Randi Freedman 12.31.24Ml MIBE
BOARD AND COMMITTEE CHECKLIST
APPOINTEE:. Randi Freedman DATE OF APPOINTMENT:. 1[21]22-
soARD/co»Murree: Production Indus Counol Arrott«ea by.._[\oq(a @blbn
FOR SCANNER
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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
CITY OF MIAMI BEACH ✓Memorandum - Solicitation by City Board and Committee Members
OFFICE OF THE CITY CLERK
RECEIVED
4AR 22 7023
FOR CLERK STAFF
o Letter of Appointment
o Letter of Reappointment
o Copy of Letter of Appointment/Reappointment e-mailed
2]13p2 ) [
o Board and Committee Application (Completed on [ t')
o Resume/carricutum Vitae ,Jf,3
o Diversity Statistics Reporting (Completed on 3, ')~
o Oath
rerRM No: pl31/24 rR uwmr.t2la /%
to Committee Liaison on
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Scan O
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
Received on:
Scanned on:
O Board and Committees Liaison Responsibilities
O DIVERSITY STATISTICS REPORTING Keep COPY in file and ORIGINAL for Annual Report.
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Datte Boar13r J~mmittee Member
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Da,te City,;ler~'~ffice Staff Initials
3.2l,2 B»Emo»eer DH!
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:\CLERIBOARD AND COMMITTIES DATABASE\CHECKLIST MASTER\B&C Checklist 2015 MASTER.docx
We are commiited ts providing excellent public service and safety to ol who live, work, and play in our vibrant, topical, historic community.
7
City of Miami Beach, 1/O) Convonlion Canter Drive, Miami Bsach, Florida 33 139 yyywy_miamnibaachllgo
OFFICE OF THE CITY CIERK, Raloal E. Gran ado, Ciy Clerk
Tel: 305.673.7AI, Fox 305.673.7254
Email: Cit/Clerk@miamibeochll.gov
December 27, 2022
Ms. Randi Freedman
860 E Coco Plum Cir
PLANTATION, FL 33324
SUBJECT: Production Industry Council
Congratulations! You have been reappointed by Mayor Dan Gelber 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
Veronica Hennig, 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 - Am endment 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
t I
City of Miami Beach, 1/OO Convention Canter Drive, Miami Boch, Florida 33 139 yyyewy_miariboachfl_go
OFFKCE OF THE CITY CLERK, Rfaal E. Granado, Ciiy Clerk
Tel: 305.673.7411, Fax. 305.673.7254
Email: CiyClerk@miamibeachfl.gov
Oath of Office
Oath of Civility
and
Acknowledgements
TO: Ms. Randi Freedman
RE: Production Industry Council
I d o so le m n ly sw ea r or a ffi rm to b e a r 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
a b ove-m e ntio n e d b o a rd o r com m itt e e o f the C ity o f M ia m i B e a ch to w hich I have been appointed for a
term e nding: 12/31/2024.
T o m y co lle agu e s a nd to a ll of tho se I rep re se nt and se rve , I p le dg e fairn e ss, inte grity and civility, in a ll
a ctio ns taken a nd a ll com m unicatio ns m ade by m e as a p ublic serv an t.
I h a ve b e e n issue d a cop y of se cti on 2-1 1 .1 o f the M ia m i-D a d e C o u nty C o d e (C o nfl ict o f In terest a n d
C o de of E thics O rdin a nce), as w ell a s Flo rid a C o m m issio n on E thics G u id e to the S un shine A m e ndm e nt
and C o de o f E thics fo r P ub lic O ffi cers and u nd e rstand tha t as a m e m b e r of a C ity o f M ia m i B ea ch B o a rd
and/or C o m m itt ee, I m ust com p ly w ith the fina ncia l d isclosure* requirements of Miami-Dade County or the
S tate o f F lo rida (de pe nd ing on the b oa rd or co m m itt ee on w hich I serve) on Ju ly 1st, fo llow ing the cl o sin g
of the cale nd ar yea r on w hich I h ave serv ed . .2- ______ _. . and i F ree dm a n
S w orn to an d sub s cribe d b ef or e m e thi s Q d ay «('y0M, 2 023
AC
-chartes D'Agostin of Deputy Clerk
*P le a se visit th e C ity o f M ia m i B e a ch w eb site at w w w .m ia m ib e a c hfl.g o v u n d e r C ity C le rk/B o a rd an d
C om m ittees fo r add itio nal info rm a tio n rega rding the F ina ncia l D iscl o sure R equirem e n ts.
Ml Ml
City of Miami Beach
1 700 Convention Center Drive
Miami Beach, Florida 33139
OFFICE OF THE CITY CLERK
Em ail: BC@m iamibeachfl.gov
Telephone: 305.673 .7 411
RECEIVED
MAR 22 2a23
CITY OF Ml inc± 6, #/,%%/EAct
- ·ITY CLERR
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):
□I am a resident of the City of Miami Beach for six months or longer.
Home Address _
□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 ------------------------
[J S 1Po ss []reS S
□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).
---=#@a a..• ta.W ee f t ))
"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.
rj ·,I declare that I have read the foregoing document and that the facts stated in it
- 3/1/23 Date
Printed Name
NOTARY
»2 y [\orh
(City of Miami Beach Board/Committee Member).
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Sworn to (or affirmed) and subscribed before me, by means of□physical presence or□online notarization,
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• Produced ID
ntification
Name of Notary, Typed, Printed, or Stamped
1\1\IA N\I HI I
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 33139
www.miamibeachhl.gov
OFFICE OF THE CITY CLERK
Email: BC@miamibeachfl.gov
Telephone: 305.673.7411
DIVERSITY STATISTICS REPORT
Freedman Randi
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:
M ale
[XO Female
Lother
OJ I prefer not to answer.
Race/Ethnic Categories:
What is your race?
LO Amnican American/Black
D Asian or Pacific Islander
D Caucasian/White
OJ Native American/American Indian D Other- Print Race: _
[ prefer not to answer.
Do you consider yourself to be Spanish, Hispanic, or Latino/a?
LJves
L.Jo
DH 1 prefer not to answer.
Do you consider yourself Physically Disabled?
.lves
50o
L l1prefer not to answer this question.
Page 6 of 6
F:\CLER\$ALLIREG\BOARD AND COMMITTEE APPLICATIONS FINAL DRAFTS\BOARD AND COMMITTEE APPLICATION REG FINAL.docx
Updated: June 2020
1l/A M/
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 33139
www.miamibeachfl.gov
OFFICE OF THE CITY CLERK
Em ail: BC @m iamibeachfl._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)
Freedman Randi
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.
Fwd Feedwwav 1-24-23
Signature Date
1 Members of the Planning Board and Board of Adjustment will be notified directly by the State of Florida,
pursuantto 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:\C LE R\$A LL\RE G \BO A RD A ND C O M M ITT E E A P P LI C A TIO N S FINA L D RA FTS \BO A RD A ND CO M M ITT E E A P P LI C A TIO N REG FINAL.docx
U p da te d : Ju ne 20 2 0
MIAMl·DADE- EMI SOURCE OF INCOME STATEMENT
S ection 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
Middle Name/Initial
If your home address is your mailing fl ess, and your home addres is exempt from public records pursuant to Fla. Stat. $119.07, read
instru ctions on the following page and check here. D
Fili ng as an Em ployee (check one)
[] county □Public Health Trust [] Municipal:
(Municipality)
Departm ent
Position or Titl e Employee ID Number
W ork address I Work telephone Employment began on/ended on
Fili ng as a Board M em ber (check one)
[] county [] Municipal: City of Miami Beach
(Municipality)
here servin g \
r CT
Altern ate address (if hom e address is exem pt)
- 1Q 0 -
Li st below every source of incom e you received, along w ith the address and the principal activity of each source. Include your public salary. Place the sources of
incom e in descending order, w ith the largest source first. Examples of sources of income include: compensation for services, income from business, gains from
pro pert y 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.□
Address the Principal Business Activity
I hereby swear (or affirm) that the information above is a true and correct statement.
Rod, Feeduwav
Signature of Person Disclosing
1-24-23
Date signed
RECEIVED BY ELECTIONS DEPARTMENT:
L] Hardcopy pr ·-,
t) ecrone «kl CEIVED
MAR 22 2023
CITY OF MIAMI BEACH
OFFICE USE ONLY Accepted: Y / N Deficiency: Processed Date/initials: Scanned Date/Initials: _
138_SP-14 COE 2016
/\/\//\/\/' CI WI DE (CW) BOARD & COM MI TTEES
City of Miami Beach, PARKING DEPARTMENT PARKING APPLICATION
1755 Meridian Avenue, Suite 200/Miami Beach, FL 33139/Ph: (305) 673-7505 or (305) 673-7000 ex4. 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 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.
ACKNOWLEDGEMENT: 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: 1-24-23
Applicant Name: Randi Freedman
Board/Committee Name: Production Industry Council
Address: 7901 Hispanola Ave, #1804 North bay Village FL 33141
E-Mail Address: Lmgrandi@aol.com
Work Phone: 305-790-3356 Home Phone
Cell Phone: 305-790-3356 Preferred Contact Method: email
Vehicle Information
Ta g : KNQV18 Color: GRAY
State: FL Year: 2020
Make: NISSAN Model: ALTIMA ---- 'I
Applicant Sianature~ ~~ ', ~ - I
Please provide sigh ed form to'#fe Parking Department located at 1755 Meridian Avenue, 2d floor. Working
hours are 8:30 to 5:00 p.m. or email to: P a rk ingR e cep tio n @miamibeachfl.gov
e -m ai l su bj e ct: BO A R D & C O M M ITT EE PAR KING APPLICATION - APPLICANT NAME
P, ·ki D a r In a eparmen ec'1on
PERMIT SYSTEM GARAGE ACCESS
Expiration Date: ID Card Serial #:
Issued By Print Name: Print Name:
Signature: Signature:
Date Issued: Date Completed:
t t St
. .pmg ·man rar forms cw oat@s commtees par gtorm,do