Christine Perrin - Stocco 6.30.25MIAMI BEACH
BOARD AND COMMITTEE CHECKLIST
Arrowree.L/]Sf1e_[oro_5/@ Are or ArrowrweNr:_/2oz4
BOARDCOMMITTEE:[XL Appointed by:Koso]boa ·Mltu_h->
FOR SCANNERScanoScano
Scan oScano
Scan o
pECENED
Nu¢18 704
4 EACHcrvorMpciin6FRIEOFTH
Scan O
Scan o
FOR CLERK STAFF
o letter ofAppointment TERM END:•30,rerMLuwrr.o Letter of Reappointment
o coy of t-etter'ofAppointmenvReappointment e-ma!gd.tqCommittee Liaison on_].]_.2-
o Board and Committee Application (Completed on 3_·l•23 _)o Resume/Curriculum Vitae
o Diversity Statistics Reporting (Completed on •3_.Q-koOath
IMPORTANT INFORMATION FOR BOARD AND COMMITTEE MEMBERS BOOK
t City Code Ordinance Section applicable to the agency,board orcommitteeCityCodeSections2-21,2-22,2-23,2-24,2-25,2-26,2-458 and 2-459CountyCodeSection2-11.1 --Conflict of Interest and Code of Ethics Ordinance (asamendedthroughDecember2010)Y Amendments to the Code of Ethics Ordinance (September 2009 through July 2012)Highlights of theMiami-Dade County Ethics Code f
t Sunshine Law and Public Records -Frequently Asked QuestionsMemorandum-Solicitation by City Board and Committee Members
O Citywide Permit Application(Parking Department Form)
O Booklet -Guide to Sunshine Amendment &Code of Ethicsfor PublicOfficers and Employees
O Source of Income Statement
o Acknowledgment Statement
O Board and Committees Liaison Responsibilities
O Diversity Statistics Reporting
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.
1Sec.2-229)If any member ofan 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.I •
eslur4 -x(hpht-Date Board or Committee Member
Processed on:_6.'2_2{By Emoto»yee:[.Ly....-a"66ns once safes
'Received on:
We are committed toproviding excellent publicservice andsafelyto all who live,work,and play in ourvibrant,tropical,historic community.
oGlike@.on»20o
MIAMI BEACH
City of Miami Beach,I/0O Convention Conlor Drivo,Miami Boach,Florida 33139yywy_miamibachll.gov
OFFICE OF THE CITY CIERK,Rofool E.Granado,Cy ClerkTel:305.673.7411,Fax.305.673.7254
Emall:CilyClerk@miamibeachfl.gov
July 08,2024
Ms.Christine Perrin-Stocco
179 North Shore Drive 179-4
Miami Beach,FL 33141
SUBJECT:Committeefor Quality Education in Miami Beach
Congratulations!You have been reappointed by to the above referenced,board or committee named
above,for a term ending:06/30/2025.
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.
"72.e
Rt Ralf@#A,MARA
City Clerk
cc:Jose Gonzalez,Parking Director
Dr.Leslie Rosenfeld,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
MIAMIBEACH
City ofMiami Beach,170O Convention Coner DNo,Miami Booch,Fonda 33139www.miamiboachll\,gov
OFFICE OF THE CITY CLERK,Rafael E.Granado,CyClerk
Tel:305.6873.7411,Fax:305.673.7254Email:CityClark@mlamtbeach/l.gov.A
Oath of Office
Oath of Civilityand
Acknowledgements
tTO:Ms.Christine Perrin-Stocco'RE:Committeefor Quality Education in Miami Beach
f'
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 ofthe
above-mentioned board or committee of the City of Miami Beach to which I have been appointed for atermending:06/30/2025.
To my colleagues and to all of those I represent and serve,I pledge fairness,integrity and civility,in all
actionstaken and all communications made by me as a publicservant.
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.Christine Perrin-Stocco
1 I
ribed before me this L_of_'
Miami Be
nal informati
MIAMI BEACH
Clty of Miami Beach
170O Convention Center Drive
Miami Beach,Florida 33139
R".,
JUL 08 2024
CITY OF MIAMI B3EA
OFFICE OF THE CITY CLE
l
OFFICE OF THE CITY CLERKEmail:BC@miamibegchfl.gov
Telephone:305.673.7411
t t
FFIDAVIT OF•""•
''
Iv
'f
ITTEE
'IiI'As a votingmemberof the Comn atior liamiBeach,compliancewiththeaffiliationrequirementofleS1s2-22(4):-1.137 as:
~arim a eiiYi oii',~ialjl1i '\•D '"..'.•
iy 33))
dddtdy
02_'/school[J1am the parent/g
year.
[]My parent/legal guardian requ
Under penalties of perjury,I declar
stated in it are true.t«'(Chair ft-lee
ommissiori.
,
ocument and that the fact
t[zo2f
SignatureChashg /ma-<fto _
Printed Name
illI
t
s '}
of Miami Beach
)Convention Center Drive
i Beach,Florida 33139
'En.(.1 '·IOFTHECITY CLERK
C@miamibeachf.gov05.673.7411
AFFIDAVITOF AFFILIATION WITH THECITY OE MIAMI BEACH"
l am in compliance with theaffiliation requirer Me +w "ias(check (/)allthat apply):''T'ament of Miami Beach City Code Sections 2-22 (4),
i ""'t ft
lam a resident of the City of Miami Beach for six months or longer.'.[l),ill "roreAaaress_hh Wr y7 4us5541
I havean ownershipinterest (for a minimum of six months)in a business stablished in th
City of Miami Beach (for a minimum of sixr nths).']""""Te Ve
er-or souse.s(/$felt -1
ti?i ,2usinessAddress:__lb Uk o/--
%:°""jafull-time employee of a business (forz fsix months)and l am basedin an
or other location of the ally located in Miami Beach (for a
um of six months)."
AUG 18 2004
CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
I
Ownerst.lnte en 0%)or more (including the
ownership of 10%ormo l%kt kllll business.4
"Business"means any sole proprietorship,sponsorship,corporation,limited liability comp@
or other entity or business association.
Under penalties of perjury,I declare that l have readthe foregoing document and that the fa08
stated in it are true.£}um-Std
Date
IBEA
City of Miami Beach1700ConventionCenter DriveMiamiBeach,Florida 33139
ww,miamibeachfl.gov
OFFICE OF THE CITY CLERKEmail:BC@miamibeachfl.gov
Telephone:305.673.7411
Last Name
The following information is voluntaryaskedtocomplywithCitydiversi
f '
Gender:
EluateEIremate
Loner 4
El1prefer not toanswer.
Race/Ethnic Categories:
What is your race?
[lAtrican American/Bla
Asian or Pacific Island
Caucasian/White
Native American/Ame□I 41Other--Print Race.•El1prefernot to ans
Do you consider y"
'lJvesJoEtporeie
t I'
Do you c
8:Dreier
F CLER&ALL REGBOARD AND COMMITTEEUpdated:June 2020,'t>
•',
le p d
'
/IAMI
City of Miami Beach
1700 Convention Center DriveMiamiBeach,Florida 33139ww.mlamibeacbfl.gov
OFFICE OF THE CITY CLERKEmail:BC@mlamlbeachfl.govTelephone:305.673,741I
BOARD &COMMITTEE ACKNOWLEDGEMENT STATEMENTSlenz0(hnshattNameFirstName Mi
,i
nes/suspens ard/Committee Members for failure to comply with Miami-ale 'ount Fin Code Provision Code Section 2-11.1(1)(2)
tno 'I1=fan"liE.'E nmittees of the Citylof Miamithci-Dade County Financial
ire
inc f=hmm ntion Center "i :,
ric
I
'J
II"r 4
ilure to fileomorethat}tv +Mi
fl},Ackrcnltinu,cinowie
1 understand that comy,..forappointment t
Clerk a StatementClerkshallbedeem
t,ii )
1.'.Acknowle
S 1¥'I understand that if la
office,or (2)a politicalcandidatesforCityel
agency,board,orco
CK
cial
fine
g
ty
»-22 (24)
+iidate for Cifundsforor against•City
Sign
]·'Mer of Floridapursuantto8.$112.3145 atementof with the FloridCommissiononEthicsby1+v ard and Board of Adjustme ambers who file thei
Form 1 with the Florida Commission or icsa ic lly satisfy theCounty's financial disclosure requiremerasaMiamiB«%+w in additional form with the Office of the Ci
Clerk.
FCLER&ALLBOARDAND COMMITTEES DATABASEBoard and CommitteeApplication\BOARD AND COMMITTEEAPPLICATION JULY 2024.d0Updated.July2,2024
aauaa name
SOURCE OF INCOME STATEMENT
Section 2-11.1(@)oftheCountyEthics Code requiresthat certainemployees and public officials file a financial disclosure Statementon a yearly basis byJuly 1stteveryyear.
Dlsclosure for Tex Year Ending [Last /me Frat'Middle Mame/initial
2023 'R1
City,State,Zip
t
Malling Address17
lfyourhome address ls your malling address,and your'home address is exemptfrom public records pursuantto Fla.Stat.$119.07,read
instructionson the followingpage and check here.El
Fling as anEmployee (check one)
EI County []Public Health Trust []Municipal:I (Municipality)
Position or Title
Workaddressl
Employee ID Number
Employment began on/ended on
Flingas
BoardwhAAlternatead
t
List below every source ofincomt c •sources ofincomeindescendingorder,with1 for services,income from business,gains frompropertydealings,interest,rents,lude any source of incomereceived by anotherpersonforyourbenefit.However,ntinuedon a separate sheet,check here.L_]
Nan scription of the Principal Business Activity
I hereby swear (or affirm)that the info
'sioilierW#oscetosito
ELECTIONSDEPARTMENT:
IECEIVTnicCopy
AUG 18..<
CITY OF MIANJA+'OFFICE OF THE CI.Y CLEF»
MLamfBea.•,BOARD &CQM,fv\l II55McheniaanAvensAwrNiPARKINGAPPLICATE,
tlamteach FL_33139/Pn:(305)673-7505or (305)673-7000 ext.6200 ii dR;
mittee member you Rkingaccess(Ae,","?entitled to a Citywide Parking Permit,which includes City Hal
Monthly Traij4<"d)gr a complimentary Ci#i Bike/Deco BIke Membership,or a
''Y IT'ass inroughout yourterm.
dres
E-Mail A
Work Phone:
I Cell Phone:
e Choo.
ide P
icle I
State:
Make:
a$7Ts Te 7
A citywide (CW)parking permit is honored at metered parking spaces and restricted residential zones
parking spaces.A CW parking permit IS NOT honored in prohibited areas.An Access Card will be
provided to you for City Hall Garage (G7)access.$e
,iIMPORTANTNOTE:Your vehicle license plate serves as your "parking permit".To avoid any
unnecessary enforcement actions,it is importantthat our records reflect the most current and
accurate information regarding your vehicle licenseplate.Inaccurate and/oroutdated vehicle
information may lead to the issuance of parking citation(s)and/or the towing of your vehicle.s
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 thecard against
the reader until the gate opens.
ACKNOWLEDGEMENT:I acknowledge that should myaccess cardbe lost,stolenor damage,I will be
responsible to pay a $10.00 replacementfee.
Ar "~nature:±.Please provide signec Aeridian Avenue,2/floor.
Working hours are 8:30 to 5:00 p.m.or email to:ParkingReception@mlamlbeachfl.govsubiect:BOARD &COMMITTEE PARKING APPLICATION--APPLICANT NAME.'
doc form