Loading...
Prakash Kumar 12.31.24MIAMI BEACH BOARD AND COMMITTEE CHECKLIST APPOI NTEE :, .._('fQys'\ (-0 DATE OF APPOI NTMENT: BOARDCOMMITTEE: _(Qhuuhn (u k &c/ Appointed by: rrc FOR SCANNER Scan o Scan o Scan o Scan o Scan o RECEIVED IAN 12 2024 FOR CLERK STAFF o Letter of Appointment o Letter of Reappointment o Copy of Letter of Appointment/Reappointment e-mailed to Committee Liaison on o Board and Committee Application (Completed on ) o Resume/Curriculum Vitae [{) o Diversity Statistics Reporting (Completed on [_ [L )y ) o Oath TERM END: 1(3th} TERM LIMIT: _p[/4 /n/4 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 om or MAM0Eg! OFFICE OF THE CITY GI- 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 [J I 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. 2-22(9) 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. Received on: Signed by X • Date Board or Committee Member Processed on: u]I]24 By Employee: K1 Date City Clerk's Office Staff Initials Scanned on: th[e]4 By Employee: /A Date City Clerk's Office Staff Initials We are committed to providing excellent public service and salely to all who live, work, and play in our vibrant, tropical, historic community. MIAMI BEACH City of Miami Beach, 1/OO Convention Canter Drive, Miami Boach, Florida 33 139 yywwy_IiaIibeachll.gov OFFICE OF THE CITY CIERK, Rafaol E. Granado, City Clerk Tl: 305.673.7411, Fox: 305.673.7254 Email: CiyCl erk@mi amibeach fl.gov January 11, 2024 Mr. Prakash Kumar 533 Collins Avenue, Apt 1204 Miami Beach, Florida 33139 SUBJECT; Convention Center Advisory Board Congratulations! You have been reappointed by Commissioner Tanya Bhatt to the above referenced, board or committee named above, for a term ending: 12/31/2024. 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. Congratulations and good luck. Regard:161 Rafa2ranado City Clerk cc: Monica Beltran, Parking Director Heather Shaw, 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 IA M I BEACH City o f M ia m i B e a ch , I/00 Convention Conlor Drive, Miam i Boach, Florida 33 139 ywyww_miamibgachllgo OFFICE OF THE CITY CLERK, Rafool E. Granado, City Clerk Tol: 305.673.7411, Fax: 305.673.7254 Emal: Ci#yClerk@miamiboochfl.gov Oath of Office Oath of Civility and Acknowledgements T O : M r. Prakash K um ar R E: C o nvention C e nter A dvisory Board I do so le m n ly sw ear or affirm to bear true faith, loyalty and allegiance to the Govern m ent of the U nited States, the State of Florida, and the C ity of M iam i Beach, and to perf orm all the duties of a m em ber of the abo ve-m entioned board or com m ittee of the C ity of M iam i Beach to w hich I have been appointed fo r a term ending: 12/31/2024. T o m y collea gu e s and to all of those I represent and serve, I pledge fairn ess, integrity and civility, In all actio ns taken and all com m unications m ade by m e as a public serv ant. I ha ve be en issued a copy of section 2-11.1 of the M iam i-D ade C ounty C ode (C onflict of Interest and C o de of Ethics O rdinance), as w ell as Florida C om m ission on Ethics G uide to the Sunshine Am endm ent and C ode of Ethics fo r Public O ff icers and understand that as a m em ber of a C ity of M iam i Beach Board and/or C o m m itt ee , I m ust com ply w ith the finan cial discl osure requirem en ts of M iam i-Dade C ounty or the State of F lo rida (d e pending on the board or com m ittee on w hich I serve) on July 1st, fo llow ing the closing of the cale nda r yea r on w hich I have serv ed. Sw orn to and subscribed befo re m e this f "2 Keil *P le a se visit the C ity of M iam i Beach w ebsite at w w w .m iam ibeachfl.gov under City Clerk/Board and C o m m itt ees fo r ad ditional info rm ation regarding the Financial D iscl osure Requirem ents. M IA M I BEACH City of Miami Beach 1 700 Convention Center Drive Miami Beach, Florida 33139 RECEIVED JAN 12 2024 CITY nF :V-J~\\/11 BEACH - rVCLERK OFFICE OFFICE OF THE CITY CLERK Email: BC@miamibeachfl.gov Telephone: 305.673 .7 411 AFFIDAVIT OF AFFILIATION WITH THE CITY OF MIAMI BEACH I am in com pliance with the affiliation requirem ent of Miam i Beach City Code Sections 2-22 (4), as (check(✓) all that apply): ~m a resident of the City of Miam i Beach for six months or longer. Hom e Addre ss,3 3 Collins aven ue ( 1204),M .Beach , FI- 33139 D I have an ow nership interest (fo r a minim um of six months) in a business established in the City of Miam i Beach (for a minim um of six months). []ar e (f [[g[hes8S, Business Address: ------------------------- □I am a full-tim e em ployee of a business (for a minim um of six months) and I am based in an office or other location of the business that is physically located in Miam i Beach (for a minim um of six months). [ar e f [3JS//eSS, Business Address: ------------------------- "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 docum ent and that the facts A- U-". ovos Signature Date Prakash kum ar Printed Nam e M IA M I B EA CH City of Miami Beach 17 0 0 C on venti on Cent er D rive Miami Beach, Florida 33139 www.mi am i be ach fl.gov OFFICE OF THE CITY CLERK Email: BC@miamibeachfl.gov Tel epho ne: 305.673.7411 DIVERSITY STATISTICS REPORI Prakash s 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: 1l Mae D Female Doner D I prefer not to answer. Race/Ethnic Categories: What is your race? L) African American/Black 2S,Asian or Pacific Islander 0 Caucasian/White 0 Native American/American Indian 0 Other- Print Race: _ D I prefer not to answer. Do you consider yourself to be Spanish, Hispanic, or Latino/a? ves No El prefer not to answer. Do you consider yourself Physically Disabled? ves zh t prefer not to answer this question. Page 6 of 6 F:\C LER\$ALL\REG \BO ARD AND CO M M ITT EE APPLICATIO NS FINAL DRAFTS\BOARD AND COMMITT EE APPLICATION REG FINAL.docx Updated: June 2020 M IA M I B EA CH City of Miami Beach 1700 Convention Center Drive Miami Beach, Florido 33139 ww w.miamibeachfl.gov OFFICE OF THE CITY CLERK Email: BC@miamibeachfl.gov Telephone: 305.673.7411 Kumar BOARD & COMMITTEE ACKNOWLEDGEMENT STATEMENTS Prakash s 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) l 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 sea0- 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 of 6 F:IC LE 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 oard and C om m ittee Applica tion\BO A R D AN D C O M M ITT E E AP PLI C A TIO N O C T 2023.docx Updated: January 9, 2023 M IA M l·DAD E- EMEI Clear From Print Form SOURCE OF INCOME STATEMENT Section 2-11.1(i) 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 'Last Name First Name Middle Name/Initial 2023 Mailing Address - Street Number, Street Name, or P.O. Box City, State, Zip 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) 1] county ES Municipal: W1uni e- (Municipality) Board where serving CCAC Alternate address (if home address is exempt) I Work telephone I Term began on/ended on 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 SSI only Me I hereby swear (or affirm) that the information above is a true and correct statement. Signature of Person Disclosing Date Signed T ECED sY ELECTIONS DEPARTMFNT J aracoy RECEIVE D Electronic Copy ii 12 2024 CITY OF MIAMI BEACH OFFICE OF TE CITY CLERK REMEMBER TO PRINT, SIGN, AND SUBMIT TO THE OFFICE OF THE CITY CLERK VIA EMAIL OR HARDCOPY.