Marjorie York 12.31.24BOARD AND COMMITTEE CHECKLIST
APPOINTEE: Marjorie York
BOARD/COMMITTEE: MB Commission for Women
DATE OF APPOINTMENT. 2/21/23 -------
Appointed by: Mayor Gelber
FOR SCANNER
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FOR CLERK STAFF
o Letter of Appointment
o Letter of Reappointment
o Copy of Letter of Appointment/Reappointment e-mailed
2/21/23
TERM END . 12/31/24 TERM LIMtr. 12/31/28
to Committee Liaison on
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o Board and Committee Application (Completed on 111
o R~sum~/Curriculum Vitae
o Diversity Statistics Reporting (Completed 6, 2/23/23
o Oath
✓RECEIVED ✓
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FEB 23 2023 ✓
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C IT Y O F M IA M I BEACH ✓
OFFICE OF THE CITY CL E R K ✓
IMPORTANT INFORMATION FOR BOARD 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)
Highlights of the Miami-Dade County Ethics Code
Sunshine Law and Public Records - Frequently Asked Questions
Memorandum - Solicitation by City Board and Committee Members
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Received 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 -rsr1cs REPoRrN- -.. oPy in rte and oRGn
l la2 Signed by / '1{mfr-1.-kl<4
Scanned on:
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Processed on: _Z, __ ,_Z--3 __ ~'~2-,-3 By Employee:------~-------------- [sf± raz9fa
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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\BOARD AND COMMITTIES DATABASEICHECKLIST MASTERIB&C Checklist 2015 MASTER.docx
We ore cormiited to providing excellent public service and safety o oll who live, work, and play in our vibrant, tropical, historic community.
City of Miami Beach, I/OO Convonlion Canter Drive, Miami Bach, Florida 33139 yywy_miamibaachll gov
OFFICE OF THE CITY CLERK, Raf0al E. Granado, Ciy Clerk
Tel 305.673.7411, Fax 305.673.7254
Email: Ci#yClerk@miamiboochfl.gov
February 21, 2023
Ms. Marjorie York
829 15th Street, APT # 10
Miami Beach, Florida 33139
SUBJECT: Miami Beach Commission For Women
Congratulations! You have been reappointed by Mayor Dan Gelber 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 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.
Regar'21
Rafae 2nado
c s$
cc: Monica Beltran, Parking Director
Monica Matteo-Salinas, 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 an d 2-459
Ordinance No. 2006-3543 - Am en dmen 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
MI MIBE
City of Miami Beach, I/OO Convonlion Conler Diva, Miami Bouch, Horida 33 139 yywy_Iiaribogchf].go
OFFICE OF THE CITY CLERK, Rofaal E. Granado, Ciiy Clerk
Tel: 305.673.7411, Fax. 305.673.7254
Email: CiyClerk@miamibeachfl.gov
Oath of Office
Oath of Civility
and
Acknowledgements
TO: Ms. Marjorie York
RE: Miami Beach Commission For Women
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.
Sworn to and subscribed before me this _:tJ_ day 91-
*Please visit the City of Miami Beach website at www.miamibeach fl.gov under City Clerk/Board and
Committees for additional information regarding the Financial Disclosure Requirements.
MI AMI BE
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 23 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
I am in compliance with the affiliation requirement of Miami Beach City Code Sections 2-22 (4), as (check
( ✓) all that apply):
l am a resident of the City of Miami Beach for six months or longer. , r1fl
toe «arc»» y2 2 1,ltti '/let, 3),_
I have an ownership interest (for a minimum of six months) in a business established in the City of f
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 any sole proprietorship, sponsorship, corporation, limited liability company, or other
entity or business association.
Under penalties of perjury, I declare that I, have r
are true. •
Signature
the foregoing document and tha the facts stated in it
2
Date
Printed Name
NOTARY
Sworn to (or affirmed) and subscribed before me, by means of□physical presence or□online notarization,
_________ (City of Miami Beach Board/Committee Member).
Mon , bolt (onh 1Q
r f Identification
Produced ID
Name of Notary, Typed, Printed, or Stamped
M IA M IB
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 33139
www.miamibeachfl.gov
OFFICE OF THE CITY CLERK
Email: BC@rniarnibeachfl.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)
York Marjorie
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 Intere sts (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
of no more than $500, 60 days in jail, o oth. / /
3 /44. 104% ~Da-te-/+-"'-~/ ---'""--"------=--=------
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 Elect ions 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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Updated: June 2020
1IA\MI B H
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 33139
www_miamibeach[l.gov
OFFICE OF THE CITY CLERK
Email: B C @m iam i be a chfl.gov
Telephone: 305.673.7411
DIVERSITY STATISTICS REPORT
York Marjorie
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 at e
[}-emale
0 Other
0 I prefer not to answer.
Race/Ethnic Categories:
What is your race?
DI African American/Black
D Asian or Pacific Islander
[f 'caucastan white
DI Native American/American Indian
Lother-- Print Race: _
0 I prefer not to answer.
Do you consider yourself to be Spanish, Hispanic, or Latino/a?
Eye»
L1 No
0 I prefer not to answer.
Do you consider yourself Physically Disabled?
tag
-- No D I prefer not to answer this question.
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Updated: June 2020
MIAMl·DADE-
Eml 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 Last Name Middle Name/Initial
2022 York
First Name
Marjorie
Mailing Addr
City, S
If your home address is your mailing address, and your ho e 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 I Work telephone Employment began on/ended on
Filing as a Board Member (check one)
[] county E] Municipal: Miami Beach
(Municipality)
Board where serving
Miami Beach Commission for Women
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
-737. voy tle%4 tee
I hereby swear (or affirm) Iha'. th'. :::n a~d correct statement.
somatire so q
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RECEIVED BY ELECTIONS DEPARTMENT:
□Hardcopy
t tectrone co?ECEIVED
FEB 23 2023
OFFICE USE ONLY Accepted: Y / N Deficiency: Processed Date/Initials: Scanned Date/Initials: _
138_SP-14 COE 2016
Flor i d a Public. Schools
CONTRACTOR. 1
Marjorie York
Exp. Date: 11/17/2026