Iryna Corrigan 06.06.27RECEIVED
JUL 03 2024
BOARD AND COMMITTEE CHECKLIST wsi econ 'eo_ego , 9E!(3((%ff APPOINTEE: _' I '''Z_ DATE OF APPOINTMENT: o\[o ]?-±
soArRocowwretee Ha rsno, hot4 Aomote«rf'it,4 Conni«esioo
FOR SCANNER FOR CLERKSTAF . . , .·· ,·•. , > ···•· ,
Scan o o Letter of Appointment TERI : e\ [23 rRw LIMIT:. -. . . .
Scan o oLetter of Reappointment "1\,
o. ·Copy·o·· f.Lett·e_·.·rof App.·ointm~nt/~eappointment e-maHe. d to Cofmittee Liaison on 7 o\~'::! scan ·Board and committee Application (Completed on _k \2\\2\) tr
Scan oR~sum~/Curriculum Vitae
Diversity statistics Reporting (competed on_ l\3\2\
o Oath T
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)
v 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 an
O Source of Income Statement
O Acknowledgment Statement
O Board and Committees Liaison Responsibilities
O Diversity Statistics Reporting
. s
$$ %2$ 4hf%$. $$if2.hag@@jg $% % 2@$%$$$%f2.%.$e2% acknowledge that pursuant to Sec. 2-22(9) of the Miami Beach Code of Ordinances,
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 mimber. . , .. . .. < · .. · . , ' .. , •.,.• .. , •. , , .... · .•· ' .· .....•. ·•· ·. , ··• ·. \• ·.· ··.·. ·> , : ·... . .... I , 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.
Reeves on. _'uy_0,204
Date
sass nlslzl By Employee: ~·.· ___,_Jt.}_,,_·_A_._l_.•.__,.'-- _;,_"--'---'----'-----'
City Clerk's Office Staff Initials
I to ali who kve, work, ond ploy in out vibrant, ropico, historic community.
MIAMI BEACH
City of Miami Beach, I/OO Convonfion Conler Drive, Miami Boch, Florida 33 139 wNyw._miamibcachfl_gov
OFFICE OF THE CITY CLERK, Rafaol E. Granado, City Clerk
Tol: 305.673.7411, Fax. 305.673.7254
Emall: Ci#yClerk@miamtbeachll.gov
July 02, 2024
Ms. lryna Corrigan
450 Alton Road, Apt. 604
Miami Beach, Florida 33139
RE: Housing Authority
Dear Ms. lryna Corrigan:
Congratulations! You have been appointed by Mayor Steven Meinerto the above-referenced Board or
Committee, for a term ending: 06/26/2027.
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
appointmenUelection 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.
Reg~ d_ &MiNA ff Rafa~l'Gr~ri~do
City Clerk
cc: Jose Gonzalez, Parking Director
Alba Tarre, City Liaison
ENCLOSURES:
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 - 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
City of Miami Beach,
Oath of Office
Oath of Civility
and
Acknowledgements
TO Corrigan
RE: Housing Authority
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. 06/26/2027. es
To my colleagues and to all of those l represent and serve, I pledge fairness, int
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 onJuly ' wing tt :losing
of the calendar year on which I have served. @@ha
n dCacu9er-
Ms. Iryna Corrigan
;?<?
Sworn to and subscribed before me
'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.
RECEIVED
' City of Miami Beach
1700 Convenlion Contor Drive
Miami Beach, Florida 33139
OFFICE OF THE CITY CLERK
Email. BC@miamibe achfl.gov
Telephone: 305.673.7411
#
JUL 03 2024
CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
AFFIDAVIT OF AFFILIATION WITH THE CITY OF MIAMI BEACH
I am in compliance with the affiliation requirement of Miami Beach City Code Sectio
as (check (/) all that apply). a
E/{1am a resident of the City of Miami Beach for six months or longer.
Home
E/] {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).
$
ame or oedes,_@to&op;soy hot.fa.cc
Business Address. Y/520/0 t__@pt_@Pr/ant eo ch,F33/39
• e . 993rs o,,
£
l am a full-time employee of a business (for a minimum of six months
office or other location of the business that is physically locate
minimum of six months).
ame of sureness. 6a soy_ foe cs
susres A«ares» _YT ts f, 1·,r
and I am based in an
iami Beach (for
"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.
A_ , 8$9$f Lg h 9p
"Business" means any sole proprietorship, sponsorship, corporation, limited liability company,
or other entity or business association.
Under r 1alties of perjury, I declare that I have read the foregoing document and that the facts
ht..-- ,me
Date
1
City of Miami Beach
1700 Convenlion Center Drive
Miami Beach, Florida 33139
www,miamibeachf],gov
OFFICE OF IHE CITY CLERK
Email: BC@miamibeachfl.gov
Telephone: 305.673.7411
BOARD & COMMITTEE ACKNOWLEDGEMENT STATEMENTS
lEy0 g n/9
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)
l 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 1200 noon of July 1, of each year.
1. A"Source of Income Statement;" or
2. A Copy of your latest Federal Income Tax Return.
- 8
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 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 l file with the City
Clerk a Statement of Candidate formally announcing candidacy for City elective office, such fil" with the City
Clerk shall be deer tender of resignation from the City agency, board, or committee.
!·i ,.. -· ·c<"-., ·,...:i ... ,. , · · , ..
Acknowledgment to Comply with Iiami Beach Code of Ordinances Sec. 2-22 (24)
hi ±i ' gad ± ug
I understand that if l am engaged to provide services, for compensation, to either (1) a candidate for City elected
office, or (2) a political committee or electioneering communications organization expending funds for or against
candidates for City elected office, such engagement shall be deemed a tender of resignation from the City
agency. board, ore.om~
·. . . .. ";;.,h~v·•, •~•IJ, ' .. \, .. ; ' ...=---- --<;1----3:;_I _J,_'..,o_•'_ol_' t-'-fc----,--'---"-'-"---'---"--'---"--
Date
' 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.
F CLERISALL\BOARD AND COMMIT TEES DATABASE\Board
Updated. July 2, 2024
Page 6of6 .
Committee Application\BOARD AND COMMITTEE APPLICATION JULY 2024 d0cx
MIAMI
&III SOURCE OF INCOME STATEMENT
Clear From Print Form
"f","",}<,},} "(W) o' the County Ethics code requires that certa employees and public otttctats tie a financial disclosure statement on a yeary basts by Ju0y 1st
Disclosure for Tax Year Ending I Last Nome, First Name Middle Name/Initial
2023__ 'via /key
Mailing Address - Street Number, Street Name, or P.0. Box 50 or Rt 0pt 6o/
City, State, Zip
lc@cl, Fcocda ftni 99 139 ) 1 . .' / .
lf 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. []
Filing as an Employee (check one)
[] county [] Public Health Trust [{ []uni~[pal.
1
I i
(Municipality)
Department
Position or Title
Work address
Filing as a Board Wember (check one)
Employee ID Number
}work telephone Employment began on/ended on . j
] county [] Municipal:
(Municipality)
Board where serving ; f--·,
f
Alternate address (it home address is exempt) I . .
l
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, check here.]
tame of Source of Income Address Description of the Principal Business Activity
thereby swear (or affirm) that the information above is a true and correct statement.
# ti+ hi # « "
Signature of Person Disclosing
·), 4 20?I d(7_<
Date signed
RECEIVED BY ELECTIONS DEPARTMENT:
Jar@too» RECEIVED
Electronic Copy
JUL 03 2024
CITY OF MIAMI BEACH
OFFICE OE TE CITY CLERK
REMEMBER TO PRINT, SIGN, AND SUBMIT TO THE OFFICE OF THE CITY CLERK VIA EMAIL OR HARDCOPY.
hiss: #±sass
CIty Miaml each, PARKING DEPARTMENT
1755 Meridian Avenue, Suite 200 Miami Beach, FL 33139/Ph: (305) 673-7505 01 (305) 673-7000 ex4. 6200
BOARD & COMMITTEES
PARKING APPLICATION
As a Board/Committee member you are entilled to a Citywide Parking Permit, which includes City Hall
garage [G7) parking access (Access Card). or a complimentary Citi Bike/Deco Bike Membership. or a
discounted MDC Monthly Transit Pass throughout your term.
Board Member Information
Dote of Application: 7ty , 0A/
Applicant Name: [yo Covq U
Board/committee Name: //osq huttozh
Address: 4 /Co K., fly 6oy d, F33/3
E-Moil Address: /you/c@oo
Work Phone: '?/) Home Phone: h/
ce Phone: 9/7-P3-676
Please Choose One 1 Otion:
! Citywide Parking Permit/G7 Access Card [] Ciii Bike/Deco Bike M
Vehicle Information For Cit«wide Parkin Permit/Access Card Onl
Tog: iY4 Color: act
Year: 2013
1 Model: lnN
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 be
ovided io 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
accuraie information regarding your vehicle license plate. Inaccurate and/or outdated vehicle
in,ferro#ion may lead fo 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 al 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 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 plicant Si mature: i
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: Parkin@Reception@miamibeachfl.gov
e-mail subiecl: BOARD & COMMITTEE PARKING APPLICATION - APPLICANT NAME
t,\ping\$mar\rar\forrrs cw board~committees parking/0run,dos form updated 118/2024