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William Schachte 12.31.24M4AM1B BOARD AN D COM MITTE E CH ECKL IST APPOINTEE: William Schachte DATE OF APPOINTMENT: too9oho DEC 29, 2022 BOARD/COM MITTEE: L.GBTQI+ Advisory Committee Appointed by: Commissioner Laura Dominguez FOR SCANNER Scan o Scan o Scan o Scan o Scan o FOR CLERK STAFF o Letter of Appointment o Letter of Reappointment ° P',, per of Appointment/Reappointment e-mailed to y 2A/2 2 [ o Board and Cormittee Application (Completed o#3 { W22 o R~sum~/Curriculum Vitae }'3 } o Diversity Statistics Reporting (Completed on_3) ') o Oath rteRM No: _/31)/ row aw.]1/4 Committee Liaison on IMPORTANT INFORMATION FOR BOARD AND COMMITTEE MEMBERS BOOK t City Code Ordinance Section applicable to the agency, board or committee RECEIVED Y ciy 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) M/\R 32)Z3 Amendments to the Code of Ethics Ordinance (September 2009 through July 2012) Highlights of the Miami-Dade County Ethics Code [TY OF MIAMI BEACH " Sunshine Law and Public Records Frequently Asked Questions OFFICE OF TF CITY CLERK Y Memorandum - Solicitation by City Board and Committee Members O Citywide Permit Application (Parking Department Form) O Booklet - Guide to Sunshine Amendment & Code of Ethics for Public Officers and Employees Scan O Scan O O Source of Income Statement Received on: Scanned on: O Acknowledgment of Financial Disclosure Requirement O DIVERSITY STATISTICS REPORTING Keep COP Y in file and,ORIGINAL for An nual Report. nhfl2 son»a,X ..LL.LA one ca ca. eris Processed on:_ ..... 3_0__,_}_}.:;.__')..- By Employee: -------+-~-"""'-----l i------------- 3/3j5 as@pya _________ By Employee: <./ __ V_ 1 _ Date City Clerk's Office Staff Initials CONCLUDED & RESIGNATION LE ERS 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:ACLER\BOARD AND COMMIT TIES DATABASE\CHECKLIST MASTER\B&C Checklist 2015 MASTER.docx We are commitod to pwcovcding excellent public service and salty to oll who le, work, and ploy in our vibrant, tropical, historic comm#Ny. MI M l City of Miam i Beach, 1ZOO Convanlion Cantor Drive, Miami Bsach, Florida 33139 wywy._iaIihaachll.gov OF FICE OF THE CI TY CLERK, Raf0al E. Gran ado, Cy Cler k Tel 305.673.7411, Fox 305.673.7254 Email: Ci#yClerk@miamibeoch ll.gov December 29, 2022 Mr. William Schachte 540 West Avenue Unit 2214 Miami Beach, FL 33139 SUBJECT: LGBTQIA± Advisory Committee Congratulations! You have been reappointed by Commissioner Laura Dominguez 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. cc: Monica Beltran, Parking Director Brian Garces, 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 en dme nt 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 MIA\MAI BE City of Miami Beach, 1/00 Convention Conler Divo, Miami Beach, Florida 33139 www.miamibaachll.go OFFICE OF THE CITY CIERK, Rolool E, Granado, Cy Cloik Iol: 305.673.7411, Fox. 305.673.7254 Emal: Cit/Cl erk@i am ibooch ll.gov Oath of Office Oath of Civility and Acknowledgements TO: Mr. William Schachte RE: LGBTQIA+ Advisory 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 l 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 3rd a P7ii2022 fw7cc6wan- GT, N- 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. MIA#lBE H J City of Miami Beach 1700 Convention Center Drive Miami Beach, Florida 33139 OFFICE OF THE CITY CLERK Em ail: BC@miamib eachfl,gov Telephone: 305 .673 7411 RECEIVED MAR 3 2023 CITY OF MIAMI BEACH OFFICE OF HE CITY CLERK AFFIDAVIT OF AFFILIATION WITH THE CITY OF MIAMI BEACH ST A TE 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 (s/) all that apply): X lam a resident of the City of Miami Beach for six months or longer. Home Address 540 West Avenue Unit 2214, Miami Beach FL 33139 X 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 of Business Sobe Luxury Travel Business Address 540 West Avenue Unit 2214 Miami Beach FL 33139 lam 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). [[qr9 t9f P11][@ 14,1[9., J(]]f%Sb.. "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. eclare that I have read the foregoing document and that the facts stated in it March 02, 2023 Signature William L Schachte Ill Date Printed Name NOTARY Sworn to (or affirmed) and subscribed before me, by means of j$physical presence or a online notarizafjon, • we z aero tacl .az• WraaL w'a 4$£ (City of Miami Beach Board/Committee Member). Produced ID Form of Identification } Pe ~ Signatu Nameo Notary Public State of Florida Jeniffer Rodriguez My Commlsslon HH 327629 Expires 10/31/2026 (NOTARY SEAL) MI A MIBE H City of Miami Beach 1700 Convention Center Drive Miami Beach, Florida 33139 www.miamibeachtl.goy OFFICE OF THE CITY CLERK Emnail: BC@miamibeachfl.gov Telephone: 305.673.7411 BOAR D & 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) Schachte William L Last Name First Name Middle Initial I understand that no later than July.1,of each Vear 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 mu st 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)" 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. William L. Schachte Ill March 02 2023 Signature Date ' 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:\CLER\SALL REG\BOARD AND COMMIT TEE APPLICATIONS FINAL, DRAFTS\BOARD AND COMMITTEE APPLICATION REG FINAL..docx Updated: June 2020 Ml City of Miami Beach 1700 Convention Center Drive Miami Beach, Florida 33139 www.miamibeachll. gov OFFICE OF THE CITY CLERK Email: BC@miamiboachfL.gov Telep h on e: 305.673.7411 DIVERSITY STATISTICS REPORT Schachte William L 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: r :-I Male LCl rem ale L)oner Ll t prefer not to answer. Race/Ethnic Categories: What is your race? [l African American/Black Ll Asian or Pacific Islander LO Caucasian/white El Native American/American Indian [ l Other - Print Race. Ll prefer not to answer. Do you consider yourself to be Spanish, Hispanic, or Latino/a? [XO ves Mo El prefer not to answer. Do you consider yourself Physically Disabled? Les g2Ro L ht prefer not to answer this question. Page 6 of6 F:CLER $ALLARE G\BOARD AND COMMITTEE APPLICATIONS FINAL DRAFTS\BOARD AND COMMITTEE APPLICATION REG FINAL.docx Updated: June 2020 M IAM I EEl 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 Statem ent on a yearly basis by July 1st of every year. Disclosure for Tax Year Ending I Last Name First Name Middle Name/Initial 2022 E] Schachte William L Mailing Address - Street Number, Street Name, or P.0. Box 540 West Avenue Unit 2214 City, State, Zip Miami Beach FL 33139 lf your home address is your mailing address, and your home address is exempt from public records pursuant to Fla. Stat. $119.07, read instructions on the following page and check here. [] Filing as an Employee (check one) E] county [] Public Health Trust [] Municipal: (Municipality) Department Position or Title Employee ID Numb er Work address I Work telephone Employm ent began on/ended on Filing as a Board llember (check one) K] county I] Municipal: City of Miami Beach (Municipality) Board where serving LGBTQIA+ Advisorv Committee Alternate address (if home address is exempt) I Work telephone !Term began on/emled on 305.916.1470 DEC 29, 2022 List below every source of incom e you received, along with the address and the principal activity of each source. Include your public salary. Place the sources of income in descending order, with the largest source first. Examples of sources of income include: compensation for services, income from business, gains from prop erty dealings, interest, rents, dividends, pensions, IRA distributions, and social security payments. Also, include any source of income received by another person for your benefit. However, the income of your spouse or any business partner need not be disclosed. It continued on a separate sheet, check here.[] Name of Source of Income Address Description of the Principal Business Activity Sobe Luxury Travel 540 West Ave Unit 2214 Travel Agency Miami Beach FL 33139 I hereby swear (or affirm) that the information above is a true and correct statement. William L Schachte Ill Signature of Person Disclosing 02 March 2023 Date sign ed RECEIVED BY ELECTIONS DEPARTMENT: [ J Hardcopy tu venue 3ECEIVED MAR 3 2023 CITY OF MIAM I BEA CH OFFICE USE ONLY Accepted: Y I N Deficiency. 138_$P-14 COE 2016 o Hf0CeSS@I Bate/initials.. an@l Bate/lilials. C ITYW IDE (C W ) BO ARD & COMMITTEES cw y sf Mio»i sea«t», PARKING DP AR1ENT PARKING PP][CATION 1755 Meridian Avenue, Suite 200/Miami Beach, FL 33139/Ph:. (305) 673-7505 or (305) 673-7000 ex4. 6200 A cilywide (CW} parking permit is honored at metered parking spaces and restric ted residential zones par ki ng spaces. A CW parking permit IS NOT honored in prohibited ar e a s. An Access Card wi ll be provided to you for City Hall Garage (GZ) access. IMPORTANT NOTE: Your vehicle license plate serves a s your "parking permit". In ord er to avoid any unnecessary enforcement actions, it is important that our records reflect the most current and accurale information regarding your vehicle license plate. Inaccurate and/or outdated vehicle informa tion may lead to the issuan c e 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. To use the new card pl e ase hold the card at clo se 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 read er 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 lnformation Date of Application: 02 M arch 2023 Applicant Name: William L Schachte Board/Committee Name: {_GBTQIA+ Advisory Committee Address: 540 West Avenue Unit 2214 Mi am i Beach FL 33139 E-Mail Address: william_schachte@hotmail.com Work Ph on e : 305.916.1470 Home Phone 305.916.1470 Cell Phone: 305.916.1470 Pref er re d Contact Method: Cell Phone Ve h icle information a Tag: CHNL 305 C ol or : White State: FL Year: 2013 Make: Mercedez Benz Model: GLK 350 /Applicant Si@nature: e William L Schachte III Please provide signed form to the Par kin g D ep ar tm en t lo ca te d at 1755 Meridian Aven ue, 2 d flo or . W orking hours are 8:30 to 5:00 p.m. or email to: ParlingReception@miamibeachfl.gov. e -m a il su b ject: BO AR D & C O M MI TT EE PAR K I N G APPLICATION - AP PL I C AN T NAME p ·kd D oar Ina @ pg rtm en ection PERMIT SYSTEM GARAGE ACCESS Expiration Date: ID C ard Serial IE: lssued By Print Name: Print Name: Signature: 5 Signature: e D ate Issued: Dat e Completed: ts "