Beth Edwards 6.30.24M IA M I BEACH
BOARD AND COMMITTEE CHECKLIST
APPOINTEE: Beth Edwards
BOARD/COMMITTEE: SF Appointed y. MBFF!@
rRu o. __[o[8 reRow uwr. e [30]24
DATE OF APPOINTMENT: o[)3[2}
FOR SCANNER
Scan o
Scan o
FOR CLERK STAFF
o Letter of Appointment
o Letter of Reappointment
o Copy of Letter of Appointment/Reappointment e-mailed to Committee Liaison on
Scan o
Scan o
Scan o
o Board and Committee Application (Completed on _- _,
o R~sum~/Curriculum Vitae [/ ]
o Diversity Statistics Reporting (Completed on (_[L _]r
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
o Citywide Permit Application (Parking Department Form)
o Booklet -- Guide to Sunshine Amendment & Code of Ethics for Public Officers and Employees
Scan o o Source of Income Statement
Scan o o Acknowledgment of Financial Disclosure Requirement
o Board and Committees Liaison Responsibilities
o DIVERSITY STATISTICS REPORTIN COPY In fll
6-14-23 X Received on. Signed by self r ~uff <<<<
Date Board or Committee Member
Processes .9t4as [@/2[e y rwores. ·] j,,, cycrs ore san n a e
sanes on. @tel?h' eye sor e /-d
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 DATABASEICHECKLIST MASTERIB&C Checklist 2015 MASTER.do0cx
We ore committed to providing excellent public service and solety to all who live, work, and play in our vibrant, tropical, historic community.
MIAMI BEACH
C ity o f M ia mi Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139 www .miamibeachfl gov
OFFICE OF THE CI TY CLERK, Rafael E. Granado, City Clerk
Tel: 305.673.7411, Fax. 305.673.7254
Email: Cit/Clerk@miamibeachfl.gov
Ju n e 5, 2 0 2 3
B e th E d w a rd s
59 0 0 C o llin s A ve . #18 0 6
M ia m i B e a c h , F L 3 3 14 0
RE: Committee for Quality Education in Miami Beach
D e a r M s. E d w a rd s ,
C o n g ra tu la tio n s ! Y o u ha v e be e n a p p o in te d to the a b o v e -re fe re n c e d B oard or Committee as a
re p re se n ta tiv e fo r th e Miami Beach Feinberg Fisher K-8 PTA, fo r a te rm e n d in g o n 06/30/2024.
If yo u a re un a b le to ac ce p t th is a p p o in tm e n t o r ha v e a n y q u e stio n s , ple a se ca ll the O ff ic e of th e
C ity C le rk at 30 5 .6 7 3 . 7 4 11 .
P le a se re a d th e e n c lo se d m a te ria ls ca re fully as the y co n c e rn your duties, responsibilities, and
re q u ire m e n ts a s a bo a rd o r co m m itt e e m e m b e r.
C o n g ra tu la tio n s ag a in a n d go o d lu c k.
R e g a rd s ,
78
R a fae l G ra n a d o
C ity C le rk
cc : M o n ic a B e ltra n , P a rkin g D ire cto r
D r. Le slie R o se nfe ld , C ity Li a iso n
E N C L O S U R E S :
O a th of O ff ic e /O a th of C iv ility/A c kn o w le d g e m e n ts
C ity C o d e /O rd in a n c e se ctio n a p p lic a b le to ag e n c y , bo a rd o r co m m itt e e
C ity C o d e S e ctio n s 2-2 2 , 2-2 3 , 2 -2 4, 2 -2 5 , 2-2 6, 2-4 5 8 a n d 2 -4 5 9
O rd in a n c e N o . 20 0 6 -3 5 4 3 - Am en dm en t to C ity C o d e S e ctio n 2-2 2
M ia m i-D a d e C o u n ty C o d e S e c tio n 2-11 .1 - C on fl ic t of In te re st a n d C o d e of E th ics
C ity W id e P e rm it Ap p l ic a tion - (P ar king Department Form)
B o ok l e t - G ui d e to th e S u n s h in e A m e n d m e n t a n d C ode of Ethics for Public Officers and Employees
We are com m itted to pro viding excellent public serv ice and safety to all who live, work and play in our vibrant, tropical, historic community
City of Miami Beach, /OO Convenlion Con er Drive, Miami Bach, Ilorida 33 139 yywy_mlamnibaachll,go
OFFICE OF THE CITY CLERK, Rafa.l E. Granado, CNy Clerk
Tel 305.673.7411, Fax€ 305.673.7254
Email: City Clerk@miamibcochll.gov
Oath of Office
Oath of Civility
and
Acknowledgements
TO: Ms. Beth Edwards
RE: Committee for Quality Education in Miami Beach
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: 06/30/2024.
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.
Sworn to and subscribed before me this L A , 2023
please visit the City of Miami Beach website at www.miamibeachfl.gov under City Clerk/Board and
Committees for additional information regarding the Finan cial Disclosure Requirements.
MIAMI BEACH
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 33139
OFFICE OF THE CITY CLERK
Email: BC@miamibeachf.gov
Telephone: 305.673.7411
AFFIDAVIT OF AFFILIATION WITH THE CITY OF MIAMI BEACH AND THE COMMITTEE
FOR QUALITY EDUCATION IN MIAMI BEACH
As a voting member of the Committee for Quality Education in Miami Beach, I am in compliance
with the affiliation requirement of Miami Beach City Code Sections 2-22 (4) and 2-190.137 as,
(check (/) all that apply):
~ I am a City of Miami Beach resident for six months or longer.
Home Address: 5900 Collins Ave, Unit 1806 MB 33140
D I am the parent/guardian of a student attending a Miami Beach school for the school
year.
School: ---------------------------
Un . verjury, I decl I have read the foregoing document and that the facts
s
Signature
Beth Edwards
6-14-23
Date
Printed Name
MIAMIBEACH
City of Miami Beach
1 700 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 REPORT
Edwards Beth Ann
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:
[J Male
[l remale omh er
D I prefer not to answer.
Race/Ethnic Categories:
What is your race?
D African American/Black
0 Asian or Pacific Islander
DJ Caucasian/white
0 Native American/American Indian D Other- Print Race: _
0 I prefer not to answer.
Do you consider yourself to be Spanish, Hispanic, or Latino/a?
Dee
do
0 I prefer not to answer.
Do you consider yourself Physically Disabled?
ves zo
D I prefer not to answer this question.
Page 6 of 6
F:\CLER\$ALLIREGIBOARD AND COMMITT EE APPLICATIONS FINAL DRA FT S\BOAR D AND COMMITT EE APPLICATION REG FINAL.docx
Updated: June 2020
MIAMI BEACH
City of Miami Beach
1 700 Convention Center Drive
Miami Beach, Florida 33139
www.miamibeachfl.gov
OFFICE OF THE CITY CLERK
Em ai l: BC@miamibeachfl.gov
Telephone: 305.673.7411
BOARD & COMMITTEE FINANCIAL ACKNOWLEDGEMENT STATEMENT
Acknowledgement 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)
Edwards Beth Ann
Last Name First Name Middle Initial
I understand that no later than July1@f each vear 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);" or
3. A Copy of your latest Federal Income Tax Return.
Failure f these forms, nt to the Miami-Dade County Code, may subject the person to a fine
oth.
6-14-23
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 5 of 6
F:\CLER\$ALLIREGIBOARD AND COMMITT EE APPLICATIONS FINAL DRA FT S\BOARD AND COMMITT EE APPLICATION REG FINAL.docx
Updated: June 2020
M IA M I BEACH
City of Miami Beach
l 700 Convention Center Drive
Miami Beach, Florida 33139
www.miamibeachfl.gov
OFFICE OF THE CITY CLERK
Email: B C @ m iam ib e a chfl.g ov
Telephone: 305.673.7411
B O A R D & C O MMITT EE FINANCIAL ACKNOWLEDGEMENT STAT EMENT
Acknowledgement 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)
Edwards Beth Ann
Last Name First Name Middle Initial
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
%p032,2%- 9ill (a s«a
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 5 of 6
F:\CLER\$ALLIREG\BOARD AND COMMITTEE APPLICATIONS FINAL DRAFTS\BOARD AND COMMITTEE APPLICATION REG FINAL.dOcx
Updated: June 2020
M IA M I-DAD + EI SO U R CE O F IN C O M E STATEM EN T
Section 2-11.1 (i) of the County Et hics Code requires that certain employees and public offi cials file a financial disclosure Statement on a yearly basis by July 1st
of ever y year.
Disclosure for Tax Year Ending I Last Name First Name Middle Name/Initial
2022 Edwards Beth Ann
Malling Address - Street Number, Street Name, or P.O. Box
5900 Collins Ave 1806
City, State, Zip
Miami Beach Fl 33140
If your hom e 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 Em pl oy ee (check one)
DJ county □Public Health Trust [ Muni cipal : \
(M uni cip ality)
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 : City of Miami Beach
(M uni ci pality)
Board where serving
QEC-City of Miami Beach
Alternate address [If home address is exempt) I Work telephone I Tenn began on/ended on
5900 Collins Ave 1806 MB Fl 33140 (786) 512-2422
List below every source of income you received, along with the addre ss and the principal activity of each source. Include your public salary . Place the sources of
income in descending order, with the largest source first. Exam ples of sources of income include: compensation for services, income fro m business, gains from
property dealings, interest, rents, dividends, pensions, IRA distributions, and social security payments. Also, include any source of incom e received by another
person for your benefit. However, th e Income of your spouse or any business partner need not be disclosed. If continued on a separate sheet, check here.U
Name of Source of Income Address Description of the Principal Business Activity
Self 5900 Collins Ave Unit 1806 Direct Import Business
RECEIVED BY ELECTIONS DEPARTMENT: □Hardcopy
[] Electronic Copy
OFFICE USE ONLY Accepted: Y I N Deficiency: Processed Date/Initials: Scanned Date/initials:
138_SP-14 COE 2016
8£24..1 +%%2 L
1755 Meridian Avenue, Suite 200/Miami Beach, FL 33139 /Ph: (305) 673-7505 o (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: 6-14-23
Applicant Name: Beth Edwards
Board/Committee Name: QEC
Address: 5900 Collins Ave unit 1806 Miami Beach Fl 33140
E-Mail Address: baedwards13@aol.com
Work Phone: Home Phone
Cell Phone: 786-512-2422 Preferred Contact Method: Cell
Vehicle Information
Tag: NPT L31 Color: Black
State: FL Year: 2021
Make: Cadillac Model: XT6
Applicant Si4nature: e
Please provide signed form fo the Parking Department loc? at l755 Meridian Avenue, 2d floor. Working
hours are 8:30 to 5:00 p.m. or email to: ParkingReception@miamibeachfl.gov
e-m ail subi ect: BOARD & COMMI TT EE PAR KI NG APPLICATION - APPLICANT NAM E
p, ·ki Der rt ar una pa men ction
PERMIT SYSTEM GARAGE ACCESS
Expiration Date: ID Card Serial #:
Issued By Print Name: Print Name:
Signature: e Signature: e
Date Issued: Date Completed:
t Se .