Matthew Gultanoff 12.31.24M IA M I BEACH
BOARD AND COMMITTEE CHECKLIST
APPOINTEe. "atthew Gultanoff DATE OF APPOINTMENT.Yan 31, 2024 --------
BOARD/COMMITTEE·. Planning Board City Commission _____________ Appointed by: _
FOR SCANNER
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F oR CL E RK STAFF E Ju [; [3
o Letter of Appointment TERM END. Ul3 { { TERM LIMIT.ll1
o Letter of Reappointment [4)]
o Copy of Letter of Appointment/Reappointment e-mailed to Committee Liaison on ___Uf_
o Board and Committee Application (Completed on
o R~sum~/Curriculum Vitae / l
o Diversity Statistics Reporting (Completed on I(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
✓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
o Source of Income Statement
o Acknowledgment Statement
o Board and Committees Liaison Responsibilities
o Diversity Statistics Reporting
0 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 fonnula, .4 or less rounds down lo the next whole number and .5 or more rounds up to the
'ext 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 lo 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:
211612024 X ][] D el Sy hie
Date
Processed on: __ i{ __ L&\ __ '1_4 By Employee: _
Date City Clerk's Office Staff Initials
We are ccmmined to pro.ding excelle public serce and saley to al! who live, work and play in our vibrant. tropical histic community
M IA M I BEACH
City of Miami Beach, 170O Convention Cantor Drive, Miami Beach, Florida 33 139 yyywy_miamibgachll_go
OFFICE OF THE CITY CLERK, Rafael E. Granado, Cay Clerk
Tel: 305.673.7411, Fax. 305.673.7254
Emai l: CiNyClerk@miamibeachll.gov
February 07, 2024
Mr. Matthew Gultanoff
125 Jefferson Avenue #122
Miami Beach, FL 33139
R E : Pl an ni n g B o ar d
Dear Mr. Matthew Gultanoff:
Congratulations! You have been appointed by the C ity Co m m ission to the agency, board or committee
named above for a term ending: 12 /31/2024 .
If you are unable to accept this appointment, or have any questions, please call the Office of the City
Clerk at 305.673. 7 411.
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.
I -. City Clerk
cc: Monica Beltran, Parking Director
Rogelio Madan, City Liaison
E N C L O S U R E S :
Oath of Office/Oath of Civility/Acknowledgements
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
City Wide Permit Application - (Parking Department Form)
Booklet - Guide to the Sunshine Amendment and Code of Ethics for Public Officers and Employees
N IA N[BF ACH
City of Miami Beach, 1700 Convention Ca nter Die, Miam i Bea ch, Horida 33139 yyw _miaIiba chll,go
OFF ICE OF THE CITY CLERK, Ralaal E. Granado, Coy Clerk
Tel: 305.673.7411, Fox: 305.673.7254
Email: CiiyClerk@miamibeochll.gov
Oath of Office
Oath of Civility
and
Acknowledgements
TO: Mr. Matthew Gultanoff
RE: Planning 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 /31/2 0 2 4 .
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 he closing
of the calendar year on which I have served.
Sworn to and subscribed before me th;s m2024
Keila Me a aceres
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.
M IA M I B EACH
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 33139
RECEIVED
FEB I6 .
OFFICE OF THE CITY CLERK
Email: BC@miamibeachfl.gov
Telephone: 3O5.673.7411
CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
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):
[] I am a resident of the City of Miami Beach for six months or longer.
125 Jefferson Avenue #122, Miami Beach, FL 33139 Home Address: _
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: _
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 lnteresf' 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
Z±ii ... 2/16/2024
Date
Printed Name
M IA M I BEACH
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 33139
ww.mi ami be ach fl.g ov
OFFICE OF THE CITY CLERK
Email: BC@miamibeachfl.gov
Teleph one: 305.673.7411
DIVERSITY STATISTICS REPORI
G u lta n o ff M a tt he w
La st N a m e First N am e M iddle Initial
T he fo llow ing info rm ation is vo luntary and ha s no bearing on your consideration fo r appointm ent. It is being
asked to com p ly w ith C ity diversity re po rt ing re q uirem e nts.
Gender:
[J ae
D Fem al e
0 O the r
D I prefe r not to answ e r.
Race/Ethnic Categories:
What is your race?
0 A fr ican A m e rican /B lack
0 A sia n or P a ci fic Is la nd er
El C a uca si an /whi t e
0 N a tive A m e rican/A m e rican In d ian
D O th er - Print R a ce : ------------- □I prefer no t to answ e r.
Do you consider yourself to be Spanish, Hispanic, or Latino/a?
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D I prefer not to answ er.
Do you consider yourself Physically Disabled?
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Llt refer no t to an sw er this que stion .
Page 6 of6
FACE R\SALLRE G O AR D AN D COMMITT EE APPLICATIONS FINAL DRAFTSIBOARD AND COMMITT EE APPLICATION REG FINAL.docx
Updated: June 2020
M IA MI B E A C H
City of Miami Beach
1 700 Convention Center Drive
M iam i Beach, Florida 33139
www.miamibeachfl.gov
O FFICE O F THE C ITY CLERK
Em a i I: BC@miamibeachfl.gov
Telephone: 305.673.7 411
Gultanoff
BOARD & COMMITTEE ACKNOWLEDGEMENT STATEMENTS
Matthew
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
' 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:ICLER\$ALLIBOARD AND COMMIT TEES DATABASE\Board and Committee Application\BOARD AND COMMITTEE APPLICATION 0CT 2023.d0cx
Updated: January 9, 2023
M IA M I BEAC H
City of M iam i Beach, PA RKING DEPA RTM ENT
BO A RD & CO M M ITT EES
PA RKIN G A PPLI C A TIO N
17 55 M e rid ia n A ve n u e , Su ite 200 M ia m i Be a c h , FL 33 13 9/Ph: (305) 673-7505 or (3 05) 673 -7000 e xt. 6200
a
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: 2/16/2 0 2 4
Applicant Name: Matthew Gultanoff
Board/Committee Name: Planning Board
Address: 125 Jefferson Avenue #122, Miami Beach, FL33139
E-Mail Address: matthew@betterstreetsmb.com
Work Phone: 7 8 6 -7 6 7-6 5 11 Home Phone:
Cell Phone: 610 -2 12 -8 2 2 7 Preferred Contact Method:
• Cityw ide Parking Permi t/G 7 Access C ar d Citi Bike/D eco Bike M em bership MDC M onthly Tra nsit Pass
Vehicle Information (For Citywide Parking Permit/Access Card Only)
Tag: pvvi94 Color: White
State: Florida Year: 2018
Make: BMW Model: X5
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 w ill be
responsible to pay a $10.00 replacement fee.
A
Please provide signed form to the Par}~n r~partmen ocated at 1755 Meridian Avenue, 2nd floor.
Working hours are 8:30 to 5:00 p.m. or email to: ParkingReception@miamibeachfl.gov
e-mail sub ect: BOARD & COMMITTEE PARKING APPLICATION - APPLICANT NAME
f:\ping\$man \rar\forms\cw boards&committees parkingform.doc for m updated 1/18/2024