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Roger Abramson 12.31.25M IA M I BEACH B O A R D A N D C O M M IT T EE C H E C K LIST APPOINTEE: Roger Abramson BOARD/COMMITTEE: Personnel Board DATE OF APPOINTMENT: 01/31/24 -------- Appointed by: City Commission FOR SCANNER Scan o Scan o Scan o Scan o Scan o FOR CLERK STAFF o Letter of Appointment o Letter of Reappointment 2] J} o Copy of Letter of Appointment/Reappointment e-mailed to Committee Liaison on t(j 1.- '1 o Board and Committee Application (Completed on ) o Resume/curriculum vitae ·[(_[{ o Diversity Statistics Reporting (Completed on (o 'L o Oath TERM END: n/31 h2 rRM LuMrr: _[2[31J 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 CI TY OF MIAM I BE A CH OFFICE OF THE CITY CLEO Citywide Permit Application (Parking Department Form) o Booklet - Guide to Sunshine Amendment & Code of Ethics for Public Officers and Employees ✓ ✓ ✓ RECEIVED ✓ ✓ MAR 06 2024 ✓ ✓ Scan o Scan o o Source of Income Statement o 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 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 embership on the board for at least one year from the date of removal. Received on: /@/21 sens»% Date ommittee Member Processed 2/6,/24 Employee: a,.fvvl __ __._ _ Date City Clerk's Office Staff Initials WVe ar e com m itte d to p ro vidin g excellent public se rvice and solely to all who live, w ork , and play in our vibrant, trop ical, histor ic community. M IA M I BEACH C ity o f M ia m i B ea ch , I7O Convention Center Drive, Miami Boach, Florida 33 139 yNyywy_miamiboachll_gov OFFICE OF THE CITY CLERK, Rafael E. Granado, Cy Clerk Tel: 305.673.7411, Fax. 305.673.7254 Emai l: CiNyClerk @mi amibeach fl.gov February 07, 2024 Mr. Roger Abramson 6450 Collins Ave. #202 Miami Beach, Florida 33141 S U B J E C T : Pe rs on n el B o ar d Dear Mr. Roger Abramson: Congratulations! You have been reappointed by the C ity C om m ission to the above referenced board or committee, for a term ending: 12/31/2025. 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. " ••• City Clerk cc: Monica Beltran, Parking Director Marla Alpizar, City Liaison A TT A C H M E N T S : 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 M IAMI BEACH City of Miami Beach, 1ZOO Convention Con ler Drive, Miami Boach, Florida 33 139 yyy_miamnibcachll_gov OFFKCE OF THE CITY CLERK, Rofool E. Gran ado, Ciy Clerk Tel: 305.673.7411, Fax. 305.673.7254 Email: CiNyClerk@miamibeachll.gov Oath of Office Oath of Civility and Acknowledgements TO: Mr. Roger Abramson RE: Personnel 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: 12/31/2025. 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 Co ty or the State of Florida (depending on the board or committee on which I serve) on July 1st, foll win the closing of the calendar year on which I have served. Sworn to and subscribed before me this _f__ day of~024 Keil~ Deputy Clerk *Please visit the City of Miami Beach website at ww w.miamibeachfl.gov under City Clerk/Board and Committees for additional information regarding the Financial Disclosure Requirements. MIAM I BEACH City of Miami Beach 1 700 Convention Center Drive Miami Beach, Florida 33139 RECEIVED MAR 06 2024 CITY OF MIAMI BEACH OFFICE OF THE CITY CLERK OFFICE OF THE CITY CLERK Email: BC@miamibeachfl.gov Telephone: 305 .673 .7 411 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): [/[1am a resident of the City of Miami Beach for six months or longer. Home Address: 6450 Collins Ave. #202 Miami Beach, Florida 33141 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: ------------------------- □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. clare that I have read the foregoing document and that the facts Si nature Roger Abramson Date Printed Name M IA M I B EAC H City of Miami Beach l 700 Convention Center Drive Miami Beach, Florida 33139 www._miamibeach[]_gov OFFICE OF THE CITY CLERK Email: BC@miamibeachfl.gov Telephone: 305.673.7411 DIVERSITY STATISTICS REPORI Abramson Roger 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 [l Female 0 Other D I prefer not to answer. Race/Ethnic Categories: What is your race? L Amican American/Black 0 Asian or Pacific Islander @ Caucasian/white 0 Native American/American Indian D Other- Print Race: _ D I prefer not to answer. Do you consider yourself to be Spanish, Hispanic, or Latino/a? ves La o Ll prefer not to answer. Do you consider yourself Physically Disabled? ves @l o Llt refer not to answer this question. Page 6 of 6 F:\C LER\$ALL\REG\BO ARD AND CO M M ITT EE APPLI CATIO NS FINAL DRAFT S\BOARD AND COMMITT EE APPLICATION REG FINAL.docx Updated: June 2020 M IA M I BEA CH City of Miami Beach 1700 Convention Center Drive Miami Beach, Florida 33139 www.miamibeach[l,gov OFFICE OF THE CITY CLERK Email: BC@miamibeachfl.go Telephone: 305 .673 .7411 Abramson BOARD & COMMITTEE ACKNOWLEDGEMENT STATEMENTS Roger 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 tend f resignation from the City agency, board, or committe Date 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. Page 6 of6 F:ICLER\$ALLIBO ARD AN D CO M M ITT EES DATABASE\Board and Committee Application\BOARD AND COMM ITT EE APPLICATION OCT 2023.docx Updated: January 9, 2023 MIAMl·DAD E- Em SOURCE OF INCOME STATEMENT Section 2-11.1(i) of the County Ethics Code requires that certain em ployees and public offi cials file a financial disclosure Statem ent on a yearly basis by July 1st of every year. Disclosure for Tax Year Ending I Last Name First Name Middle Name/Initial 2023 Abramson Roger Mailing Address - Street Number, Street Name, or P.O. Box 6450 Collins Ave. #202 City, State, Zip Miami Beach, Florida 33141 If your hom e 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. D Filing as an Employee (check one) D County □Public Health Trust [] Municipal: (Municipality) Department Position or Title Employee ID Number Work address I Work telephone Employment began on/ended on Filing as a Board Member (check one) [] county E] Municipal: Miami Beach (Municipality) Board where serving Personnel Board Alternate address (if home address is exempt) I Work telephone I Term began on/ended on 01/31/2024 Li st below every source of incom e you received, along with the address and the principal activity of each source. Include your public salary. Place the sources of incom e in descending order, w ith the largest source first. Exam ples of sources of incom e include: com pensation for services, incom e fro m business, gains fro m pro pert y dealings, interest, rents, dividends, pensions, IRA distributions, and social security paym ents. Also, include any source of incom e received by another person fo r your benefit. How ever, the incom e 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 ormation above is a true and correct statement. RECEIVED BY ELECTIONS DEPARTMENT: Har@con ECEIVED [] Electronic Copy M4AR 06 2024 CITY OF MIAMI BEA CH OFFICE Or TA CITY CLERK OFFICE USE ONLY Accepted: Y / N Deficiency: Processed Date/initials: Scanned Date/Initials: _ 138 SP-14 COE 2016 M IA M I BEACH City of Miami Beach, PARKING DEPARTMENT BOARD & COMMITTEES PARKING APPLICATION 1755 Meridian Avenue, Suite 200 Miami Beach, FL 33139/Ph: (305) 673-7505 or (305) 673-7000 ext. 6200 a PARKING A s a Bo ar d /C o m m itt e e m e m b er you ar e e ntitle d to a C ityw ide Par king Perm it, w hich incl udes City Hall g ar a g e (G 7) p ar kin g ac c e ss (A c cess C ar d), or a co m plim entary C iti Bike/D eco Bike M em bership, or a d isc o u n te d M D C M o n th ly Tra n sit Pas s throug ho ut you r term . Board Member Information D a te o f A p p lic a tio n : 03/06/2024 A p p lic a n t N a m e : Roger Abramson Bo ar d /C o m m itte e N a m e : Personnel Board A d d ress: 6450 Collins Ave. #202 Miami Beach, Florida 33141 E-M a il A d d ress: rogerabramson@gmail.com W or k Ph o n e : H om e Phone: C e ll Ph o n e : 3o5 6o 7-oa 4 Preferred C ontact M ethod: Please Choose One 1 O tion: C ityw ide Parkin g Permit/G7 Access Car d Citi Bike/Deco Bike Mem bership MDC Monthly Transit Pas s Vehicle Information Permit/ Access Card Onl Ta g : Sta te : M a ke : C o lor: Year : M od el: A ci tyw id e (C W ) p ar kin g pe rm it is ho nor ed a t m e te red p ar king spac es and restricted residential zones p ar kin g sp a c e s. A C W par kin g p erm it IS NOT ho nor ed in prohibited ar eas . A n A ccess Car d w ill be p ro vid e d to yo u fo r C ity H a ll G ar ag e (G 7) a c cess. IMPORTANT NOTE: Yo u r ve h icle lic e nse p la te serv es as your "par king perm it". To avoid any u n n e c e ssa ry en for c e m e n t actions, it is im p or ta n t th at our recor ds reflect the m ost current and a c c u ra te infor m a tio n re g ar d in g your vehicl e lic e nse plate. Inaccurate and/or outdated vehicl e In fo rm a tio n m a y le a d to th e issu a n ce ot p ar king citatio n(s) and /or the tow ing of your vehicl e. Ple a se no te th a t th is ne w ac cess car d CANNOT b e hole-punc hed or perfo ra ted in any m anner. To use th e ne w car d p le a se ho ld th e car d a t close p ro xim ity to the read er until the gate opens. You m ay ne e d to try th e o th e r sid e o f th e car d. Ple as e e n su re you hold the entire surfac e of the car d against th e re a d e r un til th e ga te op e n s. ACKNOWLEDGEMENT: I acknowledge that should my access card be lost, stolen or damage, I will be responsible to pay a $1 0.00 replacem t fe . A Pl e a se pr o vi d e signe for m to the Pa rki n g D ep ar tm en t located at 1755 M eridia n Aven ue, 2d floor . W or kin g ho u rs ar e 8:3 0 to 5:0 0 p.m . or e m a il to : ParkingReception@miamibeachfl.gov e-mail subiect: BOARD & COMMITTEE PARKING APPLICATION - APPLICANT NAME f:\ping\$man\rar\forms\cw boards&committees parkingform.doc form updated 118/2024