Brigitte Andrade 12.31.25MIAMI BEACH
BOARD AND COMMITTEE CHECKLIST
APPOINTEE: Brigitte Andrade DATE OF APPOINTMENT: JIRA/f
BOARD/COMMIT TEE. Black Affairs Advisory Comm''$ Appointed by: Alex Fernandez
FOR SCANNER
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RECE IVED
JAN 22 2024
FOR CLERK STAFF / I
o Letter of Appointment TERM END: 12/31/2025. TERM LIMIT. fl3//
o Letter of Reappointment [
o Copy of Letter of Appointment/Reappointment e-mailed to Committee Liaison on I I ::J- [vf
o Board and Committee Application (Completed on'
o Resume/Curriculum Vitae [ [
o Diversity Statistics Reporting (Completed on 0] @7 )f3
o Oath
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 MIAM I BEACH
OFFICE OF THE CITY CLERK
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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
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:
Scanned on:
an 1%".?0?¢ soneas, XBrite Andrade
Date Board or Committee Member
roses.sea on: Ilwlzl remotores )
Date City Clerk's Office Staff Initials
__ l_/_i_i_/_i._t.f- __ By Employee: (_A/) _
Date City Clerk's Office Staff Initials
We are committed to providing excellent public service and saley to all who live, work, and play in our vibran t, tropical, historic community.
MIAMI BEACH
City of Miami Beach, 1/00 Convention Cantor Drive, Miami Boa ch, Horida 33139 yayyy._Iiamnibgachll,go
OFFICE OF THE CITY CIERK, Rafol E. Granado, Cy Clerk
Tel: 305.673.7411, Fax. 305.673.7254
Email: CiNyClerk@miamibeachfl.gov
January 16, 2024
Ms. Brigitte "Bibi" Andrade
7133 Bay Drive
Miami Beach, FL 33141
SUBJECT: Black Affairs Advisory Com mitte e
Congratulations! You have been reappointed by Commissioner Alex Fernandez 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 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.
,I ..%.
City Clerk
cc: Monica Beltran, Parking Director
Lissette Arrogante, 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 and 2-459
Ordinance No. 2006-3543 - Am endm ent to City Code Section 2-22
Miami-Dade County Code Section 2-11.1 - Conflict of Interest and Code of Ethics Ordinance
City W ide 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 M iam i Beach, I/OO Convention Contort Drive, Miami Boa ch, Flor id a 33139 yyywy._miaIiboa chll_go
OFFICE OF THE CITY CLERK, Raf0ol E. Gran ado, City Clerk
Tel: 305.673.7411, Fax. 305.673.7254
Ema l: CiyClerk@miamibeachll.gov
Oath of Office
Oath of Civility
and
Acknowledgements
T O : M s. Brigitt e "B ibi" A ndrade
R E : Black A ff airs A dvisory C om m itt ee
I do so le m n ly sw ea r or affi rm 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 perform all the duties of a m em ber of the
above -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: 12/31/2025.
T o m y co llea g ue s and to all of those I represent and serve, I pledge fairn ess, integrity and civility, in all
actions taken and all com m unications m ade by m e as a public serv ant.
I ha ve be e n 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 ode of Ethics O rdinance), as w ell as Florida C om m ission on Ethics Guide to the Sunshine Am endm ent
and C o de of Ethics for Public O ffi cers 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 financial disclosure requirem en ts of M iam i-Dade C ounty or the
State of Flo rida (de pending on the board or com m ittee on w hich I serve) on July 1st, fo llow ing the closing
of the cale ndar yea r on w hich I have serv ed.
M s. Brigitte "B ibi" Andrade
Sw orn to an d subscribe d befor e m e thi s 'l _day of 44,4, 2024
pl e a se vi sit the C ity of M ia m 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 additional inform ation regarding the Financi al Di scl osure Requirem ents.
MIAM I BEACH
City of Miami Beach
1 700 Convention Center Drive
Miami Beach, Florida 33139
RECEIVED
JAN 22204
p,MI BEACH cm or Mp2Cini
OFFICE OF THE
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):
/{1am a resident of the City of Miami Beach for six months or longer.
Home Address: 7133 Bay Drive Miami Beach, FL 33141
/[I 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: Bibi Art Media Inc.
Business Address: 7133 Bay Drive Miami Beach, FL 33141
D 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: _
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 document and that the facts
stated in it are true.
snioitte Andrade "..a.a
Signature
Brigitte Andrade
January 18th, 2024
Date
Printed Name
M IA M I BEA CH
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
DIVERSITY STATISTICS REP ORI
Andrade Brigitte V
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 M ae
[l remate
D Other
D I prefer not to answer.
Race/Ethnic Categories:
What is your race?
[] African American/Black
D Asian or Pacific Islander
0 Caucasian/White
J ave American/American Indian D Other- Print Race: _
D I prefer not to answer.
Do you consider yourself to be Spanish, Hispanic, or Latino/a?
Tves
Ho
D I prefer not to answer.
Do you consider yourself Physically Disabled?
aves
zl o
D I prefer not to answer this question.
Page 6 of 6
F:ICLER\$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 BEACH
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 33139
www.miamibeach[l.gov
OFFICE OF THE CITY CLERK
Email: BC@miamibeachfl.gov
Telephone: 305.673.7 411
Andrade
BOARD & COMMITTEE ACKNOWLEDGEMENT STATEMENTS
Brigitte V
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
January 18, 2024
Signature Date
' 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:\CLER\$ALL\BOARD AND COMMITTEES DATABASE\Board and Committee Application\BOARD AND COMMITTEE APPLICATION OCT 2023.docx
Updated: January 9, 2023
M IA M l·DAD E ♦EII 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 Andrade Brigitte V
Mailing Address - Street Number, Street Name, or P.O. Box
7133 Bay Drive 706
City, State, Zip
Miami Beach
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 E] Municipal: Miami Beach
(Municipality)
Board where serving
Black Affairs Advisory Committee
Alternate address (if home address is exempt) I Work telephone I Term began on/ended on
305.532.1929 1/1/2024 - 12/31/2025.
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
Bibi Art Media Inc. 7133 Bay Drive 706 Miami Publishing/Art
Beach, FL 33141
I hereby swear (or affirm) that the information above is a true and correct statement.
Signature of Person Disclosing
January 18, 2024
Date signed
RECEIVED BY ELECTIONS DEPARTMENT:
Jorey, qECEIVED
[] Electronic Copy
JAN 222024
CITY OF MIAMI BEACH
OFFICE USE ONLY Accepted: Y I N Deficiency. Processed Date/initials: Scanned Date/initials:
138 _SP-14 COE 2016
2 ±\9£4.2 1" 2±2 %.± I?
1755 Meridian Avenue, Suite 200/Miami Beach, FL 33139/Ph: (305) 673-7505 or (305) 673-7000 ex4. 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 "pa rking 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: January 1, 2024
Applicant Name: Brigitte Andrade
Board/Committee Name: Black Affairs Advisory Committee
Address: 7133 Bay Drive 706
E-Mail Address: aostavallemiami@gmail.com
W or k Phon e: 305. 305.532.1929 Home Phone 305.532.1929
Cell Phone: 786.222.7834 Preferred Contact Method: Email
Vehicle Information
Ta g: KZCH18 Color: Grey Silver
State: FL Year: 2007
Make: Hyndai Model: Accent
Alan saran. ? 'bu,ala.
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@miamibeachfl.gov
e-mail subject: BOARD & COMMITTEE PARKING APPLICATION - APPLICANT NAME
p, ·ti D ar' mna epartment ection
PERMIT SYSTEM GARAGE ACCESS
Expiration Date: ID Card Serial #:
Issued By Print Name: Print Name:
Signature: e Signa ture:
Date Issued: Date Completed:
s .
mng man 'or torm s cw ar is comm ittees par' mngtorm,toc orm up tare