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Jonathan Fryd 12.31.25M IA M I BEA CH BOARD AND COMMITTEE CHECKLIST APPOINTEE. Jonathan try d DATE OF APPOINTMENT: «/a / ta7a BOARD/COMMITTEE: parks and recreation Appointed by: U>'Vn 1Y1 1cSS1~crui 2.-- FOR SCANNER Scan o Scan o FOR CLERK STAFF Scan o Scan o Scan o o Letter of Appointment o Letter of Reappointment o Copy of retter of Appointment/Reappointment e-mailed £L0 123 o Board and Committee Application (Completed on. o R~sum~/Curriculum Vitae },h 2 o Diversity statistics Reporting (Completed on J] lQl o Oath rER No: j2/31hf rrw tu rr:_2/21/2 to Committee Liaison on RECEIVED EC 2 8 2023 CITY OF MIAMI BEACH OF FI 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 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 0 DIVERSITY STATISTICS REPORTING Keep COPY In file a d ORIGINAL for Annual Report. Received on . 12/28/2023 Signed By % ppzd Scanned on: Date Board or C ber Processed on: _l_/_q_~) _]).J--'--- By Employee:-----'--"--'--------------- Date City Clerk's Office Staff Initials l/I]l eyers fl Date City Clerk's Office Staff Initials CONCLUDED & RESIG NATION 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:ICLER\BOARD AND COMMITTIES DATABASE\CHECKLIST MASTERIB&C Checklist 2015 MASTER.docx We are committed to providing excellent public service and safety to all who live, work, ond ploy in our vibrant, topical, historic communiy M IA M I BEACH City of Miami Beach, 1/0O Convention Conler Drivo, Miami Boach, Florida 33 139 yyyy_miaIibcachll gov OF F IC E OF THE CITY CLERK, Rafool E. Gran ado, City Clerk Tel: 305.673.7411, Fox: 305.673.7254 Email: CiyClerk@miamibeachfl.gov N o vem b e r 29, 20 23 M r. Jo natha n F ry d 17 0 8 W . 25th Stree t M ia m i Beach, Flo rida 3314 0 SUBJECT; Park s an d Recreati on al Faciliti es Board C o ngratulations! Y o u have bee n rea p po inted by Commissioner Laura Dominguez to the above referenced, bo ard or com m itt ee nam ed above, fo r a term ending: 12/31/2025. Pu rsu a nt to C ity of M iam i Beach C ode S ection 2-22 (5) a, "Notw ithstanding any other pro vision of the C ity C ode or of any resolution, com m encing w ith term s beginning on or after Jan uary 1, 2007, th e term of eve ry bo a rd m e m ber w ho is directly appointed by a m em ber of the City C om m ission shall autom atically ex p ire upon the latter of: D ecem ber 31 of the year the appointing City C om m issioner leaves offi ce or up o n the ap p oi ntm en t/el ection of the successor C ity C om m ission m em ber." If yo u are un ab le to accept this appo intm ent, or have any questions, please call the Offi ce of the City C le rk at 305 .6 73 .7 411. Please read the encl osed m aterials carefully. C ong ratulations and good luck. R e~ ... C ity C le rk cc: M onica Beltran , Parking Di rector V ia nca Peron -S el lan , Ci ty Li aison ATT ACHMENTS: Letter of A ppo intm ent O ath C ity C o de/O rdinance section applicable to agency, board or com m ittee C ity C od e Se ction 2-22, 2-23, 2-24, 2-25, 2-26, 2-458 and 2-459 O rdinance N o . 20 06-3543 -A m endm ent to C ity C ode Section 2-22 M ia m i-D ade C o unty C ode S ection 2-11.1- C on flic t of Interest and C ode of Ethics O rdinance C ity W ide Pe rm it Ap plic ation - (P arking D epart m ent Form ) Book l e t - G uid e to the S unshine A m endm ent and C ode of Ethics fo r Public O ffi cers and Em ployees MIAAIBEACH City of Miami Beach, I/OO Convention Center Drive, Miami Beach, Florida 33 139 yyw.milamlbeachll.gov OF FIC E OF THE CI TY CL ER K , Rolool E. Gr an ado, Cly Clark Tel: 305.673.7411, Fox: 305.673.7254 Emall: CiyCl erk @mi amib each fl.gov Oath of Office Oath of Civility and Acknowledgements TO : M r. Jon ath an Fry d RE: Parks and Recreational Facilities Board I do solem nly sw ear or affirm to bear true faith, loyalty and allegiance to the Government of the United States, the State of Florida, and the City of M iam i Beach, and to perform all the duties of a member of the above-m entioned board or com m ittee 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 O rdina nce), as well as Florida Commission on Ethics Guide to the Sunshine Amendment and Code of Ethics for Public O fficers and understand that as a m em ber of a City of M iam i Beach Board and/or Com m ittee, I m ust com ply w ith the finan ci al disclosure requirem en ts of M iam i-Dade County or the State of Florida (depending on the board or com m ittee on which I serv e) on Jul y 1st, follo wi ng the closing of the calendar year on which I have serv ed. .kl Sworn to and subscribed before me this !r}__ day of Jin 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 IAM I B E A C H City of Miami Beach 1700 Convention Center Drive Miami Beach, Florida 33 139 RECEIVED DE 28 7323 CITY OF MIAMI BEACH OFFICE OF THIE C ITY CLERK OFFICE OF THE CITY CLERK Email: BC@miamibeachfl.gov Telephone: 305.673.7411 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): L66. resident of the City of Miami Beach for six months or longer. - Home Address:.. 0o& 26 T [:Ji 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). Name of Business:_ t4/) a{0AG LU ' Bu siness Address:_ 6'_+-k t) a}6 G2r' 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: __ ____,~_J~-11-"'---""---~-A-~_A_,-=-~--4-+---------- susme ss Aaress: 6"1 voe«+ A86 "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 it are~ ,,.__; "-1, Ji,,,_ Signature Date I ( A ow4ao Printed Name MI/AMA, BEACH City of Miami Beach 1700 Convention Center Drive Miami Beach, Florida 33139 www.miamibeach[.gov OFFICE OF THE CITY CLERK Email: BC@miamibeachfl.gov Telephone: 305.673.7411 DIVERSITY STATISTICS REP ORI 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. G ender: [3tao D Female l oner 0 I prefer not to answer. R ace/Eth nic C ategories: W hat is your race? D African American/Black Ll Asian or Pacific Islander D Caucasian/White D Native American/American Indian l[Other - Print Race. L 1 prefer not to answer. Do you co nsider yourself to be S panish, Hispanic, or Latino/a? Ives Lo Lid1prefer not to answer. Do yo u co nsider yourself P hysically D isabled? aves 8'Nirefer not to answer this question. Page 6 of 6 F:ICLER\$ALLIREGIBOARD AND COMMITTEE APPLICATIONS FINAL DRAFTSIBOARD AND COMMITTEE APPLICATION REG FINAL.docx Updated: June 2020 M IA M I B E A C H 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 Last Name B O AR D & CO M M ITTEE ACKNO W LEDGEMENT STATEMENTS Ko I l..0 First Name Middle Initial A cknow ledgm ent of fines/suspension for Board/Com m ittee M em bers for failure to com ply with Miam i- D ade C ounty Financial Di sclosure Code Provision Code Section 2-11.1(i) (2) 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. O ne of the following forms m ust 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. A cknow ledgm ent to Com ply w ith M iam i Beach Code of O rdinances Division 1 Sec. 2-22 (23) I understand that commencing with terms beginning on or after January 1, 2024, and as a condition of applying for appointment to a City agency, board, or committee, I voluntarily agree that in the event I file with the City Clerk a Statement of Candidate formally announcing candidacy for City elective office, such filing with the City Clerk shall be deemed a ~tender of resi nation from the City agency, board, or committee " a/u/a Signature en / "7 ' Members of the Planning Board and Board of Adjustment will be notified directly by the State of Florida, pursuant to F.S. $112.3145(1)(a), to file a Statement of Financial Interests (Form 1) with the Miami-Dade County Supervisor of Elections by 12:00 noon, July 1. Planning Board and Board of Adjustment members who file their Form 1 with the County Supervisor of Elections automatically satisfy the County's financial disclosure requirement as a Miami Beach City Board/Committee member and need not file an additional form with the Office of the City Clerk. However, compliance with the County disclosure requirement does not satisfy the State requirement. Page 6 of 6 F:ICLERl$ALLIBOARD AND COMMITTEES DATABASE\Board and Committee Application\BOARD AND COMMITTEE APPLICATION OCT 2023.docx Updated: January 9, 2023 MIA//BEACH CTwDE cw oARD & co»wets -, City of Miami Beach, PARKING DEPAR TMENT PARKING APPLICA TIQN - 1755 Moridion Avenue, Suite 200/Miami Beach, FL 33139/Ph: (305) 673-7505 or (305) 673-7000 et. 6200 PAR fG A cityw ide (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. ACKNOWL EDG EMENT: I acknowledge that should my access card be lost, stolen or damage, I will be respo nsible to pay a $10.00 replacement fee. Board Member Information Date of Application: 12/28/2023 Applicant Name: jonathan fryd Board/Committee Name: parks and recreation Address: 523Michigan ave E-Moil Address pb@jon.fryd.com Work Phone: 3056732948 Home Phone 3056732948 Cell Phone: Preferred Contact Method: Vehicle Information Tag: ISG DO1 Color: Black State: FL Year: 2021 Make: Porsche Model: Macan Applicant Sianature: 6 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@mniamibeachfl.gov e-mail subject: BOARD 8& COMMITTEE PARKING APPLICATION -- APPLICANT NAME Par! ina Department Section PERMIT SYSTEM GARAGE ACCESS Expiration Date: ID Card Serial #: Issued By Print Nome: Print Name: Signature: 6 Signature: 6 Date Issued: Date Completed: ki