Romina Isabel Orozco Encio 12.31.25MIAMI BEACH
BOARD AND COMMITTEE CHECKLIST
APPOINTEE: Romina Isabel Orozco Encio
BOARD/COMMITTEE: North Beach CRA Advisory
DATE OF APPOINTMENT: 02/08/2024
Appointed by: City Commission
FOR SCANNER
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RECE IVED
APR 03 2024
CITY OF AMI BEACH
OFFICE OF THE CIT CLERK
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FOR CLERK STAFF -J }. ,,J ]
o Letter of Appointment TERM END: l)2S TERM LIMIT; ( 3l ')
o Letter of Reappointment ], ]
o Copy of Letter of Appointment/Reappointment e-mailed to Committee Liaison on ll/}
o Board and Committee Application (Completed on - )
o Resume/Curriculum Vitae .-.l \ l
o Diversity Statistics Reporting (Completed on _lr][l[bk}
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
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
l acknowledge that pursuant to Sec. 2-22(9) of the Mlami Beach Code of Ordinances, I will be removed a • . mo ..f ans{
from my board/committee upon failure to attend 33% of the regularly scheduled meetings.
Sec. 2-22(9) If any member of an agen cy, board or committee fails to attend 33 ercent of the regularly scheduled
meet ings per calendar year, such member shall be automatically removed. To calculate the number of absences
under the 33 percent form ula, .4 or less roun ds down to. the.next whole number and .5 or more rounds up to the
next whole num ber.
NOTE: Members of the Land Use Boards will be rem oved 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
boa rd for at least one year from the date of removal,
Received on: 0%022024 Signed by X___. __ ~--------------
Date
Processed on: _Lf_}_3_/_}_'{ By Employee: __,_......_,__ _
Date
I'Ve ore committed to prcding excellent public serce and solely to all who live, work, and play in our vibrant, tropical, historic community
MIAMI BEACH
City of Miami Beach, 170O Coronli on Contor DNo, Moml Booch, Horid0 33 139 www.m iarfoach ll.gt
OFFICE OF THE CITY CLERK, Rolool E. Granado, Cy Clerk
Tl: 305.673.7411, Fax. 305.673.7254
Emol l: Caylerl @mtombeochll.gov
Oath of Office
Oath of Civility
and
Acknowledgements
TO: Ms. Romina Orozco Encio
RE: North Beach CRA Advisory 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: 12/3112025.
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.
Ms. Romina Orozco Encio
Swom to and subscribed before me this _27 "i'I 'u,2024
*Please visit the City of Miami Beach website at www.miamibeachfl.gov under City Clerk/Board and
Committees for additional information regarding the Financlal Disclosure Requirements.
M IA M I B EA C H
City of Miami Beach
1700 Convention Center Drive
Mi am i Beach, Florida 33139
RECEIVED
A4PR 03 2024
OFFICE OF THE CITY CLERK
Em ail: BC@m iamibeachf.go
Telephone: 305.673.7411
QITY OF MIAMI BEACH
OFFICE OF TE CITY CLER
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):
D I am a resident of the City of Miami Beach for six months or longer.
Home Address: ------------------------- 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.bbott Florist ------------------------
Business Address: 1008- 71 Street Miami Beach, FL 33141
[ 1 am a full-time employee of a business (for a minimum of six months) and l 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
~ m I are true. 4_ 04/02r2024
Signature Date
Romina Isabel Orozco -Enclo
Printed Name
M IAM 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
RECEIVED
APR 03 2024
CITY OF MIAMI BEACH
OFFICE OF TE CI TY CLERK
NORTH BEA CH CRA ADVISORY COMMITT EE AFFIDAVIT OF COMPLIANCE
I am in compliance with the North Beach CRA Advisory Committee's Membership Composition
requirements pursuant to Section 2-190.151 of the Miami Beach City Code as a:
□Resident Member.
a. Currently residing, for a minimum of five (5) years, within the North Beach area, generally
considered as that portion of Miami Beach located north of 63' Street.
Home Address:. _
b. Currently residing, for a minimum of five (5) years within the geographic boundaries of the
North Beach CRA or a 300-foot radius thereof.
pt[me (J(fess,
Business Member with ownership interest for a minimum of five (5) years in a business
established within the geographic boundaries of the North Beach CRA.
Name or use.Abbott Florist
Business Address: 1008- 71 street Miami Beach
□Real Estate Industry Member residing generally within the City of Miami Beach.
mm% ((]feSi,
License Number: _
□Attorney Member with experience in land use, real estate, or other related practice area,
residing generally within the City of Miami Beach or maintaining a full-time law practice and
physical office located in North Beach.
Home Address: _
Law Practice Address: _
License Number: _
□The five (5) year minimum residency requirement for the Resident Member Category has
been waived by a 5/7ths vote of the City Commission.
I have an interest in neighborhood leadership issues, including, without limitation,
neighborhood business groups, homeowner or condominium association associations and
cooperatives, civic groups, and/or other similar qualifications.
"Ownership Interest" means the own ership of ten percen t (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.
4 04/02/2024
Signature
Romina Isabel Orozco Encio
Date
Printed Name
MIAMI BEACH
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 33139
www.miamibeachfl,gov
OFFICE OF THE CITY CLERK
Email: BC@miamibeachf.gov
Telephone: 305.673.7411
PIYERSIJY STATISTICS REPORT
Orozco Encio Romina
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 Male
El remale
l oner
D I prefer not to answer.
Race/Ethnic Categories:
What Is your race?
[J Amican American/Black
0 Asian or Pacific Islander
El Caucasian/white
0 Native American/American Indian
D Other - Print Race: ----------- □I prefer not to answer.
Do you consider yourself to be Spanish, Hispanic, or Latino/a?
lves
No
0 I prefer not to answer.
Do you consider yourself Physically Disabled?
v s go
D I prefer not to answer this question.
Page 6 of 6
F:CLER$ALLREGBOARD AND COMMITTEE APPLICATIONS FINAL DRAFTS\BOARD 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.miamibeachf.goy
OFFICE OF THE CITY CLERK
Email: BC@miamibeachfl.gov
Telephone: 305.673.7411
Orozco Encio
BOARD & COMMITTEE ACKNOWLEDGEMENT STATEMENTS
Romina
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(@) (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 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
Cle hall e deemed a tender of resignation from the City agency, board, or committee
0(O2/2024
Date
1 Members of the Planning Board and Board of Adjustment will be notified directly by the state of Florida,
pursuant to F.S. $112.3145(1)(a), to file a Statement of Financial Interests (Form 1) with the Miami-Dade County
Supervisor of Elections by 12:00 noon, July 1. Planning Board and Board of Adjustment members who file their
Form 1 with the County Supervisor of Elections automatically satisfy the County's financial disclosure
requirement as a Miami Beach City Board/Committee member and need not file an additional form with the Office
of the City Clerk. However, compliance with the County disclosure requirement does not satisfy the State
requirement.
Page 6 of6
F:CLE R$SALL BOARD AN D COMMITTE ES DATAB ASE\B oar d and Com mittee Appllca tion\BOARD AND COMMITT EE APPL ICA TION OCT 20 23.d0cx
Updated: January 9, 2023
MIAMHlADE - EE SOURCE OF INCOME STATEMENT
Section 2-11.1(@) 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 Orozco Enclo Romina Isabel
Mailing Address - Street Number, Street Name, or P.O. Box
20816 San Simeon Way #104
City, State, Zip
Miami, FL 333179
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
Fling as an Employee (check one)
□County □Public Health Trust □Municipal:
(Municipality)
Department
Position or TTtie Employee ID Number
Work address [Work tole»hone Em ployment began on/ended on
Fling as a Board Member (check one)
E] county □Municipal:
(Municipality)
Board where servin g
North Bea ch CRA
Alternate address (if home address is exemp t) [ Work telephone I Tenn began on/ended on
(305) 865-9808
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 tor your benefit. However, the income of your spouse or any business partner need not be disclosed. At continued on a sep ar ate sheet, check here.L_]
Name of So urce of Income Address Description of the Princi pal Business Ac tivity
Employee Salary 1008- 71 street Abbott Florist
Miami Beach, FL 33141
(or affirm) that the Information above Is a true and correct statement.
Signature of Person Olscloslng
DJ92/z202
Date signed
RECEIVED BY ELECTIONS DEPARTMENT:
J Mortar?ECEIVED
[] Electronic Copy
APR 03 2024
CI TY OF A\AMI BEACH
O FFI C E O r "IE CIT CLER K
MIAM I BEACH
CiNy ot Miami Beach , PARKING DEPARTMENT
BOAR D 8& COMMITTEES
PARKING APPLICATION
1755 Meridian Avenue. Suite 200 Miami Beach, FL 33139/Ph: (305) 673-7505 or (305) 673-7000 ext. 6200 I.I
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, gr a
discounted MDC Monthly Transit Pass throughout your term.
Board Member Information
Date of Application: 04/02/2024
Applicant Name: Romina Isabel Orozco Encio
Board/Committee Name: North Beach CRA
Address: 20816 San Simeon Way #104
E-Mail Address: romina 71@hotmail.com
Work Phone: 305 865 9808 Home Phone: 305 303 9120
Cell Phone: 305 303 9120 Preferred Contact Method: Cell Phone #
Please Choose One 1 O tlon:
• Citywide Parking Permit/G7 Access Card Citi Bike/Deco Bike Membership MDC Monthly Transit Pass
Vehicle Information (For Citywide Parking Permit/Access Card Only)
Tag: IKRK42 Color: silver/light blue
State: Florida Year: 2018
Make: Toyota Model: Sienna
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". 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. r laceme
Ay licant Si mnature: as
Please provide signed form to the Parking Department located at 1755 Meridian Avenue, 2d floor.
working hours are 8:30 to 5:00 p.m. or email to: ParkingReception@miamlbeachf\.gov
e-mail sub ect: BOARD & COMMI TT EE PARKING APPLICATION - APPLICANT NAM E
var\forms\cw boards &commi ttees orm.doc fommn or 'med 1/18n202u