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Laura Veitia 12.31.24BOARD AND COMMITTEE CHECKLIST APPOINTEE. aura Veitia ----------------- DATE OF APPOINTMENT. 2/23/23 ------- Scan o Scan o BOARD/COMMITTEE. General Obligation (G.O.) Bo} Appointed by. City Commission oR scAwEeR roRcERk sArr EJ, J )4 Scan o o Letter of Appointm ent TERM END. J3]hJ TERMLIMrr. l2 3t '2 Scan o o Letter of Reappointm ent /'3]','3" " AoomenvReaointment e-mates o committee tason on o B oard and com m i tt ee Application (com p l ete d on y_]1p ]2/4 • Resum e/cari cut um vitae h a)3 o Diversity Statistics Repor ting (C om p let ed on 3 I ) o O ath Scan o RECEIVED 4AR 1 3 2023 C IT Y O F M IA M I BEA C H OFFICE OF T H E CITY CLERK IM P O R TAN T INFO R M A TI ON FO R BO AR D AN D COMM ITTEE M EM BE R S B O OK City Code O rdinan c e S ection applicabl e to th e agen cy, board or com m ittee Ci ty Code Section s 2-21, 2-22, 2-23, 2-24, 2-25, 2-26, 2-4 58 and 2-459 / Coun ty Code Section 2-11.1 --- Conflic t of Inter est and C ode of Ethics Or di n ance (as am en ded through Decem b e r 2010) • Am en d m ents to th e Code of Ethic s Or di nance (Sept em ber 2009 th rough July 2012) Hi gh l ight s of th e M iami -D ade County Ethic s Code S unshin e Law and Publ ic Records -- Fre quently A ske d Q uestions M em oran d um - Solicitation by Ci ty Board and Com mi ttee M embers Scan o Scan o O Ci tywi de Perm it A pplication (P arking Depart m ent Form ) O B ookl et - G uide to Sunsh ine Am en dm en t & Code of Ethic s for P ublic O fficers an d Em ployees O S ourc e of Incom e Statement Received on : Scann ed on: O A ckno wl edgm en t of Finan ci al Disclosure Requir em en t ) O Board and Com m i ttees Liaison {espor, sibilitids O DIVERSITY STATISTICS EPOI!TI Keet ~-tfile and ORIGINAL for Annual Report. oar13/23 son«on ?L Date \ Board or Committee Member ( Processed on:. .@@/(° By Employee: ['> City Clerk's Office Staff Initials 03/13/23 12,/\ _________ By Employee: ---~k...._JV\~~-------------- City Clerk's Office Staff Initials Date Date CONCLUDED & RESIGNATION LETTERS Term Expired Letter Date Processed Initials Scan O Resignation Letter Date Processed Initials Scan o Rem oval Letter due to absences Date processed Initials Scan o F:\CLER\BOARD AND COMMIT TIES DATABASE\CHECKLIST MASTER\B&C Checklist 2015 MASTER.docx MI MIBE City of Miami Beach, I/OO Convontion Can ter Drive, Miami Bach, Florida 33139 ywy._miaribgachllgo OFFICE OF THE CITY CLERK, Rafaal E. Gran ado, Cy Clerk Tel 305.673.7411, Fax: 305.673.72 54 Email: Ci#yClerk@miamiboochfl.gov February 02, 2023 Ms. Laura Veitia 1900 Sunset Harbour Dr #1701 Miami Beach, Florida 33139 SUBJECT: General Obligation (G.O.) Bond Oversight Committee Dear Ms. Laura Veitia: 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. Resp7& Rafael Granado City Clerk cc: Monica Beltran, Parking Director Maria Hernandez, 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 City of Miami Beach, !O) Convention Contes Ddo, Iwami Eoach, Flor«la 33139 www._miaibachl.go OFFCE O THE CITY C1ERK, Rafael E. Granado, City Cleark Tel: 305.6737411, fax. 305.673.7254 Email: Ci#yCl erk@miamibeoch fl.go s Oath of Office Oath of Civility and Acknowledgements T O : M s. La ur a V ei ti a R E : G e n e ra l O b lig a tio n (G .O .) B o n d O ve rsig h t C o m m itt e e l d o so le m n ly sw e a r o r a ffi rm to b e a r tru e fa ith , lo ya lty a n d a lle g ia n ce to the Government of the United S tat e s, the State of Florida, and the City of Miami Beach, and to perform all the duties of a member of the ab o ve -m e n tion e d board or comm ittee of the City of Miami Beach to which I have been app ointed for a te rm endi ng: 12/31/2024. To my colleagues and to all of those l represent and serve, I pledge fairness, integrity and civility, in all a ct io n s ta ke n a n d all co m m u n ica tio n s m a d e by m e a s a p u b lic se rv a n t I ha ve b e e n issu e d a co p y o f se ct ion 2 -1 1 .1 of th e M ia m i-D a d e C o u n ty Code (Conflict of Interest and C o d e o f Et h ics Or di nan ce ), a s w e ll a s F lo rid a C o m m issio n on Ethics Guide to the Sunshine Amendment a n d C o d e o f E th ics fo r P u b lic O ff ice rs a n d un d e rsta n d th a t a s a member of a City of Miami Beach Board a n d /or C om m itt e e, I m u st com p l y wi th th e fin an ci al di sclo sur e re q ui rem en j o f Mi am i -D a d e C o un ty or th e S ta te o f Fl or id a (d ep en di n g on th e b o ar d or com m i tt e e or/which,l ser v e ) Jul y 1t, following th e cl o sing o f th e cal en d ar ye ar on which I ha ve ser v e d . \ [ S wo rn to a n d su b scri b e d b e for e m e th ;s A l#-23 K e ila M e n a C a ce re s Deputy Clerk P le a se vi sit th e Ci t y of M ia m i B e a ch w eb si t e a t w w w.mi a mi be a ch fl .g o v u n d er C ity C ler k/B o ar d and C om m i tt e e s for a d di ti on al inf or m a ti o n re g a rd in g th e Fi n an ci al Di scl o sur e R e q ui rem en t s. City of Miami Beach 1700 Convention Center Drive Miami Beach, Florido 33139 OFFICE OF THE CITY CLERK Email: BC@miamibeachfl.go Telephone: 305.673.7411 RECEIVED MAR 13 7023 CITY OF MIAMI BE ice iii 6 AFFIDAVIT OF AFFILIATION WITH THE CITY OF MIAMI BEACH ST ATE 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): IZI I am a resident of the City of Miami Beach for six months or longer. Home Address 1545 Bay Drive, Miami Beach, FL 33141 [] 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 Urban Resource Business Address 1193 71st Street, Miami Beach, FL 33141 □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. eclare that I have read the foregoing document and that the facts stated in it a 03/13/23 Date Printed Name NOTARY Sworn to (or affirmed) and subscribed before me, by means of ? ms ]. cay o \cl.zo? on dfA 1 1 l(City of Miami Beach Board/Committee Member). / oices to DJ is€ Form of i@en~eaii9 %; rt, { 1 Bl Si@@@re~of~ofry P9pf€ / _Jt got[oil(A (' Name of Notary, Typed, Printed, or Stamped City o f M ia m i B e a ch 1700 Convention Center Drive Miami Beach, Florida 33139 wwwmiamibeachtlgoy OFFICE OF THE CITY CLERK Email: BC@miamibeachfl.gov Telephone: 305.673.7411 DIVERSITY STATISTICS REPORT V eitia Laura 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. G ender: LJMae DX remale LJ om n er 0 I prefer not to answer. Race/Eth ni c Categories: W hat is your race? []African American/Black D Asian or Pacific Islander [] Caucasian/white 0 Native American/American Indian El other - Print Race: ttttttt El pr ef er not to answer. D o you co nsi der yourself to be S pan ish , H isp an ic, or Latino/la? fv. J o D I prefer not to answer. D o you consi der yourself Ph y sically Di s abl ed? Llves Ai DJ]prefer not to answer this question. Page 6 of 6 FACLERISALLIRE G\BOARD AND COMMIT TEE APPLICATIONS FINAL DRAFTS\BOARD AND COMMIT TEE APPLICATION REG FINAL.docx Updated: June 2020 Ci t y o f M ia m i B e a ch 1700 Convention Center Drive Miami Beach, florid0 33139 www.migmibegchfl,gov OFFICE OF THE CITY CLERK Email: BC@mlamibeachfl.gov Telephon e: 305.673.7411 BOARD & COM MITTEE FINAN CIAL ACKN OWLEDG EMENT STATEMENT Acknowledgeme nt of fines/suspension for Board/Committee Members for failure to com ply with Miam i- Dade County Financial Disclosure Code Provision Code Section 2-11.1(i) (2) Veitia Laura Last Name First Name Middle Initial I understand that no later than July 1, of each year all members of Boards and Com mittees of the City of Miam i 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 Incom e Statemen t;" or 2. A"Statemen t of Financial Interests (Form 1)'?" or 3. A Copy of your latest Federal Income Tax Return. ilure file oJe of these forms, pursuant to the Miami-Dade County of n 60 days in jail, or both. ;\ y subject the person to a fine 2 Date ' Mem bers of the Planning Board and Board of Adjustment will be notified directly by the State of Florida, purs uan t to F.S . &112.3145(1)(a), to file a St atement 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 wi th the County S uper visor of E lection s autom atically satisfy the County's financial disclosure requirem ent as a M iam i B each City B oard/C om m ittee m em ber and need not file an additional fo rm w ith the O ffice of the C ity C lerk. H ow ever, com pliance w ith the County discl osure require m ent does not satisfy the S tate requirem ent. Page 5 of 6 FACLERISALLREG\BOARD AND COMMITTEE APPLICATIONS FINAL DRAFTS\BOARD AND COMMIT TEE APPLICATION REG FINAL.docx Updated: June 2020 MIME &ERR SOURCE OF INCOME STATEMENT Section 2-11.1i) 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 First Name Middle Mame/Initial 2022 Veitia Laura Mailing Address - Street Number, Street Name , or P.0. Box 1545 Bay Drive City, St ate, Zip Miami Beach , FL 33141 lf your home address is your mailing address, and your home addr ess 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 (ch eck one) [] county I] Public Health Trust [] Municipal: (Municipality) Department Position or Title Employee ID Number ······-¥•·· Work address I W ork telephone Employment began on/ended on Filing as a Board Ferber (check one) [] county E] M un i ci p al: Miami Beach (Municipality) Board where serving GO Bond Oversight Committee Alternate address (if home address is exempt) I Work telephone I Term began on/ended on (305) 798-4646 2/2/23 List below every source of incom e you received, along with the address and the princi pal activity of each source. Include your public salary. Place the sources of income in descen di n g order, with the lar gest source first . Exam p les of sources of income include: compensation for services, income from busine ss, gains from property dealings, interest, rents, dividends, pen sions, IRA distributions, and social security payments. Also, include any source of income received by anothgr person for your benefit. However, the inc om e of your spouse or any business partn er ne ed not be discl osed. If continued on a sep arate sheet, check here.[] Name ot Source of Income Address Description of the Principal Business Activity Urban Resource 1193 71st Stre et, Miami Beach, FL 33141 Real Estate Sales & Property Management Services ffirm) that mation above is a true and correct statemen t. RECEIVED BY ELECTIONS DEPARTMENT: ore»RECEIVE D Electronic Copy MAR 13 2023 CI TY O F MI AMI BE A CH O F F IC E O F T H E C ITY C L E R K OFFICE USE ONLY Accepted: Y / N Deficiency...... Protessd )ate/initials:..... Scan ned Date/initials; 138_SP-14 COE 2016 C IT Y W ID E {C W ) BO A RD & C O M M ITTE E S cwy o Mierv est, PAR KING DAR1MENr PARKING APPL[CAT[ON 1755 Meridian Avenue, Suite 200/Miami Beach, FL 33139/Ph. (305) 6737505 0r (305) 673-7000 e4. 6200 A citywide (CW) parking permit is honored at metered parking spaces and restricted residential zones parking spaces. A CW parking permil IS NOT honor ed in prohibited areas. An Access Card will be provided to you for City Hall Garage (G7) access. IM PO RTAN T N O TE : 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 accura te infor m ation regarding your vehicle lic ens e pl ate. 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 th e gate opens. A CK N O W LEDG EM EN T: 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: 93/13/23 Applicant Name: L_aura Veitia Board/Committee Nome; General Obligation (G.O.) Bond Oversight Committee Address: 1545 Bay Drive Miami Beach FL 33141 E-Mail Address: laura@urbanresource.com Work Phone: 305-403-8686 Home Phone 305-798-4646 Cell Phone: 305-798-4646 Preferred Contact Method: el/ Vehicle Information Tag: R B N R E State: F L Make: Color: White Year: 2020 Model: ES300h Applicant Si+nature\es [" Please provide sign~s for\to the Parking Department located at 1755 Meridian Avenue, 2° floor. Working hours are 8:30 to 5:00 p.m. ~r email to: Pgrki ngRe ce p tion@ mn ia m ibe a ch f].g o v e-mail subiect: BOARD & COMMITTEE PARKING APPLICATION - APPLICANT NAME p, d D arking 'epartment ection PERMIT SYSTEM GARAGE ACCESS Expiration Date: ID Card Serial #: Issued By Print Name: Print Name: Signature:. Signature: Date Issued: Dale Completed:. s .