Shannon Koonin 12.31.25B O A R D A N D C O M M ITT E E C H E C K L IS T
APPOINTEE: Shannon Koonin DATE OF APPOINTM EN T. 6/28/2023
BOARD/COMMITTEE: _P_o_rk_.,,, -""_n_K_ct_.r.;,_;:ii_,o_NJ_. E'_·,,_Cli-Jll_O',_ll_oa_:"_ Appointed by: CA..\-:1: Covn YJ\'t r (\ CAil
run, l)h FO R SC AN N E R
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FOR CLERK STAFF
Letter ot Appointment
Letter of Reappointment
o Copy of Letter of Appointment!Feappointment
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e-mailed - to Committee Liaison on
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Board and Committee Application (Completed on
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• Diers/ty Statistics Reporting (com peted on K[ 'QG ,
o Oath
RECEIVED
JUL 1 7 2023
CI TY OF MI AMI BEACH
OFFICE OF THE CITY 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, 2-2, 2-458 and 2459
« County Code Secton 2111 - Contct of Interest and Code o! Ethics Ordinance (as
amended through December 2010)
Am endments to the Code ot Ethics Ordnan ce (September 2009 through July 2012)
Highlights of the Miami-Dade County Ethics Code
Sunshine Law and Pub#c Records - Frequently Asked Questons
Memorandum - Solicitation by City Board and Committee Members
Scan 2
Scan
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0 Citywide Permit Application (Parkmg Department Form)
• Booklet - Guide to Sunsh ine Amendment & Code of Ethics for Public Officers and Employees
CG Source of Income Statement
3 Acknowledgment of Financial Disclosure Requirement
.» Board and Committees Liaison Responsiblties
» DIVERSITY STATISTICS REPORTING Keep COPY in fit and ORIGINAL for Ann0»! R«port
7/17/2023 .ssnea X Shannon Koonin
Date
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Date
1 14/3
Date
Board or Committee Member
By E.mployee (JV)....;;.. _
City Clerk's Office Stat initials
···-·-· By Employee: __._{-N\ _
City Clerk's Ote Stat ini tias
CONCLUDED & RESIGNATION LETTERS
Term Expired Let ter Date Processed Initials $can
Resgnaton Letter Date Processed Initials Scan -
Removal Letter due to absences Date processed Initials Scan >
·-
F XC AE R O AR AN COMMIT/ES DATABASE!CHECKLIST MASTERSSC Chckl: 22 15 M4 4 3 TER &x
City of Miami Beach, !/0O Convention Canter Drive, Miami Bach, Horida 33139 yy_miamibachll_go
OFFICE OF THE CITY CLERK, Ral0al E. Granado, Ciy Clerk
Tl: 305.673.7411, Fax. 305.673.7254
Email: Ci/Clerk@miamibeochfi.gov
June 30, 2023
Ms. Shannon Koonin
645 W. 51st Street
Miami Beach, United States 33140
SUBJECT: Parks and Recreational Facilities Board
Dear Ms. Shannon Koonin:
Congratulations! You have been reappointed by the City Commission to the above referenced board or
committee, for a term ending: 12/31/2025.
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.
Rafa Gr
City Clerk
cc: Monica Beltran, Parking Director
Cynthia Casanova, 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 IAMIBEACH
City of Miami Be ach, 1ZOO Convention Conto Dwvo, Miami Boa h, florida 33139 xx_riomiboachfl qui
OHFKE OF TH CITY CLERK, Rofol E Gronodo, Cy Ck
Ta 305.673.7411, Fax 305.673.7254
(moil. Ci Clari @miamibeochfl gov
Oath of Office
Oath of Civility
and
Acknowledgements
TO: Ms. Shannon Koonin
RE: Parks and Recreational Facilities Board
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. 12/31/2025.
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.
Sworn to and subscribed before me tug [b
"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.
MIA MIBEA CH
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Flor ido 33139
www.miamibeach[l.gov
OFFICE OF THE CITY CLERK
Email: C@miamibeachfL_gov
Telephon e: 305.673.7411
DIVERSITY STATISTICS REPORT
Koonin Shannon E
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:
[J a e
El remale
loner
0 I prefer not to answer.
Race/Ethnic Categories:
What is your race?
[]African American/Black
D Asian or Pacific Islander
l Caucasian/white
0 Native American/American Indian D Other- Print Race: _
D I prefer not to answer.
Do you consider yourself to be Spanish, Hispanic, or Latinola?
Jves
(ho
0 I prefer not to answer.
Do you consider yourself Physically Disabled?
Te,
G o
D I prefer not to answer this question.
Page 6 of 6
F ACLERSALLREGBOARD AN D C OMMI TT EE AP PL I C A T ION S FI N AL DRAF TS\B OARD AND CO MMI T IEE APPL ICATION REG FINAL docx
Updated: June 202 0
M\]A/\[ BEACH CITYWIDE (CW) OARD & COMMITTEES a ca« « w« s«ad, skivo Aro PARKING APPLICATION
1755 Meridian Avenue, Suit 200/Miomi Beach, FL 33139/Ph. (305) 673.7505 or [305) 673.7000 64. 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 ol 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:7/17/2023
Applicant Name: Shannon Koonin
Board/Committee Norne:Parks and Recreational Facilities Board
Address: Nine Island Avenue, #1109
E-Mail Address: koonineducationservices@gmail.com
Work Phone: Home Phone
Cell Phone: 3057900259 Preferred Contact Method:
Vehicle Information
Tag: NDGN47 Color: black
State: FL Year: '2023
take: NW Model: Atlas
Shannon Koonin
Applicant Sianature:
Please provide signed form to the Parking Depar tment located at 1755 Meridian Avenue, 2" 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
Parking Department Section
PERMIT SYSri GARAGE ACCE SS
Expiration Date: ID Card Serial #.
lssued By Print Name. Print Name. -- .. ---•-•·-•·· - --------- - ·- - .
Signature:. Signature.
Date Issued. • Dote Completed. -··· - -~-······-··~ ··----- ·--···-
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