Marjorie York 12.31.24 MIAMI BEACH
BOARD AND COMMITTEE CHECKLIST
APPOINTEE: Marjorie York DATE OF APPOINTMENT: 02/28/2024
BOARD/COMMITTEE: Commission for Women Appointed by: Mayor Meiner
FOR SCANNER FOR CLERK STAFF 12/31/24 12/31/28
Scan o o Letter of Appointment TERM END: TERM LIMIT:
Scan o o Letter of Reappointment
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
o Diversity Statistics Reporting (Completed on 03/05/2024
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)
MAR 05 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 0 Acknowledgment Statement
o Board and Committees Liaison Responsibilities
o Diversity Statistics Reporting
I v l 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.
%
Received on: 3 i'� ��l Signed by X
/�
ate r Board Comm ttee Member
Processed on: 3 ) C)-t t By Employee:
Date City Clerk's Office Staff Initials
We ore committed to providing excellent public service and safety to all who live,work,and play in our vibrant,tropical, historic community.
MIAMI BEAC H
City of Miami Beach, 1700 Convenfion Center Drive, Miami Beach, Florida 33 139 www.miamibeachfl.gov
OFFICE Of THE CITY CLERK,Rafael E.Grande,City Clerk
Tel:305.673.7411,Fax:305.673.7254
Email:CityClerk@miomibeachfl.gov
March 01, 2024
Ms. Marjorie York
829 15th Street, APT# 10
Miami Beach, Florida 33139
SUBJECT: Miami Beach Commission For Women
Congratulations! You have been reappointed by Mayor Steven Meiner to the above referenced, board or
committee named above, fora 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,
Rafael Granado
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
MIAMI BEACH
City of Miami Bach, 1700 Convention Conte(Drive,Miami Beach,Florida 33139 www.miamibeachfl.gov
OFFICE OF TFf CITY CLERK,Rofoel E.Grande,City Clerk
Tel:305.673141 1, Fox: 305.673.7254
Email:CiyCJerk@miomiboachfl.gov
Oath of Office
Oath of Civility
and
Acknowledgements
TO: Ms. Marjorie York
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. M rie York
Sworn to and subscribed before me this day of 2024
Keil a 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.
RECEIVED
MIAMI BEACH MAR 052024
City of Miami Beach CITY OF MIAMI BEACHOFFICE OF THE CITY CLERK
1700 Convention Center Drive
Miami Beach, Florida 33139
OFFICE OF THE CITY CLERK
Email: BC(a miamibeachfl.gov
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 (✓) all that apply):
I am a resident of the City of Miami Beach for six months or longer.
Home Address:829 15th St. Apt 10 Miami Beach, FL 33139
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:
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 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 ave read the foregoing document and that the facts
stated in it are true. ,
31 r1ti4
Si nat re Date
Marjorie rk
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: BC( miamibeachfl.gov
Telephone: 305.673.7411
DIVERSITY STATISTICS REPORT
York Marjorie
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:
Male
I emale
Li Other
LI I prefer not to answer.
Race/Ethnic Categories:
What is your race?
n African American/Black
n Asian or Pacific Islander
&Caucasian/White
Li Native American/American Indian
[� Other— Print Race:
El I prefer not to answer.
Do you consider yourself to be Spanish, Hispanic, or Latino/a?
0 Yes
Errlo
0 I prefer not to answer.
Do you consider yourself Physically Disabled?
D Yes
11.No
I prefer not to answer this question.
Page 6 of 6
F:\CLER\$ALL\REG\BOARD AND COMMITTEE APPLICATIONS FINAL DRAFTS\BOARD AND COMMITTEE APPLICATION REG FINAL.docx
Updated:June 2020
MAM BEACH
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 33139
www.miamibeachfl.gov
OFFICE OF THE CITY CLERK
Email: BC(a�miamibeachfl.gov
Telephone: 305.673.7411
BOARD & COMMITTEE ACKNOWLEDGEMENT STATEMENTS
York Marjorie
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)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
Signat e 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\CLER\$ALL\BOARD AND COMMITTEES DATABASE\Board and Committee Application\BOARD AND COMMITTEE APPLICATION FEB 2024 docx
Updated. February 22,2024
MIA Y 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 York Marjorie
Mailing Address—Street Number,Street Name,or P.O.Box
829 15th St.Apt 10
City,State,Zip
Miami Beach, FL 33139
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
Filing as a Board Member(check one)
❑ County p Municipal: Miami Beach
(Municipality)
Board where serving
Miami Beach Commission for Women
Alternate address(if home address is exempt) Work telephone Term 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 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
I hereby swear(or affirm)that the information above is a true and rrect statement. RECEIVED BYE (N`s RTMENT:
❑ Hardcopy `' v E d
❑ Electronic Copy
O r
Signs re ers is o�g R 2024
CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
OFFICE USE ONLY Accepted: Y / N Deficiency: Processed Date/Initials:_ Scanned Date/Initials:
138_SP-14 COE 2016