Brittany Faw 6.30.24M IA M I BEACH
City o f M ia m i B e a ch, 1700 Convention Center Drive, Miami Beach, Florida 33139 www.miamibeachfl.gov
OFFICE OF THE CITY CLERK, Rafael E. Granado, City Clerk
Tel: 305.673.7411, Fox. 305.673.7254
Email: CityClerk@miamibeachfl.gov
June 21, 2023
Brittany Faw
6000 Collins Ave. Apt 118
Miami Beach, FL 33140
RE: Committee for Quality Education in Miami Beach
Dear Ms. Faw,
Congratulations! You have been appointed to the above-referenced Board or Committee as a
representative for the Montessori Academy at St. John's, for a term ending on 06/30/2024.
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 as they concern your duties, responsibilities, and
requirements as a board or committee member.
Congratulations again and good luck.
7
Rafael Granado
City Clerk
cc: Monica Beltran, Parking Director
Dr. Leslie Rosenfeld, 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
We are committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical, historic community.
M IA M IB E A H
City of Miami Beach, I/OO Convonlion Cantor Dvo , Miami [oach, Ilonida 33 139 www.milamltoa chll.g
OFFICE OF THE CITY CIERK, Ra~al E, Gronodo, Cy Clod
Tl: 305.673.7411, Faye 305.673.72.54
Emal: CIM/Clerk@lamlboachll.gov
Oath of Office
Oath of Civility
and
Acknowledgements
TO: Ms. Brittany Faw
RE: Committee for Quality Education in Miami Beach
l do solemnly swear or affirm to bear true faith, loyalty and alleglance to the Government of the United
States, the State of Florida, and the City of Mlami Beach, and to perform all the dutles 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: 06/30/2024.
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 commi ttee on which I serve) on July 1st, following the closing
of the calendar year on which l have served.
uG. belay Faw
sworn to and subscribed before me this _?L'day ygr
Please visit the City of Miami Beach webslte at www.mlamibeachfl.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
RECEIVED
JUN 30 2023
CI TY OF MIA MI BEACH
OFFICE OF TH E CITY CL ER K
OFFICE OF THE CITY CLERK
Email: BC@miamibeachfl.gov
Telephone: 305.673.7411
AFFIDAVIT OF AFFILIATION WITH THE CITY OF MIAMI BEACH AND THE COMMITTEE
FOR QUALITY EDUCATION IN MIAMI BEACH
As a voting member of the Committee for Quality Education in Miami Beach, I am in
compliance with the affiliation requirement of Miami Beach City Code Sections 2-22 (4) and
2-190.137 as:
0 I am a City of Miami Beach resident for six months or longer.
Home Address: to (l)ls Ne #lX MI@mi Re h , f- 3/40
[] 1 am the parent/guardian of a student atte ndin g a Mi am i Beach school for ue "9y school
year.
school: me Mole$Sri Academy a) 91- John'5 and Mor+n Beach Elememtorq
Under penalties of perjury, I declare that I have read the foregoing document and that the facts
stated in it are true.
Signature
1149g¥ Iu»
Date •
Printed Na
1B
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 33139
w.mamboac.hf.gov
OFFICE OF THE CITY CLERK
Ema. BC@ma.beach~1.ox
Telephone: 305.673.7411
DIVERSITY STATISTICS REPORI
Faus L
The following information is voluntary and has no bearing on your consideration tor aroirtnent #t is being
asked to comply with City diversity reporting requirements.
Gen der:
(Jee
I remale
Jome
Ll1prefer not to answer.
Race/Ethnic Categories:
What is your race?
[]Atican American/Black
[Asian or Pacific Islander
[d Caucasian/te
L]Native American/American Indian
{}other - Print Race.
Eli prefer not to answer.
Do you consider yourself to be Spanish, Hispanic, or Latino/a?
Jes mo
Ll prefer not to answer.
Do you consider yo ursel t Physi cally Disabled?
&::
Lltreter not to answer this question.
MI A MI BE
City of Miami Bea ch
1700 Convention Center Drive
Miami Beach, Florida 33139
www.miamibeachfl.gov
OFFICE OF THE CITY CLERK
Email: BC@miamibeach.goy
Teleph one: 305.67 3.7411
BOARD AS COMMITTEE FINANCIAL ACKNO WL EDGE ME NT 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(l) (2)
L-
iwaae initial
l understand that no later than Ju l1gf ca chygar all members of Bo ards 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 Financi al Interests (Form 1)'?" or
3. AA Copy of your latest Federal income Tax Return.
Failure to file one of these forms, pursuant to the Miami -D ade County Code, may subject the person to a fine
of no more than $500, 60 days in jail, or both.
' Members of the Planning Board and Board of Adjustment will be notified directly by th e State of Fl ori da,
pursuant to F.S. $112.3145(1)(a), to file a Statement of Financial Interests (Form 1) with the Miami-Dade Co unty
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/Committ ee member and need not file an additional form with the Office
of the City Clerk. However, compliance with the County disclosure req uirement does not satisty the State
requirement.
Page 5 0t6
FCLER &ALL RE GSOARD AND COMMIT TEE, APPLICATIONS FINAL DRAF T SOARD AND COMMIT TEE APPLICATION REO f NAL aoo
Updat ed. June 2020
MI/IMI_,. EEDIE SOURCE OF INCOME STATEMENT
Section 2-11.1(/) of the County Ethics Code requlres that certain employees and public officials file a financlal disclosure Statement on a yearly basis by July 1st
of every year.
Disclosure for Tax Year Ending Last Name
2022 d u0
First Name
Brit\on
Middle Name/Inltlal
L
Malling Address - Street Number, Street Name, or P.0. Box
o Ve ,
City, State, Zip
Ch FL }
If your hom e address is your mailing address, and your hom e address Is exempt from public records pursuant to Fla. Stat. $119.07, read
instructions on the following page and check here.L]
Filing as an Employee (che k I ecl one
[] county I] Public Health Trust I] Municipal:
(Municipality)
Departm ent
Position or Title Employee ID Num ber
Work address I Work telephone Employm ent began on/ended on
Filing as a Board Wember (chock one)
LT county E] Municipal:
(Municipality)
Board where 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 ot 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
V/A
I hereby swear (or affirm) that the Information above is a true and correct statement.
stair reran letosin@
e/27/a023
Date signed
come s4/9} 79""
] Hardcopy'-
] Electronic Copy
JUN '3 0 2023
CITY OF MIAM I BEACH
OFFICE OF THE CITY CLERK
REMEMBER TO PRINT, SIGN, AND SUBMIT TO THE OFFICE OF THE CITY CLERK VIA EMAIL OR HARDCOP
MIAMI BE CITYWIDE (CW ) BOARD & COMMITT EES
cay st Mt6rt sea«t, PARKING DE PAR r ME Nr PARKING APP[[CAT[ON
1755 Meridian Avenue, Suite 200/Miami Beoch, FL 33139/Ph: (305) 673.7505 or (305) 673-7000 et. 6200
A citywide (CW) pa rki ng permit is honored at metered parking spa ce s and restricted residential zones
parking spa ces. 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 "pa rking permil". 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 cl ose proximity to the reader until the gate opens. You may need
to try the other side of the card. Please ensure you hold th e entire surfa ce of the card against the reader
until the ga te opens .
ACKNOWLEDGEMENT: I acknowledge that should m y access card be lost, stolen or
damage, I will be responsible to pay a $10.00 replacement fee.
Board Member Inf o
Date of Application:
Applicant Name:
Boa rd/C om m ittee Name: u0/il £ducahioo
Address (4
EM ai l A ddress:
W or k Ph on e:
Cell Phone: 45(-42 1l
Vehicle Information
Pref er r ed Contact M eth od: en
Tao: E Y 7 AS C olo r: iacK
State: FL Year:
M ake: Merced@e$ Model:
Applicant Si4nature:
Pl ea se pr o vi d e signed form to th e Par "ihg D epa rtm ent loca ted at 17 55 M eridi a n A ven ue, 2" floor. Working
hours are 8:30 to 5:00 p.m. or email to: Parking~Reception@miamibeachfl.gov
e-mail subject: BOARD 8& COMMITTEE PARKING APPLICATION -- APPLICANT NAME
P, ·d D rt ar Ina epa men
PERMIT SYSTEM GARAGE ACCESS
Expiration Date: ID Card Serial #:
Issued By Print Nome: Print Name:
Signature: Signature:
Dote Issued: Date Completed:
t Section