Laura Lewin 12.31.25M IA M I BEACH
BOARD AND COMMITTEE CHECKLIST
APPOINTEE: La u ra Le w in -----------------
8O ARD/COMM ITT EE: D e sig n R e vie w Bo a rd
DATE OF APPOINTMENT. March 14 , 2024
Appointed by: C ity C o m m issio n
FOR SCANNER
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T E R M E N D : 12 .31.25 rRwun. 1/3l_ha
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FOR CLERK STAFF
o Le tte r of A p p o in tm e nt
o Le tt e r of R e a p p o in tm e n t
o C o p y of Le tt e r o f Ap p o in tm ent/R e app oi ntm en t e-m aile d to C o m m itt e e Li a iso n on _
o Bo a rd a n d C o m m itt e e A p p lica tion (C om p le te d on )
o R ~sum ~/C u rricul um Vi ta e
o D ive rsity S tatistics R e p o rt in g (C o m p le te d o n _
o O a th
REC EI VED
MAR 1 8 2024
CI TY O F MIAMI BEA CH
OFFICE OF THE CITY CLERK
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IMPORTANT INFORMATION FOR BOARD AND COMMITTEE MEMBERS BOOK
✓C ity C o d e O rd in a n ce S e ction ap p lica b le to th e ag en cy, bo ard o r co m m ittee
✓C ity C o d e S e ct ion s 2-21, 2-22, 2-23, 2-24, 2-25, 2-26, 2-458 an d 2-459
✓C o u n ty C o d e S e ct ion 2-11.1 -- C on fl ict of In te rest a nd C od e of E th ics O rd in a n ce (as
am e nd e d th ro ug h D e ce m be r 2010)
✓A m e n d m e nts to th e C od e o f E th ics O rdin a n ce (S ep tem b e r 2009 thro ug h Ju ly 2012)
✓H ig h lig h ts o f the M ia m i-D a d e C ou nty Eth ics C o d e
✓S u n sh in e La w an d P u blic R e cord s - Fr e q u e n tly A ske d Q u estio ns
✓M e m or a n d u m - S o licita tion by C ity B o a rd an d C om m itt e e M em b e rs
o C ityw id e P e rm it A p p lica tio n (P arkin g D e p artm ent F or m )
o Bo o kl e t - G uid e to S u n sh in e A m en d m en t & C o d e o f E th ics fo r P ub lic O ff ice rs and E m p loye e s
o S o u rce of In co m e S ta te m e n t
o A ckn o w le d g m e n t S ta te m e n t
o B o a rd a n d C o m m itt e e s Li aiso n R e sp o n sib ilitie s
o D ive rsity S ta tistics R e p o rtin g
0 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.
R e ce ive d o n : March 1@20?4 sone@oy%,
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D a te } oa r~m itte e M em ber
Pr o ce sse d o n .2,1''L y t r o ve s:
D a te C ity C le rk's O ffi ce S ta ff Initia ls
We are committed lo providing excellent public service and salety to all who live, work, and play in our vibrant, tropical, historic community.
M IA M I BEACH
City of Miami Beach, 1/OO Convention Contor Drive, Miami Boach, Florida 33139 yyw_miamnibeachll_gov
OFFICE OF THE CITY CLERK, Rafael E. Gran ado, City Clerk
Tel: 305.673.7411, Fax. 305.673.7254
Email: CityClerk @miamibeach fl.gov
March 13, 2024
Ms. Laura Lewin
650 West Ave., Apt. 1709
Miami Beach, Florida 33139
RE: Desi gn Revi ew Board
Dear Ms. Laura Lewin:
Congratulations! You have been appointed by the City Commission to the agency, board or committee
named above 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 as they concern your duties, responsibilities, and
requirements as a board or committee member.
Congratulations again and good luck.
Rega1{/
Rafael Granado
City Clerk
cc: Monica Beltran, Parking Director
Michael Belush, 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
M IA M I B EAC H
City of Miami Beach, 1ZOO Convention Coner Drive, Miami Beach, Flor ida 33 139 yyw.miamibcachll.gov
OFF ICE OF THE CITY CLERK , Rafael E. Granado, Ciiy Clerk
Tel: 305.673.7411, Fax: 305.673.7254
Emal: Ci/Clerk@miamibeochll.gov
Oath of Office
Oath of Civility
and
Acknowledgements
TO: Ms. Laura Lewin
RE: Design Review 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 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.
Lewin
Sworn to and subscribed before me this~ day o,f, ,___..,.,.._, 2024
Keil
*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
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 33139
OFFICE OF THE CITY CLERK
Email: BC@miamibeachf_gov
Telephone: 305.673.7411
RECE I FD
MR 18 024
CI T Y Ok i1AMI BEA CH
OFFICE OF THE CITY CLERK
AFFIDAVIT OF AFFILIATION WITH THE CITY OF MIAMI BEACH
I am in co m p liance w ith the affil iation requirem ent of M iam i Beach City C ode Section s 2-22 (4),
as (ch e ck (/) all that apply):
l/1 am a resid en t of th e Ci ty of M iami Beach for six m onth s or lon ger.
H o m e A dd ress: 6 5 0 W est A ve. A pt. 1709 , M ia m i Beach, FL 33139
D I ha ve an ow nership interest (fo r a m inim um of six m onths) in a business established in the
C ity of M ia m i Beach (fo r a m inim um of six m onths).
N a m e of Business: _
Busin e ss A d dress: _
D I am a full-tim e em ployee of a business (fo r a m inim um of six m onths) and I am based in an
offi ce or other location of the business that is physically located in M iam i Beach (fo r a
m in im um of six m onths).
N a m e of B usiness: _
Busin ess A ddress: _
"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.
altie s of perjury , I decl are that I have read the fo regoing docum ent and that the facts
t are true.
M ar ch 18, 2024
D ate
La u ra Lew in
Printed N am e
M IA M I B E A C H
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
DIVE RSI TY STA TISTICS REPO RT
Lewin Laura M
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:
LJ Mae
El remate
loner
D I prefer not to answer.
Race/Ethnic Categories:
What is your race?
D African American/Black
D Asian or Pacific Islander
Ezl Caucasian/white
0 Native American/American Indian D Other - Print Race: _
0 I prefer not to answer.
Do you consider yourself to be Spanish, Hispanic, or Latino/a?
Ives
Io
0 I prefer not to answer.
Do you consider yourself Physically Disabled?
v e» no
0 I prefer not to answer this question.
Page 6 of6
F:ICLERISALLIREGIBOARD AND COMMITTEE APPLICATIONS FINAL DRAFTSIBOARD AND COMMITTEE APPLICATION REG FINAL.docx
Updated: June 2020
M IA M I 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
Lewin
BOARD & COMMITTEE ACKNOWLEDGEMENT STATEMENTS
Laura M
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 sh e deemed a tender of resignation from the City agency, board, or committee
March 18, 2024
Date
' Members of the Planning Board and Board of Adjustment will be notified directly by the State of Florida,
pursuant to F.S. S112.3145(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 Applicallon\BOARD AND COMMITTEE APPLICATION FEB 2024.d0cx
Updated: February 22, 2024
MIAMl·llADE- EI SOURCE OF INCOME STATEMENT
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 I last Name First Name Middle Name/Initial
2023 Lewin Laura M
Mailing Address - Street Number, Street Name, or P.O. Box
650 West Ave. Apt. 1709
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. D
Filing as an Employee (check one)
D County □Public Health Trust I] 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, FL 33139
(Municipality)
Board where serving
Design Review Board
Alternate address (if home address is exempt) I Work telephone I Term began on/ended on
(305) 373-9423 /12.31.25
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
Nelson Mullins RIiey & 2 S Biscayne Blvd, 21st Floor, Salary income for attorney
Scarborough LLP Miami, FL 33131 position
Hanuman Yoga Studio LLC 736 6th Street, Miami Beach, FL Income substitute yoga teaching
33131
Fifth Third Bank; Wells Fargo Savings and checking account
Bank; USAA Bank interest
I hereby swe (or affirm) that the information above is a true and correct statement.
(sl I, w4
Date signed
across9 ?7 %%%'
D Hardcopy
J Electronic %PY
AR 1 8 2024
CITY OF MIAM I BEA CH
OFFICE OF THE CITY CL ER K
OFFICE USE ONLY Accepted: Y / N Deficiency: Processed Date/Initials: Scanned Date/Initials: _
138_SP-14 COE 2016
MIAMI BE A C H
City of Miami Beach, PARKING DEPARTMENT
BO A RD & C O M M ITTEES
PA RKIN G A PPLI C A TIO N
1755 Meridian Avenue, Suite 200 Miami Beach, FL 33139/Ph: (305) 673-7505 or (305) 673-7000 ext. 6200
a
PAR KI N G
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.
Bo ard M em ber Info rm ation
Date of Application: March 18, 2024
Applicant Name: Laura Lewin
Board/Committee Name: Design Review Board
Address: 650 West Ave. Apt. 1709, Miami Beach, FL 33139
E-Mail Address: laura.lewin@nelsonmullins.com
Work Phone: 305.373.9423 Home Phone: n/a
Cell Phone: 813.748.5391 Preferred Contact Method: cell phone
Please C ho ose O ne 1 0 tion:
3 , Citywide Parking Permit/G7 Access Card [} Citi Bike/Deco Bike Membership ) MDC Monthly Transit Pass
V ehicl e Inform atio n {For C ityw ide Parking Perm it/A ccess Card O nly)
Tag: FGB030 Color: White
State: Florida Year: 2011
Make: BMW Model: 328i
A citywide (CW) parking permit is honored at metered parking spaces and restricted residential zones
parking spaces. A CW parking permit IS N O T honored in prohibited areas. An Access Card will be
provided to you for City Hall Garage (G7) access.
IM PO RTA NT NO TE: 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 C A N NO T 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.
A C K N O W LEDG EM EN T: I ackno w led ge that sho uld m y access card be lost, stolen or dam age, I w ill be
responsible to pay a $10 .00 re ce m ent fee.
A
Please provide sign form the Parkin Department located at 1755 Meridian Avenue, 2d flo or.
Working hours are 8:30 to 5:00 p.m. or email to: ParkingRece ption@ m iam ibeachfl.gov
e-m ai l sub i e ct: BO A RD & C O M MI TTE E PA RK I N G AP PLIC A TION -- AP PLIC A NT NA M E
f;\ping\man\var\forms\cw boards&committees parkingtorm.doc form updated 118/2024