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Christina LaBuzetta 12.31.25MIAMI BEACH BOARD AND COMMITTEE CHECKLIST APPOINTEE:Christina LaBuzetta BOARD/COMMITTEE:Production Industry Council DATE OF APPOINTMENT.09/23 12024 Appointed by:Commissioner Kristen Rosen Gonzalez FOR SCANNER Scan o Scan o Scan o Scan o Scan o RECEIVED SEP 26 2024 CITY OF MIAMI BEACHOFFICECFTHECITY CLERK Scan o Scan o FOR CLERK STAFF o Letter of Appointment TERM END:12 I 31 /2025 TERM LIMIT:12/31/25 o Letter of Reappointment o Copy of Letter of Appointment/Reappointment e-mailed to Committee Liaison on _ o Board and Committee Application (Completed on I o Resume/Curriculum Vitae o Diversity Statistics Reporting (Completed on _, 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 bZJ 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)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. Received on:09 /23 I 2024 Signed by X a.@ Date Board or Committee Member Processed on:By Employee: Date City Clerk's Office Staff Initials Scanned on:By Employee: Date City Clerk's Office Staff Initials WVe are committed to providing excellent public service and salety to all who live,work,and play in our vibrant,tropical,historic community. Document Ref:RCGYK-J65VT-C333P-GWXQD 1.8.2024 N/A 9/23/2024 AL AL 10/1/2024 10/1/2024 MIAMI BEACH City of Miami Beach,1/OO Convenlion Contor Drive,Miami Boach,Florida 33139 yyyyy_miamibeach[l.go OFFICE OF THE CITYCLERK,Rafael E.Granado,City Clerk Tel:305.673.7411,Fax:305.673.7254 Email:CiNyClerk@miamibeachfl.gov December 28,2023 Ms.Christina LaBuzetta 301 Ocean Dr,Apt 305 Miami Beach,FL 33139 SUBJECT:Production Industry Council Congratulations!You have been reappointed by Commissioner Kristen Rosen Gonzalezto 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. cc:Monica Beltran,Parking Director Shama Johnson,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 MIAMI BEACH City of Miami Beach,1/O0 Convention Contor Drivo,Miami Boach,Horida 33 139 yyw._miaIibeach[l.go OFFICE OF THE CITY CIERK,Rafool E.Granado,CyClerk Tol:305.673.7411,Fax.305.673.7254Email:CiyClerk@miamibeachll.gov Oath of Office Oath of Civility and Acknowledgements TO:Ms.Christina LaBuzetta RE:Production Industry Council 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. Ms.Christina LaBuzetta Sworn to and subscribed before me this?~day 01¥,2023 ll.leDeputyClerk *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. Document Ref:.RCGYK-J65VT-C333P-GWXQD MIAMI BEACH City of Miami Beach 1700 Convention Center Drive Miami Beach,Florida 33139 OFFICE OF THE CITY CLERK Email:BC@miamibeachfl.gov Telephone:305.6737411 RECEIVED SEP 26 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 Sections 2-22 (4), as (check(✓)all that apply): [I am a resident of the City of Miami Beach for six months or longer. Home Address:301 Ocean Dr,Apt 304,Miami Beach,FL 33139 ]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:Location Resources,Inc. Business Address11 Lincoln Road,Suite 305,Miami Beach,FL 33139 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). 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 stated in it are true. 09 I 23 I 2024 Signature Christina LaBuzetta Printed Name Document Ref:RCGYK-J65VT-C333P-GWXQD Date MIAMI BEACH City of Miami Beach 1 700 Convention Center Drive Miami Beach,Florido 33139 www.miamibeachfl.gov OFFICE OF THE CITY CLERK Email:BC@miamibeachfl.gov Telephone:305.673.7411 DIVERSITY STATISTICS REPORT LaBuzetta Last Name Christina First Name s 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: LJae [l FemaleDOther0Iprefer not to answer. Race/Ethnic Categories: What is your race?DI African American/BlackDAsianorPacificIslanderLOCaucasian/white0NativeAmerican/American IndianDOther-Print Race:_ D I prefer not to answer. Do you consider yourself to be Spanish,Hispanic,or Latino/a? lvesJoDIprefer not to answer. Do you consider yourself Physically Disabled? vszho Ll1prefer not to answer this question. Page 6 of 6 F:\CLER\$ALL\REG\BOARD AND COMMITTEE APPLICATIONS FINAL DRAFTS\BOARD AND COMMITTEE APPLICATION REG FINAL.docx Updated:June 2020 Document Ref:RCGYK-J65VT-C333P-GWXQD MIAMI BEACH City of Miami Beach 1700 Convention Center Drive Miami Beach,Florida 33139 www.miamibeachfl,gov OFFICE OF THE CITY CLERK Email:BC@miamibeachfl.gov Telephone:305.673.7411 LaBuzetta Last Name BOARD 8&COMMITTEE ACKNOWLEDGEMENT STATEMENTS Christina First Name s 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 "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 Clerk shall be deemed a tender of resignation from the City agency,board,or committee Signature Date 09 I 2312024 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:\CLER\$ALLIBOARD AND COMMITTEES DATABASE\Board and Committee Application\BOARD AND COMMITTEE APPLICATION OCT 2023.docx Updated:January 9,2023 Document Ref:RCGYK-J65VT-C333P-GWXOD