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Marvin Etienne Application PackageETIENNE MARVIN Last Name First Name Middle Initial 1675 NE 159TH ST NMB Home Address City FLORIDA 33162 State Zip Code 78696544267869654426 HomeWork ETSHINE4@GMAIL.COM Email Address 7869654426 Cellular MIAMI Business Address 1675 NE 159TH ST City FL State 33162 Zip Code LUXURIOUS LAVISHH LIVING LLC Occupation:Business Name: GENERAL MANAGER Please list your preferences in order of ranking [1] first choice [2] second choice, and [3] third choice. Please note that only three (3) choices will be observed by the City Clerk’s Office. (Regular Boards of City) Choice 1: Choice 2: Choice 3: Disability Access Committee Parks and Recreational Facilities Board Black Affairs Advisory Committee BOARD AND COMMITTEE APPLICATION FORM Note:If applying for the At-Large position of the Historic Preservation Board, please answer the below questions: Have you ever resided in one of the City's Historic Districts for at least one year?Yes No Address in City Historic District submitted. Professional License License Number Issuance Date Expire Date LUXIURIOUS LAVISH LIVING LLC 145581 8/30/2022 3/14/2026 Note:If you are seeking appointment to a professional seat (e.g. attorney, architect, etc.), you must attach a copy of your currently effective corresponding professional license. Pursuant to City Code section 2-22(4) a, b and c: Members of Agencies, Boards, and Committees shall be affiliated with the city. This requirement shall be fulfilled in the following ways: NoResident of the City for a minimum of six (6) months: Demonstrate an ownership interest in a business established in the City for a minimum of six (6) months:Yes AFFILIATION WITH THE CITY OF MIAMI BEACH a. ● I am resident of:North Beach Or b. "Ownership Interest" shall mean the ownership of ten percent (10%) or more (including the ownership of 10% or more of the outstanding capital stock) in a business. "Business" shall mean any sole proprietorship, sponsorship, corporation, limited liability company, or other entity or business association. c.Full-time employee of such 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):Yes Notwithstanding the requirements set forth herein, the qualified full-time employee of a business must be approved by a 4/7th vote of the Mayor and City Commission. NOTE: Members of Agencies, Boards, and Committees shall be required to demonstrate compliance with the City affiliation requirements of section 2-22 (4) a and b of the Miami Beach City Code by executing an affidavit, stipulating that they have met either (or both) of said affiliation requirements. The original affidavit shall be filled with the Office of the City Clerk prior to being sworn in as a member. Or No● Have you ever been convicted of a felony:If yes, please explain in detail: ● Do you currently have a violation(s) of City of Miami Beach codes:No If yes, please explain in detail: ● Do you currently owe the City of Miami Beach any money:No If yes, please explain in detail: ● Are you currently serving on any City Boards or Committees:No If yes, which board? ● Are you presently a registered lobbyist with the City of Miami Beach?No ● I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: I understand being involved in the community is important ,I love to contribute to this by talking to other leaders in the community to get them involved in eventS.”I can make anyone feel comfortable in a new environment, which makes me a good fit as a human resources assistant. “I would do well in this job because I enjoy working with people AND want to help them understand their COMMIMENT MAKES US better. I’ve always been a strong communicator, and I excel in resolving problems and teaching others.” I NOTE: IF APPOINTED, YOU WILL BE REQUIRED TO FOLLOW CERTAIN LAWS THAT APPLY TO CITY BOARD/COMMITTEE MEMBERS. THESE LAWS INCLUDE, BUT ARE NOT LIMITED TO: o Prohibition from directly or indirectly lobbying city personnel (Miami Beach City Code section 2-459). o Prohibition from contracting with the city (Miami-Dade County Code section 2-11.1). o Prohibition from lobbying before board/committee you have served on for period of one year after leaving office (Miami Beach Code section 2-26) o Requirement to disclose certain financial interests and gifts (Miami-Dade County Code section 2-11.1). o Sunshine Law - Florida's Government-in-the-Sunshine Law was enacted in 1967. Today, the Sunshine Law regarding open government can be found in Chapter 286 of the Florida Statutes. These statutes establish a basic right of access to most meetings of Boards, Commissions, and other governing bodies of state and local governmental agencies or authorities. o Voting conflict - Form 8B is for use by any person serving at the county, city, or other local level of government on an appointed or elected Board, Council, Commission, Authority, or Committee. It applies equality to members of advisory and non-advisory bodies who are presented with a voting conflict of interest under Section 112.3143. Florida Statutes. o 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, each applicant must voluntarily agree that in the event the applicant files 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, and the member's automatic resignation shall thereby immediately create a vacancy in the agency, board, or committee. ● In what organization(s) in the City of Miami Beach do you currently hold membership in? No Organization Information Submitted. ● List the address of all properties owned or in which you have an interest within the City of Miami Beach: Property 1339 71st St, Miami Beach, FL 33141 737 Jefferson Ave Apt 303, Miami Beach, FL 33139 899 Collins Ave Unit 19, Miami Beach, FL 33140 1355 Marseille Dr, Miami Beach, FL 33141 325 Meridian Ave Apt 5, Miami Beach, FL 33139 520 West Ave Apt 1101, Miami Beach, FL 33139 450 Alton Rd Unit 1801/03, Miami Beach, FL 33139 98 Lagorce Cir, Miami Beach, FL 33141 121 2nd Dilido Ter Unit 1, Miami Beach, FL 33139 If so, which department and title?No● Are you now employed by the City of Miami Beach: ● Pursuant to City Code Section 2-25 (b): Do you have a parent, spouse, child, brother, or sister who is employed by the City of Miami Beach?No If "Yes", identify person(s) and department(s): No relative's information submitted. BOARD & COMMITTEE FINANCIAL ACKNOWLEDGEMENT STATEMENT Acknowledgement of fines/suspension for Board/Committee Members for failure to comply with Miami-Dade County Financial Disclosure 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 filled 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. _____________________________ 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. DIVERSITY STATISTICS REPORT 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. OtherRace/Ethnic Categories What is your race? No details providedOther Description: Gender:Male Are you Spanish/Hispanic/ Latino? Mark the "No" box if not Spanish / Hispanic / Latino. No Physically Challenged:Yes I HEREBY ATTEST TO THE ACCURACY AND TRUTHFULNESS OF THE APPLICATION; AND I HAVE RECEIVED, READ AND WILL ABIDE BY CHAPTER 2, ARTICLE VII, OF THE MIAMI BEACH CITY CODE, ENTITLED “STANDARDS OF CONDUCT FOR CITY OFFICERS, EMPLOYEES AND AGENCY MEMBERS AND ALL OTHER APPLICABLE COUNTY AND/OR STATE LAWS AND STATUTES ACCORDINGLY.” I MARVIN ETIENNE agreed to the following terms on 2/22/2024 4:09:13 PM Received in the City Clerk's Office by: Name of Deputy Clerk Control No. Date Board and Committee Application Checklist: Please ensure you have provided all information before applying or reapplying to any Board and Committee. YES YES YES YES I have answered all questions fully. I have uploaded a current resume, photograph, and a copy of any applicable professional license. I have completed and attached the Board & Committee Financial Acknowledgment Statement. I have completed and attached the Diversity Statistics Report. If you have any questions, please contact the Office of the City Clerk via email: BC@miamibeachfl.gov or telephone: 305.673.7411 Note: Florida Statutes 119.071: The role of the Office of the City Clerk is to receive and maintain forms filed as public records. If your home address, telephone numbers, and/or photograph are exempt from disclosure and you do not wish your home address, telephone numbers, and/or photograph to be made public, please: 1) Use your office or other address for your mailing address; 2) Use your office or other telephone number for your contact number; and 3) Do not attach a photograph. YES I voluntarily agree to the resignation from the City agency, board, or committee, if I file a Statement of Candidate for a City Elective Office (1). (1) 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 must 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. MARVIN ETIENNE TO BELIEVE IN YOURSELF IS TO PUT FORTH MAXIMUM EFFORT 1675 NE 159TH ST NORTH MIAMI BEACH FLORIDA 33162 (786) 965-4426 ETSHINE4@GMAIL.COM EXPERIENCE JAE WENDYS ,1532 NE 163RD ST — GRILL MAN NOVEMBER 2021 - PRESENT Lorem ipsum dolor sit amet, consectetuer adipiscing elit, sed diam nonummy nibh. BUGERFII,TARGET, TACOBELL,MERKADO31 ,DOLLAR TREE Location 18139 Biscayne Blvd, Aventura, FL 33160,21265 Biscayne Blvd, Aventura, FL 33180,1560 NE 163RD ST FL 33162,1127 NE 163rd St North Miami Beach, FL 33162,1390 NE 163RD ST North Miami Beach, FL 33162 1390 NE 163rd St, North Miami Beach, FL 33162 —PREP COOK ,STOCK CLERK,TEAM WORKER,PREP,STOCK CLERK FEBUARY 2018 - DECEMBER 2020 Lorem ipsum dolor sit amet, consectetuer adipiscing elit, sed diam nonummy nibh. PUBLIX, 830 N Miami Beach Blvd, — BAKERY CLERK NOVEMBER 2014 - JANUARY 2017 Lorem ipsum dolor sit amet, consectetuer adipiscing elit, sed diam nonummy nibh. EDUCATION NORTH MIAMI BEACH SENIOR HIGH SCHOOL Location — 1247 NE 167th St, Miami, FL 33162 Degree YES AUGUST 2009 - JULY 2012 Lorem ipsum dolor sit amet, consectetuer adipiscing elit, sed diam nonummy nibh euismod tincidunt ut laoreet dolore. School Name, Location — Degree MONTH 20XX - MONTH 20XX Lorem ipsum dolor sit amet, consectetuer adipiscing elit, sed diam. PROJECTS SKILLS EXCELLENT CUSTOMER SERVICE LANGUAGES ENGLISH , CREOLE, GOOGLE TRANSLATE Project Name — Detail Lorem ipsum dolor sit amet, consectetuer adipiscing elit. ●