Christopher Todd 12.31.25MIAMI BEACH
BOARD AND COMMITTEE CHECKLIST
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BOARDCOMMITTEE:(ace 'lac±chYla'Appointed py.lac kue Pe'er
FOR SCANNER
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RECEIVED
AUG 27 2024
CITY OF MIAMI BEACHOFFICE-r AF CITY CLERK
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FOR CLERK STAFF \o Letter ot Appointment TERMEND:!23\.25 rERMLuMIr:l2.\.31
o Letter of Reappointment l
o copy of Letter of Appointment/Reappointment e-mae4 to ggpmittee Liaison on •[.2}o Board and Committee Application (Completed on _o.(\)
o Resume/Curriculum Vitae
o Diversity statistics Reporting (completed on _2$_{)
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
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)lfany member of an agency,board or committee fails to attend 33 percent ofthe 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 thenextwholenumber.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 differentapplicationswithinacalendaryear.A member who is removed shall not be reappointed to membership on theboardforatleastoneyoarfromthedateofremoval.
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Date cycles orfce staff initials
WVe ore committedto providing excellent public service and sale!y to all who lvo,work,and play In our vibrant,tropical,historic communNy.
Received on:
MIAMI BEACH
City of Miami Beach,1/OO Convention Conlor Drivo,Miami Boach,Florida 33 139 yywyy._miamibeachll.gov
OFFICE OF THE CITY CIERK,Rafool E.Granado,City ClerkTol:305.673.7411,Fax.305.673.7254
Email:CiNyClerk@miamibeachfl.gov
August 15,2024
Mr.Christopher Todd
4925 Collins Ave Apt 8F
Miami Beach,FL 33140
RE:Marine and Waterfront Protection Authority
Dear Mr.Christopher Todd:
Congratulations!You have been appointed by Mayor Steven Meinerto the above-referenced Board or
Committee,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 as they concern your duties,responsibilities,and
requirements as a board or committee member.
Congratulations again and good luck.
Reglj
Rafael Granado
City Clerk
cc:Jose Gonzalez,Parking Director
Tasha Byars,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
AM/AMA[BEACH
City of Miami Beach,1/0O Convontion Con4or DNo,Mami Boch,Hoda 33139 yyw_miaIuby_g_hl]_gay
OFKCE O ITHCITYCLERK,Rolool E.Granado,Cay Clord
1el.305.673.7411,Fa305.673.7254
Email.CityClo«kl@miomtbeochflgov
Oath of Office
Oath of Civility
and
Acknowledgements
TO:Mr.Christopher Todd
RE:Marine and Waterfront Protection 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 atermending.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 oateodac yeac oo which t have sec,ed Q....~:'it\
Mr.Christopher Todd-Sworn to and subscribed before me this 2-::}day o~r'2024de±..
Deputy Clerk
*Please visit the City of Miami Beach website at www.miamibeachfl.gov under City Clerk/Board andCommitteesforadditionalinformationregardingtheFinancialDisclosureRequirements.
MIAMI BEACH
City of Miami Beach
1700 Convention Center Drive
Miami Beach,Florida 33139
OFFICE OF THE CITY CLERK
Email:BC@rniamibgachf]_gov
Telephone:305.673.7411
RECEIVED
AUG 2'7 2024
CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
AFFIDAVIT OF AFFILIATION IIH THE CITY OE MIAMI BEACH
I am in compliance with the affiliation requirement of Miami Beach City Code Sections 2-22 (4),
Pk0 anat aLamaresidentofthe City of Miami Beach for six months or longer.
"9me A«dress 412.cll,he Ac}3E Med__P 3140
[vf1nave 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 or sousess NJ,Lc_
ausmess A«ares'31A\AH U,6)255 Iv,eel,F 3»4DIamafull-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 aminimumofsixmonths).
[[are ([Hy]neSS,
H11S1Pe8 (]]reSS,-
"Ownership Interest"means the ownership of ten percent (10%)or more (including theownershipof10%or more ofthe 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
stA\in it are true.
(kl $/25/20a4
Signature q\DateCl-,)kl,e 6clPrintedName
MIAMI BEACH
City of Miami Beach
1700 Convention Center Drive
Miami Beach,Florido 33139
www.miamibeachf.gov
OFFICE OF THE CITY CLERK
Email:BC@rniarnibeachfl.gov
Telephone:305.673.7411
DIVERSITY STATISTICS REPORT
1cdLastName 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:a.[l Femaleloner□I prefer not to answer.
Race/Ethnic Categories:
What is your race?
[lAmrican American/BlackLletanorPacificIslanderETCaucasian/white0NativeAmerican/American Indian□Other -Print Race:_
D I prefer not to answer.
Do you consider yourself to be Spanish,Hispanic,or Latinola?
Ll»LiivoDIprefer not to answer.
Do you consider yourself Physically Disabled?
ys
noDIprefer not to answer this question.
Page 6 ot6FCLERISALLREGBOARDANDCOMMITTEEAPPLICATIONSFINALDRAFTSOARDANO COMMITTEE APPLICATION REG FINAL docx
Updated.June 2020
MIAMI BEACH
City of Miami Beach
1700 Convention Center Drive
Miami Beach,Florida 33139
w.miamibeach!L,gov
OFFICE OF THE CfTY CLERK
Email:BC@miamibeachflgov
Telephone:305.673.7411
1addLastName
BOARD &COMMITIEE ACKNOWLEDGEMENT STATEMENTS
Cl},,la
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 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.
Acknowledgment to Comply with Miami Beach Code of Ordinances Sec.2-22 (24)
I understand that if I 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,or committee.
dlSignature 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 0t 6
FCLERI\SALLBOARDAND COMMIT TEES DATABASE\Board and Committee Application\BOARD AND COMMITTEE APPLICATION JULY 2024docx
Updated:July 2,2024
snapEM»IE SOURCE OF INCOME STATEMENT
Section 2-11.1()of thoCounty Ethics Code requiresthat certain employees and publicofficialsfile a financial disclosure Statement on a yearlybasis by duly 1stofovaryyoar.
Disclosurefor Tex YearEdlg
2023
Meling Address-StreetWeaber,orP.O.Boa
"f
MiddleMemo/ltdel
If your home address is your mailing address,and your home address ls exempt from publlc records pursuant to Fla.Stat.$119.07,road
instructionson the following page and check here.Ll
Fog a en E ployoo (leekenee
[]county I]Public Heel'th Trust []Municipal:(lelpelity)
Department
Poe/lon or 'Tie EmployeelD Mum#er
Wort address [ernon Employment'bean on/endedon
[caunty
ls eemp)
Listbelow every source ofincome you received,along with theaddressandtho principalactivity ofeachsource.hnckudo yourpublic salary.Paco the sources ofincomeindescendingorder,with the largest'source first.Examples of sourcesof incomeinclude:.compensation for services,incomofrom business,gainsfrompropertydealings,interest,rents,dividends,pensions,IRA distributions,andsocial security payments.Also,include any source of income received by anotherpersonforyourbenefit.However,the incomeofyour spouse or any businesspartnerneednotbedisclosed.If contieedon me eeperatesleet,check here.Ll
Memo ofSource ofcom Address Descrtpion ofthePreclpelBeelinesActivity
(b),1-l31 A ,5955 We,pke)
Na el 31«40 Cos..°
9igatwreolPers DOeolosleg
ECENED BY ELECTIONSDEPARTMENTtea±CEIVED
[]Eecrone Copy
AUG 2'7 2024
CITY OF IVIIAIVII BEACHOFFICEOFTHECITYCLERK
OFFICE LUSE ONLY Accoptod:Y {N Deficiency._-PocooedDaM/later:_....-.---ScannedDate/inliels:-
138_8-14 COE2018
MIAMI BEACHCityofMiamiBeach,PARKING DEPARTMENT
1755 Meridian Avenue,Suite 200 Miami Beach,FL 33139/Ph:(305)673-7505 01 (305)673-7000 ext.6200
BOARD &COMMITTEES
PARKING APPLICATION g
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 Cii Bike/Deco Bike Membership,gr a
discounted MDC Monthly Transit Pass throughout your term.
Board Member Information
Date of Application:
Applicant Name:
Board/Committee Name:
Address:
E-Mail Address:
Work Phone:Home Phone:
cell Phone:.05 4a0 €O Preferred Contact Method:.(ol]
Choose One 1 0 tlon:
Cili Bike/Deco Bike Membership
Vehicle Informa
Tag:
Permit/Access Card Onl
state:FL Year:
Make:GM Model:
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 reaardina vour 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 wlll be
responsible to pay a $10.00 replacement fee.
A
Please provide signed form to the Parking Department located at 1755 Meridian Avenue,2nd floor.
Working hours are 8:30 to 5:00 p.m.or email to:PgrkingReception@migmibeachfl.gov
e-mail sub ect:BOARD &COMMITTEE PARKING APPLICATION -APPLICANT NAME
f:\,in«\·manor\forms\cwboords«committees ankh tor,doc formodated 1/18/2024