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Janet Silverman 12.31.24B O AR D AN D C O M MI T T E E C H E C KL I S T DATE OF APPOINTMENr: 3[{[9 APPOINTEE., Jan et Silverm an BOARD/COMMITT EE: Bud ge t Advisory C o m m itt ee Ap pointed by: (mn1or (om1nu@ FOR SCANNER Scan o Scan o Scan o Scan o Scan o FOR CLERK STAFF o Letter of Appointment o Letter of Reappointment o cyy r Letter of Appointment/Reappointment e-mailed to 3 [l 23 ) ] o Board and Committee Application (Completed on '4 2/2 o Resume/Curriculum Vitae ) l o Diversity Statistics Reporting (Completed on _3_ _2[2y o Oath Committee Liaison on RECEI VED MAR 20 20723 C ITY O F M IA M I B E A C H O F F IC E O F TH E C ITY C L E R K Scan o Scan O 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 t 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) t 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 fo r Public Officers and Employees o Source of Income Statement o Acknowledgment of Financial Disclosure Requirement Received on: Scanned on: o Board and Committees Liaison Responsibilities O DIVERSITY STATISTICS REPOk 'ING Keep ~QPy in file and ORIGINAL for Annual Report. 3/2023 sone4» Board or Committee Member Processed on: _3_12_0_l_2_3 By Employee: J(.M _ City Clerk's Office Staff Initials _3_12_0_12_3 By Employee: _;f_vv/ _ Date Date 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 :\C L E R \B O A R D A N D C O M M ITT IE S D A T A B A S E \C H E C K LI S T M A S T E R \B &C C he cklist 20 15 M A S TE R .d o cx C ity o f M ia m i B e a ch , 1/00 Convention Canter Drive, Miami [oach, Florida 33139 ygywy._miaIihcarchll.gov OFFICE OF THE CITY CLERK, Rafa»l E. Granado, City Clerk Tel: 305.673.7411, Fax. 305.673.7254 Email: Cit/Clerk@miamibeachfl.gov March 15, 2023 Ms. Janet Silverman 6899 Collins Ave miami beach, fl 33141 RE: Budget Advisory Committee Dear Ms. Janet Silverman: Congratulations! You have been appointed by Commissioner Laura Dominguez to the above- referenced Board or Committee, 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 as they concern your duties, responsibilities, and requirements as a board or committee member. Congratulations again and good luck. " ll. City Clerk cc: Monica Beltran, Parking Director Tameka Otto Stewart, City Liaison ENCLOSURES: Oath of Office/Oath of Civility/Acknowledgements City Code/Ordinance section applicable to agency, board or committee City Code Sections 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 City of Miami Beach, I/OO Convonlion Cantor Drivo, Miami Loach, Honda 33139 wwwy._miumibgachll gov OFFICE OF IHE CITY CIERK, Ralool £. Granado, Cy Clock Tot 305.673.7411, Fox:. 305.673.7254 Emai l: CilyCdork @iamiboachl.gov Oath of Office Oath of Civility and Acknowledgements TO: Ms. Janet Silverman RE: Budget 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. Janet Silverman Sworn to and subscribed before me this ! +- +"-1 ,2023 Keil 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. MALA /REA V\Av bt C ity of M ia m i Bea ch 1700 Convention Center Drive Miami Beach, Florido 33139 O FFIC E O F TH E C ITY C LERK Email: BC@ miamibeachfl.gov Telephone: 305.673.741 RECEIVED MAR 20 2023 CITY OF MIAM ofic or h ie,,P2 Ac ' o CLERK AFFIDAVI T OF AF FILIATION WI TH 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): rzi I am a resident of the City of Miami Beach for six months or tonger. Home Address 6899 collin s ave. apt 1510 mi ami 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). [[9mm ()f [11S,]m@Si..- HA[hes,, JS]F SS- □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). []9me (f Hy[f%es5 Py]Pe, (]Jr?SS...-- "O wnership Interest" m eans the ownership of ten percent (10%) or m ore (including the ownership of 10% or m o re of the outstanding capital stock) in a business. "B usin e ss" means any sole prop riet o rship, spo nsorship, corp ora tion, limited liability com pany, or othe r entity or bu sine ss association. · s of perjury, I declare that I have read the foregoing document and that the facts stated in it e. 3/20/2 3 ure Date Jane Silverman Printed Name NOTARY Sworn to (or affirmed) and subscribed before me, by means of physical presence or online notarization, this day of _/1eccl _,2023 by Jar >luenan ________ (City of Miami Beach Board/Committee Member). Produced ID Form of Identification __ Pers on ally Known Q\N-~/ sion@ore or Neta#y Pule, Noh, Uese AUSTIN WIESEL, MY COMMISSION # HH 189274 EXPIRES DAB 9E2W2I5.) Bonded Thru Notar y Public Und erwrit ers Name of Notary, Typed, Printed, or Stamped MI A MI BEA CH City of Miami Beach 1700 Convention Center Drive Miami Beach, Flor ida 33139 www.miamibeachfl.gov OFFICE OF IHE CITY CLERK Email: BC@miamibeachfl.gov Telephone: 305.673.7411 DI VE RSI T Y S TATI STI C S RE POR T silverm an janet Last N am e First Nam e Middle Initial The fo llow ing inform ation is voluntary and has no bearing on your consideration fo r appointm ent. It is being asked to com ply with City diversity reporting requirem ents. Gender: [late ( remae □O ther 0 I prefer not to answ er. Race/Ethnic Categories: What is your race? []A frican Am erican/B l ack EB~sian or Pacific Island er EV C aucasian/wh ite 0 Native A m erican/A m erica n Indian El other -- Print R ace: ------------- □I prefer not to answ er. Do you consider yourself to be Spanish, Hispanic, or Latino/a? LD es L No D I prefer not to answ er. Do you con sider yourself Physically Disabled? Les L No D I prefer not to answ er this question. P a g e 6 of 6 F:\CLER\$ALL\REG\BOARD AND COMMITTEE APPLICATIONS FINAL DRAFTS\BOARD AND COMMITTEE APPLICATION RE G FINAL .d o cx Updated: June 2020 #IA+A1 BE City of Miami Beach 1700 Convention Center Dr ive Miami Beach, Florida 33139 www.miamibeachfl.gov OFFICE OF THE CI TY CL ERK Email: B C @m i am i be ach fl.g ov Telephone: 305.673.7411 BOAR D & COM M ITTE E FINAN CI AL A CKNO WLE DGE MENT STATE ME NT 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) silverman janet Last Name First Name Middle Initial I understand that no later than July_1,of each ea r 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 o more than $500, 60 days in jail, or both. Date I 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. P a g e 5 of 6 F:C L E R\SAL L \R E GI B O AR D AN D C O M MI T T E E AP PL I C A TI ON S FI N AL D RAF T S\B O AR D AN D C O M M ITTE E AP P L I C A TI ON REG FIN AL .d o cx Updated: June 2020 MIAMI &TT 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 First Warne Middle Narne/initial 2022 silverman janet Mailing Address - Street Number, Street Name, or P.0. BOx 6899 Collins Ave. Apt 1510 City, State, Zip Miami Beach, FL 33141 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) Departr1ent Position or Title Employee ID Number Work address I Work telephone Employment began on/ended on Filing as a Board Wember (check one) [] coun t y [] Municipal: _Miami Beach (Municipality) Alternate address (if home address is exempt) Work telephone Term ded on } 3) n[3/24 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 anothgr 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 ... Investment Income 6899 Collins Ave Various Investments Miami Beach, FL 33141 Business Income 6899 Collins Ave Private Lending and Real Estate Miami Beach, FL 33141 Investments ear (or affirm) that the information above is a true and correct statement. RECEIVED BY ELEGIIONS DFPNABITMENT: LI Hardcop/t:UE:IVEL Joetro%,/%2% 0 223 CITY OF MIAMI BEACH OFFICE OF THE CITY CLERK OFFICE USE ONLY Accepted: Y I N Deficiency: 138_SP-14 COE 016 --. Pressed [ate/initials; -Scanned Date/initials:--- /\/\4/\//\/BE, CI7WIDE (CW) OARD & COMMITTEES ciy of Miami ea±, PARkiG DP RrNr PAR KING P PL[CAT[ON 1755 Meridian Avenue, Suite 200/Miami Beach, FL 33139/Ph. (305) 673-7505 or (305) 673.7000 e1. 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 Cily 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. Io use the new card please hold the card at close proximity to the reader un til the gate open s. 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, l will be responsible to pay a $10.00 replacement fee. Bcard Member Information Date of Application: 3120123 e a ·- Applicant Name: Janet Silverman Board/Committee Name: Budget Advisory Committee Address: 6899 Collins Ave Apt 1510 Miami Beach FL 33141 E-Mail Address' jsilverman27@msn.com Work Phone: 9177678508 Home Phone 9177678508 Cell Phone: 9177678508 Preferred Contact Method: 6ell ee. Vehicle Information ---··· Tag: BVV-AO6 Color: Grey State: FL Year: 2022 Make: Range Rover Model: Evoque Applicant saature: e/\ Please provide signed fo~m to the Parking Department located at 1755 Meridian Avenue, 2nd floor. Working hours are 8:30 to 5:00 p.. or email to: ParkingReception@mniamibeachfl,gov e-mail subject: BOARD 8& COMMITTEE PARKING APPLICATION - APPLICANT NAME Parking Department Section -·- - PERMIT SYSTEM GARAGE ACCESS Expiration Date: ID Card Serial #: lssued By Print Name: Print Name: Signature: Signature: e Date lssued. Date Completed: ·- ···~- 4 'TT 05ET767113577111777 150085777le05 707177,57070.71Z