Thomas P. Richerson 12.31.24 BOARD AND COMMITTEE CHECKLIST
APPOINTEE: Thomas P. Richerson DATE OF APPOINTMENT: 2/21/2024
BOARD/COMMITTEE: North Beach CRA Appointed by: C6 tylnAtAsavvi
FOR SCANNER FOR CLERK STAFF
Scan c, o Letter of Appointment TERM END: a I 3( V4) TERM LIMIT: t2 3/ / V91
Scan <; o Letter of Reappointment
o Copy of Letter of Appointment/Reappointment e-mailed to Committee Liaison on CI'IL3(1-4
Scan o Board and Committee Application (Completed on —
Scan o o Resume/Curriculum Vitae
o Diversity Statistics Reporting (Completed on 2,1 )
Scan o o Oath
IMPORTANT INFORMATION FOR BOARD AND COMMITTEE MEMBERS BOOK
V 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 v 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 2 7 2024 V 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 0 Acknowledgment Statement
o Board and Committees Liaison Responsibilities
o Diversity Statistics Reporting
FI 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.
1; L't
Received on: Signed by X Qm
Date I Board r ommittee Member
Processed on: /I r �'� By Employee:
Date City Clerk's Office Staff Initials
.service and safeoy to all who live, work,and ploy in our vibrant, tropical,historic community.
MIAMI BE AC H
City of Miami Beach, 1700 Corwarrion Cantor Drive,Miami Booth, Florida 33139 www.miamiboochil.gov
OFFICE OF TEE CITY CLERK,Rafael E.Granada,Cly Clerk
Tel:305.673.7411,Fax:305.673.7254
Emad:CityC1edcOmiamibeachfl.gov
February 23, 2024
Mr. Thomas Richerson
6450 Collins Ave Phi
Miami Beach, FL 33141
RE: North Beach CRA Advisory Committee
Dear Mr. Thomas Richerson:
Congratulations!You have been appointed by the City Commission 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 305.673.7411.
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.
Regards,
Rafael Granado
City Clerk
cc: Monica Beltran, Parking Director
Rickelle Williams, City Liaison
ENCLOSURES:
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
MIAMI BEACH
City of Miami Beach, 1700 Convention Center Drive,Miami Beach,Florida 33139 www.miamibcachfl.gcw
OFFICE OF THE CITY CLERK,Rafael E.Granada,City Clerk
Tel:305.673.7411,Fax:305.6737254
Email:CityClerk@miamibeachfl.gov
Oath of Office
Oath of Civility
and
Acknowledgements
TO: Mr.Thomas Richerson
RE: North Beach CRA 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.
Mr.Thomas Richerson
Sworn to and subscribed before me this Zit( day of ,2024
Keila en Caceres
eputy 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.
RECEIVED
MIAM BEACH FEB 272024
City of Miami Beach
1700 Convention Center Drive CITY OF MIAMI BEACH
Miami Beach, Florida 33139 OFFICE OF THE CITY CLERK
OFFICE OF THE CITY CLERK
Email:BC(@miamibeachfl.gov
Telephone:305.673.7411
NORTH BEACH CRA ADVISORY COMMITTEE AFFIDAVIT OF COMPLIANCE
I am in compliance with the North Beach CRA Advisory Committee's Membership Composition
requirements pursuant to Section 2-190.151 of the Miami Beach City Code as a:
I Resident Member.
a. Currently residing, for a minimum of five (5) years, within the North Beach area, generally
considered as that portion of Miami Beach located north of 63r° Street.
Home Address: 6450 Collins Ave, PH 1, Miami Beach, Fl 33141
b. Currently residing, for a minimum of five (5) years within the geographic boundaries of the
North Beach CRA or a 300-foot radius thereof.
Home Address:
❑ Business Member with ownership interest for a minimum of five (5) years in a business
established within the geographic boundaries of the North Beach CRA.
Name of Business:
Business Address:
❑ Real Estate Industry Member residing generally within the City of Miami Beach.
Home Address:
License Number:
❑ Attorney Member with experience in land use, real estate, or other related practice area,
residing generally within the City of Miami Beach or maintaining a full-time law practice and
physical office located in North Beach.
Home Address:
Law Practice Address:
License Number:
❑ The five (5) year minimum residency requirement for the Resident Member Category has
been waived by a 5/7ths vote of the City Commission.
I have an interest in neighborhood leadership issues, including, without limitation,
neighborhood business groups, homeowner or condominium association associations and
cooperatives, civic groups, and/or other similar qualifications.
"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 penalties of perjury, I declare that I have read the foregoing document and that the facts
stated in it are true.
2/25/2024
Signature Date
Thomas P. Richerson
Printed Name
RECEIVED
M AMI BtAU1 FEB 272024
City of Miami Beach FFTMEOFMIgMt gEAC;H
1700 Convention Center Drive Hf=CI 8 ELERK
Miami Beach, Florida 33139
OFFICE OF THE CITY CLERK
Email:BC u,n�i�rnibea
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):
I� I I am a resident of the City of Miami Beach for six months or longer.
Home Address: 6450 Collins Ave, PH1, Miami Beach, FL 33141
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: _
riI 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 penalties of perjury, I declare that I have read the foregoing document and that the facts
stated in it are true.
2/25/2024
Signature
Date
Thomas P. Richerson
Printed Name
MIAMI BEA I
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 33139
www.miamibeachfl.gov_
OFFICE OF THE CITY CLERK
Email: EsC(Carnliamtbeactifi.do!
Telephone: 305.673.7411
DIVERSITY STATISTICS REPORT
Richerson Thomas P.
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:
0 Male
Female
LI Other
0 I prefer not to answer.
Race/Ethnic Categories:
What is your race?
ni African American/Black
0 Asian or Pacific Islander
CD Caucasian/White
Native American/American Indian
Other—Print Race:
I prefer not to answer.
Do you consider yourself to be Spanish, Hispanic, or Latino/a?
Q Yes
El No
I prefer not to answer.
Do you consider yourself Physically Disabled?
El Yes
No
0 I prefer not to answer this question.
Page 6 of 6
F:\CLER1$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
vvvvw.mic:miboochfl.q:
OFFICE OF THE CITY CLERK
Email: BC�a'?miamibeachfl.gov
Telephone: 305.673.741 1
BOARD & COMMITTEE ACKNOWLEDGEMENT STATEMENTS
Richerson Thomas P.
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
7/4c/ge)
ignature 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 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
iAmio D SOURCE OF INCOME STATEMENT
COUNTY
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 Name Middle Name/Initial
2023 Richerson Thomas P.
Mailing Address—Street Number,Street Name,or P.O.Box
6450 Collins Ave, Ph1
City,State,Zip
Miami Beach, FL 33141
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
Fling as a Board Member(check one)
❑ County ❑ Municipal: Miami Beach
(Municipality)
Board where serving
Miami Beach- North Beach CRA Advisory Committee
Alternate address(if home address is exempt) •Work telephone Term began on/ended on
2/23/2024-12/31/2024
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 another
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.❑
Name of Source of Income Address Description of the Principal Business Activity
K1 income-various partnershops and 6450 Collins Ave, Ph1 Miami Commerical RE investments
investments-$469,542 Beach, FL 33141
Consulting Fees- $92,000 6450 Collins Ave, Ph1 Miami General Business and RE
Beach, FL 33141 Consulting
RE Rental Income- $91,000 2899 Collins Ave- PhC Commercial and Resdiential
6345 Collins Ave-740,823,824 real estate rents
I hereby swear(or affirm)that the information abov is a true and correct statement. RECEIVED BY.ELFA REIWINENT:
Hardcop r FFI V i'L LJ
Electronic Copy 7 2024
Signature of Person Disclosing I '_.Z(2,5 Zc7 Z y CITY OF MIAMI BEACH
Date signed OFFICE OF THE CITY CLERK
OFFICE USE ONLY Accepted: Y / N Deficiency. _Processed Date/Initials: Scanned Dete/Ylitede:
738 SP-14 COE2016
A I At\ /1 I RFACH 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: 2/25/2024
Applicant Name: Thomas P. Richerson
Board/Committee Name: North Beach CRA advisory committee
Address: 6450 Collins Ave, Ph1, Miami Beach, FL 33141
E-Mail Address: tomricherson@gmail.com
Work Phone: Home Phone:
Cell Phone: 561-870-7424 Preferred Contact Method: email
Please Choose One (1) Option:
0 Citywide Parking Permit/G7 Access Card Citi Bike/Deco Bike Membership O MDC Monthly Transit Pass
Vehicle Information (For Citywide Parking Permit/Access Card Only)
Tag: ERIS90 Color: Gray
State: Florida Year: 2020
Make: Mercedes Benz Model: GLS 450
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 replacement fee.
A licant Si nature: ,es
Please provide signed form to the Parking Department located at 1755 Meridian Avenue, 2nd floor.
Working hours are 8:30 to 5:00 p.m. or email to: ParkingReception@miamibeachfl.gov
j e-mail subject: BOARD & COMMITTEE PARKING APPLICATION- APPLICANT NAME
f\ping\Sman VarVomu\cw boards8committees parkingform.doc form updated 1/18/2024