David Sexton 2.1.24BOARD AND COMMITTEE CHECKLIST
APPOINTEE: David Sexton DATE OF APPOINTMENT. 2/22/2023
BOARD/COMMITTEE: Hall of Fame Selection Committ Appointed by: David Richardson
FOR SCANNER
Scan o
Scan o
Scan o
Scan o
Scan o
RECEIVED
MAR 1 7 2023
FOR CLERK STAFF
o Letter of Appointment
o Letter of Reappointment $]']'[5$" " Avon »wes-on e s erses 6o
o Board and Committee Application (completed o,3[14/]
o R~sum6/Curriculum Vitae 2,] .],2
o Diversity Statistics Reporting (Completed on ]+[)
o Oath
reR ow n o. 2l11{ rerwu/1]7 4
Committee Liaison on
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 MIAM I BEA CH
OFFICE OF THE CITY CLERK
o Citywide Permit Application (Parking Department Form)
o Booklet - Guide to Sunshine Amendment & Code of Ethics for Public Officers and Employees
Scan o o Source of Income Statement
Scan o o Acknowledgment of Financial Disclosure Requirement
o Board and Committees Liaison Responsibilities
O DIVERSITY STATISTICS REPORTING Keep copy mn file and ORIGINAL for Annual Report.
Received on. Feb 24, 2023 Sione ao, X avd@ow"on
Date
Processed on: Feb 24, 2023 By Employee:
Date City
Scanned on: Feb 24, 2023 By Employee:
Date
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 RD A ND CO M M ITT IE S DATA BA SE\C HEC KLI ST M A STER\B&C Checklist 2015 M A STER.docx
We care cormiited to providing excellent public se rvice and safety to all who live, work, and ploy in our vibrant, topical, historic community.
City of Miami Beach, TOO Convention Canter Diva, Miami Florida 33139 gwy_miamibggchll_go
OFFICE OF THE CITY CLERK, Ralaal E. Granado, Chy Clerk
Tel: 305.673.741, Fox: 305.673.7254
Email: Ci#yClerk@miamiboochfl.gov
February 23, 2023
Mr. David Sexton
1255 Marseille Drive #126
Miami Beach, Florida 33141
RE: 2023 Hall of Fame Selection Committee
Dear Mr. David Sexton:
Congratulations! You have been appointed by the City Commission to the agency, board or committee
named above for a term ending: 02/01/2024.
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 as they concern your duties, responsibilities, and
requirements as a board or committee member.
Congratulations again and good luck.
#a
Raf:~ranado
City fiecrk
cc: Monica Beltran, Parking Director
Brandi Reddick, City Liaison
ENCLOSURES:
Oath of Office/Oath of Civility/Acknowledgements
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
City Wide Permit Application - (Parking Department Form)
Booklet - Guide to the Sunshine Amendment and Code of Ethics for Public Officers and Employees
M IA MI BE
City of Miami Beach, I/OO Convention Center Drive, Miami Boch, Florida 33139 yNy_wy_miamibagchf]_go
OFFICE OF THE CITY CLERK, Rofool E. Gran ado, Ciy Clark
Tel: 305.673.7411, fax. 305.673.7254
Email: City Clerk@miamiboachfl.gov
Oath of Office
Oath of Civility
and
Acknowledgements
TO: Mr. David Sexton
RE: 2023 Hall of Fame Selection 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: 02/01/2024.
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.
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.
Mr. David Sexton
Sworn to and subscribe d before me th'' day or March 2023
2
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.
M IA M I BEACH
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
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):
xJ I am a resident of the City of Miami Beach for six months or longer.
1xJ 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).
D 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).
"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 perjury, I declare that I have read the foregoing document and that the facts
stated in it are true.
~ 3/19/2021 -------------- Signature
David Sexton
Date
Printed Name
NOTARY
Sworn to (or affirmed) and subscribed before me, by means of [}ohysical presence or ] online
t ti thi 19th d f March 20 21 b [O[q[[Zqi]On, I[3 ld/ OB ') -
David Sexton ________________ (City of Miami Beach Board/Committee Member).
X Produced ID US Passport
Form of Identification
Personally Known
Ciaota 7'9et
Signature of Notary Public Charles J. D'Agostin
Name of Notary, Typed, Printed, or Stamped
(NOTARY SEAL)
Charles J. OAgostin
NOTARY PUBLIC
l [STATE OF FLORIDA ! , ( .
N -+.i comm# GG168171
' ' T6" Expires 12/14/2021
1\I/A\l B
City of Miami Beach
1700 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
Sexton David 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:
[J ate
Ll Female
0 Other
D I prefer not to answer.
Race/Ethnic Categories:
What is your race?
DI African American/Black
D Asian or Pacific Islander
IZII Caucasian/White
DI Native American/American Indian
DI Other - Print Race: ------------- □I prefer not to answer.
Do you consider yourself to be Spanish, Hispanic, or Latino/a?
Lves
(Jo
0 I prefer not to answer.
Do you consider yourself Physically Disabled?
Ive
zho
Ll 1prefer not to answer this question.
Page 6 of 6
F:\CLER\$ALL\REG\BOARD AND COMMITTEE APPLICATIONS FINAL DRAFTS\BOARD AND COMMITTEE APPLICATION REG FINAL.docx
Updated: June 2020
M IA M IB E 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)
Sexton David 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.
David Sexton 3/17/2023
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. §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
M IA M I BEACH
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)
Sexton David
L
Last Nam e First Name Middle Initial
I understand that no later than July 1, of each year all mem bers of Boards and Com m ittees of the City of Miam i
Beach, including those of a purely advisory nature, are required to com ply with Miam i-Dade County Financial
Discl osure Requirem ents.
One of the fo llow ing fo rms must be filed with the City Clerk of Miam i Beach, 1700 Convention Center Drive,
M iam i Beach, Florida, no later than 12:00 noon of July 1, of each year:
1. A "S ource of Incom e Statem ent;" or
2. A "Statem ent of Financial Interests (Form 1)1;" or
3. A Copy of your latest Federal Income Tax Return .
Failure to file one of these fo rms, pursuant to the Miam i-Dade County Code, may subject the person to a fine
of no m ore t an $500, 60 days in jail, or both.
3/19/2021
Signature Date
1 M em bers of the Planning Board and Board of Adjustm ent will be notified directly by the State of Florida,
pursuant to F.S. $112.3145(1)a), to file a Statem ent of Financial Intere sts (Form 1) with the Miam i-Dade County
S uperv isor of Elections by 12:00 noon, July 1. Planning Board and Board of Adjustm ent mem bers who file their
Form 1 with the County Superv isor of Elections autom atically satisfy the County's financial disclosure
require m ent as a M iam i Beach C ity Board/C om m ittee mem ber and need not file an additional fo rm with the Office
of the C ity C lerk. However, com pliance with the County disclosure requirem ent does not satisfy the State
requirem ent.
Page 5 of 6
F:\C LER \$ALL\REG \BO ARD AND CO M M ITT EE APPLI CATIO NS FINAL DRAFTS\BOARD AND CO M MITT EE APPLI CATIO N REG FINAL.docx
Updated: June 2020
MIAMl·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 Sexton David Lee
Mailing Address - Street Number, Street Name, or P.O. Box
1255 Marseille Drive #126
City, State, Zip
Miami Beach, FL 33141
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 [J Mi "i it:. Miami Beach umc pa.
(Municipality)
Board where serving
Hall of Fame Selection Committee
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
Tom Bercu Presents 8033 Sunset Blvd LA, CA 90046 Event planning
Normandy Arts LLC 1255 Marseille Drive #126 MB, Event Planning
FL 33141
I hereby swear (or affirm) that the information above is a true and correct statement.
Signature of Person Disclosing
Date signed
RECEIVED BY ET(o
□Hardcopy
J Electronic,copy 17 2023
CITY OF MIAMI BEACH
OFFICE OF TF CITY CLERK
OFFICE USE ONLY Accepted: Y / N Deficiency: Processed Date/Initials: Scanned Date/initials:
138_SP-14 COE 2016