment "5fly ]{" Aono-snowmen»soon ·-neat e- o Board air@ Committee Application (Completed on_3/2/2 o R~sum~/Curriculum Vitae .J},, o Diversity Statistics Reporting (Completed on 'l ll o Oath Committee Liaison on f necEIED FEB 15 703 CIT OF MIHM! B3EACH O F F IC E O F T H E CITY CLERK IMPORTANT INFORMATION FOR B O ARD 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) Hi gh ligh ts of the Miami-Dade County Ethics Code ✓Sunshine Law and Public Records - Frequently Asked Questions ✓Memorandum - Solicitation by City Board and Committee Members Scan o Scan o 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 REPO R TIN G Keep C OPY in file and ORIGINAL for Annual Report. Receeaa, 2/15/23 sores»X Ll//_ Date Boara Tc6#mitee Member Processed 6,, 2/15/23 By Employee: [] City Clerk's Office Staff Initials Date Scanned on: 21@2? ymover ~" 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 MASTERIB&C Checklist 2015 MASTER.docx M IA IBE City of Miami Beach, LOO Convention Canter Drive, Miami Bach, Florida 33139 yNy_miamibggchllgo OFFICE OF THE CITY CLERK, Ralaol E. Gran ado, Ciy Clerk Tel: 305.673.7411, Fox; 305.673.7254 Email: Cit/Clerk@miamiboochfl.gov February 13, 2023 Mr. Joshua Robins 4316 Nautilus Dr MIAMI BEACH, FL 33140 RE: Next Generation Council Dear Mr. Joshua Robins: Congratulations! You have been appointed by Mayor Dan Gelber to the above-referenced Board or Committee, 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 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. N Rafalranado City Clerk cc: Monica Beltran, Parking Director Erick Chiroles, 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 #3 I {If! Rl»ti 1l 30!4 23 +411 +ax '9023 1»4 t +el soy«hoelisrsstlss hll ego Oath of Office Oath of Civility and Acknowledgements TO: Mr. Joshua Robins RE: Next Generation Council 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 wh;ch I have sen,ed. ct ui#a Ria Sw orn to and subscribed befoce me th;,~~ ~023 Kena iena 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, Ml City of Miami Beach 1700 Convention Center Drive Miami Beach, Florido 33139 OFFICE OF THE CITY CLERK Email:. BC@miamibeachfl_gov Telephon e: 305.673.741 FEB I pa do CITY OF MIAM I 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): IZl I am a resident of the City of Miami Beach for six months or longer. Hom e Address4316 Nautilus Dr, Miami Beach , FL 33140 [] I have an own ership interest (for a mi nimum of six months) in a busine ss established in the City of M ia m i B e a c h (fo r a m in im u m of six months). [J a m % (f [[J [[@ S 3.-» P I S /[e S S, ]f S b3 I a m a fu ll-tim e e m p loyee of a business (for a minimum of six months) and I am based in an office or o th e r lo ca tio n o f th e b u sin e ss th a t is p h ysically located in Miami Beach (for a minimum of six months). N a m e o f B u sin e ss S co tt R o b in s C o m p a n ie s , In c . B u sin e ss A d d re ss 23 0 5th S t, M ia m i B e a ch , F L 33 13 9 "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 n d e r pe n a ltir'5\~o f i'e rju ry , I de cla re th a t I ha ve re a d th e fo re g o in g d o cu m e n t a n d th a t th e fa cts sta te d in it are true. \l, 2/15/23 -------------- S ig n a tu re D a te Jo s h u a R o b in s P rin te d N a m e N O T A R Y S w o rn to (o r a ffi rm e d ) a n d su b scrib e d b e fo re m e , b y m e an s of u ph ysic al pr e se n ce or on lin e no ta riza tio n . ms /5 ace» on.h~-a, .2 023 »Tabo o Kos/ids (C ity o f M ia mi B e a ch B o ar d /C om mi tte e M em b e r). P ro d u ce d ID _.._ Form of Identification / n S i ub lic C ords N a m e o f N o ta ry, T yp e d , P rin te d , o r S ta m p e d MARIE ELAINE RODGEI ,RY SEAL) MY COMMISSION # GG 916679 · 1uary 25, 2024 Public Underwriters City of Miami Beach I7O0 Convention Center Drive Miami Beach, Florida 33139 OFFICE OF IHE CIY CIERK Emai l: BC@miamibeachfl.gov Telephone: 305.673.7411 DIVERSITY STATISTICS REPORT Robins Joshua p 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: [J Mae [] remale Ll other O.i I prefer not to answer. Race/Ethnic Categories: What is your race? [] African Am erican/Black El Asian or Pacific Islander El Caucasian/whi te Ll Native Am erican/Am erican Indian El other - Print Race: ------------ □I prefer not to answer. Do you consider yourself to be Spanish, Hispanic, or Latino/a? Llves [lo El prefer not to answer. Do you consider yourself Physically Disabled? ti Yes r71 I No D I prefer not to answer this question. Page 6 of6 FCLERISALL REG\BOARD AND COMMITTEE APPLICATIONS FINAL DRAFTSiBOARD AND COMMITTEE APPLICATION REG FINAL.docx Updated: June 2020 City of Miami Beach I7O0 Convention Center Drive Miami Beach, Florida 33139 wwwmiamibaeachi] gov OFFICE OF THE CITY CLERK 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) Robins Joshua p Last N am e First Name Middle Initial I und ers tand th at no later th an July 1,of each ear all members of Boards and Committees of the City of Miami B each, including those of a purely advisory nature, are required to com ply w ith M iam i-D ade County Financial D iscl osure R equirem en t s. One of th e fol lowi n g form s must_be filed with the City Clerk of Miami Beach, 1700 Convention Center Drive, M iam i B each, Florida, no later th an 12:.00 noon of July 1, of each year: 1. A "S ource of Incom e S tatem e nt;" or 2. A "St atem ent of Financial Interests (Form 1)1;" or 3. A C opy of your latest Federal Income Tax Return. Failure to file one of these fo rm s, pursuant to the M iami-Dade County Code, may subject the person to a fine of no m ore th an $500,90 days in jail, or both . , 2//g Signature Date 1 Members of the Planning Board and Board of Adjustment will be notified directly by the State of Florida, pursuant to F.S. $112.3145(1)(a). to file a Statement of Financial Interests (Form 1) with the Miami-Dade County Supervisor of Elections by 12:00 noon, July 1. Planning Board and Board of Adjustment members who file their Form 1 with the County Supervisor of Elections automatically satisfy the County's financial disclosure requirement as a Miami Beach City Board/Committee member and need not file an additional form with the Office of the City Clerk. However, compliance with the County disclosure requirement does not satisfy the State requirement. Page 5 of 6 F ICLER1$ALLIREG\BOARD AND COMMITTEE APPLICATIONS FINAL DRAFTS\BOARD AND COMMITTEE APPLICATION REG FINAL.docx Updated: June 2020 MIAMl•DAD E. EI 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 First Name Middle Nam e/initial 2022 Robins Joshua Paul M alli ng d dress - S treet Num ber, S treet Nam e, or P.O. Box 4 3 16 Nautilus D r City, St at e, Zip Miami Beach, F L , 33 14 0 If your hom e addre ss is your m ailin g addr ess, and your hom e address is exempt from public records pursuant to Fla. Stat. $119.07, read instructions on the following page and check here. [ Filing as an Employee (check one) [] county [] Public Health Trust [] Municipal: (Municipality) Department Position or Title Employee ID Number Work address I Work telephone Employment began on/ended on Filing as a Board Member (check one) [] county X'unicnat: (Mani BS«ct. (Municipality) Board where serving A\/ex+ 6 (o0I Alternate address (if home address is exempt) I Work telephone I Term began on/ended on List below every source of income you received, along with the address and the principal activity of each source. Include your public salary. Place the sources of incom e in descending order, with the largest source first. Exampl es of sources of Income Include: compensation for services, incom e from business, gains from property dealings, interest, rents, dividends, pensions, IRA distributions, and social security paym ents. Also, include any source of income received by another person for your benefit. However, the income of your spouse or any business partner need not be disclosed. If continued on a separate sheet, check here.[] Name of Source of Income Address Description of the Principal Business Activity Scott Robins Companies, Inc. 230 5th St, Miami Beach, Fl Real estate development and 33139 management I hereby swear (or affirm) that the information above is a true and correct statement. l 2/0/ 13 Date signed RECEIVED BY ELECTIONS DEPARTMENT: D Hardcopy RECEIVED D Electronic Copy FEB 15 2023 CITY OF MIAMI BEACH yr es p y OFFICE USE ONLY Accepted: I N Deficiency. Processed Date/initials:Scanned Date/initials: 138_$P-14 COE 2016 / IA M I H C ITYW IDE {CW ) BO AR D & CO M MI TTE ES cy cot Miami cat, PARKING DEPARTMENT PAR KIN G APP[[CAT[ON 1755 Meridian Averue, Sile 200/Mio i each, FL 33139/P (3054 /3-7505 3+ {3US] 6/3-7J00 et. 6230 A citywide (CW} parking permit is honored al 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 Cily Hall Garage (G7) access. IM PORTANT NOTE: Your vehicle license plate serves as your "parking permit". In order to ovoid 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 ol your vehicle. Please note that this new access card CANNOT be hole-punched or perforated in any manner. Io 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 open s. ACKNOW LEDGEMENT: I acknowl edge that should m y access card be lost, stolen or damage, I will be responsible to pay a $10.00 replacement fee. Board Member Information Date of Application: 2/15/23 Applicant Name: Joshua Robins Board/Committee Name: Next Generation Council Address: 4316 Nautilus Dr, Miami Beach, Fl 33140 E-Mail Address joshua@robinscompanies.com Work Phone: 305-674-0600 Home Phone Cell Phone; 305-915-3474 Preferred Contact Method: Vehicle Information Tag G G Q Q 38 Color: Black State: Florida Year: 2023 Make: BMW Mocel: X5 -y Applicant Sianature: es ( v2/ Please provide signed form to the Palking Department located at 1755 Meridian Avenue, 2 floor. Working hours are 8:30 1o 500 p.m. or email to: Parki ngReception@miam ibe gchf,gov e-m a il subject: BO A R D & C O M M ITT EE PA RK IN G A PPLICATIO N - APPLICANT NAM E Par in Department ection PERMI T SYSTEM G AR AG E ACC ESS xpiralion Date: ID Card Serial #: Issued By Print Name: Print Name: Sig nature : Si gnature: Date Issued Dote Completed k' s