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Galen Treuer 12.31.25M IA M I BEACH BOARD AND COMM ITTEE CHECKLIST APPOINTEE: Galen Treuer BOARD/COMMITTEE: Neighborhood Resiliency DATE OF APPOINTMENT. 3/1/24 -------- A noi nt ed y. Mayor Mee FOR SCANNER Scan o Scan o Scan o Scan o Scan o REC EI VED MAR 28 2024 CI TY OF MIAMI BEACy OFFICE Or T E CI CL±k 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 _, o R~sum~/Curriculum Vitae l ( o Diversity Statistics Reporting (Completed on 3')"Q-{ o Oath TERM EN D: (2\[f TERM LuMrr: _n/2 ) [2] 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 I ✓I 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 mem ber 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 ro unds down to the next whole number and .5 or more ro unds up to the next whole num ber. NOTE: Mem bers of the Land Use Boards will be removed upon failure to attend three of the regularly scheduled m eetings per calendar year; or upon abstaining fro m 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 fro m the date of removal. Received on: Date ro s e 4 o 3)u/0f Date X :::~-r~ 0Vt signed by· Board g pittee Member By Employee: ----~f'/ __ V_ l _ City Clerk's Office Staff Initials We are committed to 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, I/OO Convon lion Con lor Dri ve, Miami Boach , Florida 33 139 yyw_miamibeachllga: OFFICE OF THE CITY CLERK, Rafaol E. Granado, City Clerk Tl: 305.673.7411, Fax. 305.673.7254 Email: CiNyClerk@miamibeachfl.gov M arch 01, 2024 M r. G alen Treuer 1150 Euclid Ave #301 M iam i Beach, Florida 33139 RE : Neighborhood Resilien cy Projects Advisory Com mitte e Dear M r. G alen Treuer: Congratulations! You have been appointed by Mayor Steven Meinerto the above-referenced Board or C om m ittee, fo r a term ending: 12/31/2025. Pursuant to City of M iam i Beach Code Section 2-22 (5)a: Notw ithstanding any other provision of the City Code or of any Resolution, commencing with terms beginning on or after Jan uary 1, 2007, the term of every board m ember who is directly appointed by a m ember of the City Commission shall automatically expire upon the latter of: Decem ber 31 of the year the appointing City Commissioner leaves office or upon the ap pointment/election of the successor City Commission m ember. If you are unable to accept this appointment, or have any questions, please call the Office of the City Clerk at 305.6 73.7 411. Please read the enclosed materials carefully as they concern your duties, responsibilities, and requirements as a board or committee member. C ongratulations again and good luck. R egards, cc: M onica Beltran, Parking Di rector Am y Know les, City Liaison ENCLOSURES: O ath of O ffice/O ath of Civility/Acknowledgements City C ode/O rdinance section applicable to agency, board or committee City Code Section s 2-22, 2-23, 2-24, 2-25, 2-26, 2-4 58 and 2-4 59 Ordinance No. 2006-3543 - Am en dment to City Code Section 2-22 M iam i-Dade County Code Section 2-11.1-C onflict of Interest and Code of Ethics City W ide Permit Ap pl ication - (Par king Department Form) Booklet - G uide to the Sunshine Amendment and Code of Ethics for Public Officers and Employees M IAM I BEACH City of Miami Beach, 1/0O Conven tion Center Drive, Miami Beach, Florida 33 139 yyw_miamiba chll go OFF ICE OF THE CITY CLERK, Rafael E. Granado, Ciy Clerk Tel: 305.673.7411, Fax 305 .673.7254 Email: Ci#Clerk@miamibeachfl.gov Oath of Office Oath of Civility and Acknowledgements T O : M r. G ale n T reue r R E : N e ighbo rhood R esilie ncy P ro jects A d visory C o m m itt ee I do so le m nly sw ea r or a ffirm to b e ar true faith, lo ya lty and alle g ia nce to the G o ve rn m e nt o f the U n ited S tates, the S tate o f F lo rida , a nd the C ity o f M ia m i B ea ch, and to p e rf orm a ll the d utie s o f a m e m b er o f the above -m e ntio ne d b o a rd or com m itt e e o f the C ity o f M ia m i B e a ch to w hich I ha ve b e e n app o inted for a term ending: 12/31/2025. T o m y colle a g ue s and to a ll o f tho se I represe nt 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. Mr. Galen Treuer Sworn to and subscribed before me this _2_5 __ rch 2024 ho *P le a se vis it 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 l 700 Convention Center Drive Miami Beach, Florida 33139 RECEIVED 4AR 2 6 2024 CITY OF MIAMI BE A CH ·· u yrvgFn OF FI C E OF TEE A!' I--nn 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 requirem ent of Miam i Beach City Code Sections 2-22 (4), as ( check ( ✓) all that apply): [] I am a resident of the City of Miami Beach for six months or longer. Home Address: 1150 Euclid Ave Apt 301 Miami Beach, FL 33139 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 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. Under penalties of perjury, I declare that I have read the foregoing document and that the facts stated in it are true. 3/25/24 si@net Date Printed Name MIAMI BEA C H City of Miami Beach 1700 Convention Center Drive Miami Beach, Florida 33139 www_miamibeach[l,gov OFFICE OF THE CITY CLERK Email: BC@miamibeachfl.gov Telephone: 305.673.7411 DIVERSITY STATISTICS REPORT Treuer Galen 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: [ZJ Male D Female 0 Other D I prefer not to answer. Race/Ethnic Categories: What is your race? D African American/Black A sa or Pacific Islander El Caucasian/white D 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 N o 0 I prefer not to answer. Do you consider yourself Physically Disabled? ves z0 Ro D I prefer not to answer this question. Page 6 of 6 F:\C LER\$ALL\REG \BO ARD AND CO M M ITT EE APPLI C ATIO NS FINAL DRAFT S\BOARD AND COMMITT EE APPLICATION REG FINAL.docx Updated: Jun e 2020 M IA M I BEA CH City of M iam i Beach 1700 Convention C enter Drive M iam i Beach, Florida 33139 w w w .m iam ibeachfl.gov O FFIC E O F THE C ITY CLERK Email: BC@miamibeachfl_gov Telephone: 305.673.7411 Treuer BOARD & COMMITTEE ACKNOWLEDGEMENT STATEMENTS Galen 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 Ga I en Tre U er Digitally signed by Galen Treuer Date: 2024.03.25 11: 18:30 -04'00' 3/25/24 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. §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 of6 F \C LE R \$A L L\B O A R D A N D C O M M IT T E E S DA T A B A S E \Board and C om m itt ee A pplica tion\BO AR D AN D CO M M ITT EE APPLI C ATIO N FEB 2024.d0cx Updated: February 22, 2024 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 officials 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 Treuer Galen Alexis Mailing Address - Street Number, Street Name, or P.O. Box 1150 Euclid Ave Apt 301 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 Fili ng as an Em ployee (ch eck one) E] county □Public Health Trust [] Municipal: (M unici pality) Department Regulatory and Economic Resources Position or Title Employee ID Number Climate Tech and Economic Innovation Manager e324591 Work address I Work telephone Employment began on/ended on 111SW 1st St Miami, FL (786) 405-7961 9/2019 Fili ng as a Boa rd M ember (chec k one) [] county E] Municipal: Ah\ tuh (M un ici pal ity) Board where serving J [o l n wo Pl o n«llo, t h h l ovi Alwso} Alternate address (if home address is exempt) . ., I Work telephone I Term began on/ended on Li st below every source of incom e you re ceived, along w ith 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 fo r services, incom e fro m business, gains fro m pro pert y dealings, intere st, rents, dividends, pensions, IRA distributions, and social security paym ents. Also, include any source of incom e received by another person for 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 Miami-Dade County 111SW 1st St. Miami, FL Climate and Economic Development I hereby swear (or affirm) that the information above is a true and correct statement. ature of Person Disclosing 3/25/24 Date signed RECEIVED BY ELECTIONS DEPARTMENT: J war«co»RECEIVED [] El ectr onic Copy MAR 28 2024 CI TY O F MIAM I BEACH OF!CE OF THE CITY C!ERK OFFICE USE ONLY Accept ed: Y / N Defici en cy. Processed Date/initi als: Scan ned Date/initi als: 13 8 S P -14 C OE 20 16 M IA M I B EA CH 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 PARKlNG A s a Bo ar d/C o m m itt ee m e m b er you ar e e ntitled to a C ityw ide Par king Perm it. w hich incl udes City Hall g ar a g e (G 7) p ar king a c c e ss (A ccess C ar d), or a co m p lim enta ry 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 Pas s thro u g ho ut you r term . Board Member Information D a te o f A p p lic a tio n : 3/25/24 A p p lic a n t N a m e : G a le n Treue r Bo ar d /C o m m itte e N a m e : Ne ig h b or ho od Re silienc e A d d re ss: 115 0 Eucl id A ve Apt 301 Mi a mi Be a c h , FL 33139 E-M ai l A d dr e ss: g tre u e r@ g m a il.com W or k P h o n e : 78 6-405-796 1 H o m e Phone : C e ll P h o n e : 612-209-14 5 1 Preferred C o ntact M ethod: cell phon e Please Choose One 1 O tion: • C ityw id e Par king Pe rm it/G 7 A c c e ss C ar d C iti Bike/De co Bike M em bership Vehicle Information (For Citywide Parking Permit/ Access Card Only) Ta g : LY D Q 30 C o lor : White Sta te : FL Ye ar : 2010 M a ke : Civic M od e l: Honda A cityw id e (C W ) p ar kin g p e rm it is ho nor ed a t m etered p ar king spaces and restricted residential zo nes p ar kin g sp a c es. A C W p ar kin g perm it IS NOT ho n o red in prohibited ar eas . A n A ccess Car d w ill be p ro v id e d to yo u for C ity H a ll G ar ag e (G 7) access. IMPORTANT NOTE: Yo u r ve h icl e lic e nse p late serv es as your "par king perm it". To avoid any u n n e c e ssa ry e n fo rce m e n t a ctio ns, it is im p or ta n t th a t our recor ds reflect the m ost current and a c c u ra te in for m a tio n reg ar d in g yo ur vehicle licen se pla te. 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 of par king cita tio n(s) and /or the tow ing of your vehicl e. Ple a se no te th a t th is new a c c ess ca rd CANNOT b e hole-punched or perfor ated in any m anner. To use th e ne w car d p le as e ho ld the car d a t cl ose p roxim ity to the read er until the gate opens. You m ay ne e d to try the o th e r sid e o f th e car d . Please e nsu re you hold the entire surface of the car d against th e re a d e r un til th e g a 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 $10.00 replacement fee. A Ple a se pr o vi d e si g n e d for to th e Pa rkin g D ep a rtm en t located at 1755 M eridian A ven ue, 2d floor . W o rkin g ho u rs ar e 8:30 to 5:0 0 p.m . o r 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