Saul Gross 02.28.25MIA MIBEA CH
BOARD AND COMMITTEE CHECKLIST
APPOINTEE: Saul Gross ----------------- DATE OF APPOINTMENT.02,[2]2}
8OARD/COMMITTEE: Ad Hoc Permitting Process I9 Appointed by:. Co""sS"OD
FOR SCANNER
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RECEIVED
4AR 212024
FOR CLERK STAFF .... J I
o Letter of Appointment TERMEND. ?-28-25 TERM LIMIT. 4O Q
o Letter of Reappointment I , I ) • 11
o copy ot teter ot AppointmenReappointment e-map,9?F787Ee liaison on 2]\{)y1
o Board and Committee Application (Completed on Sl[2]; )
o R~sum~/Curriculum Vitae ]){
o Diversity statistics Reporting (Completed on ]2)b
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
✓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
OF MIAMI EE$OH3, <!'iii: o crywide Pert Application (Parking Department Form»
o Booklet -- Guide to Sunshine Amendment & Code of Ethics for Public Officers and Employees
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o Source of Income Statement
o Acknowledgment Statement
o Board and Committees Liaison Responsibilities
o Diversity Statistics Reporting
[/] 1acknowledge that pursuant to Sec. 2-22(9) of the Miami Beach Code of Ordinances, ! will be removed
from my board/committee upon failure to attend 33% of the regularly 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 removed. To calculate the number of absences
under the 33 percent formula, .4 or fess 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.
_3_-2_0_-2_4 Signed by X ~_aj_........,._~----------
Board or cohmittee Member
Processed on: -~3 ........... \1-0~ ........ ),_L-_'j~ __ By Employee: \(j\/l--=---------------
Date City Clerk's Office Staff Initials
Received on:
Date
We are committed to providing excellent public service and safely to all who live, work, and play in our vibrant, tropical, historic community
M IA M I BEACH
City of Miami Beach, 1/OO C on ven tion Center Dri ve, Mia mi Boach , Florida 33 139 yyy _m iam ni bea chllgo
OFF ICE OF THE CITY CLERK, Rafael E. Gran ado, City Clerk
Tl: 305.673.74 11, Fax. 305.673.7 254
Emai l: CiN Clerk @mi amibeachfl .gov
March 13, 2024
Mr. Saul Gross
2900 Flamingo Dr
Miami Beach, Florida 33140
RE: Ad Hoc Permitti ng Process Improvement Advi sor y Committee
Dear Mr. Saul Gross:
Congratulations! You have been appointed by the City Com m ission to the agency, board or committee
named above for a term ending: 02/28/2025.
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.
# Rafael Granado
City Clerk
cc: Monica Beltran, Parking Director
Eric Carpenter, City Liaison
ENC LO SUR ES:
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
MIAMIB EA CH
City of Miami Beach, ZOO Con ven tion Center Die, Mia m i Beach, Florido 33 139 yyNy_miamibeach]]go
OFFICE OF THE C ITY CLERK , Rafael E. Granado, C ity Clark
Tel: 305.673.7411, Fax. 305.673.7254
Email: CiNyClerk@miamtbeachfl.gov
Oath of Office
Oath of Civility
and
Acknow ledgem ents
T O : M r. Saul G ross
R E : A d H o c Pe rm itt ing Pro cess Im provem ent A dvisory C om m ittee
! do solem n ly sw ear or aff irm to bear true faith, loyalty and allegiance to the G overn m ent of the United
State s, the State of Florida , and the C ity of M iam i Beach, and to perform all the duties of a m em ber of the
ab o ve -m ention ed bo ard or com m itt ee of the C ity of M iam i Be ach to w hich I have been appointed for a
term end ing : 02/28/2025.
T o m y colleagues and to all of those I represent and serve, I pledge fairn ess, integrity and civility, in all
actio ns ta ken and all com m unications m ade by m e as a public servant.
I ha ve bee n issu e d a copy of sectio n 2-11.1 of the M iam i-D ade C ounty Code (C onflict of Interest and
C o d e of Ethic s Or d inan ce), as w ell as Florida C om m ission on Ethics G uide to the Sunshine Am endm ent
an d C o d e of Ethics for P ublic O ffi cers and understand that as a m em ber of a C ity of M iam i Beach Board
an d /or C o mm i tt e e, I m ust com ply w ith the financi al discl osure requirem ent s of M iam i-Dade County or the
State of Flo rid a (d e p ending on the board or com m ittee on w hich I serv e) on July 1st, follo wi ng the closing
of the calenda r ye a r on w hich I have serv ed.
M r. Saul G ross
Sw orn to and subscribed before m e this
Keila ena Caceres
Dep uty Cler k
*P le a se visit th e C ity of M iam i Be ach w ebsite at ww w .mi a m ib each fl.gov under City Clerk/Board and
C om m itt ees for add itional inform ation regarding the Financial D isclosure Requirem ents.
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
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· 2900 Flamingo Drive, Miami Beach, FL 33140
l✓l 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: Streamline Properties, Inc.
Business Address: 1125 Washington Avenue, Miami Beach, FL 33139
D 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).
[Jar7· of P{JS]ReS,
[[IS]me,S (][eS,
"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 foregoing document and that the facts
stated in it are true. Sal lo ·sos
<:: -------------- Signature Date
Saul Gross
Printed Name
M IA M I BEACH
City o f Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 331 39
www.miamibeachfl.gov
O FFI CE O F THE CITY CLERK
Email: BC@miamibeachfl.gov
Telephone: 305.673.7411
DIVERSITY STATISTICS REPOR T
Gross Saul
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:
[J M a e
[l remale
om her
0 I prefer not to answer.
Race/Ethnic Categories:
What is your race?
D African American/Black
[l Asian or Pacific Islander
El Caucasian/white
0 Native American/American Indian 0 Other- Print Race: _
D I prefer not to answer.
Do you consider yourself to be Spanish, Hispanic, or Latinola?
Ives
Jo
0 I prefer not to answer.
Do you consider yourself Physically Disabled?
v e zo
, prefer not to answer this question.
Page 6 of 6
F:ICLER\$ALL\REG\BOARD AND COMMITTEE APPLICATIONS FINAL DRAFTS\BOARD AND COMMITTEE APPLICATION REG FINAL.docx
U pd ated : June 202 0
MIAMIBEACH
City of M iam i Beach
1 700 Convention Center Drive
Miami Beach, Florida 33139
wyyy_migmibegchflgoy
O FF IC E O F TH E C ITY C LER K
Email: BC@miamibeachfl.gov
Telephone: 305.673.7411
Gross
BOARD & COMMITTEE ACKNOWLEDGEMENT STATEMENTS
Saul
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 Jul y_ 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 $500, 60 days in jail, or both.
Acknowledgment to Comply with Miami Beach Code of Ordinances Division 1 Sec. 2-22 (23)
I understand that commencing with terms beginning on or after January 1, 2024, and as a condition of applying
for appointment to a City agency, board, or committee, I voluntarily agree that in the event I file with the City
Clerk a Statement of Candidate formally announcing candidacy for City elective office, such filing with the City
Clerk shall be deemed a tender of resignation from the City agency, board, or committee
S aul G ross Digitally signed by Saul Gross
Date: 2024.03.20 10:12:28 -04 00' 3-20-24
Signature Date
1 Members of the Planning Board and Board of Adjustment will be notified directly by the State of Florida,
pursuant to F.S. S112.3145(1)(a), to electronically file a Statement of Financial Interests (Form 1) with the Florida
Commission on Ethics by 12:00 noon, July 1. Planning Board and Board of Adjustment members who file their
Form 1 with the Florida Commission on Ethics automatically satisfy the County's financial disclosure requirement
as a Miami Beach City Board/Committee member and need not file an additional form with the Office of the City
Clerk.
Page 6 of6
F:\C L E R l$A L LIB O A R D A N D C O M M IT T E E S D A T A B A S E\Bo ard and C om m ittee A p p lica tion\B O A R D A N D C O M M ITT E E A P P LI C A T IO N FEB 2024.d0cx
Updated: Febru ary 22, 2024
MIAMI-DAD E- EI SOURCE OF INCOME STATEMENT
Section 2-11.1(i) of the County Et hics Code re quires that certain em ployees and public off icials file a financial disclosure S tatem 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 Gross Saul
Mailing Address - Street Number, Street Name, or P.O. Box
2900 Flamingo Drive
City, State, Zip
Miami Beach, Florida 33140
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 ch eck here.DJ
Filing as an Employee (check one)
[] count y [] P ub l ic Health Tr ust [] M unici pal :
(M unici pal ity)
Department
Position or Ti tle Employee ID Number
W ork addre ss I Work te lephon e Em ploym ent be gan on/end ed on
Fil ing as a Board Member (check one)
D] count y E] Municipal: Miami Beach
(Municipality)
Board where serving
Miami Beach
Alternate address {if home address is exempt) I Work telephone I Term began on/ended on
(305) 532-7368 3/13/24
Li st below every source of incom e you received, along w ith the addre ss and th e prin cipa l activi ty 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 fo r serv ices, incom e fro m business, gains fr om
pro pert y deal ings, int ere st, ren ts , di vid en ds, pensi on s, IRA dis tribu tion s , an d soci al security paym en ts. Al so, in clu de an y sourc e of in com e recei ved by an ot her
person fo r your benefit. How ever, the incom e of your spouse or any business part ner need not be disclosed. If continued on a separate sheet, check here.LJ
Name of Source of Income Address Description of the Principal Business Activity
See attached schedule
I hereby swear (or affirm) that the information above is a true and correct statement.
Sal Ge.a
sionatire rersnotsctosing
..2
RECEIVED BY ELECTION S DEPARTMENT:
[]H ard cop y
[ Elec tronic Copy
OFFICE USE ONLY Accepted: Y I N Deficiency: Processed Date/initials: Scan ned Date/initials:
138_SP-14 COE 2016
Source of Income Statement 2023
Saul Gross
Ad Hoc Permitting Process Improvement Advisory Comm ittee
City of Miam i Beach
Name of Source of Income Address
Description of Principal
Business Activity
Streamline Properties Inc 1125 Washington Avenue, MB, FL
Washington Center Ltd Partnership
National Financial Services c/o
Commonwealth Financial Network
Goldman Sachs Bank USA
American Express National Bank
Tikva Partners LLC
City of Miami Beach
Chestnut Street Ventures
State of Israel
1121-1141 Washington Ave, MB, FL
29 Sawyer Rd, Waltham, MA
Real estate
Owner of retail stores
Mutual funds, stocks, bonds
Cranberry TWP, PA
Salt Lake City, UT
White Plains NY
Miami Beach, FL
New York, NY
c/o Bank of NY
Money Market Interest
Money Market Interest
Loan interest
Pension fund
Venture Capital Fund
Bond interest and dividends
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