Pam Rogers 12.31.24 MIAMIBEACH BEACH
BOARD AND COMMITTEE CHECKLIST
APPOINTEE: Pam Rogers DATE OF APPOINTMENT: March 2024
BOARD/COMMITTEE: Commission for Women Appointed by: Commissioner Tanya Bhatt
FOR SCANNER FOR CLERK STAFF
Scan o o Letter of Appointment TERM END: 2/31/2024 TERM LIMIT: '`1 3 )216
Scan o o Letter of Reappointment II r O
o Copy of Letter of Appointment/Reappointment e-mailed to Committee Liaison on
Scan o o Board and Committee Application(Completed on
Scan o o Resume/Curriculum Vitae 1 r I
' ,r )
o Diversity Statistics Reporting (Completed on- ` t
Scan o o Oath
IMPORTANT INFORMATION FOR BOARD AND COMMITTEE MEMBERS BOOK
✓ City Code Ordinance Section applicable to the agency, board or committee
EKED ✓ City Code Sections 2-21, 2-22, 2-23, 2-24, 2-25, 2-26, 2-458 and 2-459
REC ✓ County Code Section 2-11.1 — Conflict of Interest and Code of Ethics Ordinance (as
amended through December 2010)
MAR 05 2024 ✓ 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
OtTY OF �,IAMI BEACH
✓ Memorandum- Solicitation by City Board and Committee Members
OFFICE OF THE.CITY
o Citywide Permit Application (Parking Department Form)
o Booklet—Guide to Sunshine Amendment&Code of Ethics for Public Officers and Employees
Scan 0 o Source of Income Statement
Scan 0 0 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 rem over
from my boardlcommittee: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 regularlyschedulei
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;
Received on: 3 IN \ Signed by X Pam Rogers ?I--
Date Board or Com ittee Member
-14 Processed on: 3 1 IBy Employee:
Date City Clerk's Office Staff Initials
We are committed to providing excellent public service and safety to all who live, work,and play in our vibrant,tropical, historic community.
MIAMI BEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139 www.miamibeachfl.gw
OFFICE OF THE CITY CLERK,Rafael E.Granada,Cly Clerk
Tel:305.673.7d 11,Fox:305.673.7254
Email:CityCJerk@miomibeachfl.gov
February 29, 2024
Ms. Pam Rogers
5415 Collins Avenue, #505
Miami Beach, Florida 33140
SUBJECT: Miami Beach Commission For Women
Congratulations!You have been reappointed by Commissioner Tanya Bhatt to the above referenced,
board or committee named above, 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.
Congratulations and good luck.
Regards,
./•)14
Rafael ranado
City Clerk
cc: Monica Beltran, Parking Director
Monica Matteo-Salinas, City Liaison
ATTACHMENTS:
Letter of Appointment
Oath
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 Ordinance
City Wide Permit Application - (Parking Department Form)
Booklet-Guide to the Sunshine Amendment and Code of Ethics for Public Officers and Employees
MIAMIBEACH
City of Miami Beach, 1700 Come/Wian Coale/Dri ,Miami Beach,Florida 33139 www.mlamlbeachlt.gov
OFFICE OF 1HI CITY CIERK,Iliad E.Granada,Ctiy Clark
Tel:305.673.7411,Far:3O5,a73.7254
Emit CityC ksk@miumibaarhlLgav
Oath of Office
Oath of Civility
and
Acknowledgements
TO: Ms. Pam Rogers
RE: Miami Beach Commission For Women
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.
Ms. Pam Rogers
Sworn to and subscribed before me this q da f , 2024
Ke' a ena 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 REcEIVED
City of Miami Beach MAR 05 2024
1700 Convention Center Drive
Miami Beach, Florida 33139 OF OF n�`14
ICE OF THE CI BEACH EACH
OFFICE OF THE CITY CLERK CLERK
Email: BCAmiamibeachfl.gov
Telephone: 305,673,741 1
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 (V) all that apply):
nI am a resident of the City of Miami Beach for six months or longer.
Home Address:5415 Collins Ave, #505, Miami Beach, FL 33140
nI 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:
nI 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.
/Pam Rogers/ 3/4/24
Signature Date
Pam Rogers
Printed Name
MIAMI BEACH
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 33139
www.miamibeachfl.gov
OFFICE OF THE CITY CLERK
Email: BCCc�miamibeachfi.gov
Telephone: 305.673.7411
DIVERSITY STATISTICS REPORT
Rogers Pam E
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
Other
Ea I prefer not to answer.
•
Race/Ethnic Categories:
What is your race?
DI African American/Black
Q Asian or Pacific Islander
Caucasian/White
ID Native American/American Indian
Other—Print Race:
C] I prefer not to answer.
Do you consider yourself to be Spanish, Hispanic, or Latino/a?
ED Yes
✓� No
ED I prefer not to answer.
Do you consider yourself Physically Disabled?
Yes
No
El I prefer not to answer this question.
Page 6 of 6
F:ICLER\$ALLIREGIBOARD AND COMMITTEE APPLICATIONS FINAL DRAFTS\BOARDAND COMMITTEE APPLICATION REG FINAL.docx
Updated:June 2020
MIAMI BEACH
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 33139
www,miamibeachfl.gov
OFFICE OF THE CITY CLERK
Email: BCci miamibeachfl.gov
Telephone: 305.673.741 i
BOARD & COMMITTEE ACKNOWLEDGEMENT STATEMENTS
Rogers Pam E
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 Copy of your latest Federal Income Tax Return.
Members of the Planning Board and the Board of Adjustment must electronically file a "Statement of Financial
Interests (Form 1)" directly with the Florida Commission on Ethics.
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 $500, 60 days in jail, or both.
Acknowledgment to Comply with Miami Beach Code of Ordinances Division 1 Sec. 2-22 (23)
I understand that commencing with terms beginning on or after January 1, 2024, and as a condition of applying
for appointment to a City agency, board, or committee, I voluntarily agree that in the event I file with the City
Clerk a Statement of Candidate formally announcing candidacy for City elective office, such filing with the City
Clerk shall be deemed a tender of resignation from the City agency, board, or committee
P Q i t l e l a Rogers e rJ' Digitally signed by Pamela Rogers
G11 f t f� Date:2024,03.04 122129-05'00' 3/4/24
Signature Date
Members of the Planning Board and Board of Adjustment will be notified directly by the State of Florida,
pursuant to F.S. §112.3145(1)(a),to electronically file a Statement of Financial Interests(Form 1)with the Florida
Commission on Ethics by 12:00 noon, July 1. Planning Board and Board of Adjustment members who file their
Form 1 with the Florida Commission on Ethics automatically satisfy the County's financial disclosure requirement
as a Miami Beach City Board/Committee member and need not file an additional form with the Office of the City
Clerk.
Page 6 of 6
F:\CLERI$ALLIBOARD AND COMMITTEES DATABASE1Board and Committee Applicat'on\BOARD AND COMMITTEE APPLICATION FEB 2024.docx
Updated:February 22,2024
MIAMFn 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 Rogers Pam
Mailing Address—Street Number,Street Name,or P.O.Box
5415 Collins Ave
City,State,Zip
Miami Beach, FL 33140
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.0
Filing as an Employee(check sue)
El County 0 Public Health Trust ® Municipal:
(Municipality)
Department
Position or Title Employee ID Number
Work address Work telephone Employment began on/ended on
Filing as a Board Member(check we)
12 County 0 Municipal:
(Municipality)
• Board where serving
Miami Beach
Alternate address(If home address is exempt) Work telephone Tenn began on/ended on
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 anoth r
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.11
Name of Source of Income Address Description of the Principal Business Activity
n/a
hereby swear(or affirm)that the information above Is a true and correct statement. RECEIVED BY V'^ NT'
Li Hardcopy
ii-----. ❑Electronic fiK 05 2024
Signature of Per on Disclosing
�� MA H CITY OF MiAiVll BEACH
Date signed OFFICE OF THE CITY CLERK
OFFICE USE ONLY Accepted: Y/ NJ Deficiency: Processed Date/Initials: Scanned Date/Initials:
138 SP-14 CCE 2016
MIAMI BEACH BOARD & COMMITTEES
City of Miomi Beech,PARKING DEPARTMENT PARKING APPLICATION
1755 Meridian Avenue,Sulie 200 Miami Beach,FL 33139/Pn:(305) 673-7505 or(305) 673-7000 ext.6200 'AR NG
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: March 4, 2024
Applicant Name: Pam Rogers
Board/Committee Name: Commission for Women
Address: 5415 Collins Ave, Miami Beaech, FL 33140
E-Mail Address: pamrogersl@gmail.com
Work Phone: I Home Phone:
Cell Phone: 304-297-5762 Preferred Contact Method: cell
Please Choose One (1) Option:
e Citywide Parking Permit/G7 Access Card ® Citi Bike/Deco Bike Membership ® MDC Monthly Transit Pass
Credit
Vehicle Information (For Citywide Parking Permit/Access Card Only)
Tag: DQP V33 Color: white
State: FL Year: 2019
Make: Lexus Model: IS 300
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.
Applicant Signature: ,es Pam Rogers ---�
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
e-mail subject: BOARD & COMMITTEE PARKING APPLICATION - APPLICANT NAME
r:\ptng\$manVar\tams\cw boards&commftteesporkngform.doc form updated 1/18/2024