Lauren Foster 12.31.24FO R S C A N N E R
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BOARD AND COMMITTEE CHECKLIST
APPOINTEE: f:-/lt.J /1...<,i,J ::-q, fbY\__ DATE OF APPOINTMENT: 0 ({ti~ O 2~
eoworcowwrree..((@[h_ aenoeao». oar /hl52 /0 942>
roR cERK srArr [p hf l) )3,
o Letter of Appointment TERM END: [)_·l__b TERMLurr:' .kl
o Letter of Reappointment
o CfTYc, J ~er of Appointment/Reappointment e-mailed to Committee Liaison on
o Board and Committee Application (Completed on1Jy3/
o Resume/Curriculum Vitae J , ... A
o Diversity statistics Reporting (completed on l'[ )
o Oath Scan o
RECEIVED
MAR 16 2023
CITY OF MI AM I BEACH
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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Received on:
Processed on:
Scanned on:
O Citywide Permit Application (Parking Department Form)
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 EE:-
3/p1 3 rears fl].
oat e Ci per5on; set wises
c3) -, ~ / 1'9 By Employee: {--/ __ V __ f _
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
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Removal Letter due to absences Date processed Initials Scan o
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F:CLERIBOAR D AND COMMIT TIES DATABASE\CHECKLIST MASTER\B&C Checklist 2015 MASTER.docx
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MI AMIBE
City of Miami Beach, I/OO Convonlion Conlar Drive, Miami Bach, Horida 33 139 wxwy.miamnibaachll.gov
OFFICE OF THE CITY CLERK, Rafool E. Granado, Ciy Clark
Tel: 305.673.7411, Fax 305.673.7254
Email: City Clerk@miamiboochfl.gov
January 05, 2023
Ms. Lauren Foster
800 WEST AVENUE
MIAMI BEACH, FL 33139
SUBJECT: LGBTQIA+ Advisory Committee
Congratulations! You have been reappointed by Commissioner Alex Fernandez 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 305.673.7411. 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 - 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
MIAMIBE H
City of Miami Beach, 17OO Convonfion Canlor Drivo, Miami Bo ch, Horida 33139 yy_Iuiamlb&a chll.gay
OFFICE OF TH CITY CIERK, Ralaol E. Granado, Cwy Clerk
Tl: 305.673.7411, fox 305.673.7254
Emal: CiNyClark @miamitboachfl.gov
Oath of Office
Oath of Civility
and
Acknowledgements
TO: Ms. Lauren Foster
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 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.
Ms. Lauren Foster
Sworn to and subscribed before me this -1h_ day of~
/("66
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 B E A C H
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 33139
OFFICE OF THE CITY CLERK
Email: BC@miamlbeachfl.go
Teleph one: 305.673.7411
RECEIVED
MAR 16 Z023
CITY O F M IAMI BEACH
OFFICE OF THE CITY CLERK
A FFIDAVIT O F AFFILI ATIO N W ITH THE CITY O F MIAM I BEA CH
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):
I am a resident of the City of Miami Beach for six months or longer. 6o» "e7 Au,HH1n, "4 $?/29
□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).
[J a r1 (f [J ]P e }
[[J g [m]e gg (]]re s,S -
o 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).
[J a ff e of P y ,][@ S i
P[Jg[Peg J (]]fe S S -
"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
are tru~ ./ _ __;]=-;.,_,/,'"""· _· -F- __ _,_ _
Signature Date
- fo 7
Printed Name
NOTARY
Sworn to (or affirmed) and subscribed before me, by means otphyslcal presehce or□online notarization,
ms /coy, mah.a?z» (wen Th
_________ (City of Miami Beach Board/Committee Member).
Produced ID
m of Identification
Persot
Signature of N~tary Publig, 4p, 1Shn Lcl l U I
(NOTARY SEAL)
Name of Notary, Typed, Printed, or\stamped
M IA M IB H
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
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 ) tee
..
emale
ther
El prefer not to answer.
Race/Ethnic Categories:
What Is your race?
D African American/Black
Elian or Pacific Islander
aucasian/W hite
ative American/American Indian
[} Other - Print Race.
D I prefer not to answer.
Do you consider yourself to be Spanish, Hispanic, or Latino/a?
[Ives
Dai TB prefer not to answer.
Do you consider yourself Physically Disabled?
Des a
Tjj,tr not to answer this question.
Page 6 of 6
F:\CLER\$ALLIREGIBOARD AND COMMITTEE APPLICATIONS FINAL DRAFTS\BOARD AND COMMITTEE APPLICATION REG FINAL.docx
Updated: June 2020
M IA M I BEA C H
City of Miami Beach
1 700 Convention Center Drive
Miami Beach, Florida 33139
www.miamibeachfl,gov
OFFICE OF THE CITY CLERK
Email: BC@miamibeachll.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)
Last Name First Name Middle Initial
I underst and that no later than July1,of each year all member s of Boards an d 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 Inc ome Statemen t;" 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 "3"ca• 2/24 /.22
Signature Date T ]
1 Members of the Planning Board and Board of Adjustment will be notified directly by the State of Florida,
pursuant to F.S. $112.3145(1)(a), to file a Statement of Financial Interests (Fo rm 1) with the Miami-Dade County
Supervisor of Elections by 12:00 noon, July 1. Plan ning Board and Board of Adjustment members who file their
Form 1 with the County Supervisor of Elections automatically satisfy the County's financial disclosure
requirement as a Miami Beach City Board/Committee member and need not file an additional form with the Office
of the City Clerk. However, compliance with the County disclosure requirement does not satisfy the State
requirement.
Page 5 of 6
F:\CLERl$ALL\REG\BOARD AND COMMITTEE APPLICATIONS FINAL DRAFTS\BOAR D AND COMMITTEE APPLICATION REG FINAL.docx
Updated: June 2020
MIA.· Ml·DAD E- EEI 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 Ne First Name Middle Name/Initial
202 Foo L-NJ/or
Mailing Address - Street Number, Street Name, or P.O. Box l± )) oo w€ 7 r€
City, State, Zip
. f z 3120 VA /
If your home address is your mailing address, and your home address is exempt from public records pursuant to Fla. Stat. $119.07, read
instructions on the following page and check here. D
Filing as an Employee (check one)
D County D Public Health Trust D Municipal:
(Municipallty)
Department
Position or Title Employee ID Number
Work address "e telephone Employment began on/ended on
Flllng as a Board Member (check one)
[] county [] Municipal: 4way K/A AZ
(@i@iii,4 I}#
Board where serving 7
Alternate address (if home address Is exempt)
23
List below every source of income you received, along with the address and the principal activity ot each source. Include your public salary. Place the sources of
income in descending order, with the largest source first. Examples ot sources of income include: compensation for services, Income from business, gains from
property dealings, interest, rents, dividends, pensions, IRA distributions, and social security payments. Also, include any source of income received by another
person tor your benefit. However, the income of your spouse or any business partner need not be disclosed. It continued on a separate sheet, check here.[_l
Name of Source of Income Address Description of the Principal Business Activity
DU.h.le Ora [ {O0 w 12 A Dnc=.7)_.
M/1q I F316
I hereby swear (or affirm) that the information above is a true and correct statement. necveo sv 4.Any$ #mere
[] Hardcopy
) lectroni,/ 1 6$ 2023
CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
OFFICE USE ONLY Accepted: Y / N Deficiency... Processed Date/initials:Scanned Date/initials:
136.,SP.-14 COE 2016