Michael Zilber 12.31.23BOARD AND COMMITT
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BO A RD /COMMITTEE. k e erdsocaoven)
E CHECKLIST
FOR SCANNER
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DATE OF APPOINTM EeNr. l/(el2.23
Appointed by: ore/ [](ol,
er eno. n/3ll3 re«nu on. p1/ FOR CLERK STAFF
o Letter of Appointment
o Letter of Reappointment
{]{/" " Aossowenvmeoonoent e-mated
@air@ ar@committee Application (completed on._]3_[22
o R~sum~/Curriculum Vitae f1,..l) I
Dersity statistics Reporting (completed on _,·[Q3 y
o Oath
to Committee Liaison on
RECEIVED
MAR 20 2023
CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
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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
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
Received on:
Processed on:
Scanned on:
o Acknowledgment of Financial Disclosure Requirement
o Board and Committees Liaison Responsibilities
o DIVERSITY STATISTICS REPORTING Keep
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____ l_v_-"-J By Employee: ----<J,_v-1 _
City Clerk's Office Staff Initials Date
CONCLUDED & RESIGNATION LETTERS
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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
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F:\CLER\BOARD AND COMMITTIES DATABASE\CHECKLIST MASTER\B&C Checklist 2015 MASTER.docx
e ore com m itted to providing excellent pub#c service ond alety to all who live, vr k, and pkwy n our vibrant, Aooicoi, tstor commura!y
City o f M ia m i B e a c h , I/OO Convonlion Canter Drive, Miami Boach, Florida 33 139 yywwy._miamihaachl.gov
OFFICE OF THE CITY CLERK, Raf0al E. Granado, Cy Clerk
Tel 305.673.7411, Fox. 305.673.7254
Email: Cit/Clerk@miamiboochfl.gov
January 09, 2023
Mr. Michael Zilber
1800 Purdy Ave., Apt. 811
MIAMI BEACH, Florida 33139
SUBJECT: Next Generation Council
Congratulations! You have been reappointed by Commissioner Ricky Arriola to the above referenced,
board or committee named above, for a term ending: 12/31/2023.
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.
%
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
City of Miami Beach, BOO Convention Conlr Ddvo, Miami Beach, Florida 33 139 we.miamibca.hll.go
OFFICE OF THE CITY CLERK, Rafuol E. Granado, City Clark
Tel: 305.673.7411, Fax: 305.673.7254
[mail: Cilyderk@miamibeachlt.gov
Oath of Office
Oath of Civility
and
Acknowledgements
TO: Mr. Michael Zilber
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
term ending: 12/31/2023.
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.
sworn to and subscribed before me uQMlh aay « Ago23
.±e-
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.
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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
M4AR 20 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):
lam a resident of the City of Miami Beach for six months or longer.
ore Aaa.. [6co g4 l}u_Ael s ,_A 'aw«d &«,tL 3us
□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).
[]Pp] ()f P /J g [m ,'}coo«or«our
[/],[,, l\]FS,j--
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.
Under penalties of perjury, I declare that I have read the foregoing document and that the facts stated in it
are [Tue, ?at, ..
Signature
'Ah.I
Date
G. 25le
Printed Name
NOTARY
Sworn to (or affirmed) and subscribed before me, by means of physical presence or tu online notarization,
we(O as s Lt~_.zozo. 1lel o A c
(City of Miami Beach Boar 'Committee Member).
Produced ID
Form of Identification X Personally K:::-------:~"(,.-,/ .. ~ .. ---
Signat
Name
, TERESA RAMIREZ 1 Notary Public - Sate of Florida
/$$ Commission # HH 319108
g°' My Comm . Expires Oct 5, 2026
Bonded through Nation al Notary Assn.
(NOTARY SEAL)
Mt\l
City of Miami Beach
1 700 Convention Center Drive
Mi am i Beach, Florida 33139
www.miamibeachll.gov
OFFICE OF THE CITY CLERK
Em ai l: BC@m iamibeachfl.gov
Telephone : 30 5 .6 7 3 .7 4 1 1
DIVERSITY STA TISTICS REPOR T
/ (
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 Mate
Ilremate
Ll other
0 I prefer not to answer.
Race/Ethnic Categories:
What is your race?
D African American/Black
0 Asian or Pacific Islander
[Zk Caucasian/white
0 Native American/American Indian
b Other • Print Race.
Ell prefer not to answer.
Do you consider yourself to be Spanish, Hispanic, or Latinola?
LJves
6l o
0 I prefer not to answer.
Do you consider yourself Physically Disabled?
he
Ao D I prefer not to answer this question.
Page 6 of 6
F:CLER\$ALL REG\BOARD AND COMMIT TEE APPLICATIONS FINAL DRAFTS\BOARD AND COMMIT TEE APPLICATION REG FINAL.d0cx
Updated: June 2020
+1 \8/B8E A CH
City of Miami Beach
l 700 Convention Center Drive
Miami Beach, Florida 33139
www.miamibeach[l,gov
OFFICE OF THE CITY CL ERK
Email: BC@miamibeachf.gov
Telephone: 305.673.7411
BOARD & COMMITTEE FINANCIAL ACKN OWLEDGEMENT 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(1) (2)
3le Ml-l G
Last Name First Name Middle Initial
l understand that no later than July1,of each year all mem bers 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 Miam i 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 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
of no ore than $500, 60 days in jail, or both.-
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\RE GBOARD AND COMMIT TEE APPLICATIONS FINAL DRAFTS\BOARD AND COMMITTEE APPLICATION REG FINAL. docx
Updated: June 2020
MIAMI
EE 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
2022
Last Name 2/ Middle Name/Initial
""%7"A» sl city, state, Zi L
Ee1, 3334
lf 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.[]
Filing as an Employee (check one)
[] county □Public Health Trust [] Municipal:
(Municipality)
Department
Position or Tille Employee ID Number
Work address I Work telephone Employment began on/ended on
e-
Filing as a Board Member (check one)
□County Jwooat Mun 'e-
(Municipality)
Board where serving
Nd vnoh
Alternate address (it home address is exempt) Work telephone Term b gan on/ended,on
+'3/22 121309
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
Calleo (el052.4, ) nA,es?c be Io oo lour''ii,c-z%
I hereby swear (or affirm) that the information above is a true and correct statement. RECEIVED BY ELECTIONS DEPARTMENT: .« war«soRECEIVED
I] Electronic Copy
MAR 20 2023
Date signed CITY OF MIAMI BEACH
OFEI CE DOE THE CITY GIER#
OFFICE USE ONLY Accepted: Y / N Deficiency..-
138 SP-14 COE 2016
Processed Date/Initials:-- - - Scanned Date/litials:
\\l/\//\/BE, C1WIDE (CW) BOARD & COMMITTEES
cmy ct Mt@mt sea±, PARKING PARrtNr PARKING PP[[C/[[ON
1755 Meridian Avenue, Suite 200/Miami Beach, FL 33139/Ph: (305) 673-7505 or (305) 673.7000 ex4. 6200 ~iii~
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.
ACKN OWL EDGEMENT: I ack nowledge th at should my access card be lost, stolen or
damage, I will be respon sible to pay a $10.00 replacement fee.
Board Member Information
Date of Application: 3/es3
Applicant Name: /-el 2le
Board/Committee Name: } o er«Y o col
Address: Io 2w{ Ave,Al 6l, MA a 3 33 t
E-Mail Address: H2l\er oak (el5. Ce
Work Phone: Home Phone
cell Phone: "?05-2lo 429 Preferred Contact Method:
Vehicle Information
Tag: b#ate LSA 6A Color: SQ\we
..
State: FL Year: 0-23
Make: Mere\es Model: CL 3oe
Applicant Sianature: 5
Please provide signed form to the Parking Department located at 1755 Meridian Avenue, 2d floor. Working
hours are 8:30 to 5:00 p.m. or email to: ParkingReception@mniamibeachfl,gov
e-mail subject: BOARD & COMMITTEE PARKING APPLICATION - APPLICANT NAME
Parking Departm ent Section -
PERMIT SYSTEM GARAGE ACCESS
Expiration Date: ID Card Serial #:
Issued By Print Name: Print Name:
Signature: Signature: e ....... ,~ ........
Dote Issued: Date Completed: