Loading...
Isabella Oliva 12.31.24MIAMI BEACH BOARD AND COMMITTEE CHECKLIST Arrowree.[Aelle_Qyjyo@_Are or arrowmrwe»vr._L]2y[2e2 soARD/cowowmrre._l'yr (Qneyt1ow_Pica y.['picoer Save2 FOR SCANNER Scan o Scan o Scan o Scan o Scan o RECEIVED 0CT 09 2024 CITY OF MIAMI BEACH OFFICES OF THE CITY CLERK Scan o Scan o FOR CLERK STAFF ._ o Letter of Appointment TERMEND:\2.3\.2-{TERM LIMIT:\.\.2S o Letter of Reappointment _Q 3(7] o Copy of Letter of Appointment/Reappointment e-mailed to Committee Liaison on \.·D o Board and Committee Application (Completed on ]._Ls.}_) o Resume/Curriculum Vitae o Diversity Statistics Reporting (Completed on _)..-r 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 Gode 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 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 Jess 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. @Jz ....... Dai;~or Committee Member rose o:IO1.2'{swore.9A.- Date ,..City Clerk's Office Staff Initials We are committed to providing excellent public service and saleNy to oll who live,work,and play in our vibrant,tropical,historic community Received on: MIAMI BEACH City of Miami Beach,I/OO Convention Conler Drivo,Miami Boach,Horida 33 139 yyyy._miaIibcachll.go OFFICE OF THE CITYCLERK,Rafaol E.Granado,City Clerk Tol:305.673.7411,Fox.305.673.7254 Email:CilyClerk@miamibeachll.gov September 19,2024 Ms.Isabella Oliva 915 Jefferson Avenue Miami Beach,FL 33139 RE:Next Generation Council Dear Ms.Isabella Oliva: Congratulations!You have been appointed by Commissioner David Suarez to the above-referenced Board or Committee,for a term ending:12/31/2024. 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. 7RafaelGranado City Clerk cc:Jose Gonzalez,Parking Director Luis Atencio,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 MIAMI BEACH City of Miami Beach,1700 Convention Cantor Drio,Miami Boach,Florida 33 139 www.miamboochll.gov OFFICE OF THE CITY CIHRK,RafaelE.Gronodo,Cy Cdork Tel:305.673.741,Fax:.305.673.72.54 Emal:CINylerk.@miombeachll.gov Oath of Office Oath of Civility and Acknowledgements TO:Ms.Isabella Oliva RE:Next Generation 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:12/31/2024. 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.Isabella Oliva swor to and subscribed before me +a f aay or (Yd,2024 ~~ado$:a+ Please visit the City of Miami Beach website at www.miamibeachfl.gov under City Clerk/Board and Committees for additional information regarding the Financial Disclosure Requirements. MIAMI BEACH RECEIVED 00T 09 2024 CITY OF MIAMI BEACHOFFICEOFTHECITYCLERK City of Miami Beach l 700 Convention Center Drive Miami Beach,Florida 33139 OFFICE OF THE CITY CLERK Email:BC@miamibeachfl.gov Telephone:305.673.7411 AFFIDAVIT OF AFFILIATION WITH THE CITY OF MIAMI BEACH I am in compliance with the affiliation requirement of Miami Beach City Code Sections 2-22 (4), as (check (/)all that apply): EZ]I am a resident of the City of Miami Beach for six months or longer. woe A«ones».115 Jeffcrsano /he Apt,2D mauni Bach,Ft 33r31DIhaveanownershipinterest(for a minimum of six months)in a business established in the City of Miami Beach (for a minimum of six months). Name of Business:------------------------ lg]re,(}dfeSS,0i am a full-time employee of a business (for a minimum of six months)and I am based in an office or other location of the business that is physically located in Miami Beach (for a minimum of six months). on»sous.fends of kg rs$ Business Address:_2IO Cpol]ins /\u&Vue. "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 Z2I s ~ure Date \[@bell 0) Pnnted Name MIAMI BEACH City of Miami Beach 1700 Convention Center Drive Miami Beach,Florida 33 l 39 www.miamibeachfl.gov OFFICE OF THE CITY CLERK Email:BC@mlamibeachfl.gov Telephone:305.673.7411 DIVERSITY STATISTICS REPORT4eaLastFirstName mMiddleInitial 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: LJ MateElremaleDOther0Iprefernot to answer. Race/Ethnic Categories: What is your race?D African American/BlackDAsianorPacificIslanderEEOCaucasian/white0NativeAmerican/American IndianDOther-Print Race:------------□I prefer not to answer. Do you consider yourself to be Spanish,Hispanic,or Latino/a? JvesLoDIprefer not to answer. Do you consider yourself Physically Disabled? ve,JoDIprefer not to answer this question. Page 6 of 6 F:ICLER\$ALL\REG\BOARD AND COMMITTEE APPLICATIONS FINAL DRAFTS\BOARD AND COMMITTEE APPLICATION REG FINAL.docx Updated:June 2020 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 0lo.. Last Name BOARD &COMMITTEE ACKNOWLEDGEMENT STATEMENTS [lo][a 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 CityEEsoSignatureDate 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 of 6 F:ICLER\$ALL\BOARD AND COMMITTEES DATABASE\Board and Committee Application\BOARD AND COMMITTEE APPLICATION JULY 2024.d0cx Updated:July 2,2024 MIAMl·DADE-Em 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 1stofeveryyear. Disclosure for Tax Year Ending 2023 Last NameOlio First Nameqhelo Middle Name/Initialie, Mailing Address -Street Number,Street Name,or P.O.BoxSoFt. 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 D 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 D Municipal:(Municipality) Board where serving Alternate address (if home address is exempt)I Work telephone ITerm 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 ofincomeindescendingorder,with the largest source first.Examples of sources of income include:compensation for services,income from business,gainsfrompropertydealings,interest,rents,dividends,pensions,IRA distributions,and social security payments.Also,include any source of income received by anothg!personfor your benefit.However,the income of your spouse or any business partner need not be disclosed.If continued on a separate sheet,check here.L_l Name of Source of Income Address Description of the Principal Business Activity 2400 I hereby swear (or affirm)that the information above is a true and correct statement. ~-·~-------=-----a±4.±. yo\;\a624d.i.h RECEIVED BY ELECTIONS DEPARTMENT:□Hardcopy RECEIVEDDElectronicCopy OCT 09 2024 CITY OF MIAMI BEACHOFFICEOrTHECITYCLERK OFFICE USE ONLY Accepted:Y /N Deficiency.Processed Date/initials: 138_SP-14 COE 2016 Scanned Date/initials: r {1BEACH Y o!Alaml Beach PARKING DEPARIMENI 55 Menan Aonuo owe 200 /my Beach H 3313%/ft BOARD &COMMITTEES PARKING APPLICATION (3054 673-7505 0 (305)673 7000 091 6200 a B entitled to a Citywide Parking Permit,which includes Cily HollOard/Committee member you are -,a,l /pe Bik Me b «4Garage(G7 .Card]or a complimentary Citi Bike,eco Ske lembership.or a..')parking access (Access '- discounted MDC Monthly lansit Pass throughout your term. BoardMember Information "iroso\z[sf Applicant Noe (pl le _ 8oar@rcotee Nome Nxf erto ounl N""'1IoJf0 ii@nut /hp 2D ma eat@,r 23129 MoAdores «_r«ell(1 gm)com Work Phone;Home Phone: Please Choose One 1 O tlon: Citywide Parking Perm/G7 Access Card l(]Cili Bike/Deco Bike Membership ---·-·--MDC Monthly Transit Pass edit-- Vehicle Information (For CitywideParkingPermit/AccessCardOnly1,,".J'Hao cos fack State:t.ear 'L]_tsl@±erMake. 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 Cord will be provided to you for Cily Hall Garage [G7)access. IMPORTANT NOTE:Your vehicle license plate serves as your "parking permit".Io avoid any unnecessary enforcement actions,it is important Iha our records reflect the most current and accurate information regarding your vehicle license plale.Inaccurate and/or outdated vehicle information may lead to the issuance of parking cilalion(s)and/or the lowing 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 proximily to the reader until Ihe gate opens.You may need to lry the other side of the cord.Please ensure you hold the entire sutface of the cord againstthereaderuntilthegaleopens. ACKNOWLEDGEMENT:I acknowledge that should my access card be lost,stolen or damage,I will be responsible to pay a $10.00 replacementfee. -.." Please provide signe fm to the Parking Department located at 1755 Meridian Avenue,2+floor. Working hours are 8.30 to 5.00 p.m.or email to.ParkingReception@miamibeachfl.goy e-mail subiect:BOARD &COMMITTEE PARKING APPLICATION -APPLICANT NAME tomoto'ed M1,2024