Magui Benitez Application PackageMIAM I BE , CH BOARD AND COMMITTEE APPLICATON
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Last Name Middle Initial
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Home Address
First Name
tltmo Len
City
FL
State
a3 l>2
Zip Code
Cellular Telephone • Business Name
Work Telephone Home Telephone Email address
Occupation
Business Address City State Zip Code
Please list your preferences in order of r.mking: [1] first choice, [2] second choice, and [3] third choice. Please note that
only three (3) choices will be observec, by the Office of the City Clerk.
Ad Hoc Anti-Bullying Task Force l--lealth Advisory Committee Normandy Shores Local Government
Neighborhood Improvement District
Advisory Council --
Affordable Housing Advisory Health Facilities Authority Board Parks and Recreational Facilities
Committee Board ---- --
Animal Welfare Committee ., Hispanic Affairs Commiee y Personnel Board
Art in Public Places Committee Historic Preservation Board # Planning Board
Audit Committee Housing Authority Police/Citizens Relations Committee
Board of Adjustment Human Rights Committee Production Industry Council
Budget Advisory Committee L.GBTQ Advisory Committee Program for Public Information
Committee
Committee for Quality Education in Marine & Waterfront Protection Senior Affairs Committee
Miami Beach Authority
Committee on the Homeless Mayor's 41st Street Committee Sustainability Committee
Convention Center Advisory Board Mayor's General Obligation Bond Transportation, Parking, and Bicycle-
Oversight Committee Pedestrian Facilities Committee
Cultural Arts Council Mayor's Panel on Ocean Drive Visitor and Convention Authority
Design Review Board liami Beach Commission for Women Youth Commission
Disability Access Committee Next Generation Council ·-
-
1. 2GU2KG /lFrrg Cong2
2. Hts [ltd nrIR %ore
3.
Professional License
\
Type of Professional License \
' \,
License
State of Issuance
_____,)·--.:------
Licens Issuance Date
Note: If you are seeking appointment to a professional seat (e.g. attorney, architect, etc. ,
currently effective corresponding professional license.
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FACLERIS ALLIREGBOARD AND COMMITTEE APPLICATIONS FINAL DRAFT\BOARD AND COMMITTEE APPLICATION RE G FINAL .docx
Updated: June 2020
AFFILIATION WITH THE CITY OF MIAMI BEACH
Pursuant to City Code section 2-22(4) a, b, and c: Members of Agencies, Boards, and Committees shall be affiliated
with the City. This requirement shall be fulfilled in the following ways:
a. Resident of the City for a minimum of six months: Ye [ [lNo
• I am a resident of: South Beach [;.i{ll Middle Beach O North Beach 0
Or
b. Demonstrates an ownership interest (for a minimum of six months} in a business established in the City (for a minimum
ot st months): Yes Lr[2hN
"Ownership Interest" shall mean the ownership of ten percent (10%) or more (including the ownership of 10% or more
of the outstanding capital stock) in a business.
"Business" shall mean any sole proprietorship, sponsorship, corporation, limited liability company, or other entity or
business association.
Or
c. Full-time employee of such 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}: Yes O or ONo
Notwithstanding the requirements set forth herein, the qualified full-time employee of a business must be approved by
a 417th vote of the Mayor and City Commission.
NOTE: Members of Agencies, Boards, and Committees shall be required to demonstrate compliance with the City affiliation
requirements of sections 2-22 (4) a and b of the Miami Beach City Code by executing an affidavit, stipulating that they
have met either (or both) of said affiliation requirements. The original affidavit shall be filed with the Office of the City Clerk
prior to being sworn in as a member.
• I am applying for an appointment because I have special abilities, knowledge, and experience. Please list below:
Ke-. ye lute < 3rUel, 0e1Zs @po 2h.gr1¥ Aaeest red9 p0at.tu 7
77 lR our el3 s•
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F:\CLER\$ALL\REG\BOARD AND COMMITTEE APPLICATIONS FINAL DRAFTS\BOARD AND COMMITTEE APPLICATION REG FINAL.docx
Updated: June 2020
• Are you a registered active lobbyist w ith the City of M iam i Beach? Yes D or No OiJj
• Have you ever been convicted of a felony? Yes Lor No l] 1ryes, please explain in detail:
• Do you currently have a violation(s) of City of Miami Beach Code? Yes Ll or No [l It yes, please explain in detail:
• Do you currently owe the City of Miami Beach money? Yes Dor No 1181 if yes, please explain in detail:
• Are you currently serving on any City Board or Committee? Yes l or No l If yes, which Board/Committee?
2et3 EA> e2arr4
• In what organization(s) in the City of Miami Beach do you currently hold membership?
irons f?pure bpommtr ns?age
Name Position - Name Position
• List the address of all properties owned or in which you have an interest within the City of Miami Beach:
• Are you now employed by the City of Miami Beach? Yes Dor No [:;iZl If so, which department and title?
• Pursuant to City Code Section 2-25 (b): Do you have a parent D, spouse l, chid D brother Dor sister D
who is employed by the City of Miami Beach? Yes lor No [X]
[f "Vgg,' [den[f/ perSOn(S) and deDar[men[(s).
Note: If applying for the At-Large position of the Historic Preservation Board, please answer the below questions:
• Have you ever resided in one of the City's Historic Districts for at least one year? Yes Llor No ll
If you answered "Yes," please indicate:
From: To
Address Dates
From: To
Address Dates
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F:\CLER\$ALL\REG\BOARD AND COMMITTEE APPLICATIONS FINAL DRAFTS\BOARD AND COMMITTEE APPLICATION REG FINAL.docx
Updated: June 2020
NOTE: IF APPOINTED, YOU WILL BE REQUIRED TO FOLLOW CERTAIN LAWS THAT APPLY TO CITY
BOARD/COMMITTEE MEMBERS. THESE LAWS INCLUDE, BUT ARE NOT LIMITED TO:
o Prohibition from directly or indirectly lobbying City personnel. (Miami Beach City Code Section 2-459)
o Prohibition from contracting with the City. (Miami-Dade County Code Section 2-11.1)
o Prohibition from lobbying before the Board/Committee you have served on for period of one year after leaving office.
(Miami Beach City Code Section 2-26)
o Requirement to disclose certain financial interests and gifts. (Miami-Dade County Code section 2-11.1)
o Sunshine Law - Florida's Government-in-the-Sunshine Law was enacted in 1967. Today, the Sunshine Law regarding
open government can be found in Chapter 286 of the Florida Statutes. These statutes establish a basic right of access to
most meetings of Boards, Commissions, and other governing bodies of state and local governmental agencies or
authorities.
o Voting conflict - Form 8B is for use by any person serving at the county, city, or other local level of government on an
appointed or elected Board, Council, Commission, Authority, or Committee. It applies equally to members of advisory and
non-advisory bodies who are presented with a voting conflict of interest under Section 112.3143, Florida Statutes.
I HEREBY ATTEST TO THE ACCURACY AND TRUTHFULNESS OF THE APPLICATION; AND I HAVE RECEIVED,
READ AND WILL ABIDE BY CHAP TER 2, ARTICL E VII, OF THE MIAMI BEACH CITY CODE, ENTITLED "STANDARDS
OF CONDUCT FOR CITY OFFICERS, EMPLOYEES AND AGENCY MEMBERS AND ALL OTHER APPLICABLE
COUNTY AND/OR STATE LAWS AND STATUTES ACCORDINGLY."
Name of Applicant (PLEASE PRINT)
Board and Committee Application Checklist: Please ensure you have provided all information before applying or
reapplying to any Board and Committee
[ I have answered all questions fully.
D I have attached additional sheets, if necessary, to provide required information.
liXi. I have attached a current resume, photograph, and a copy of any applicable professional license.
~ I have completed and attached the Board & Committee Financial Acknowledgement Statement.
Ji'1 I have completed and attached the Diversity Statistics Report.
[] Submit complete application package.
Via Email: BC@miamibeachfl.gov
Via U.S. Mail or in Person:
j City of Miami Beach
Office of the City Clerk / Board and Committee Section
1700 Convention Center Drive, 1s Floor
Miami Beach, FL 33139
If you have any questions, please contact the Office of the City Clerk via email: BC@miamibeachfl.gov or telephone:
305.673.7411.
Note: Florida Statutes §119.071: The role of the Office of the City Clerk is to receive and maintain forms filed as public
records. If your home address, telephone numbers, and/or photograph are exempt from disclosure and you do not wish
your home address, telephone numbers, and/or photograph to be made public, please: 1) Use your office or other address
for your mailing address; 2) Use your office or other telephone number for your contact number; and 3) Do not attach a
photograph.
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F:ICLER\$ALL\REG\BOARD AND COMMITTEE APPLICATIONS FINAL DRAFTS\BOARD AND COMMITTEE APPLICATION REG FINAL.docx
Updated: June 2020
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 ACKNOW LEDGEMENT 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)
Last Name First Name
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.
Signal~ Date 7
1 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.
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F:\CLER\$ALL\REG\BOARD AND COMMITTEE APPLICATIONS FINAL DRAFTSIBOARD AND COMMITTEE APPLICATION REG FINAL.docx
Updated: June 2020
M AI BE H
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 331 39
www.miamibeachll.gov
OFFICE OF THE CITY CLERK
Email: BC@miamibeachfl.gov
Telephone: 305.673.7411
DIVERSITY STATISTICS REPORT
Last Name First Name
il
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 Mate
g! rem ale
D Other
D I prefer not to answer.
Race/Ethnic Categories:
What is your race?
lAmrican American/Black
D Asian or Pacific Islander
5d caucasian/white
D Native American/American Indian
D Other - Print Race: _
D I prefer not to answer.
Do you consider yourself to be Spanish, Hispanic, or Latino/a?
J es
No
D I prefer not to answer.
Do you consider yourself Physically Disabled?
Llves
gho
0 I prefer not to answer this question.
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F:ICLER\$ALL\REG\BOARD AND COMMITTEE APPLICATIONS FINAL DRAFTSIBOARD AND COMMITTEE APPLICATION REG FINAL.docx
Updated: June 2020
M a g u i B e n ite z
R esu m e
AMENDMENT
MAGUI BENITEZ'S RESUME
Present address: 757 West Avenue apt. #412. Mi am i Beach. FI. 33139
E-mail; Mbenitez045@gmail.com
Phone: 786.368.4449
PROFESSIONAL EXPERIENCE
"Unidad", Miami Beach Hispanic Community Center, Archdiocese of Miami
Part Time was terminated on October/2008.
* Royal Caribbean International" continous working since Jan. 1999 to
November,2012. when I retired.
Magui Benitez
7705 Abbott Ave. #206 * Miami Beach, FL 33141 305.868.8532 I 786.368.4449
PROFESSIONAL OBJECTIVE
To work in a professional atmosphere where I can use my training and
experience and atta in a hih level of job satisfaction.
SUMMARY OF QUALIFICATION
Registered Cardiovascular Technologist (non -i nvasive)
Certified Cardiographic Technologist.
Certified Phlebotomy Technician .
EECP Clinical Training Certificate.
PROFESSIONAL EXPERIENCE
March 2005 to Present RVD Architect Inc.
Miami Springs, FL 305.884 .8512
Office Manager Asst. answering phone, all office data
entry work, P/R, A/R, A/P, etc.
Jan. 1999 to Present Royal Caribbean International
Pre and Post Guest Operation-Part Time
Computer Check-in passengers, credit card and
Passport verification.
Miami Heart Institute.
Miami Beach, FI 305.672.1111
Nov. 2000 to Feb.2002 Cardiovascular Department- Per Diem
Covering EECP clinic, Heart station and Cardiac rehab.
EECP Treatment/therap y, SUB Coordinator,
monitoring EKG obtain vital signs and perform EKG,
filling, billing and do charges.
Oct. 1997 to Aug.1998 Register II
Patient registration, insurance verification , patient data
entry.
Jun. 1997 to Oct. 1997 Office Manager of Senior Health Center.
Coordination of all activities in the Center, all clerical
duties, billing, charges, etc
Page tw o
Feb. 1989 to Dec. 1991
Jun. 1987 to Feb. 1989
Feb. 1981 to Jul. 1986
EDUCATION
Jan. 1992 to Jan. 1993
Jan. 1959 to Jan. 1962
Graphic Composing
Miami, FL
Junior Accountant-All acco unting duties
Laboratory M edicine
Miami, FL (305)267-1603
Bookk eeper
Responsible for A/R, P/R, bank reconciliation's, etc ..
Dade Steel Sales
Miami, FI (305)591-7558
Office Manager
Cardiovascular, Cardiographic and Phlebotomy Technologist
National School of Techn ology
Hi aleah Cam pus
Elementary Teacher
School of Elementary Teacher
Cuba
SUMMAR Y OF QUAL IFICATI ON
Registered Cardiovascular Techn ologist (non-invasive)
Certified Cardiographic Techn ologist (CCT)
Certified Phlebotomy Techni cian #640508921095
EECP Clinical Training Certificate
PERSONAL
Organi zed, dependable and able to deal effectively with people at all levels.
Bi-lingu al; Fluent written and spok en Spanish.
Excellent health; Enjoys traveling aft er children graduated from college.
RE FE RE NCES AVAIL ABLE UPON RE QUEST