Mike Gibaldi 12.31.24MIAMIBE
BOARD AND COMMITTEE CHECKLIST
APPOINTEE: Mike Gibaldi -----------------
BO ARD/COMM ITT EE: Marine and Waterfront PA
DATE OF AP POI NTMENT . 1/10/23 -------
Appointed by: Commissioner Arriola
FOR SCANNER
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RECEIVED
MAR 10 2023
FOR CLERK STAFF
o Letter of Appointment
o Letter of Reappointment
o Copy of Letter of Appointment/Reappointment
1/10/23
TERM END. 12/31/24 TERM LIMIT: 12/31/29
e-mailed to Committee Liaison on
o Board and Committee Application (Completed on _
o R~sum~/Curriculum Vitae
o Diversity Statistics Reporting (Completed 6, 3/10/23
o Oath
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 CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
o Citywide Permit Application (Parking Department Form)
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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 REPORTIN copY in file and ORIGINAJ-for ~nual Report.
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Received on:
Scanned on:
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 MASTER\B&C Checklist 2015 MASTER.docx
We ore cormiited to providing excellent public service and safety to oll who live, work, and play in our vibrant, tropical, histoic community.
Ml M l
City of Miami Beach, I/OO C onv on lion Canter Drive, Mia m i Bach, Florida 33 139 ywwy_mi am ibaa chfl.gov
OFFICE OF THE CITY CLERK, Ralaal E. Granado, Ciy Clark
Tel 305.673.7411, Fox 305.673.7254
Email: CilyClerk@miamibeochfl.gov
January 09, 2023
Mr. Mike Gibaldi
4780 Pine Tree Dr., Apt 1
MIAMI BEACH, FL 33140
SUBJECT: Marine and Waterfront Pro tection Authority
Congratulations! You have been reappointed by Commissioner Ricky Arriola 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 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. 7 411. Please read the enclosed materials carefully.
Congratulations and good luck.
Rega?J/
R~anado
City Clerk
cc: Monica Beltran, Parking Director
Tasha Byars, 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
C ity of Miami Beach, MOO Convention Coner Drive, Miami Boch, Florida 33 139 yNy_yy_miarIiLggchf]_go
OFFICE OF THE CITY CLERK, Rofal E. Granado, City Clerk Tel: 305.673.7411, Fax. 305.673.7254
Email: Cit/Cl erk@miamibeach fl.gov
Oath of Office
Oath of Civility
and
Acknowledgements
TO: Mr. Mike Gibaldi
RE: Marine and Waterfront Protection Authority
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
a b ove-m e ntio n e d boa rd o r committee of the City of Miami Beach to which I have been appointed for a
term e nding : 12/31/2024.
T o m y colle agu e s a nd to a ll of tho se I represent and se rve , I ple dge fairn e ss, integ rity a nd ci vility, in a ll
a ctio ns taken a nd a ll com m unicatio ns m a de b y m e as a public se rv ant.
I ha ve b e e n issu e d a co p y o f se ction 2 -1 1.1 of the M ia m i-D a d e C o u nty C o d e (C o nfli ct o f In tere st a nd
C o de o f E thics O rdina nce), a s w ell a s Flo rida C o m m issio n o n E thics G uide to the S u nshin e A m e nd m e nt
a nd C o de o f E thics fo r P ub lic O ffi cers a nd u nde rstand that as a m e m b er o f a C ity o f M ia m i B each B o ard
a nd/or C o m m itt ee , I m ust com p ly w ith the fina ncia l d iscl osure* requ irem e nts o f M ia m i-D a de C o unty or the
S tate o f F lorid a (de pen di ng o n the b oard or com mi tt e e on wh ich I serve)or ly 1st, followi ng the cl o si ng
of the cale nda r year o n w hich I h ave se rve d. ,.,-·
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S w orn to and subscribe d befo re m e this
(ef Ghgrles D'Agostin
Deputy Clerk
*P le a se visit the C ity o f M ia m i B e a ch w e b site at w w w .m ia m ib e a chfl.g o v u n d e r C ity C le rk/B o a rd an d
C om m itt ees fo r a dditio nal info rm a tio n rega rding the F ina ncia l D iscl osure R equirem e n ts.
MIAMI 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
MAR 10 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):
am a resident of the City of Miami Beach for six months or longer.
Fore Address. 478o}Ne Tac )y<BL,Ao Kc )
□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 _
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.
U. 'th t I have read the foregoing document and that the facts stated in it
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Date
Mike Gibaldi
Printed Name
NOTARY
(City of Miami Beach Board/Committee Member).
U eoaces ft
Sworn to (or affirmed) and subscribed before me, by me~□physical presence or online notarization,
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Name of Notary, Typed, Printed, or Stamped
M IA M I H
City of Miami Beach
1700 Convention Center Drive
Mi ami Beach , Flor ida 33139
www.miamibeachll.gov
OFFICE OF THE CITY CLERK
Email: BC@miamibeachfl.gov
Telephone: 305.673.7411
DIVERSITY STATISTICS REPORT
Gilbaldi Mike
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;
3~e
LI Female
D Other
OJ I prefer not to answer.
Race/Ethnic Categories:
What is your race?
Di African American/Black
L_l Asian or Pacific Islan der
Lf Caucasian/Wh ite
Dl Native American/American Indian LI other-- Print Race: _
DI I prefer not to answer.
Do you consider yourself to be Spanish, Hispanic, or Latino/a?
Dees LL±to
D I pre fer not to answer.
Do you consider yourself Physically Disabled?
Di -- tr
D I prefer not to answer this question.
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F:\C LER \$A LL\RE G\BO A RD A ND C O M M ITT E E A P P LI C A TIO N S FINA L D RA FT S \BO A RD A ND C O M M ITT E E A P P LI C A TIO N RE G FINAL .docx
Updated: June 2020
M IA M IBE C H
City of Miami Beach
1700 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)
Gilbaldi Mike
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.
form suant to the Miami-Dade County Code, may subject the person to a fine
sin. rth.
3-1o23
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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:ICLER\$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(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
2022 Gilbaldi
First Name
Mike
Middle Name/Initial
Mailing Address - Street Number, Street Name, or P.O. Box
II L 33 0
City, State, Zip
1\../\ ( is Ac+ F 3531 o
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. 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
Marine and Waterfront Protection Authority
Alternate address (if home address is exempt) I Work telephone I Term began on/ended on
12/31/24
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
(95/ NJ 7 e rRn c face JRe. t4 F 33t VE=fcL +oR
I hereby swe'a;i;; aff;~nform ion a~e is,,, •~ct st:1:
-(#
nt.
< Signature of Person Disclosing
3- JO-2 3
Date signed
RECEIVED BY ELECTIONS DEPARTMENT:
□Hardcopy RECEIVED
[] Electronic Copy
MAR 10 2023
CITY OF MIAMI BEACH
OFFICE USE ONLY Accepted: Y / N Deficiency: Processed Date/initials: Scanned Date/Initials: _
138_SP-14 COE 2016
/\/\//\/\/\/ WI DE (CW) BOARD & COMMITTEES
City of M ia m i Bea ch , P A R K IN G DEPARTMENT PARKING APPLICATION
1755 Meridian Avenue, Suite 200/Miami Beach, FL 33139/Ph: (305) 673-7505 or (305) 673-7000 ex4. 6200
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.
B oard Member Info rmation
Dote of Applicator: .3)-- 23
Applicant Name: Mike Gibaldi
Board/Committee Name: Marine and Waterfront PA
E-Mail Address: W7le e l/.o
Work Phone: 305- °' -#e Home Phone A
Cell Phone: <A Preferred Contact Method: {
Vehicle Information
Tag:
State:
Make:
Color:
•• Applicant Si+nature: e
Please provide signed form to tl 'arking Department located at 1755 Meridian Avenue, 2d floor. Working
hours are 8:30 to 5:00 p.m. or email to: ParkingReception@miamibeachfl.gov
e-mail subject: BOARD & COMM ITT EE PARKING AP PLICATION - AP PLICANT NAM E
p, ·ki 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: Date Completed:
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