Oscar Llorente 12.31.23MIAMIBE C
BOARD AND COMMITTEE CHECKLIST
APPOINTEE: Oscar Llorente
BOARD/COMMITTEE: Senior Affairs Committee
DATE OF APPOINTMENT: 02/01l23
Appointed by: Commissioner David Richards<
FOR SCANNER
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. AM\ BEACH CITY Of Ni\ \f. CITY CLERKQrf\CEOFW
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FOR CLERK STAFFo Letter of Appointment TERM END: _______ TERM LIMIT: _____ _ o Letter of Reappointment
o Copy of Letter of AppointmenUReappointment e-mailed to Committee Liaison on01/31/2023
o Board and Committee Application (Completed on 02I09l2023
o Resume/Curriculum Vitae o Diversity Statistics Reporting (Completed on 02I09l2023
o Oath
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 (asamended 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
o Acknowledgment of Financial Disclosure Requirement
o Board and Committees Liaison Responsibilities
O DIVERSITY STATISTICS REPORTING ' ' '\:) L for Annual Report.
Received on: 02109123 Signed by X------...-v----tt--t-1�f-""lf-----------Date
Scanned on: -�-✓-�_12_3 _____ By Employee: _________________ _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:\CLER\BOARD AND COMMITTIES DATABASE\CHECKLIST MASTER\B&C Checklist 2015 MASTER.docx
We ore commilfed to providing excellent public service and safety to oil who live, work, and ploy in our vibrant, tropical, historic community.
12/31/23 12/31/23
IBE
City of Miami Beach, 1ZOO Convention Conlon Drivo, Miami Boach, Florida 33139 yyws_miamihoachll.go
OFFICE OF THE CITY CLERK, Rafaal E. Gran ado, Ciiy Clerk
Tel: 305.673.741I, Fax. 305.673.7254
Email: Cit/Clerk@miamibeachll.gov
February 06, 2023
Mr. Oscar Llorente
7525 E. Treasure Drive, Apt 207
Miami Beach, Florida 33141
SUBJECT: Senior Affairs Committee
Dear Mr. Oscar Llorente:
Congratulations! You have been reappointed by the City Commission to the above referenced board or
committee, for a term ending: 12/31/2023.
If you are unable to accept this appointment or have any questions, please call the Office of the City Clerk
at 305.673. 7 411.
Please read the enclosed materials carefully. Congratulations and good luck.
Rafael Granado
City Clerk
cc: Monica Beltran, Parking Director
Luis Callejas, 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, 1ZOO Convenlion Conler Drive, Miami Boach, Florida 33 139 yyx._Iiamibgachll.gov
OF FICE OF TH E CI TY CLERK, Raf ael E. Gr an ado, City Clerk
Tel: 305.6 73.7 4 11 , Fax: 305.6 7 3.7 25 4
Email: CilyClerk@miamibeachll.gov
Oath of Office
Oath of Civility
and
Acknowledgements
T O : M r. O scar Ll o ren te
R E : S enio r A ff a irs C o m m itt ee
I d o so le m n ly sw e a r or affi rm to b e a r true faith, lo ya lty and alle gia nce to the G o ve rn m e nt of the U n ited
S tates, the S tate of F lo rid a , a nd the C ity of M ia m i B ea ch, and to pe rf orm a ll the d utie s o f a m em be r o f the
above -m e ntio ne d bo a rd or co m m itt e e of the C ity o f M ia m i B e a ch to w hich I ha ve b ee n ap po inte d fo r a
term e nding : 12 /3 1 /20 2 3 .
To m y co lle ag ue s and to all o f tho se I rep rese nt and se rve , I p le dg e fairn e ss, integ rity and civility, in all
a ctio ns taken a nd all com m unicatio ns m ade by m e a s a public servant.
I ha ve b ee n issu e d a co p y of se ct io n 2 -11.1 of the M ia m i-D a d e C o un ty C o de (C o nfl ic t o f Interest and
C ode o f E thics O rdina nce ), a s w ell a s F lo rida C o m m issio n on E thics G u id e to the S u nshine A m e nd m e nt
and C o de o f E thics fo r P u b lic O ffi ce rs a nd u nde rstan d tha t as a m e m b e r o f a C ity o f M i m i B each B o ard
and/or C o mm itt ee , I m u st co m p ly w ith the fina ncial d iscl o sure requi re m en t s o f M ia m i- d e C o unty or the
S tate of Fl or ida (de p endi ng on th e b oa rd or com m itt ee on wh ich I serv e )o Uuy's t, fc wi ng th e cl osing
of the cale nda r yea r on w hich I have se rved .
ar~rente
S w o rn to a nd subscribed b efo re m e this ·7 d a y of~ 202 3
s o, a=
U Deputy Clerk
pl e a se vi sit the C ity of M ia m i B e a c h w e bsite a t w w w .m ia m ib e a chfl.g o v un d e r Ci t y Cl er k/B o ard an d
C o m m ittees fo r a d d itio na l info rm atio n rega rding the F ina ncial D iscl osure R equirem e nts.
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 .7 411
RECEIVED
APR 07 2023
CITY OF MIAMI BEACH
OFFICE OF THE CI TY 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):
□I am a resident of the City of Miami Beach for six months or longer.
pf Jk ][Sb-
□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 _
Business Address ------------------------
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 Mount Sinai Medical Center
Business Address 4300 Alton Road Miami Beach FL 33140
"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" me s any sole proprietorship, sponsorship, corporation, limited liability company, or other
entity or bus inss association.
eclare hat I have read the foregoing document and that the facts stated in it
02/09/23
Date
Oscar Llorente
Printed Name
NOTARY
Sworn to (or affirmed) and subscribed before me, by means ofph ysical presence or u online notarization,
.7pl.2, Os? LIa etc
________ (City of Miami Beach Board/Committee Member).
rode F D)r s 'ea
Form of Identification -cc.ceeppp, ,,n i"is.. CHARLES J. DAGOSTN
11/f&!•.'. ·~f\ MY COMMISSION # HH 165705
, & Res:. Doop)My,1%?2$,
.. } • ] ""VS{8&' ondod Thru Notary rule Jhd~h~iler zL )
Signat l!fl==r
Name of Notary, Typed, Printed, or Stamped
MIAMI BEACH
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 33139
www.miamibeach!l.gov
OFFICE OF THE CITY CLERK
Em ai l: BC@miamibeachf.gov
Telephone: 305.673.7411
DIVERSITY STATISTICS REPORT
Llorente Oscar
Last Name First Name Middle Initial
The following information is voluntary and has no bearing on your consideration for appointment. It is being
aske d to co m p ly w ith C ity dive rsity re p o rt in g req u ire m e n ts.
Gender:
[Zl al e
D Fe m a le
D O the r
0 I prefer no t to an sw e r.
Race/Ethnic Categories:
What is your race?
0 A frica n A m e rica n/B la c k
D A sia n o r P a ci fic Is la nd e r
El C a uca si an /wh ite
0 N a tive A m e rica n /A m e ric a n In d ia n
0 O the r - P rin t R a ce : _
D I prefer no t to an sw e r.
Do you consider yourself to be Spanish, Hispanic, or Latino/a?
lves
Jo
D I prefer no t to an sw e r.
Do you consider yourself Physically Disabled?
lva.
Jo
D I prefer no t to an sw e r th is qu e stio n .
Page 6 of 6
F:ICLER\$ALLIREG\BOARD AND COMMITTEE APPLICATIONS FINAL DRAFTS\BOARD AND COMMITTEE APPLICATION REG FINAL.docx
U p d a ted : Ju ne 20 2 0
MIAMI BEACH
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 33139
ww.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)
Llorente Oscar
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)';" or
3. Federal Income Tax Return.
t ese forms, pursuant to the Miami-Dade County Code, may subject the person to a fine
60 lays mn jail, or both.
02/09/2023
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
MIAMl·DAD E.
EI 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 !Last Name First Name Middle Name/Initial
2022 Llorente Oscar
Mailing Address - Street Number, Street Name, or P.O. Box
1776 Polk Street APt 1013
City, State, Zip
Hollywood FL 33020
If your home address is your mailing address, and your home address is exempt from public records pursuant to Fla. Stat. $119.07, read
instructions on the following page and check here. D
Filing as an Employee (check one)
[] county [] Public Health Trust [] Municipal: Miami Beach
(Municipality)
Department
Cardiovascular Service and Community Relations
Position or Title Employee ID Number
Director 1536
Work address I Work telephone Employment began on/ended on
4300 Alton Road Miami Beach FL 33140 (954) 296-3951 02/1999
Filing as a Board Member (check one)
[] county [] Municipal:
(Municipality)
Board where serving
Alternate address (if home address is exempt) I Work telephone I Term began on/ended on
List below every source of income you received, along with the address and the principal activity of each source. Include your public salary. Place the sources of
income in descending order, with the largest source first. Examples of sources of income include: compensation for services, income from business, gains from
property dealings, interest, rents, dividends, pensions, IRA distributions, and social security payments. Also, include any source of income received by another
person for your benefit. However, the income of your spouse or any business partner need not be disclosed. If continued on a separate sheet, check here.[]
Name of Source of Income Address Description of the Principal Business Activity
Mount Sinai Medical Center 4300 Alton Road Miami Beach
FL 33140
Hospital
RECEIVED BY ELECTIONS DEPARTMENT:
[] Hardcopy
Jaecarone cRECEIVED
APR 07 2023
CITY OF MIAMI BEACH
OFFICE USE ONLY Accepted: Y / N Deficiency: Processed Date/initials:Scanned Date/Initials: _
138_SP-14 COE 2016
ls£.4.11a±$%.%: LR
1755 Meridian Avenue, Suite 200/Miami Beach, FL 33139/Ph: (3051 673-7505 or (305) 673-7000 ext. 6200 PARKING
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: 02/09/23
Applicant Name: Oscar Llorente
Board/Committee Name: Senior Affairs Committee
Address: 1776 Polk Street Apt 1013 Hollywood FL 33020
E-Mail Address: Oscar.Llorente@msmc.com
Work Phone: 3056921033 Home Phone
Cell Phone: 9542963951 Preferred Contact Method: cell
Vehicle Information
Tag: Hysz62
State: FL
Make:
Color:
Year:
Model:
Blue
2023
Gulia
Applicant Stanaturle: ef
Please provide sit ed fdl fo e Parking Department located at 1755 Meridian Avenue, 2d floor. Working
hours are 8:30 to 5:00 p.m. or email to: ParkingReception@miamibeachfl.gov
e-mail subject: BOARD & COMMITTEE PARKING APPLICATION -- APPLICANT NAME
P ·i D ar mna epartment ection
PERMIT SYSTEM GARAGE ACCESS
Expiration Date: ID Card Serial #:
Issued By Print Name: Print Name:
Signature: Signature: e
Date Issued: Date Completed:
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