Corey Narson 12.31.25MIAMI BEACH
BOARD AND COMMITTEE CHECKLIST
APPOINTEE: Corey Narson
BOARD/COMMITTEE: Committee on the Homeless
DATE OF APPOINTMENT. 12/5/23 -------
Appointed by: Commissioner Fernandez
FOR SCANNER
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RECEIVED
JAN 10 2024
FOR CLERK STAFF
o Letter of Appointment
o Letter of Reappointment
° PP}"h }%° o AointmenuReaooomtment e-mated
o Board and Committee Application (Completed on __ - _,
o R~sum~/Curriculum Vitae ] ) (\
o Diversity Statistics Reporting (Completed on f \\ b]
o Oath
TERM END: [L[>) h2 7RM LuMrr. pl3 1 [2
to Committee Liaison on
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
CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
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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
Received on:
Scanned on:
o Board and Committees Liaison Responsibilities
O DIVERSITY STATISTICS REPORTING Keep COPY in file and ORIGINAL for Annual Report.
/[3 sac»Xcoro»Naro
! Date Board or Committee Member
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Processed on. By Employee. Be'
Date City Clerk's Office Staff Initials
__ \_\ _\_l_{ _)J __ By Employee:----~-----------
Date City Clerk's Office Staff Initials
CONCLUDED & RESIGNATION 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:\CLER\BOARD AND COMMITTIES DATABASE\CHECKLIST MASTER\B&C Checklist 2015 MASTER.docx
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 I BEACH
City of Miami Beach, 1/00 Convention Can tor Drive, Miam i Boach, Florida 33139 yyy_Iiamibgachll.go
OFFICE OF THE CITY CLERK, Rafaol E. Gran ado, Cy Clerk
Tel: 305.673.7411, Fax: 305.673.7254
Email: CilyClerk@miamibeochfl.gov
December 05, 2023
Dr. Corey Narson
7820 Noremac Avenue
Miami Beach, Florida 33141
SUBJECT; Com mitte e on the Hom eless
Congratulations! You have been reappointed by Commissioner Alex Fern andez 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 Jan uary 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 appoi ntm ent/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.
Congratulations and good luck.
"VT
Rafael Granado
City Clerk
cc: Monica Beltran, Parking Director
Janay Guerrero, City Liaison
ATT ACHMENTS:
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 an d 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 IA M I BEACH
City of Miami Beach, I/00 Convention Conlor Drive, Miami Boach, Florida 33 139 yyyw_miaIibachll.go
OFFICE OF THE CITY CLERK, Rofool E. Granado, City Clerk
Tol: 305.673.7411, Fax: 305.673.7254
Emal: City Clerk@miamibeachll.gov
Oath of Office
Oath of Civility
and
Acknowledgements
TO: Dr. Corey Narson
RE: Committee on the Homeless
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.
_Corey Narson_
Dr. Corey Narson
Sworn to and subs cribed before me this !' day or }0\_,2023
/4---
Keil
*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,Ml
City of Miami Beach
1 700 Convention Center Drive
Miami Beach, Florida 33139
RECEIVED
JAN 10 2024
CITY OF MIAMI BEACH
OFFICE OF THE CITY 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 com pliance w ith the affiliation requirem ent of M iami Beach City Code Sections 2-22 (4),
as ( check ( ✓) all that apply):
D I am a resident of the City of Miami Beach for six months or longer.
Hom e Addre ss: _
[] I have an ow nership interest (for a m inim um of six m onths) in a business established in the
C ity of M iam i Beach (fo r a m inim um of six m onths).
Nam e of B usiness: M iam i Beach Fam ily & Sports C hiro practic Center
B usiness Address: 975 A rt hur G odfr ey Road Suite 102 M B , FL 3314 0
l✓l I am a full-tim e em ployee of a business (fo r a m inim um of six m onths) and I am based in an
office or other location of the business that is physically located in M iam i Beach (fo r a
m inim um of six m onths).
Nam e of Business: M iam i Beach Botanical G arden
B usiness Address: 2000 Convention Center Drive, M iam i B each, FL 3314 1
"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 fo regoing docum ent and that the facts
stated in it are true.
Corey N arson 12/29/23
S ignature
Corey N arson
Date
Printed Nam e
MIAM I BEACH
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 33139
www.miamibeachll.gov
OFFICE OF THE CITY CLERK
Email: BC@miamibeachfl.gov
Telephone: 305.673.7411
DIVERSITY STATISTICS REPORT
Narson Corey
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:
LJ at e
[l Female
D Other
0 I prefer not to answer.
Race/Ethnic Categories:
What is your race?
DI African American/Black
D Asian or Pacific Islander
El Caucasian/white
D Native American/American Indian Loner-- Print Race: _
0 I prefer not to answer.
Do you consider yourself to be Spanish, Hispanic, or Latino/a?
ves
No
D I prefer not to answer.
Do you consider yourself Physically Disabled?
»
z0o
D I prefer not to answer this question.
Page 6 of 6
F:ICLER\$ALLIREG\BOARD AND COMMITTEE APPLICATIONS FINAL DRAFTS\BOARD AND COMMITTEE APPLICATION REG FINAL.docx
Updated: June 2020
MIAM I BEACH
City of Miami Beach
l 700 Convention Center Drive
Miami Beach, Florida 33139
www.miamibeachtl,gov
OFFICE OF THE CITY CLERK
Email: BC@miamibeachfl.gov
Telephone: 305.673.7411
Narson
BOARD & COMMITTEE ACKNOWLEDGEMENT STATEMENTS
Corey
Last Name First Name Middle Initial
Acknowledgment 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)
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.
Acknowledgment to Comply with Miami Beach Code of Ordinances 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 resignation from the City agency, board, or committee
Corey Narson 12/29/23
Signature Date
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.
Page 6 of6
F :IC L E R \$A L LIB O A R D A N D C O M M ITT E E S D A T A B A S E \B o a rd and C o m m itt ee A p plicatio n\B O A R D A N D C O M M ITT E E A P P LI C A T IO N 0 C T 20 23.d 0 cx
Updated: January 9, 2023
MIAMl·DAD E' Em7 SOURCE OF INCOME STATEMENT
Section 2-11.1(@) of the County Ethics Code requires that certain employees and public officials file a financial disclosure Statement on a yearly basis by July 1st
of every year.
Disclosure for Tax Year Ending I Last Name First Name Middle Name/Initial
2023 Narson Corey
Mailing Address - Street Number, Street Name, or P.O. Box
7901 Hispanola Ave Apt 602
City, State, Zip
North Bay Village, FL 33141
If your home address is your mailing address, and your home address is exempt from public records pursuant to Fla. Stat. $119.07, read
instructions on the following page and check here. D
Filing as an Employee (check one)
[] county □Public Health Trust [] Municipal:
(Municipality)
Department
Position or Title Employee ID Number
Work address I Work telephone Employment began on/ended on
Filing as a Board Member (check one)
[] county [] Municipal: MB Botanical Garden
(Municipality)
Board where serving
Miami Beach
Alternate address (if home address is exempt) I Work telephone I Term began on/ended on
2000 Convention Center Drive MB, FL 33139 (305) 673-7256
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 of 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
Miami Beach Botanical Garden 2000 Convention Center Drive Events and Programming
MB, FL 33139 Assistant
I hereby swear (or affirm) that the information above is a true and correct statement. RECEIVED BY ELECTIONS DEPARTMENT:
J Har@cofECEIVED
[] Electronic Copy
? [qSI l
Signature of Person Disclosing J/ {) 2)74
1 2/29/23
Date signed
CITY OF MIAMI BEACH
OFFICE O E T;+F CITY CLERK
OFFICE USE ONLY Accepted: Y / N Deficiency: Processed Date/initials: Scanned Date/initials:
138_SP-14 COE 2016
±\9£4.±17 ±%22. I
1755 Meridian Avenue, Suite 200/Miami Beach, FL 33139 /Ph: (305) 673-7505 or (305) 673-7000 ext. 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 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.
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:
Applicant Name: Corey Narson
Board/Committee Name: Committee on the Homeless
Address: 7901 Hispanola Ave Apt 602 North Bay Village, FL 33141
E-Mail Address ladybeachdoc@yahoo.com
Work Phone: 305 673-7256 Home Phone
Cell Phone: 305 984-5360 Preferred Contact Method:
Vehicle Information
Tag: WV30X Color: Grey
State: Florida Year: 2023
Make: Kia Model: Sportage
Applicant st. Corey Narson ianature:
Please provide signed form to the Parking Department 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
P, ·kd D rt ar mna epa men ec 'ion
PERMIT SYSTEM GARAGE ACCESS
Expiration Date: ID Card Serial #:
Issued By Print Name: Print Name:
Signature: 6 Signature:
Date Issued: Date Completed:
t S·ti
Mena Caceres, Keila
From:
Sent:
To:
Cc:
Subject:
Attachments:
Follow Up Flag:
Flag Status:
Corey Narson <Corey@mbgarden.org>
Friday, December 29, 2023 12:33 PM
Mena Caceres, Keila
Guerrero, Janay
Committee on the Homeless
B&C Appointee Package Fillable.pdf; Corey Narson.pdf
Follow up
Completed
I Some people who received this message don't often get email from corey@mbgarden.org. Learn why this is important I . , . .
{ THIS MESSAGE COMES FRON AR EXTERNAL EMAIL - USE CAUTION W/HEN REPLYING ND OPENING LARS OR
ATTACHMENTS ]
Good afternoon and Happy Holidays!
Please see the attached documents for appointment for the Committee on the Homeless.
I filled it in online, please let me know if all is correct and received.
Our Best,
Corey Narson
Maurice Jackson
The Events Team
T.(305)673-7256 x2030
Maurice's cell. 305 804-5325
MIAMI BEACH
BOTAN ICAL
GARDEN
Miami Beach Botanical Garden
2000 Convention Center Drive
Miami Beach, FL 33139
1