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Darren Cefalu 12.31.25M IA M I BEACH BOARD AND COMMITTEE CHECKLIST APPOINTEE: Darren Cefalu BOARD/COMMITTEE: Committee on the Homeless DATE OF APPOINTMENT. 03/01/2024 Appointed by: Mayor Meiner FOR SCANNER Scan o Scan o Scan o Scan o Scan o RECEIVED AP R 1¢ 2024 FOR CLERK STAFF o Letter of Appointment o Letter of Reappointment o Copy of Letter of Appointment/Reappointment e-mailed to Committee Liaison on 03/01/2024 o Board and Committee Application (Completed on z o R~sum~/Curriculum Vitae o Diversity Statistics Reporting (Completed on 04/09/2024 o Oath TERM END: 12/31/2025 TERM LIMIT: 12/31/2025 CITY OF MIAMI BEACH OFFICE OF THE IT C'ERK Scan o Scan o IMPORTANT INFORMATION FOR BOARD AND COMMIT TEE 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 [c3 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. 2-229) 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: 00107024 sore»X. =2- » Processed on: _lf~} _l_d ..... ) 1....c_~------ By Employee: ------=-·fvYJ~-=---\------------ Date City Clerk's Office Staff Initials We ore committed to providing excellent public service and safety to all who live, work, and play in our vibrant, tropical, historic community. M IAM IBFACH City of Miami Beach, I/OO Convention Center Drive, Miami Boach, Florida 33 139 yyNwy_miamibgachf]go OF FICE OF THE CITY CLERK, Rafael E. Granado, Ciy Clerk Tel: 305.673.7411, Fax: 305.673.7254 Email: CiNyClerk@miamibeochll.gov February 29, 2024 Mr. Darren Cefalu 635 Euclid Avenue #101 Miami Beach, FL 33139 SUBJECT; Committee on the Homeless Congratulations! You have been reappointed by Mayor Steven Meiner to the above referenced, board or committee named above, for a term ending: 12/31/2025. 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. Congratulations and good luck. Rega~ Rafael Lnado City Clerk cc: Monica Beltran, Parking Director Janay Guerrero, City Liaison ATTACHMENTS: Letter of Appointment Oath 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 Ordinance City Wide Permit Application - (Parking Department Form) Booklet - Guide to the Sunshine Amendment and Code of Ethics for Public Officers and Employees [ j A{ \/\ [\// j 4 1 i\ t } ii t l City of Miami Beach, I/OO Convention Center Drive, Mi ami Beach, Horida 33139 gyyy.miaIibgachll.gov OFFICE OF THE CITY CLERK, Rafael E. Granado, City Clerk Tel: 305.673.7411, Fax. 305.673.7254 Email: Cit/Clerk@m iamibeac hfl.gov Oath of Office Oath of Civility and Acknowledgements TO: Mr. Darren Cefalu RE: Committee on the Homeless 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. Sworn to and subscribed before me this L.f *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. M IA M I BEACH City of Miami Beach 1700 Convention Center Drive Miami Beach, Florida 33139 RECEIVED APR 10 2024 OFFICE OF THE CITY CLERK Email: BC@miamibeachfl.gov Telephone: 305.673.7411 CITY OF MIAMI BEACH OFF'CE OF THE CIT C!ER 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): Warn a resident of the City of Miami Beach for six months or longer. Hore A«ares._3el& Av< Io] 13! 1 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). 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). []are (f [3Jg]neSS, 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. Date 7-7 7 Darren Cefalu Printed Name M IA M I BEACH 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: 305.673.741 l DIVERSITY STATISTICS REPORI Cefalu Darren 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: [7 Male (J Female D Other D I prefer not to answer. Race/Ethnic Categories: What is your race? D African American/Black D Asian or Pacific Islander D Caucasian/White LJ Native American/American Indian [l Other - Print Race: Cc]Ao- 0 I prefer not to answer. Do you consider yourself to be Spanish, Hispanic, or Latino/a? ves Eno D I prefer not to answer. Do you consider yourself Physically Disabled? aves s o D I prefer not to answer this question. Page 6 of 6 F:ICLER\$ALLIREG\BOARD AND COMMITTEE APPLICATIONS FINAL DRAFTS\BOARD AND COMMITTEE APPLICATION REG FINAL.docx Updated: June 2020 M IA M I B E A C H City of Miami Beach 1700 Convention Center Drive M iam i Beach, Florida 33139 w w w .m iam ibeachfl.gov O FFIC E O F THE C ITY C LERK Em ail: BC@ m iamibeachfl.gov Telephone: 305.673.7 411 Darren BOARD & COMMITTEE ACKNOWLEDGEMENT STATEMENTS Cefalu G- 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 sierare Date T 7 1 Members of the Planning Board and Board of Adjustment will be notified directly by the State of Florida, pursuant to F.S. $112.3145(1)(a), to electronically file a Statement of Financial Interests (Form 1) with the Florida Commission on Ethics by 12:00 noon, July 1. Planning Board and Board of Adjustment members who file their Form 1 with the Florida Commission on Ethics automatically satisfy the County's financial disclosure requirement as a Miami Beach City Board/Committee member and need not file an additional form with the Office of the City Clerk. Page 6 of6 F ICLER1$ALLIBOARD AND COMMITTEES DATABASE\Board and Committee Applicalion\BOARD AND COMMITTEE APPLICATION FEB 2024.docx Updated: February 22, 2024 MIAMl·DAD E- 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 Cefalu Darren ";"z;" Ka l \G) City, State, Zip cl 3131 / xv F 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 [] 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 (Municipality) Board where serving Committee on the Homeless Alternate address (if home address is exempt) I Work telephone I Term began on/ended on 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, ch eck here.[] Name of Source of Income Address Description of the Principal Business Activity Yo I<}el 33,3 I hereby swear (or affirm) that the information above is a true and correct statement. .-.±e- r 7 Date signed RECEIVED BY ELECTIONS DEPARTMENT: 1 aracoECEIVED □Electronic Copy APR 10 2024 OFFICE USE ONLY Accepted: Y / N Deficiency. Processed Date/Initials: Scanned Date/Initials: 138 SP-14 COE 2016 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 o (305) 673-7000 ext. 6200 a PARKING As a Board/Committee member you are entitled to a Cityw ide Par king Permit, which includes City Hall garage (G7) par king access (Access Card), or a complimentary Citi Bike/Deco Bike Membership, or a discounted MDC Monthly Transit Pas s throughout your term. Board Member Information Date of Application: 04/09/2024 Applicant Name: Darren Cefalu Board/Committee Name: Committee on the Homeless Address: G36€la oe Jo). =3l3$ E-Mail Address"e [<R ;76>also .C_co_ Work Phone: ~ Home Phone: Cell Phone: 5a5 59 -)la Preferred Contact Method: Please Choose One 1 O tion: Citywide Parking Permit/G7 Access Car d Citi Bike/Deco Bike Membership Vehicle Information too LU State: Make: Permit/ Access Card Onl color: R o0 Year: 2o A cityw ide (CW) par king permit is honored at metered parking spaces and restricted residential zo nes 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 "par king permit". To avoid any unnecessary enfo rcement actions, it is important that our records reflect the most current and accurate info rmation regarding your vehicle license plate. Inaccurate and/or outdated vehicle information may lead to the issuance of par king citation(s) and/or the towing of your vehicle. Please note that this new access car d CANNOT be hole-punched or perforated in any manner. To use the new car d pleas e hold the card at close proximity to the reader until the gate opens. You may need to try the other side of the car d. Pleas e 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 $10.00 replacement fee. A, " " 1nature:. es Please provide signe d form to the Par' lfg Dep artmen t located at 1755 Meridian Aven ue, 2d floor. Working hours are 8:30 to 5:00 p.m. or email 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