Gabriella Kalmanowicz 12.31.23BOARD AND COMMITTEE CHECKLIST
APPOINTEE: Gabriella Kalmanowicz
BOARD/COMMITTEE: Next Generation Council
DATE OF APPOINTMENT. 02/07/2023
Appointed by: Chamber of Commerce
FOR SCANNER
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FOR CLERK STAFF
o Letter of Appointment
o Letter of Reappointment " {%1''38 ot AointmenuReanointment e-mated to
o oar@ an@Committee Application (completed on2/9[2
o R~sum~/Curriculum Vitae 1
o Diversity statistics Reporting (completed on 6(x
o Oath
rERow evo. /3l/3 rew tu»r. 0/31/23
Committee Liaison on
RECEIVED
MAR 72023
CITY OF MIAM I BEA CH
OFFICE OF THE CITY CLERK
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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o Citywide Permit Application (Parking Department Form)
o Bo0klet - 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 REPORTING Keep COPY m me and ORIGINAL tor Annual Report.
Reco»ea • 03/06/2023 stones »X_ _96le a~nae 3_
Date tard or Co~mitt Member
Processed 8. 03/0/2023 By Employee. l'
Date city clerk's Office $7ff Initials
Scanned on:
031~12023
By Employee: --------ifr-U __ v_ '---------
Date City Clerks borice 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\BO A R D AND CO M M ITT IES DATA BA SE\C HEC KLI ST M A STER\B&C Checklist 2015 M A STER.docx
We ore corm iited to providing excellent public service and safety to all who live, work, and ploy in our vibrani, tropical, historic community
City of Miami Beach, I/OO Con vention Cantor Drive, Miami Beach, Florida 33 139 yyy._miImihaachf]go
OFFICE OF THE CITY CLERK, Rafaal E. Granado, Ciy Clerk
Tel 30 5.673.7411, Fax: 305.673.7254
Email: City Clerk@miamiboochfl.gov
February 03, 2023
Ms. Gabriella Kalmanowicz
330 W 47TH ST
MIAMI BEACH, FL 33140
SUBJECT: Next Generation Council
Dear Ms. Gabriella Kalmanowicz:
Congratulations! You have been reappointed by the City Commission to the above referenced board or
committee, for a term ending: 12/31/2023.
If you are unable to accept this appointment or have any questions, please call the Office of the City Clerk
at305.673.7411.
Please read the enclosed materials carefully. Congratulations and good luck.
Resp~
Rafael Granado
City Clerk
cc: Monica Beltran, Parking Director
Erick Chiroles, 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
oassoc.t.d pt. t,
BEACH
City of Miami Beach, :/XS Corwxotoo Cr re, Mee Bost, Dk«sis 331'39 922.±gr±seghti gee
OM#E O IHI CITY CIFx. Ralas t. Gndo Ce Clod
tel. 305./3J444.fa 315717254
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Oath of Oflce
Oath of Civility
and
Acknowledgements
TO: Ms. Gabriella Kalmanowicz
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
tem ending: 12/31/2023.
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
ot he calendar year on wich thave served. jf} } ] ,
4dt l.Moe
Ms. Gabriell~ Kalmanowicz
Sworn to and subscribed before me • 3%.. • 2023
Keila
'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.
MI
RECEIVED
MAR 7 2023
City of Miami Beach
70 Convention Ceater Drvo
Muss Dach, Florido 33139
OFFICE OF THE CITY CLERK
Email C@mi@muteecti. gov
Telephone 305 673 7411
CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
AFFIDAVIT OF AFFILIATION WITH THE CITY OF MIAMI BEACH
STATE OF FLORIDA
COUNTY OF MIAMI-D ADOE
I am in complianco with the affiliation requirement of Miami Beach City Code Sections 2-22 (4), as (check
(/) all that apply)
a lam a resident of the City of Miami Beach for six months or longer.
Hom e Addrea330 w 471h St Miami Beach, FL
pg 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 Busing The Surgeon's Daughter
Businoss Address 400 Arthur Godfrey Rd. Miami Beach FL, 33140
a 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 mon ths)
[[par9 (9[ Ht91PSS
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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 perjyry, I declare that I have read the foregoing document and that the facts stated in it a"lfl. lo<d osro6rozs ------------- Signature Date
Gabriella Kalmanowicz
Printed Name
NOTARY
Sworn to (or affirmed) and subscribed before me, by means of s/physical presence or online notarization, - his '?_ day ot r\«o _,201 [lief_ \et,now2
(City of Miami Beach Board/Committee Member )
/ Produced ID Qi&Lice €
Form of Identification
Personally Known
4=±.g@
Notary Publlc State o Florida
Yaden Bollre Zayas
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Exp 10/25/2025
3.jg+tgyoeego#tpoepeppoegged
(NOTARY SEAL)
Nambe of Notary. Typed, Printed, or Stamped
MIA H
City of Miami Beach
l 700 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
Kalmanowicz Gabriella 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:
L]Mate
[l Female
D Other
0 I prefer not to answer.
Race/Ethnic Categories:
What is your race?
DI African American/Black
D Asian or Pacific Islander
D Caucasian/White
D Native American/American Indian
D Other - Print Race: ------------- Ell prefer not to answer.
Do you consider yourself to be Spanish, Hispanic, or Latino/a?
Ll ves
Ho
D I prefer not to answer.
Do you consider yourself Physically Disabled?
t Yes
zho t prefer not to answer this question.
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F :\C L ER \$A LL\R E G IB O A R D A N D C O M M ITT E E A P P LI C A T IO N S FIN A L D R A F T S \B O A R D A N D C O M M ITT E E A P P LI C A T IO N R E G FIN A L.do cx
Updated: June 2020
/IA\Ml
City of Miami Beach
1 700 Convention Center Drive
Miami Beach, Florida 33139
www.miamibeachfl.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)
Kalmanowicz Gabriella L
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 $500, 60 days in jail, or both.
/a6uata. abaocoo, sioraw j 03/06/2023
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:\CLER\$ALL\REG\BOARD AND COMMITTEE APPLICATIONS FINAL DRAFTS\BOARD AND COMMITTEE APPLICATION REG FINAL.docx
Updated: June 2020
MIAMI-DADE- EII SOURCE OF INCOME STATEMENT
Section 2-11.1(@) 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 Name/Initial
2022 Kalmanowicz Gabriella Lena
Mailing Address - Street Number, Street Name, or P.O. Box
330 W 4 7th St.
City, State, Zip
Miami Beach, FL 33140
If 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. 0
Filing as an Employee (check one)
[] county □Public Health Trust DI 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)
[] count y [] Municipal: Miami Beach
(Municipality)
Board where serving
Next Generation Counil
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
The Surgeon's Daughter 400 Arthur Godfrey Rd. Miami aesthetician / skin care services
Beach FL 33140
I hereby swear (or affirm) that the information above is a true and correct statement.
{vat4nee
Signature of Perso Disclosing &
03/06/2023 _
Date signed
RECEIVED BY ELECTIONS DEPARTMENT:
[] Hardcopy RECEIVED
[] Electronic Copy
if 72023
CITY OF MIAM I BEACH
OFFICE OF THE CITY CLERK
OFFICE USE ONLY Accepted: Y / N Deficiency: Processed Date/Initials: Scanned Date/initials:
138_SP-14 COE 2016
/\l/A\//\/B E, cw1DE (Cw OARD & COM»nEEs -
arii i iwvs«riot PARKING APPUCATON I#Ad
1755 Meridian Avenue, Suite 200/Miami Beach, FL 33139/Ph: (305) 673-7505 or (305) 673-7000 e4. 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 (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 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 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: 0310612023
Applicant Name: Gabriella Kalmanowicz
Board/Com mittee Name: Next Generation Council
Address: 330 W 47th St. Miami Beach, FL 33140
E-Mail Address: g.kalmanowicz@gmail.com
Work Phone: 9175332002 Home Phone
Cell Phone: 9175332002 Preferred Contact Method: text message
Vehicle Information
Tag: QFXT47 Color: Grey
State: FL Year: 2018
Make: Volkswagon Model: Tiguan
Ap plicant Sianature: ef 96la abtnanewe3
Please provide signed form t the Parking Department located 6+ 1755 Meridian Avenue, 2" floor. Working
hours are 8:30 to 5:00 p.m. or email to: ParkingReception@miamibeachfl.gov
e-mail subject: BOARD & COMMITTEE PARKING APPLICATION - APPLICANT NAME
P. ·i D ar Ina epartment ection
PERMIT SYSTEM GARAGE ACCESS
Expiration Date: ID Card Serial #:
Issued By Print Name: Print Name:
Signature: Signature: e
Date Issued: Dote Completed:
s
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