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Sophie Ringel 12.31.24MIAMIBE BOARD AND COMMITTEE CHECKLIST APPOINTEE: Sophie Ringel BOARD/COMMITTEE: Sustainability Committee DATE OF APPOINTMENT. 4/25/2023 Appointed oy. "c"yr0la FOR SCANNER Scan o Scan o Scan o Scan o Scan o RECEIVED MAY 09 2023 FOR CLERK STAFF o Letter of Appointment o Letter of Reappointment 4'fPy [4 ot ArommenuReaooomotmoent e-mated to o Soard and Committee Application (competed on._y]fl23 o Resume/Curriculum Vitae L}}) o Diversity Statistics Reporting (Completed on '/3 o Oath TERM END: /y )4 rR LuMrr. p/31/3o Committee Liaison on 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 CITY OF MIAMI BEACH OFFICE OF THE CITY CLERK CItywide Permit Application (Parking Department Form) o Booklet - Guide to Sunshine Amendment & Code of Ethics for Public Officers and Employees Scan o Scan o Received on: Scanned on: o Source of Income Statement o Acknowledgment of Financial Disclosure Requirement o Board and Committees Liaison Responsibilities O DIVERSITY STATISTICS REPORTING Keep COPY in file and ORIGINAL for Annual Report. 40/25/2023 soneaoy f. • Date ]h3 MA Processed on:. By Employee:TH Date City Clerk's Office Staff Initials _CJ_"i_/_13 By Employee: r<AIJ _ 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 DATABASEICHECKLIST MASTERIB&C Checklist 2015 MASTER.docx We re commiited to providing excellent pub~ic service and scaly to oll who live, work, and play in our vibrant, topical, historic community. / City of Miami Beach, 700 Convention Conlor Drive, Miami Boach, Florida 33 139 yyy_miamihaarchfl_go: OFFICE OF THE CITY CIERK, Rafaal E. Granado, City Clerk Tel: 305.673.741I, Fax. 305.673.7254 Email: Cit/Clerk@miamiboochfl.gov April 17, 2023 Ms. Sophie Ringel 2395 Lake Pancoast Dr, Ap t . 10 Miami Beach, Florida 33140 RE: Sustainability Committee Dear Ms. Sophie Ringel: Congratulations! You have been appointed by Commissioner Ricky Arriola 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. R e ~ Rafi Granado City Clerk cc: Monica Beltran, Parking Director Juanita Ballesteros, 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 MI MIBE City of Miami Beach, I/OO Convention Conler Drive, Miami Boch, Florida 33 139 ygwy_miamibgachf]_gay OFFICE OF THE CITY CLERK, Rofaol E. Granado, City Clerk Tel: 305.673.7411, Fax. 305.673.7254 Email: CityClerk@miamibeachfl.gov Oath of Office Oath of Civility and Acknowledgements TO: Ms. Sophie Ringel RE: Sustainability 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. Sophie Ringel Sworn to and subscribed before me tie 14 ' ,2023 *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. City of Miami Besch 170 Convention Center Ddve Miami Beach, Florida 33139 OFFICE OF THE CITY CLERK Email. BC'@miamute achf.gos Telephone: 305.673.7411 RECEIVED MAY 09 2023 CITY OF MIAMI BEACH OFFICE OF THE CITY CLERK AFFIDAVIT OF A FFILIA TI O N W IT H THE C ITY OF MIAMI BEACH STATE OF FLORIDA COUNTY OF MIAMI-DADE I am in com pl ia nc e with the affiliation requirement of Miam i B e ach City C o de Sections 2-22 (4), as (che ck /) all that apply) lam a re si d en t of th e City of Miami Be a ch for six m on th s or lon g er H om e Ad@res, 234 Lo.lue7A» oa. D • Ah.to Moga,_2d, 33/40 ] Ihave an ownersh ip interest (for a minimum of six months) in a busi ne ss established in the City of Mia mi e ach (fo r a m ini m um o f si x m on th s). [[3 mfg {[ P{g<{[_,-or» Pf, JJ[[eSo---or l a m a full-tim e em pl o ye e of a bu si ne ss (for a minimum of si x m o nth s) an d l am base d in an office or other lo cat io n of the busin e ss th at is physical ly lo cated in Miami B e a ch (fo r a minimum o f six m on th s). Cl/Jo., ~;e,.vv,,: ({)e(/\c' Name of B usine ss ·f"" "! 27a Lake Pa»coos/ , hp/m,ho @ ,7so Business A d dre ss "Ownership Inte rest" m e a n s the ow ne rship of ten pe rcen t (10 %) or more {including the own e rshi p of 10 % o r m o re of tho outstanding cap it al sto ck) in a bu sin e ss "Business" m ea n s any sole p ropri etorship, sponsorship, co rpo ra ti on, m uted liab ility company, or other entity or business associat ion. U n d er pen alties of perjury.1 des9ye th at I have read the for e goi ng document and tha t the facts state d in it _o,ti- to l5rs Si g n a ture Date Sh Ro4el P ri nte d Name J NOTARY S wor n to (o r affirm e d ) an d subs cribe d before m e , by means of}physical presence or z online notarization. oe2 f a a [pl zo23 .Sophie Er4 cl (Ci ty of Miami Beach Board/Committee Me mb er ) --------- L Produced ID ----:---..-:c-. --:-.-------·--- F o rm of Id e n tificatio n '. #y " NOTAR Y SEAL) iae f N ot a ry, Typed Printed, or S tam p e d MIAMIBE H City of Miami Beach 1700 Convention Center Drive Miami Beach, Florida 33139 www_miamibeach[]_gov OFFICE OF THE CITY CLERK Email: BC@miamibeachfl.gov Telephone: 305.673.7411 DIVERSITY STATISTICS REPORT Ringel Sophie 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: LJ ate [l remale D Other DI I prefer not to answer. Race/Ethnic Categories: What is your race? DI African American/Black 0 Asian or Pacific Islander El Caucasian/white 0 Native American/American Indian 0 Other- Print Race: _ 01 I prefer not to answer. Do you consider yourself to be Spanish, Hispanic, or Latino/a? lves [ho D I prefer not to answer. Do you consider yourself Physically Disabled? Ive go D I prefer not to answer this question. Page 6 of 6 F:\CLER\$ALL\REG\BOARD AND COMMITTEE APPLICATIONS FINAL DRAFTS\BOARD AND COMMITTEE APPLICATION REG FINAL.docx Updated: June 2020 MIAMIBE CH City of Miami Beach 1700 Convention Center Drive Miami Beach, Florida 33139 www.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) Ringel Sophie 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. .61 #a A2srz023 ---------------- Date 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 MIAMI-DADE. EIII 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 Name First Name Middle Name/Initial 2022 Ringel Sophie M ailing Address - S tre et Num ber, Street Nam e, or P.O . Box 2395 Lake Pancoast Dr, Apt. 10 City, S tate, Zip Miami Beach, FL 33140 If your hom e address is your m ailing addre ss, and your hom e addre ss is exem pt fro m public re cords pursuant to Fla . Stat. $119.07, read instructions on the follow ing page and check here. D Filing as an Employee (check one) [] county [] Public Health Trust [] Municipal: (M unicipality) Departm ent Positi on or Titl e Employee ID Number Work address I Work telephone Employment began on/ended on Filing as a Board Member (check one) [] county E] Municipal: Miami Beach (Municipality) Board where serving Sustainability Committee 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 Clean Miami Beach 2395 Lake Pancoast Dr, Apt. 10, salaried employee Miami Beach, FL 33140 The Runners High 11209 S Dixie Hwy, Miami, FL hourly employee 33156 I hereby swear (or affirm) that the information above is a true and correct statement. Signature of Person Disclosing Date signed RECEIVED BY ELECTIONS DEPARTMENT: Jar«cof E5CEIVED [] Electronic Copy MAY 09 2023 CITY OF MIAMI BEACH OFFICE OF THE CITY CLERK OFFICE USE ONLY Accepted: Y / N Deficiency: Processed Date/Initials: Scanned Date/Initials: _ 138_SP-14 COE 2016 /M\I /A /\/\/B E A« cmwE (CW OARD & COMMwrErs - g CityofMiamiBeach,PARKINGDEPARTMENT PARKING APPLICATION ~ 1755 Meridian Avenue, Suite 200/Miami Beach, FL 33139 /Ph: (305) 673-7505 or (305) 673-7000 ext. 6200 PARK 1G 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: 412512023 Applicant Name: Sophie Ringel Board/Committee Name: Sustainability Committee Address: 2395 Lake Pancoast Dr, Apt. 10 Miami Beach, FL 33140 E-Mail Address: sophie.ringel@cleanmiamibeach.org Work Phone: Home Phone Cell Phone: 305-479-5695 Preferred Contact Method: email Vehicle Information Tag: NEQU90 Color: silver gray State: FL Year: ? Make: Honda Model: Element Aleo sorooe. Si6 + -T +- ~. gt " ee 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@miamibeachfl,gov e-mail subject: BOARD & COMMITTEE PARKING APPLICATION - APPLICANT NAME p, ·ki D ar mna epartmen ec on PERMIT SYSTEM GARAGE ACCESS Expiration Date: ID Card Serial #: Issued By Print Name: Print Name: Signature: Signature: e Date Issued: Date Completed: tS ·ti • .mg man rar torms cw oaras commtees par mgtorm.doc