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Vilma Biaggi-Lombardi 12.31.23IA MI BE City of Miami Beach, I/OO Convention Canlar Drive, Miami Beach, Florida 33139 yw._Iiamibaachllgo OFFICE OF THE CITY CLERK, Rafaal E. Gran ado, Ciy Clerk Tel: 305.673.7411, Fax: 305.673.7254 Email: City/Cl ark@miamibooch fl.gov February 03, 2023 Ms. Vilma Biaggi -Lombardi 6605 Allisson Rd Miami Beach, FL 33139 RE: Health Advisory Com mittee Dear Ms. Vilma Biaggi -Lombardi: Congratulations! You have been appointed by the City Commission to the agency, board or committee named above 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. 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. "l .h. City Clerk cc: Monica Beltran, Parking Director Marc Chevalier, City Liaison ENCLOSURES: Oath of Office/Oath of Civility/Acknowledgements 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 City Wide Permit Application - (Parking Department Form) Booklet - Guide to the Sunshine Amendment and Code of Ethics for Public Officers and Employees MI A MI BEA CH City of Miami Beach, 1700 Convention Cantor Drivo, Miami Boach, Florida 33139 yw._miamiboachfl.go OFFICE OF THE CITY CIERK, Rafaol E. Granado, Cy Clerk Tel: 305.673.7411, Fax 305.673.7254 Emil: CityClerk@mlamboachll.gov Oath of Office Oath of Civility and Acknowledgements TO: Ms. Vilma Biaggi -Lombardi RE: Health Advisory Committee I do solemnly swear or affirm to hear 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. crie d etore me th e .]_ aay y _/2023 "Please visit the City of Miami Beach website {t www.miamibeachfl.gov under City Clerk/Board and Committees for additional information regarding t Financial Disclosure Requirements. MAI A MAI BE , C City of Miami Beach 1700 Convention Center Drive Miami Beach, Florida 33139 RECEIVED MA\ 25 2023 C ITY O F M IA M I BEA C H O FF IC E O F TH E CITY CLERK OFFICE OF THE CITY CLERK Emai l: BC@miamibeachfl.gov Telephone: 305.673.7 411 AFFIDAVIT OF AFFILIATION WITH THE CITY OF MIAMI BEACH I am in compliance with the affiliation requirement of Miami Beach City Code Sections 2-22 (4), as ( check ( ✓) all that apply): f@] lam a resident of the City of Miami Beach for six months or longer. too A s G O (rso i kq H(a 3314/ ~ 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). are oroses.. CADET Lu@r£ 1 susoss Aaress. I7o/, J es the. Hheee.4 139 D 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 i //M A Printed Name Date I MIAMI-DAD E. EEl 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 Name Middle Name/Initial 2022 Mailing Address - Street Number, Street Name, or P.O. Box City, State, Zip 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) D County D Public Health Trust [] Municipal: (Municipality) Department Position or Title Employee ID Number Work address I Work telephone Employment began on/ended on Filing as a Board Mem ber (check one) [] county ] Municipal: (Municipality) Board where serving Work telephone 9/739 0202 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 0/ ·2 24z7 U7et 4r,70174 that the information above is a true and correct statement. RECEIVED BY ELECTIONS DEPARTMENT: t oraeo~ECEIVED □Electronic Copy MWAY 25 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 IAM I BEACH CITYWIDE {CW) BOARD & COMMITTEES City of Miami Beach, PARKING DEPARTMENT PARKING AP PUCA Tl ON 1755 Meridian Avenue, Suite 200/Miami Beach, FL 33139/Ph: (305) 673-7505 or (305) 673-7000 ext. 6200 L 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 lnfor · Date of Application: Applicant Name: Board/Committee Name: /oat)o Address: E-Mail Address: 4 Work Phone: - Cell Phone: f 0 / Home Phone Joy 0-0f7-0 1, Preferred Contact Method: p249 Vehicle Information Tag: IT &09 Color: BA < State: 7¢ Year: 900/, Make: Zcce 29 Model: 7an Applicant Sianature: e 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 8& COMMITTEE PARKING APPLICATION - APPLICANT NAME p, ·kd De rt ar na epa men ecio n PERMIT SYSTEM GARAGE ACCESS Expiration Date: ID Card Serial #: Issued By Print Nome: Print Name: Signature: 6 Signature: Dote Issued: Date Completed: t S ·ti