Loading...
Dexter Milton 12.31.241B BOARD AN D COMMITTEE CH ECKLIST APPOINTEE:. _[Qe0}r_/\/099 DATE OF APPOINTMeNr. +/1/24 BOARD/COMMITTEE: b\o A{lours gt· Appointed by. QoL_u2- FOR SCANNER Scan o Scan o Scan o Scan o Scan o RECEIVED JAN 30 64 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 R~sum~/Curriculum Vitae ] o Di v ersi ty Statistics Reporting (Completed on I[ 30 [24 o Oath rERM No:n2]a1\24 TERM LuMrr:I2[31)3) J1)24 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 C IT OF MIAM I BEA CH OFFICE OF THE CITY CLERK 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 ~ 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. 2-229) 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. Scanned on: 1la/7 .bout, mi? n » a.1 . werrs Processed on: _ __,\C..J.\_i_V_l l_c./ By Employee: -----+-J</V\--=-.,.___.__ _ r / :2..,~,t~r I City C~ce Staff Initials v_el By Employee: Date City Clerk's Office Staff Initials Received on: Wee are committed lo pr o vidin g excellent public service on! safety to ol w«ho live, work, and ploy in o ur vibrant, topical, historic community City of Miami Beach, ZOO Convention Canter Drive, Miami Florida 33139 yyy._IiamibggLchll.gov OFFICE OF THE CITY CLERK, Ralaal E. Granado, Cy Clerk Tel: 305.6737411, Fax 305.673.7254 Email: Ci#yClerk@miamiboochfl.gov January 08, 2024 Mr. Dexter Milton 650 West Ave, 2912 Miami Beach, FL 33139 RE: Black Affairs Advisory Committee Dear Mr. Dexter Milton: Congratulations! You have been appointed by Commissioner David Suarez to the above-referenced Board or Committee, for a term en ding: 12 /3 1/202 5 . 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 as they concern your duties, responsibilities, and requirements as a board or committee member. Congratulations again and good luck. Regards, RafaBo City Clerk cc: Monica Beltran, Parking Director Lissette Arrogante, City Liaison ENCLOSURES: Oath of Office/Oath of Civility/Acknowledgements City Code/Ordinance section applicable to agency, board or committee City Code Section s 2-22, 2-23, 2-24, 2-25, 2-26, 2-458 an d 2-459 Ordinance No. 2006-3543 - Am en dm ent to City Code Section 2-22 Miami-Dade County Code Section 2-11.1 - Conflict of Interest and Code of Ethics 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 Convonlion Conlar Drive, Miami Bouch, Florida 33 139 yyywy_miaIibgachf_go OFFICE OF THE CITY CLERK, Rofaol E. Granado, City Clerk Tel: 305.673.7411, Fox. 305.673.7254 Email: Cit/Clerk@miamibeochfl.gov Oath of Office Oath of Civility and Acknowledgements TO: Mr. Dexter Milton RE: Black Affairs Advisory Committee I d o so le m n ly sw e ar o r affirm to bear true faith, loyalty and allegiance to the Government of the United S tates, the S tate o f Flo rid a , and the C ity o f M ia m i B e ach , a nd to p erform all the duties of a member of the a b ove-m e ntio n e d b o a rd or co m m ittee of the City of Miami Beach to which I have been appointed for a term e nding: 12/31/2025. T o m y colle agu e s a nd to all o f tho se I rep re se nt a n d se rve , I p le dg e fairn e ss, inte grity a nd civility, in all a ctions taken a nd a ll com m unica tio ns m ade by m e as a p ub lic serv an t. I h a ve b e e n issu e d a co p y o f se ction 2 -1 1 .1 of the M ia m i-D a d e C o u nty C o d e (C o nflict o f In tere st and C o de o f E thic s Or di nan ce), a s w ell a s F lo rid a C o m m issio n on Ethics Guide to the Sunshine Amendment and C o de o f E thics fo r P u b lic O ffi ce rs and u nd e rstand that a s a m e m b er of a C ity o f M ia m i B each Board a nd/or C o m m itt ee , I m ust co m p ly w ith the fin a ncia l d iscl o sure* requirem e nts of M ia m i-D a de C o unty or the S tate o f Flo rida (de pe nd ing on the b oard or com m itt ee o n w hich I se rve) on July 1s t, fo llow ing the cl osing o f the cale nd ar yea r on w hich I have se rv ed. 0. M r. D exter M ilton S w orn to and sub scrib ed b efo re m e this 30 Keila Mena Caceres Deputy Clerk *P le a se vis it the C ity of M ia m i B e a ch w e b site a t w w w .m ia m ib e a c hfl.g o v un d e r C ity C le rk/B o a rd an d C o m m ittees fo r a dditio nal info rm atio n rega rding the Fina ncial D iscl osure R equirem e n ts. M A M/B E H RECEIVED ·_I \viz ' City of Miami Beach l 700 Convention Center Drive Miami Beach, Florida 33139 JAN 30 0 24 CITY OF MIAMI BEACH OFFICE OF TH E CITY CLERK OFFICE OF THE CITY CLERK Emai l: 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): rn{am a resident of the City of Miami Beach for six months or longer. ore. woos 6 Blesh le r! 27/2 ' D 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: ------------------------- Business Address: ------------------------- □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). [[9re f [JS[[%SS, [Jg[[%SS [\(hr@SS, "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 "ZZ# .a Signature Date Dexter Milton Printed Name MIAMIB H ' 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 REPORT Milton Dexter 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: Z3~e Ll remale 0 Other 0 I prefer not to answer. Race/Ethnic Categories: What is your race? [#A tican Am erican/Black LJAstan or Pacific Islander D Caucasian/White 0 Native American/American Indian D Other- Print Race: _ DI I prefer not to answer. Do you consider yourself to be Spanish, Hispanic, or Latino/a? (lves ZAN6 0 I prefer not to answer. Do you consider yourself Physically Disabled? [lee no t 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 Ml 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 BOARD & COMMITTEE ACKNOWLEDGEMENT STATEMENTS Milton Dexter 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 $500, 60 days in jail, or both. Acknowledgment to Comply with Miami Beach Code of Ordinances Division 1 Sec. 2-22 (23) I understand that commencing with terms beginning on or after January 1, 2024, and as a condition of applying for appointment to a City agency, board, or committee, I voluntarily agree that in the event I file with the City Clerk a Statement of Candidate formally announcing candidacy for City elective office, such filing with the City Clerk shall be deemed a tender of resignation from the City agency, board, or committee Signature Date 1 Members of the Planning Board and Board of Adjustment will be notified directly by the State of Florida, pursuant to F.S. §112.3145(1)(a), to file a Statement of Financial Interests (Form 1) with the Miami-Dade County Supervisor of Elections by 12:00 noon, July 1. Planning Board and Board of Adjustment members who file their Form 1 with the County Supervisor of Elections automatically satisfy the County's financial disclosure requirement as a Miami Beach City Board/Committee member and need not file an additional form with the Office of the City Clerk. However, compliance with the County disclosure requirement does not satisfy the State requirement. Page 6 of6 F:\CLER1$ALLIBOARD AND COMMITT EES DATABASE\Board and Committee Application\BOARD AN D COMMITT EE APPLICATION 0CT 2023.d0cx Updated: January 9, 2023 MIAMl·DADE- EEI 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 Last Name 2023 Milton First Name Dexter Middle Name/Initial Mailing Address - Street Number, Street Name, or P.O. Box pi o -G>bet City, State, Zip 1,,y - Fl If your home address is your mai ing 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 January 2024 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 /0 e loll,e V I hereby swear (or affir ) that the information above is a true and correct statement. 1-3>2>) Date signed RECEIVED BY ELECTIONS DEPARTMENT: pg-(}EIVi [] Hardcopy -" " L) Electronic Co), 9g JAN '50 OF MIAMI BEACH} [TY re or+K pr1or OFFICE USE ONLY Accepted: Y / N Deficiency: Processed Date/initials: Scanned Date/initials: 138_SP-14 COE 2016 CITYW IDE {CW ) BOARD & COMMITTEES City of Miami Beach, PARKING DEPARTMENT PARKING APPLICATION 1755 Meridian Avenue, Suite 200/Miami Beach, FL 33139/Ph: (305) 673-7505 or (305) 673-7000 ex4. 6200 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 nfor ' Date of Application: Applicant Name: Dexter Milton Board/Committee Name: Black Affairs Advisory Committee Address:f E-Mail Address: Work Phone: Home Phone C ell Ph on e: 7 Preferred Contact Method: Vehicle Inf · Ta g : Color: State: Year: Make: Model: Applicant Si+nature: e 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 ·ki D ar mna epar'men ecno n PERMIT SYSTEM GARAGE ACCESS Expiration Date: ID Card Serial #: Issued By Print Name: Print Name: Signature: 6 Signature: Date Issued: Date Completed: t tS ·ti .' «mg man raw torms cw oatdscommttees parmiglorm,doc