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Monique Pope 12.31.24MIAMI BEACH BOARD AND COMMITTEE CHECKLIST APPOINTEE: Monique K. Pope BOARD/COMMITTEE: Commission for Women DATE OF APPOINTMENT. 03.1$.2024 Appointed by: Commissioner David Suarez FOR SCANNER Scan o Scan o Scan o Scan o Scan o RECEIVED AR 21 FOR CLERK STAFF o Letter of Appointment o Letter of Reappointment o Copy of Letter of Appointment/Reappointment e-mailed to Committee Liaison on o Board and Committee Application (Completed on 3]if[.± _) o R~sum~/Curriculum Vitae ] o Diversity Statistics Reporting (Completed on _3]2'[L-\_ _y o Oath TERM EeN o: 12 /3 ]\24 TERM LuMrr. 1/31)y s l1 24 Scan o Scan o 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 o Citywide Permit Application (Parking Department Form) o Booklet - Guide to Sunshine Amendment & Code of Ethics for Public Officers and Employees o Source of Income Statement o Acknowledgment Statement o Board and Committees Liaison Responsibilities o Diversity Statistics Reporting 12] 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: 0%-1@?0?t sgnea oy % Date Processed on: __ ..,,,:)=--__._r_vf__._ .... ) _1,_\.t __ By Employee: -----+----'------------- Date WVe are committed to providing excellent public service and solely to all who live, work, and play in our vibrant, tropical, historic community. M IA M I BEACH City of Miami Beach, 1/0O Convention Cen ter Drive, Miami Boach, Florida 33 139 yaw_y_miamiboachfl_go OFF ICE OF THE CITY CLERK, Rafael E. Granado, City Clerk Tel: 305.6 73.7 4 11, Fax€ 305.673.7254 Email: CiNyClerk @m iam i beochfl.go v March 15, 2024 Ms. Monique Pope 4570 North Jefferson Avenue Miami Beach, FL 33140 R E: M iam i Bea ch Com m issi on For W om en Dear Ms. Monique Pope: Congratulations! You have been appointed by Com m issioner David Suarez to the above-referenced Board or Committee, 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 as they concern your duties, responsibilities, and requirements as a board or committee member. Congratulations again and good luck. ; Raf' Granado City Clerk cc: Monica Beltran, Parking Director Monica Matteo-Salinas, City Liaison ENCLOSUR ES: Oath of Office/Oath of Civility/Acknowledgements City Code/Ordinance section applicable to agency, board or committee City Code Sections 2-22, 2-23, 2-24, 2-25, 2-26, 2-458 and 2-459 Ordinance No. 2006-3543 - Am endmen t 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 IAMI BEACH City of Miami Beach, 1/0O Conven tion Center Drive, Miami Boach, Horida 33139 wNyy._miamiba chllgo OFFICE OF THE CITY CLERK , Rafael E. Gran ado, City Clerk Tel: 305.673.7411, Fax. 305.673.7254 Email: City Clerk@miamibeachfl.gov Oath of Office Oath of Civility and Acknowledgements TO: Ms. Monique Pope 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 b e e n issued a copy of section 2-11.1 of the Miami-Dade County Code (Conflict of Interest and C ode o f E thics O rdina nce), a s w ell as F lo rid a C o m m issio n on E thics G u id e to the S un shine A m e ndm e n t and C o de o f E thics for P ublic O ff icers and u nd e rsta nd that as a m e m be r o f a C ity o f M ia m i B e a ch B oa rd a nd/or C o m m itt ee , I m ust com ply w ith the fina ncia l discl osure* require m e n ts o f M ia m i-D ade C o unty or the S ta te of Flo rida (d e pe nd in g o n the b oa rd or co m m itt ee on w hich I se rv e) o n July 1st, fo llow in g the clo sing of the cale nda r yea r on w hich I have serv ed . M s. M o niqu e P o pe S w orn to and subscribe d before m e a 2 -Are 2 024 *P le a se visit the C ity of M ia m i B e a ch w e b site a t www .m ia m ib e a chfl.g o v u nd e r C ity C le rk/B o a rd an d C o m m itt ee s fo r add itional info rm atio n rega rdin g the Financia l D iscl o sure R equirem en ts. M IA M I BEACH City of Miami Beach 1700 Convention Center Drive Miami Beach, Florida 33139 OFFICE OF THE CITY CLERK Email: BC@miamibeachfl.gov Telephone: 305.673.7411 RECEIVE MAR 21224 CI TY OE Ma 0 oe 3"AMI BE,, - I!Ta,, 'ill ii U!TyryE- · --t? AFFIDAVIT OF AFFILIATION WITH THE CITY OF MIAMI BEACH I am in com pliance with the affiliation requirement of Miam i Beach City Code Sections 2-22 (4), as ( check ( ✓) all that apply): [/[1a m a resident of th e City of Miami Beach for six months or long er. Hom e Address: 4570 North Jefferson Avenue, M iami Beach, FL 33140 l✓l I have an ow nership interest (fo r a minim um of six months) in a business established in the C ity of Miam i Beach (fo r a minim um of six months). Nam e of Business: Law O ffices of Monique K. Pope, P.A. Business Address: 4570 North Jefferson Avenue, M iami Beach, FL 33140 D I am a full-tim e em ployee of a business (fo r a minim um 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 minim um of six months). Nam e 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 fo regoing docum ent and that the facts stated in it are true. 7get? 20a0 Signature Date M onique K . Pope, Esq. Printed Nam e MIAMI B EA C H City of Miami Beach 1700 Convention Center Drive Miami Beach, Florida 33139 www._miamibegchfl_gov OFFICE OF THE CITY CLERK Email: BC@miamibeachfl.gov Telephone: 305.673.7411 DIVERSITY STATISTICS REPORT Pope Monique K. 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 at e l remale 0 Other D I prefer not to answer. Race/Ethnic Categories: What is your race? L Amican American/Black D Asian or Pacific Islander [Z} 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 [No 0 I prefer not to answer. Do you consider yourself Physically Disabled? ves z0Ro D I prefer not to answer this question. Page 6 of 6 F:\C LER \$ALL\R EG \BO ARD AND CO M M ITT EE APPLI CATIO NS FINAL DRAFT S\BO ARD AND CO M MITT EE APPLICATIO N REG FINAL.docx Updated: June 2020 M IA M I B EA CH City of M iam i Beach 1700 Convention Center Drive Miami Beach, Florida 33139 www.miamibeachfl.gov OFFICE OF THE CITY CLERK Email: BC@miamibeachfl.gov Telephone: 305.673.74 l l BOARD & COMMITTEE ACKNOWLEDGEMENT STATEMENTS Pope Monique K. 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 03.20.2024 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 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:IC LER\$ALL\BOARD AND CO M M ITTEES DATABASE\Board and Comm ittee Application\BOARD AND COMM ITT EE APPLICATION FEB 2024.d0cx Updated: Febru ary 22, 2024 M IA M I B E A C H 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 e r you ar e e ntitle d to a C ityw ide Par king Perm it, w hich includes City Hall g ar a g e (G 7) p ar kin g ac c e ss (A c c ess C ar d ), or a co m plim entary C iti Bike/Deco Bike M em bership, or a d isc o u n te d M D C M o n th ly Tra n sit Pass throu g ho ut you r term . Board Member Information D a te o f A p p lic a tio n : 03.20.2024 A p p lic a n t N a m e : M o n iqu e K . Pope Bo ar d/C o m m itte e N a m e : C o m m issio n fo r W om e n A d d re ss: 4570 N ort h Jeff erso n A venue , M ia m i Be ach, FL 33140 E-M a il A d d re ss: m oniq u ek p ope 1 124@ gma il.com W o rk Ph o n e : H om e Phone: 786.558.4464 C e ll Ph o n e : 78 6.3 90.3 54 2 Preferred C ontact M ethod: Mobile Please Choose One 1 0 tion: ,. C ityw id e Par kin g Pe rm it/G 7 A c c e ss C ar d C iti Bike/D eco Bike M em b ership Vehicle Information (For Citywide Parking Permit/ Access Card Only) Ta g : AP20MG C olor : White Sta te : Florida Year : 2023 M a ke : BMW M odel: X5 sDrive 40i A cityw id e (C W ) p ar kin g pe rm it is ho n or ed a t m etered p ar king spaces and restricted residential zones p ar kin g sp a c e s. A C W p ar kin g p erm it IS NOT ho n or 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 a g e (G 7) a ccess. IMPORTANT NOTE: Y o u r ve h icl e lice nse pla te se rv es as your "par king perm it". To avoid any u n n e c e ssa ry en fo rc e m e n t a c tio ns, it is im p or ta n t that our records reflect the m ost current and a c c u ra te in fo rm a tio n reg ar d in g you r ve hicl e lice nse plate. Inacc urate and/or outdated vehicl e in fo rm a tio n m a y le a d to th e issu a n ce of p ar kin g citation (s) and /or the tow ing of your vehicle. Ple as e no te th a t th is ne w ac cess car d CANNOT b e hole-punched or perfor ated in any m anner. To use th e ne w car d ple as e ho ld th e car d a t cl o se p ro xim ity to the reader until the gate opens. You m ay ne e d to try th e o th e r sid e o f the car d . Ple as e ensu re you hold the entire surfac e of the car d against th e re a d e r un til th e g a te o p e n s. ACKNOWLEDGEMENT: I acknowledge that should my access card be lost, stolen or damage, I will be responsible to pay a $10.00 replacement fee. A Ple a se pr o vi d e si gn e d for m to th Par kin g D e p ar tm en' located at 1755 M er idian Avenue, 2d floor . W o rkin 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 1/18/2024