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Esteban Porcelli 12.31.24M IA MI BE A CH APPOINTEE. }bo @yzL B O A RDIcOMMITTE e. 1PB3PF FOR SCANNER S c a n o Scan o S c an o S c a n o S c a n BOARD AND COMMITTEE CHECKLIST DATE OF APPOINTMENr.-[22/23 Appointed by.._Cl' (on_ma @V) rRMw po. blah/ rRMurr-l21 ){ FOR CLERK STAFF o Le tte r of A ppo intm e n t o Letter of Reappointment 7LC/['\ A s oo n er v e r om o en e-motes - B o ard and C om m i tt ee Ap p l ic at ion (C om p l et ed o, t [U[)) - R ~su m ~/C u rricul um Vi ta e ) ) - Di v ersity S tatist ics R ep orting (C om pl et e d 64 3] o O ath to C o m m itt ee L ia iso n on IM P O R T A N T IN F O R M A T IO N FO R B O A R D A N D C O M M IT TEE MEMBERS BOOK ✓C ity C o de O rd ina nce S e ctio n ap p lica b le to the age ncy, bo a rd or co m m itt ee RECEIVED ✓C ity C o de S e ction s 2-21, 2-22. 2-23, 2-24, 2-25. 2-26, 2-4 5 8 an d 2-459 ✓C o unty C o de S e cti o n 2-11.1- C o nfli ct of Interest and C o de of E thics O rd ina nce (a s MA R ,1 2023 am e nd e d thro ugh D e ce m b e r 2010) .:> ✓A m e n d m e nts to the C o de of E thics O rdin a nce (S e ptem b er 2009 thro ug h July 2012) ✓H ig hlig hts of the M iam i-D a d e C o u nty E thics Code CITY OF MIMI BEACH S u n sh i n e La w and P ubl ic R e cord s - Fr e q uen tl y A sk e d Q uestion s OFFICE OF THE CITY CLERK Memorandum - S o lici ta tion by Ci ty Board and C om m i tte e Members S c a n O Scan o o C ityw ide P e rm it A pp lica tio n (P arking D e pa rt m e nt Fo rm ) o B o ok let - G uid e to S u n sh ine A m e nd m e n t & C o de of E thic s for P ub lic O ffi ce rs a nd E m p lo yees o S o urce of In co m e S tate m e nt o Acknowledgment of Financial Disclosure Requirement o B oard and C o m m ittee s Li a ison R e spo nsib ilitie s O D IV E R S IT Y S T A TI S TI C S R EP O R TI N G Keep , 2[/[13 si gn ed oy % k 'I D ,te B o a rd or C ol mm itt e e M em b er P roc esse d o n : _6__,_]_0 __ ~_3 By E m plo ye e : Ol() _ _.____.__ _ D a te C y,gl er k's,Of fi ce Staff Ini tial s 3/ J_}_l.-_3 __ B y E m p lo ye e : f.Jl/ __ { _ NAL for Annual Report. R ecei ved on : S ca n n e d on: D a te C ity C le rk's O ffi ce S ta ff In itia ls CONCLUDED & RESIGNATION LETTERS T e rm E x pire d L e tt e r D a te P ro ce sse d Ini tial s S c an o R e sig n atio n L ett e r D a te P ro ce sse d In itials S can O R e m o va l Le tt er d u e to ab se n ces D a te pro ce sse d In itials Scan o F:\CLER\BOARD AND COMMITTIES DATABASE\CHECKLIST MASTER\B&C Checklist 2015 MASTER.docx MIA !BE City of Miami Beach, I/0O Convention Canter Drive, Miami Bach, Horida 33139 ywwy._miamnibaach[go OFFICE OF THE CITY CLERK, Ra~al E. Granado, Cy Clerk Tel 305.673.7411, Fox: 305.673.7254 Email: CilyClerk@miamiboochfl.gov February 23, 2023 Mr. Esteban Porcelli 3411 Indian Creek Apt 903 Miami Beach, Fl 33140 SUBJECT: Transportation, Parking and Bicycle-Pedestrian Facilities Committee Dear Mr. Esteban Porcelli: Congratulations! You have been reappointed by the City Commission to the above referenced board or committee, for a term ending: 12/31/2024. 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. cc: Monica Beltran, Parking Director Monica Beltran, 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 I , Ny 4A M//BEACH City of Miami Beach, I/OO Cor vonlion Center Drive, Miami Bouch, Torda 33139 yy2yy_miamnib_gc_hf]gay OF FICE OF THE CITY CIERK, Rafool E. Gr anado, City Cdork Tol: 305.673.7411, Fax. 305.673.7254 Emal: Cit/Clorl @miamiboochfl.gov Oath of Office Oath of Civility and Acknowledgements TO: Mr. Esteban Porcelli RE: Transportation, Parking and Bicycle-Pedestrian Facilities 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. l 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 P, K "II11 2023 ·please visit the City of Miami Beach website at www.miamibeachfl.gov under City Clerk/Board and Committees for additional infonnation regarding the Financial Disclosure Requirements. MAI A1BE ACH City of Miami Beach 1700 Convention Center Drive Miami Beach, Florida 33139 OFFICE OF THE CITY CLERK Email: BC@miamibeachfi.gov Telephone: 305.673.741 RECEIVED MAR 3 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): t/i I am a resident of the City of Miami Beach for six months or longer. Hom e Address _4_Tl Rt 3, B}7 90,M1AM1 B8 ] F 33140 □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). [J9mp9 ( Py,mi 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). [[3f7@ ([ 1J g[P9Sb} Hy[mess (Jr]resS "Ownership Interest" means the ownership of ten percent (10%) or more (including the own ersh ip 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. Signature €$744N/ that I have read the foregoing document and that the facts stated in it 03/01/2s2 Date 7 Printed Name NOTARY Sworn to (or affirmed) and subscribed before me, by means of u physical presence or a opline notarization, » 1 a»a "azs £s@cf4 pev eti I (City of Miami Beach Board/Committee Member), Produced ID Form of Identification Persona ly Known uu tu ti 99le % "@;Pl, '>,, » oer"3;e [9P 1 "7 7' (NOTARY SEAL) Name of il ary. Typed, Printed, or Stamped M IA M I BEACH City of Miami Beach 1700 Convention Center Drive Miami Beach, Flor ido 33139 www.miamibeachfl.gov OFFICE OF THE CITY CL ERK Emil: BC@miamibeachfl.gov Telephone: 305.673.7411 BOARD & COMMITTEE FINANCIAL ACKNOWLEDGEMENT STATEMENT Acknowledgement of fines/suspension for Board/Com mittee Mem bers for failure to comply with Miami- Dade County Financial Disclosure Code Provision Code Section 2-11.1(i) (2) Po«c~ 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 Interests (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 ~-both. 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. S112.3145(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 F o rm 1 w ith the C ounty Supervisor of Elections autom atically 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 FACLERISALI R E GABOARD ND COMMIT T E E APPLICATIONS FIN A L DRAF TS H O AR D AND COMMIT T E E APPLICATION REG FIN AL dot.x Update d: June 2020 MIAMI BEACH City of Miami Beach 1700 Convention Center Drive Miami Beach, Florida 33139 www.miamibeachfl.gov OFFICE OF THE CITY CLERK Email: BC@m iamibe ach fl.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 wi th City div ersi ty reporting requirem en t s. Gender: fie [] remale 0 Other D I prefer not to answer. Race/Ethnic Categories: What is your race? D African American/Black A sta or Pacific Islander Eh Caucasian/white 0 Native Am erican/A m erican Indian 0 Other - Print Race: _ D I prefer not to answer. Do you consider yourself to be Spanish, Hispanic, or Latino/a? v . No 0 I prefer not to answer. Do you consider yourself Physically Disabled? g voe» 'I No t prefer not to answer this question. Pago 6 of 6 F:CLERISLL!RE GBOARD ND COMMIT TEE APPLICATIONS FINL DRAF TS\BOARD ND COMMIT TEE APPLICATION REG FINAL docx Up date d: Ju n e 20 20 M IA M l·DAD E - &TI Clear From Print Form 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 f st Name First Name Middle Name/initial 2 0 2 2 o 'orcelli Esteban Mailing Address - Street Number, Street Name, or P.O. Box 3411 Indian Creek Dr. Aot 903 City, State, Zip Miami Beach, FL, 33140 lf 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 Filing as an Employee (check one) [ county D Public Health Trust D 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] Municipal: City of Miami Beach (Mu ni ci pality) Board where serving Parkina and Bicycle-Pedestrian Facilities Committee Transportation, Alternate address (It home address is exempt) I Work telephone I Term began on/ended on 917-294-3511 1/1/2023 to 12/31/2023 List below every source of income you received, along with the address and the principal activity o! each source. Include your public salary. Place the sources ol income in descending order, with the largest source first. Examples of sources of income include: compensation tor services, income from business, gains from property dealings, interest, rents, dividends, pensions, IR distributions, and social security payments. Also, include ary source of income received by anot]g{ person tor your benefit. However, the income of your spouse or any business partner need not be disclosed. It continued on a separate sheet, check here.L_) Name of Source of Income Address Description of the Principal Business Activity Social Security Benefits Retired Pensions and annuities Various olans Signature ot Person Disclosing 03/01/2023 Dato signed RECEIVED BY ELECTIONS DEPARTMENT: I Hardcopy s een . &3fCEIVED 44AR 3 2023 CITY OF MIAMI BEACH [)el[[,-[)l [[l[,][] toll REMEMBER TO PRINT, SIGN, AND SUBMIT TO THE OFFICE OF THE CITY CLERK VIA EMAIL OR HARDCOPY. l ...4 .l. :±.2 1755 Meridian Avenue, Suite 200/Miami Bech, FL 33139/Ph. (305] 673-7505 or (305) 673-7000 01 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 cord please hold the cord at close proximity to the reader until the gate opens. You may need to try the other side of the cord. 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: 03/01/2023 Applicant Name: Esteban Porcelli Board/Com mittee Name: Transportation, Parking, Bicycle and Pedestrian Committee Address: 3411 Indian Creek Dr. Apt 903, Miami Beach, FL, 33140 E.Mail Address: erporcelli@yahoo.com Work Phone: Home Phone Cell Phone: 917-294-3511 Preferred Contact Method: E-mail Vehicle Infor ation Tog: QJBD08 Color: Red State: Florida Year: 2009 Make: NISSAN Model: ROGUEAWD SL Ap plicant Sf+nature: " Please provide signed form to the Parking epantment located at 1755 Meridian Avenue, 2 floor. Working hours ore 8:30 to 5:00 p.m. or email to: ParkingR ecoption@miamibeachfl,gov e-mail subiect: BOARD & COMMITTEE PARKING APPLICATION - APPLICANT NAME Parking Department Section - PERMIT SYSTEM GARAGE ACCESS Expiration Date: ID Card Sorial #: lssued By Print Name: -- - Print Nome: Signature: Signature: r Doto Issued:. Dato Completed. ----- o. a. --