Dr. Hagai Gringarten 12.31.24 MIAMI BEACH
BOARD AND COMMITTEE CHECKLIST r p
APPOINTEE:, 1-1 t/f i G(-1( GAr� 7Er DATE OF APPOINTMENT: I/14I1 ,v`'1
BOARD/COMMITTEE: $4It (4T AP11$4t 7 Appointed by: C.Pth, 74(" /t Pit,II--
FOR SCANNER FOR CLERK STAFF 3 (7' I
Scan o o Letter of Appointment TERM END: ()' 1 'V TERM LIMIT: '
Scan o o Letter of Reappointment //� ' L�
o Copy of Letter of Appointment/Reappointment e-mailed to Committee Liaison on I
Scan o o Board and Committee Application(Completed on
Scan o o Resume/Curriculum Vitae
o Diversity Statistics Reporting(Completed on 1, t 31 q )
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)
✓ Amendments to the Code of Ethics Ordinance(September 2009 through July 2012)
FEB 13 2024 ✓ Highlights of the Miami-Dade County Ethics Code
✓ Sunshine Law and Public Records—Frequently Asked Questions
CITY OF MIAMI BEACH ✓ Memorandum-Solicitation by City Board and Committee Members
OFFICE OF THE CITY CLERK
o Citywide Permit Application(Parking Department Form)
o Booklet—Guide to Sunshine Amendment&Code of Ethics for Public Officers and Employees
Scan 0 0 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.
Received on: 1 Signed by X
Date Board or ommittee Member
Processed on: Z1 ZLI By Employee:
Date City Cle k� 'sOffice Staff Initials
Scanned on: VI �4 "`� By Employee: ---_-_--- ------__ ___._
Date City Clerk's Office Staff Initials
MIAMJ BEAC
City of Miami Beach, 1700 Convention Center Drive, Miami Reach, Honda 33139 www.miamibeachfl.gov
OFFICE OF THE CITY CLERK,Rafael E.Granado,City Clerk
Tel:305.673.741 1,Fax:305.673.7254
Email:CityClerkOmiamibeochfl.gov
January 17, 2024
Mr. Nagai Gringarten
4585 Adams Avenue
Miami Beach, FL 33140
RE: Budget Advisory Committee
Dear Mr. Hagai Gringarten:
Congratulations!You have been appointed by Commissioner Tanya Bhatt to the above-referenced
Board or Committee, 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 as they concern your duties, responsibilities, and
requirements as a board or committee member.
Congratulatio s again and good luck.
Regards
Rafael Granado
City Clerk
cc: Monica Beltran, Parking Director
Tameka Otto Stewart, City Liaison
ENCLOSURES:
Oath of Office/Oath of Civility/Acknowledgements
City Code/Ordinance section applicable to agency, board or committee
City Code Sections 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
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 Conn rdion Center Drive,Miami Beach,Florida 33139 www.rnioni beachfl.gc,
OFFICE OF ME art CIENE,Rdoal E Granada,City Clark
Tel:305_673.7411,Fax 305.673.7254
Email:Cilyaerldiniamlbeada l.gov
Oath of Office
Oath of Civility
and
Acknowledgements
TO: Mr. Hagai Gringarten
RE: Budget Advisory Committee
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: 12/31/2024.
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.
r. Hag i.Gringarten
Sworn to and subscribed before me this 1 day o / '; 2D24
Keila Mena 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 CITYWIDE (CW) BOARD & COMMITTEES
City of Miami Beach,PARKING DEPARTMENT PARKING APPLICATION
1755 Meridian Avenue,Suite 200/Miami Beach, Ft. 33139/Ph:[3051673-7505 or[3051 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: Afiq g, L�
Applicant Name: A 4, MZ' G _riG__,�'��
Board/Committee Name: �1 / DG1 i f r
Address: -r A L
E-Mail Address: H.AG .T O%
Work Phone:- .01 b p J 3�./ Home Phone
Cell Phone: `�- 6 9 ,1)0 Preferred Contact Method: Aj
Vehicle Information
Tag: 9 Color: Op-r�
State: F/A Year: 9-°G-1
Make: v'W Model: '' $"'
C .
Applicant Signature:
Please provide signed f m to the rking Department located at 1755 Meridian Avenue, 2°d floor. Working
hours are 8:30 to 5:00 p.m. or email to: ParkingReception i mibeachfl.gov
e-mail subjech BOARD & COMMITTEE PARKING APPLICATION - APPLICANT NAME
arkin Department Section
PERMIT SYSTEM GARAGE ACCESS
Ex iration Date: 1 ID Card Serial #:
Issued By Print Name: Print Name:
Signature: As Signature: .
Date Issued: Date Completed:
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