Carmen Datorre 12.31.25MIAMIBE
Scan o
BOARD AND COMMITTEE CHECKLIST
APPOINTEE: (@Ou [)tort DATE OF APPOINTMENT:. L_[10]23
o ARD coM MrTEE: Alis gm _Aff,Lt_ Appoi nted by. (Ima hi0r2_, By@fh
FOR SCANNER FOR CLERK STAFF [)) ])]
Scan o o Letter of Appointment TERM END: p,j3 TERM LIMIT: (2j} 'o
Scan o o Letter of Reappointment j 1
o Copy of Letter of Appointment/Reappointment e-mailed to Committee Liaison on [2 l 23
Scan o o Board and Committee Application (Completed on - )
o R~sum~/Curriculum Vitae ] ]
o Diversity Statistics Reporting (Completed on \2120 [)3)
o Oath Scan o
RECEIVED
0Etc 28 2023
CITY OF MIAMI 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, 2-26, 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 Statement
o Board and Committees Liaison Responsibilities
/ o Diversity Statistics Reporting
~ ~ acknowledge that pursuant to Sec. 2-22(9) of the Miami Beach Code of Ordinances, I will be removed
from my board/committee upon failure to attend 33% of the regularly scheduled meetings.
Sec. 2-229) If any member of an agency, board or committee fails to attend 33 percent of the regularly scheduled
meetings per calendar year, such member shall be automatically removed. To calculate the number of absences
under the 33 percent formula, .4 or less rounds down to the next whole number and .5 or more rounds up to the
next whole number.
ommittee Member
By Employee:-------~-' _
Scanned on:
es.. 1</a/23 r Processeao. [u )
Date City Clerk's Office Staff Initials
'Ith( rare f/"]
City Clerk's Office Staff Initials
Signed by X-+__,.~--,t------------,,L,-------
Date
M IA M I BEACH
City of Miami Beach, 1/O0 Convonlion Contor Drivo, Miami Boach, Florida 33 139 yNyw_miaIibeach[l.go
OFFICE OF THE CITY CLERK, Rafaol E. Granado, City Clerk
Tl: 305.673.7411, Fax: 305.673.7254
Email: CityClerk@miamibeachfl.gov
December 13, 2023
Ms. Carmen Datorre
5841 Lagorce Drive
Miami Beach, Florida 33140
SUBJECT: Hispanic Affairs Committee
Congratulations! You have been reappointed by Commissioner Tanya Bhatt to the above referenced,
board or committee named above, for a term ending: 12/31/2025.
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.
Congratulalio7 and good luck Regn)
Rafael Granado
City Clerk
cc: Monica Beltran, Parking Director
Leonor Hernandez, 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
City of Miami Beach, 1ZOO Convention Conler Drive, Miami Boch, Florida 33 139 yxyy_IigImibgachf]_go
OFFICE OF THE CITY CLERK, Rofaol E. Granado, City Clerk
Tel: 305.673.7411, Fax. 305.673.7254
Email: Ci#yClerk@miamibeachfl.gov
Oath of Office
Oath of Civility
and
Acknowledgements
TO: Ms. Carmen Datorre
RE: Hispanic Affairs 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: 12/31/2025.
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 th closing
of the calendar year on which I have served.
swom to and subscribed tetore me u_la2_,a23
• 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.
' BEA CH
RECEIVED
0EC 28 2023
CITY OF MIAMI BEACH
OFFICE OF ,A CITY CLERK
3»
£# £ # ft tr&4«
Ema» &@earnitea.ht.gas
'elrts 30$ 673 7411
AFFIDAVIT OF AFFIL IATION WITH THE CITY OF MIAM I BEACH
l am n compliance with the affiliation requirement of Miami Beach City Code Sections 222 (4),
heck () all that apply)
am a ros!dant of tho City o; M7:1 8oact1 tor 11,x rnonltls or lonM
_yo.as.... 61 qt-f0de rt/o
{[/] 1nave an ownership interest (for ~ minimum ot six months) in a business established in tno •• 2 %2%,, _y 57HZ6ju. Do.«o 13o
[\/{ 1am a full-time employee of a business (for a minimum of six months) and 1 am based in an
office or other location of the business that is physically located in Miam i Be ach (tot a
±zit%ho»
Ownerstup Interest" means the ownership of ten percont (10%) or more (mnchrhng the
owners/up of 10% or more ot the outstanding capital stock) in a business.
Business" means any solo proprietorship, sponsorship, corporation, muted habity company.
or other entity or business association.
City of Miami Beach
!/) .nventn C ert s Dis
M a m » Beth Flored o 3'3139
www.ramibegh! gov
OFF«CE OF THE CITY C(ER«
Em a t: 8.@mtam«beach go
Helepho 30$ 23 74}1
DI VE R SITY ST ATI STI C S RE P OR I
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
r·---·-
i Gender:
2.. es
Ll r et e r not to answer.
Race/Ethnic Categories:.
What is your race?
[]Atncan American/Black
[J Asian or Pacific Islander
±Caucasian/Wmute
[N ative Am erican/Am erican Indian
[}other - Print Race
DIpreter not to ans wer
Do yo,consider yourself to be Spanish, Hispanic, or Latino/a?
f.
Jo
Dlreter not to answor
Do you consider yourselt Physically Disabled?
dz o profor nol lO answer this qu_c_s_uo_n_. ~--
Pago 6 of6
F Ci±SA{HE.G6 4RD AN GAMM» TE£ A A '«HS AL {#MF TS HFD ANO CCMA8 T E ACATA REG + ai tr
Updated June 2020
A !' BEACH
City of Miami Beach
17) Corerton C ent Drive
M om Res h For ds 33139
ww aiam ibe achhl.gov
OFFICE OF THE CITY CLERK
foal. BGQgmnuam u@be a&hf. gay
Telephcne. 305 673 741
Dade • "i s "9#27222), s o
Last Name First Name Mid dle Initial
Acknowledgmont 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)
l understand that no later than July_1,o!each year all members of Boards and Committees of the C ity of M iami
Beach, including those ot a purely advisory nature, are required to comply with Miami-Dade County Financial
Disclosure Requirem ents
Ong of the following forms must be tiled wth the City Clerk ot Miami Beach, 1700 Convention Center Drive.
Miam i Beach, Florida, no later than 12.00 noon o! July 1, of each year
Source of Income Statement, or
2 A Statomont of Financial interests (Form 1)'," or
3. A Copy of your la te st Fe d er al In co m e Tax Retum
Failure to file one of these forms. pur su an t to the Miami-Dade County Code, may subject the person to a fine
of no more than $500. 60 days in jail, or both
Acknowledgment to Comply with Miami Beach Code of Ordinances Division 1 Sec. 2-22 (23)
t understand that co m m e n ci ng with terms beginning on or after January 1, 2024, and as a condition ot applying
tor appointment to a Cty agency, board, or committee, I voluntarily agree that in the event t file with the City Clerk, \Statement of Candidate formally announcing candidacy tor City elective office, such filing with the City
Cley sllall be deemed a tendgr of resignation from th e City agency, board, or committee
13/2/23
Date
Members of the Planning Board and Board of Adjustment will be notified directly by the State of Florida.
pur s u a n t to F S . $11 2 3 14 5 (1 )(a ). to file a St a tem ent ot Financial Interests (For m 1) wi th 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 wit h tho County Supervisor of Elections autom atica lly satisfy the County's financial disclosure
requirement as a Miami each City Board/Committee member and need not file an addition al form wth the Office
of the City Clerk However, complian ce with the County disclosure requirement does not satisfy the State
requirement.
Page 6 of6
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Updated January 9, 2023
Clear From Print Form
SOURCE OF INCOME STATEMENT
eta 2.Ht ti at the snty th»cs Code reqses th! erain rnphyees ant bl u!f«ls hit a !racial d¢closure Steven! en a ptly Dasi by duly H!
of eetj eat
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instructions on the toliowng page and check here.L]
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prpnr ty d:Mags terest tents do'ends, persons #A destribts and sca' s@unity payments so. irtode any soorte ? rme rec.treed by arttgy
person to rout bentt Moweset the income o! yr $p0st a bus@ne$s parter red not t dry.ked Mt continued on a separate sheet, check here[ ]
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Hard€copy
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DEC 8 2023
CITY OF MIAMI BEACH
FFI CE OF THIE-
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1 4 1 A MA/BEACH CITE (cw oA& 4 co»Metes G o,+-o. ass6 sic+so PARKING APPLICATION FE!fleg
755 Mesa Are, Su 2/Ms Bes. F 33139/P9 131$8 73.750$ 0 (30$} 6737000 e+ 620) PA4$KIN
A citywide (CW} parking permit is honored at metered parking spaces and restricted residential zones
pa rking spaces. A C W parking permit IS NOT honored in prohibited areas. An Access Card will be
provided to you for CiNy Holl Garage (G7) access
IM PO RTAN T N O TE: Your veh icle license plate serves as your "par king permit". In or der to avoid
any unnecessary enforcement actions, it is important that our records rellect the most current and
accurate inform a tion regarding yo ur vehicle license pl at e. Inac curat e and/or outdated vehicle
information may lead to the issuance oh parking citation(s} and/or the towing ot your vehicle
Please note that this new access card CAN NOT be hole punched or pet(orated in any manner To use
the new card please hold the card at clo se proximity to the reader until the gate opens. You may need
to try the other side of the ca rd . Please ensure you hold the entire surtace ot the card against the reader
until the gate opens.
A CK N O W LEDG EM EN T: I acknow ledge that should my access card be lost, stolen or
damage, I will be responsible to pay a $10.00 replacement fee.
£Mel Addre" ocl ( 2oo 2) lG · e-
W ork Phon e." ]H om e Ph one
1CG »i 76 252625 [6on·a criss ins
I Applicon l S,gnoMe. Ar ·------------·-- ·-·-·-·---------~~
l Please provide signed torm to the Parking Department located t 1755 Meridian Avenue, 2 Hoot W orking {
!hours ore 8:30to 5.00 p.m. or email to ParkingR eoption@m iomibeochfl.gov ]
[ email subject: OARD 8& COMMITTEE PARKING APPLICATION - APPLICANT NAME
Pa rking Department Se ction
PERM41 SYSTEM
Expirahvon Date [a sy riv ii6 t." -•· ..... ,. ... ,,
Signature 4 [sin