Troy Wright 12.31.24M IA M I BEACH
Are or Arronrevr._·l ha
FOR SCANNER
Scan o
BOARD AND COMMITTEE CHECKLIST
aero»r e. To4, € )es
oArRrcoMwrrretee. B3@y( (DX~/, Aot«easy. _Doi9_0 Arcos0I
TERM EN Do.[/3 h{ rerMw urn [l )o
Scan o
Scan o
Scan o
Scan o
FOR CLERK STAFF
o Letter of Appointment
o Letter of Reappointment
" ,'/}/ of Anointmenveappointment e-mated to committee tuaison on
o Board and Committee Application (Completed on.[}J})
o Resume/curriculum vitae Q/3
o Diversity Statistics Reporting (Completed on I
o Oath
RECE IVE D
MAY 19 2023
C ITY O F MIAMI BE A CH
#F CE OF TH E CI TY CLERK
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
Scan o
Scan o
Received on:
Processed on:
Scanned on:
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 Keep .gr4
S /g_/2 sones k zv
Date Board r Committee Member
0[34/3 »ors
,(3 $f y9roe sa w
_Y/__~_O __ .__ 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 MASTERdocx
We ore committed to providing excellent public service and salety to all who live, work, and play in our vibrant, tropical, historic community.
MI MIBE
City of Miami Beach, LOO Convnlion Cantor Drive, Miami each, Horida 33 139 yxy_miamibaachf]go
OFFICE OF THE CITY CIERK, Rafaal E. Granado, Cy Clerk
Tel: 305.673.7411, Fax 305.673.7254
Email: Ci#yClerk@miamiboochfl.gov
January 11, 2023
Mr. Troy Wright
400 NW 1st Avenue, Suite 2313
MIAMI, Florida 33128
SUBJECT: Black Affairs Advisory Committee
Congratulations! You have been reappointed by Commissioner David Richardson 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.
Regards,
Ra~o
City Clerk
cc: Monica Beltran, Parking Director
Lissette Arrogante, 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
M IA M I BEACH
City of Miami Beach, 1/O0 Convention Conler Drive, Miami Beach, Florida 33 139 yyyy._miamihaachf]go
OFFICE OF THE CITY CIERK, Rafael E. Granado, Cly Clerk
Tel: 305.673.7411, Fox. 305.673.7254
Email: City Clerk@miamibeachfl.gov
Oath of Office
Oath of Civility
and
Acknowledgements
TO: Mr. Troy Wright
RE: Black Affairs 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. _ ~-....:., ~. / #a : Troy W rig ,.
Sworn to and subscribed before me this _I aay r NV], 2023
..-tg
Deputy Clerk
*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.
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: 305,673.7411
RECEIVED
MAY 19 2023
CITY OF MIAMI BEACH
OFFICE OF THE CITY CLEP K
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):
o I am a resident of the City of Miami Beach for six months or longer.
p)[% J(]Fi
□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).
[par9 [ P/[g/me
[[JS]Pe,S (S f9SS
xf 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).
or-ors«we» lwh @oh ha {)eug_ I p
Business Address 21o /it$/O f /.
"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 solo proprietorship, sponsorship, corporation, limited liability company, or other
entity or business association.
Unde~ R§OBLI:ieS-Of-t,1 at I have read the foregoing documentlnd that thr facts stated in it " n s,2/23
Sign~ J Date
le Wr,»
Printed Name
NOTARY
nd subscribed before me, by means of u physic al presence or/u online notarization,
o» 1av at (rt ao2». l,al,f
________ (City of Miami Beach Board/Committee Member).
Produced ID
%Pe, SILVI»MARTIN · ~a Comm1sslon#HH161153 t % (@voe(4M«29%25
"Vs6° 'onae~ mi ii&iii~nj Svcs
Name of Notary, Typed, Printed, or Stamped
M IA M I BEACH . I
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florido 33139
www.miamibeachfl.gov
OFFICE OF THE CITY CLERK
Email: BC@miamibeachfl.gov
Telephone: 305.673.7411
DIVERSITY ST A TISTICS REPORT
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:
n
Ll rem ate
0 Other
0 I prefer not to answer.
Race/Ethnic Categories:
Whatis your race?
[ African American/Black
0 Asian or Pacific Islander
0 Caucasian/White
0 Native American/American Indian 0 Other - Print Race: _
0 I prefer not to answer.
Do you consider yourself to be Spanish, Hispanic, or Latino/a?
L2yo»
1No
0 I prefer not to answer.
Do you consider yourself Physically Disabled?
Ly
Lo
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
M IA M I BEACH
City of Miami Beach
1 700 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)
Lat 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 Requirem ents.
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 "S ource of Income Statem ent;" or
2. A "S tatem ent of Financial Interests (F orm 1 )1;" or
3. A Copy of your latest Fed
Failure to fi
0
;
Incom e "x R et urn .
uant to the M iam i-D ade C ounty Code, m ay subject the person to a fine
th.
D ate
' M em bers of the P lanning B oard and B oard of A djustm ent w ill be notified directly by the State of Florida,
pursuant to F.S. $112.3145(1)(a ), to file a S tatem ent of Financial Interests (F orm 1) with the M iami-Dade County
S upervisor of E lections by 12:00 noon, July 1. Planning Board and Board of Adjustment members who file their
Form 1 with the C ounty S uperv isor of E lections autom atically satisfy the County's financial disclosure
requirem ent as a M iam i B each City B oard/C om m ittee m em ber and need not file an additional form with the Office
of the C ity Clerk. How ever, com pliance with the County disclosure requirement does not satisfy the State
requirem ent.
Page 5 of 6
F:ICLER\$ALL\REG\BOARD AND COMMITTEE APPLICATIONS FINAL DRAFTSIBOARD AND COMMITTEE APPLICATION REG FINAL.docx
Updated: June 2020
M IAM l·DAD E- EI SOURCE OF INCOME STATEMENT
Section 2-11.1(0) 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
2oz- U@WT
First Nam e
T
Middle Name /Initial
«
Malling Address - Street Number, Street Name, or P.O. Box
w} s (
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)
[] county I] Public Health Trust [] Municipal:
(Munlclpallty)
Department
Position or Title Employee ID Number
Work address I Work telephone Employment began on/ended on
Filing as a Board Member (check one)
I] county ET Municipal:
(Municipality)
Board wh ere serving
Work telephone 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
Signature of Perso
l3
Date signed
RECEIV' 'ARTMENT:
D Hardcopy
) le4ie Po9y2023
CITY OF MIAM I BEACH
FFICE OF THE CITY CLERK
OFFICE USE ONLY Accepted: Y / N Deficiency. Processed Date/initials:Scanned Date/Initials;
138 SP-14 COE 2016
MI A /I BEACH CTwE (Cw oAo & co»wwrets
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 PARKI IG
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 $10.00 replacement fee.
B ·dM bi if ti oar em er norma 'ion
Date of Application: 6123
Applicant Name: ~ w/el t, ro-4
Board/Committee Name: , ( Ki \Vi50 e4 Cow«it
Address: 58 hve ' 233 , '
I 33128 400 Nwl tr(
E-Mail Address: pore wAsHev 4@r- ee37 [$. v
Work Phone: Home Phone
Cell Phone: Preferred Contact Method:
Vehicle Information
Tag: Y D , Color: 3\ve c
State: Pov1(\ Year: 201\
Make: Hof M de Model: ce/
Applicant Sianature: es
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: ParkingR eception@m iamibeachfl,gov
e-mail sub ject: BOARD 8 COMMITTE E PARKING APPLICATION -- APPL ICANT NAME
p, ·kd D ar mna epartment ection
PERMIT SYSTEM GARAGE ACCESS
Expiration Date: ID Card Serial #:
Issued By Print Name: Print Name:
Signature: e Signature: 5
Date Issued: Date Completed:
s .
'pl\9 man rar' torms cw arisicommilleos pat' ingtorm.doc