Ray Breslin 12.31.25 M I AMI BEACH
BOARD AND' COMMITTEE CHECKLIST
APPOINTEE: c //C,CJ L 1 DATE OF APPOINTMENT: / 31 a'
� y
BOARD/COMMITTEE: /1 FA Appointed by: Ce5-} t.i,1
FOR SCANNER FOR CLERK STAFF
Scan a o Letter of Appointment TERM END: Ire.(?1 I )r TERM LIMIT: n..4'3/ br-1-
Scan a o Letter of Reappointment 71(.0
�o Copy of Letter of Appointment/Reappointment e-mailed to Committee Liaison on I/Scan o o Board and Committee Application (Completed on )
Scan a a Resume/Curriculum Vitae v`l
Z. r C' )
o Diversity Statistics Reporting (Completed on I t
Scan o 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
RECEIVED ✓ County Code Section 2-11.1 — Conflict of Interest and Code of Ethics Ordinance (as
amended through December 2010)
o 7 2024 ✓ Amendments to the Code of Ethics Ordinance(September 2009 through July 2012)
FE ✓ Highlights of the Miami-Dade County Ethics Code
OF ��Ir�M, BEACH ✓ Sunshine Law and Public Records—Frequently Asked Questions
�1-r( THE CITY CLERK ✓ Memorandum-Solicitation by City Board and Committee Members
OFFICE OF
o Citywide Permit Application (Parking Department Form)
o Booklet—Guide to Sunshine Amendment&Code of Ethics for Public Officers and Employees
Scan 0 o Source of Income Statement
Scan 0 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.
NOTE: Members of the Land Use Boards will be removed upon failure to attend three of the regularly scheduled
meetings per calendar year; or upon abstaining from voting due to a conflict of interest on four different
applications within a calendar year. A member who is removed shall not be reappointed to membership on the
board for at least one year from the date of removal.
Received on: c - 71 air Signed by X 11 /
Da Board)
7 L Board or Committee Member
2/Processed on: `O 1 `t By Employee: KA/L
Date City Clerk's Office Staff Initials
We are committed to providing excellent public service and safety to oil who live,work,and play in our vibrant,tropical,historic community.
MIAMIBEACH
City of Miami Beach, 1700 Convention Canter Clove, Miami Beach, Florida 33139 www.miam►keacbfl.gov
OFFICE OF THE CITY CLERK,Rofoel E.Granado,City Clerk
Tel:305.673.7411, Fax:305.673.7254
Email:CiyClerk@miamibeachfl_gov
February 05, 2024
Mr. Ray Breslin
2395 Lake Pancoast Dr. #4
Miami Beach, Florida 33140
SUBJECT: Historic Preservation Board
Congratulations! You have been reappointed by City Commission 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.
Congratulations and good luck.
Regards,
Rafael ranado
City Clerk
cc: Monica Beltran, Parking Director
Deborah Tackett, 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
MIAMI BEACH
City of Miami Beach, 1700 Convention C,enler Drive, Miami Beach,Florida 33139 www.miamibeochitgav
OFFICE Of THE CITY CLERK,Rafael E.Grarado,Cy Clerk
Tel:305.673.7411,Fax:305.673.7254
Email_CityClerk@miamibeochitgov
Oath of Office
Oath of Civility
and
Acknowledgements
TO: Mr. Ray Breslin
RE: Historic Preservation Board
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: 12/31/2026.
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.
M . Ray Breslin
Sworn to and subscribed before me this 7 ,...day of WA', 2024
K la ena Caceres
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.
MIAMI BEACH RECEIVED
City of Miami Beach FEB 0 7 2024
1700 Convention Center Drive
Miami Beach, Florida 33139
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 compliance with the affiliation requirement of Miami Beach City Code Sections 2-22 (4),
as (check (I) all that apply):
0 I am a resident of the City of Miami Beach for six months or longer.
Home Address: .)-- 9 V LI 1 0PDOCiv/sit IJ t . ML 33l l (-2
0 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 (m'months).
Name of Business: U4ffJiQi7J �l v
Business Address: 'S [t3- ay 4 J - s Iwo
0 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 penal .es of perjury, I declare that I have read the foregoing document and that the facts
stated in it e tru%
0 4,i___2__,.‘ q7/.,v
Signature Date
it F;' 8/2 /N)
Printed Name
MIAMI BEACH
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 33139
www.miamibeachfl.gov
OFFICE OF THE CITY CLERK
Email: BC@miamibeachfl.aov
Telephone: 305.673.7411
DIVERSITY STATISTICS REPORT
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:
4-Male
Female
El Other
❑ I prefer not to answer.
Race/Ethnic Categories:
What is your race?
❑ African American/Black
❑ Asian or Pacific Islander
Caucasian/White
El Native American/American Indian
El Other— Print Race:
El I prefer not to answer.
Do you consider yourself to be Spanish, Hispanic, or Latino/a?
❑ Yes
� No
I prefer not to answer.
Do you consider yourself Physically Disabled?
El Yes
°N o
El I prefer not to answer this question.
Page 6 of 6
F:\CLER\$ALL\REG\BOARD AND COMMITTEE APPLICATIONS FINAL DRAFTS\BOARD AND COMMITTEE APPLICATION REG FINAL.docx
Updated:June 2020
MIAMI BEACH
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 33139
www.miamibeachfl.gov
OFFICE OF THE CITY CLERK
Email: BC(dmiamibeachfl.gov
Telephone: 305.673.7411
BOARD & COMMITTEE ACKNO LEDGEMENT STATEMENTS
6h_OI t
Last Name First Nam 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 sha e deemed a tender of resignation from the City agency, board, or committee
410,y
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 of 6
F:\CLER\$ALL\BOARD AND COMMITTEES DATABASE\Board and Committee Application\BOARD AND COMMITTEE APPLICATION OCT 2023.docx
Updated:January 9,2023
Clear From Print Form
rimMF
COUNTY 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 N e Middle Name/Initial
2023 /2ZTLI° E
MailingAddress—Street Num r Street Name,or P.O.Box
-3 S C. -i 1f4i )C &sJ- M g 9'
City,State,Zip/10 OW v" I l Ft" „ f Y })
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.❑
Filing as an Employee(check one)
❑ County ❑ Public Health Trust ❑ Municipal:
(Municipality)
Department
Position or Title Employee ID Number
Work address Work telephone Employment began on/ended on
Filing as a Board Member(check one) /,(' /�,' /,�,
❑ County Municipal: /tI f!6V( 4767
(Municipality)
Board where serving ! 'V ' ( Amo- ` J q c /mpg 1# v p,) 1 „ J
Alternate address(if home address is exempt) Work telephone 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 anotr
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.LLJJ
Name of Source of Income Address Description of the Principal Business Activity
Joey, skv.41,1 ep--gie.6-1
4,0,) AticresT) U ayeft_
I hereby swear affirm)that the information above is a true and correct statement. RECEIVED BY ELIFTIONS DEPARTMENT:
❑ Hardcopy
❑ Electronic ON 0 7 2024
Signature of Pe Disclosing
CITY OF MIAMI BEACH
�/ OFFICE OF THE CITY CLERK
Date g d 1
REMEMBER TO PRINT, SIGN, AND SUBMIT TO THE OFFICE OF THE CITY CLERK VIA EMAIL OR HARDCOPY.
M IA I BEA H 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 ext.6200 PARKING
As a Board/Committee member you are entitled to a Citywide Parking Permit, which includes City Hall
garage (G7) parking access (Access Card), or a complimentary Citi Bike/Deco Bike Membership, or a
discounted MDC Monthly Transit Pass throughout your term.
Board Member Information
Date of Application: `� ( / D-Y
Applicant Name: (R J rC�/
Board/Committee Name: l-f. 24� 10
�i" (Akio/Lot/moo tt
Address: ' 1 Hof Pmuctfot 6k., kr, 3 31Y°
E-Mail Address: 612,C)I
Work Phone: Home Phone: _-
Cell Phone: ey) :. '� 1Z ( S" Preferred Contact Method: /L
Please Choose One (1) Option:
Citywide Parking Permit/G7 Access Card O Citi Bike/Deco Bike Membership O MDC Monthly Transit Pass
Vehicle Information (For Citywide Parking Permit/Access Card Only)
Tag: Color: P1L ./.
State: F Year: )10
d
Make: C ( LIEfL Model: q V
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". 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 replac ent fee.
Applicant Signature: ,es
Please provide signed form to the arking Department located at 1755 Meridian Avenue, 2nd floor.
Working hours are 8:30 to 5:00 p.m. or email to: parkirlaReception@miamibeachfl.gov
e-mail subject: BOARD & COMMITTEE PARKING APPLICATION - APPLICANT NAME
f:\ping\$man\rar\forms\cw boards&committees parkingform.doc form updated 1/18/2024