Christine Klingspor 12.31.25M IA M I BEACH
B O A R D A N D C O M M ITTEE C H E C K LIST
FOR SCANNER
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APPOINTEE: CH (LS LA. -IN G )Po DATE OF APPOINTMENT: Z-LL]zr r 7
BO A RD /C O M MI TTEE : P R? App oi nte d by: Joseah 4<an -----=----------- r 0
rwwevo, 2/3Lh2f 7var..22]31h25
2/1/2 4
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FOR CLERK STAFF
o Letter of Appointment
o Letter of Reappointment
o Cop y of Letter of Appointment/Reappointment e-mailed to Com m ittee Liaison on
o Boa rd and Com m itt ee Ap plica tion (Com pleted on - l
o sum@curriculum vt ae h/4
o Diversity statistics Repor ting (Complet ed on. 3_ 5]
o Oath T- v
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IMPORTANT INFORMATION FOR BOARD AND COMMITTEE MEMBERS BOOK
✓City Code Ordinance Sect ion applica ble to th e agency , bo ar d or com m ittee
Y City Code Sect ion s 2-21, 2-22, 2-23, 2-24, 2-25, 2-26, 2-458 an d 2-459
✓County Code Secti on 2-11.1 - Conflict of Interest and Code of Ethics Ordinance (as
am ended through Dec em ber 2010)
✓Am endm ents to the Code of Ethics Ordinance (Sept em ber 2009 thr o ugh July 2012)
✓Highlights of the M iam i-Dade County Ethics Cod e
✓Suns hine Law and Public Reco rds - Fre quen tly Asked Q ues tions
✓M em orandum - Solicitation by City Board and Comm ittee Membe rs
O Citywi de Permi t Ap pl icati on (Parki ng Depa rtm ent For)
.ei Boo klet - G uide to Sunshine Am en dment & Cod e of Eth ics for Public Officers and Em ployee s
S our ce of Incom e Stat em ent
O Ackn owl ed gm ent Stat em en t
0 Board and Com m itt ee s liaison Res po nsibilities
O Diversity Statistics Repor ting
~ acknowledge that pursuant to Sec. 2-22(9) of the Miami Beach Code of Ordinances, I wtll be removed
from my board/committee upon failure to attend 33% of the regularty scheduled meetings.
Sec. 2-22(9) lf 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 rem o ved. 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.
Received on.
S can ned on:
-~--=--'!~i_c .:..-r _Signed byx,----'e.,-,_;~'---""-"·.a:1:::,-'--'-=-'t::::$-~ll~~----- '3 ~~) 1.,
1
( Board or Comm ittee Mefuher
o»a '. '1 ore ~/] <j77 coo~pjcsdpareses kl2L error». _[/]
al e cn, cs om sham niiaiG-
We are com mitted to providing excellen t public sorvi ce and alety to all who live, work , and play in our vibrant, topical, historic communiNy.
M IA M I BEACH
City of Miami Beach, 1ZOO Convention Contor Drivo, Miami Boa ch, Horida 33 139 yNyyy_miamibogchllgav
OFFICE OF THE CITY CLERK, Rafael E. Granado, City Clerk
Tl: 305.673.7411, Fax. 305.673.7254
Email: CiNyClerk @miamibeachfl.gov
January 29, 2024
Ms. Christine Klingspor
100 Jefferson Ave., #10015
Miami Beach, Florida 33139
SUBJECT: Police/Citizens Relations Committee
Congratulations! You have been reappointed by Commissioner Joseph Magazine to the above
referenced, board or committee named above, for a term ending: 12/31/2025.
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.
A
.4.2.
City Clerk
cc: Monica Beltran, Parking Director
Cilia Maria Ruiz-Paz, City Liaison
ATT ACHMENTS:
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 IAM I BEACH
City of Miami Beach, I7OO Convention Contor DNo, Momi Boch, Florida 33 1 39 www.mlamiboachll.qg
OFFICE OF THE CITY CIERK, Rolf0l E. Granado, Cay Cdork
Tel: 305.673.7411, Fax. 305.673.7254
Emal: Caylorl @miamtbeachll.gov
Oath of Office
Oath of Civility
and
Acknowledgements
TO: Ms. Christine Klingspor
RE: Police/Citizens Relations 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: 12/31/2025.
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 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.
°tel- iu.. CnrGiwe @Gs
Sworn to and subscribed before ma this {$024
Keila en 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.
M IA M I BEACH
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 33139
OFFICE OF THE CITY CLERK
Emai t: BC @m iam ib ea chf.gov
Telephone: 305.673.7411
C E VE D
A 05 207
eEACH mv or %, ci
3rrE Of ""
AFFIDAVIT OE AFFILIATION WITH IE CIT OF MIAML BEACH
I am in compliance with the affiliation requirement of Miami Beach City Code Sections 2-22 (4),
as (check (/) al l that apply):
L3. resident of the City of Miami Beach for six months or longer.
Home Address: lo o JEkc oo Bhv ±ooi L_a.bed,,fE ,
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: _
D I am a full-time employee of a business (for a minimum of six months) and I am based in an
offi ce or other location of the business that is physically locat ed in Miami Beach (for a
minimum of six months).
Name of Business: ·------------------------
Business Address: _
"O wn e rsh ip In tere st" m e a ns th e o wner sh ip of ten per ce nt (10%) or m ore (in cludin g th e
own e rsh ip o f 10% or m o re of the outstan din g ca pital stock) in a busin ess.
"B u sin e ss" m e an s an y sole p roprietors hip, spo nsorsh ip, co rpo ra tion, lim ited liab ility co m pany,
or o th e r en tity or b u sine ss ass ociation.
Under penalties of perjury, I declare that I have read the foregoing document and that the fads
stated in it are true.
si @n at ur e 7
C t+r 17 NU E-AUG,SP6£
Printed Name
• /44
MIAMI BEACH
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 33139
w.miamibeachfl.gov
OFFICE OF THE CITY CLERK
Emoil: BC@miamibeachfl_gov
Telephone: 305.673.7411
BOARD & COMMIIIEE ACKN OWL EDG EMEN T STATEM E NTS
[LJgP?2- Bis1ypg e
Last Name First Name
-
Middle Initial
Acknowledgment of fines/suspension for Board/Committee Members for failure to com ply wit h Miam i-
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 Be ach 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
Signature Date
1 Members of the Planning Board and Board of Adjustment will be notified directly by the State of Florida,
pursuant to F.S. $112.3145(1)(a), to file a Statement of Financial Interests (Form 1) with the Miami-Dade County
Supervisor of Elections by 12:00 noon, July 1. Planning Board and Board of Adjustment members who file their
Form 1 with the County Supervisor of Elections automatically satisfy the County's financial disclosure
requirement as a Miami Beach City Board/Committee member and need not file an additional form with the Office
of the City Clerk. However, compliance with the County disclosure requirement does not satisfy the State
requirement.
Page 6 of6
FCLER$ALL BOARD AND COMMITTEES DATABASE\Board and Committee ApplicationBOARD AND COMMITTEE APPLICATION OCT 2023.d0cx
Updated: January 9, 2023
MIAM I BEACH
City of Miami Bea ch
1700 Convention Center Drive
Mi ami Beach, Florida 33139
ow.miamibeachfl,gov
OFFICE OF THE CITY CLERK
Email: BC@miamibeachfl.gov
Telephone: 305.673.7411
DIVERSITY STATISTICS REPORT
-
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:
Dae
l Female oner
D I prefer not to answer.
Race/Ethnic Categories:
What Is your race?
D African American/Black
D Asian or Pacific Islander
[~Caucasian/white
D Native American/American Indian 0 Other- Print Race: _
D I prefer not to answer.
Do you consider yourself to be Spanish, Hispanic, or Latino/a?
Lyes
LINo
D I prefer not to answer.
Do you consider yourself Physically Disabled?
Dys
ho
D I prefer not to answer this question.
Page 6 of6
FCLER$ALLREGBOARD AND COMMITTEE APPLICATIONS FINAL DRAFT SBOARD AND COMMITTEE APPLICATION REG FINAL.dox
Updated: Jun e 2020
S O U R C E O F IN C O M E S TAT E M E N T
Section 2-11.1(@) of the County Ethics Code requires that certain employees and public officials file a financial disclosure Statement on a yearl y basis by July 1st
of every year.
Disclosure for Tax Year Ending [Last Name First tame Middle Name/initial
2023 l</> z
Mai ling Address - Street Number, Street Nam e, or P.O. Bo x
lo o Je,so Ave loo
City, State, Zip
i a' a , 3313
lf your home address is your mailing address, and your hom e addr ess is exempt from public records pursuant to Fla. Stat. $119.07, read
instructions on the following page and check here.[l
Filing as an Employee (beck one)
DJ county I Public Health Trust [] Municipal:
(M uni cipa lity)
Depar tment
Position or Title Employee ID Number
Work address [or tele»hone Employment began on/ended on
Fling as a Board Member (check one)
[] county [Tiwunicipat: : ' a(-_ A,
(Muni cipality)
Board where serving
Pot /Ci+-s 2t'>a> C o o h
Alternate address (if home address is exempt) [Wok teen»one rerm began on/ended on
8 2 8 3 l le -l
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 sepa rate sheet, check here.]l
Mame of Source of income Address Descr iption of the Principa l Business Activity
Kw/9( N A S IvS, 2555 Tl B lvd
(AU - H k o N g 02 U..
e
I hereby swear (or affirm) that the information above is a true and correct statement.
sinature of Persona Bi,
]4/24
Date signed '
RECEIVED BY
[] Hardcopy
J Electronic coy 03 2024
C ITY OF MIAMI BE A CH
O FF IC E O F TH E C ITY C LE R K
OFFICE USE ONLY Accepted: Y / N Deficiency. Processed Date/initials: Scanned Date/initials:
138_sP14 Cf2016
M IA M I BEACH CITYWIDE (CW) BOARD & COMMITTEES a cy st ten+ wed, ARKao Airi Nr PARKING PPL[CAT[ON
1755 Meridion Avenue, Sui 200/Miami Beach, FL 33139/Ph: (305) 673-7505 r (305) 673-.7000 4. 6200
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". In order 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.
Board Member information
Date of Application:
Applicant Name: C(4ST) kt«Js0
Board/Committee Name: Pale / C,Hiaz < 22t o - Coo He>
Address: lo Te{ese Au« # o o s ... ' ael ,F 2312 M
E-Mail Address: .
hshoc kl4spo@ 9al.oo-
Work Phone: 'Home Phone
Cell Phone: 8 2 8 33l lo I Preferred Contact Method:
Vehicle information
Tag: J 2t Color: )al
State: Pt- Year: 20 o
Mako: M U Model: x.G
-
Applicant Sianature: a 0•
Please provide signed form to the B~king Department located at 1755 Meridian Avenue, 2" 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 NAM E
a
¢
PERMIT SYSTEM G A RAG E A CCESS
Expiration D ate: ID Card Serial #:
Issued By Print N am e: Print N om e:
Si gnatu re: 6 Si gnatur e: A
D ate lssued: Dote Com pleted :
'·r • or -·· " t ta .ho. holy hr