Carol Motley 12.31.26MIAMI BEACH
BOARD AND COMMITTEE CHECKLIST
APPOINTEE:Carol Motley DATE OF APPOINTMENT.1•10.2025-----------------
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FOR SCANNER
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FOR CLERK STAFF
o Letter of Appointment
o Letter of Reappointment
o Copy of Letter of Appointment/Reappointment e-mailed to Committee Liaison on
o Board and Committee Application (Completed on --
o Resume/Curriculum Vitae
o Diversity Statistics Reporting (Completed on
o Oath
TERM END:L2]3th-g reRMurr:
IMPO RTANT INFORMATION FOR BOARD AND COMMIT TEE 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 MembersCI[{OF MIAMI BEACHkcorTHECICLERK
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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
[Z]I acknowledge that pursuant to Sec.2-22(9)of the Miam i Beach Code of Ordinances,I will be removed
from m y board/com m ittee upon failure to attend 33%of the regularly scheduled meetings.
Sec.2-22(9)If any m em ber of an agency,board or com m ittee fails to attend 33 percent of the regularly scheduled
m eetings per calendar year,such m em ber shall be autom atically rem oved.To calculate the num ber of absences
und er the 33 percent form ula,.4 or less ro unds dow n to the next w hole num ber and .5 or more ro unds up to the
next w hole num ber.
NOTE:M em bers of the Land Use Boards w ill be rem oved upon failure to attend three of the regularly scheduled
m eetings per calendar year;or upon abstaining fro m voting due to a conflict of interest on fo ur different
applications w ithin a calend ar year.A m em ber who is rem oved shall not be reappointed to mem bership on the
board for at least one year fro m the date of rem oval.
1102075sons»}Cao€vet
Date Board or comniGi e ber
Pro cessed on:__,......,_\_4_,l'--i_o By Employee:__,_~--------------
Date City Clerk's Office Staff Initials
Received on:
We ore co mmitted to providing excellent public service and salety to all who live,work,and play in our vibrant,tropical,historic community.
MIAMI BEACH
City of M iam i Beach,1/OO Convention Center Drive,Mia mi Boach,Florida 33 139 yywy _miamniba chll_go
OFFICE OF THE CITY CLERK,Rafael E.Granado ,City Clerk
Tel:305 .673.7411,Fax.305 .673.72 54
Ema il:CiNyClerk @m iamibeachll .gov
Oath of Office
Oath of Civility
and
Acknowledgem ents
TO:Ms.Carol Motley
RE:Convention Center Advisory Board
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:12/31/2026.
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.Carol Motley
Sworn to and subscribed before me this 1 Oth day of Jan ,2025
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Deputy Clerk
*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
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 .7 41 l
RECEIVE-t
JAN 14+
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):
D I am a resident of the City of Miami Beach for six months or longer.
Hom e Address:--------------------------□I have an ownership interest (for a minim um of six months)in a business established in the
City of Miam i Beach (fo r a minim um of six months).
Nam e of Business:_
Business Address:_
[]am a full-tim e em ployee of a business (for a m inim um of six months)and I am based in an
office or other location of the business that is physically located in Miam i Beach (for a
minim um of six months).
Nam e of Business:G M C VB-------------------------
Business Address:1901 Convention Center Drive,M iam i Beach,FL 33139
"O wnership Interest"m eans the ownership of ten percent (10%)or m ore (including the
ownership of 10%or m ore of the outstanding capital stock)in a business.
"Business"m eans any sole pro prietorship,sponsorship,corporation,limited liability com pany,
or other entity or business association.
Under penalties of perjury ,I declare that I have read the fo regoing document and that the facts
stated in it are true.
•Carol M otley
Printed Nam e
1.10.2 025
Date
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:305.673.7 411
DIVERSITY STATISTICS REP ORI
Motley
Last Nam e
Carol
First Nam e
L
Middle Initial
The following information is voluntary and has no bearing on your consideration fo r appointment.It is being
asked to com ply with City diversity reporting requirem ents.
Gender:
LJ MaelFemaleoner0Iprefer not to answer.
Race/Ethnic Categories:
What is your race?
[African American/BlackLJAstaorPacificIslanderDCaucasian/wh ite0NativeAmerican/America n Indian0Other-Print Race:-------------□I prefer not to answer.
Do you consider yourself to be Spanish,Hispanic,or Latino/a?
ves
o0Iprefer not to answer.
Do you consider yourself Physically Disabled?
vesz0oDIprefer not to answer this question.
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F:\C LE R \$A LL\R E G \B O A R D A N D C O M M ITT E E A P P LI C A T IO N S FIN A L D R A FT S \B O A R D A N D C O M M ITT E E A P P LI C A T IO N R E G FIN A L.d ocx
U p da te d:Ju ne 20 2 0
MIAMI BEACH
C ity of M ia m i Be a c h
1700 Convention Center Drive
Miam i Beach,Florida 33139
w w w.m iam ibeachfl.gov
O FFICE OF THE CITY CLERK
Email:BC@ miamibeachfl.gov
Telephone:305.673.7 411
Motley
Last Name
BOARD &COMMITTEE ACKNOWLEDGEMENT STATEMENTS
Carol
First Name
L
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.
1.10.2025
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.
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F:IC LE R \$A L LIB O A R D A N D C O M M ITT E E S D A TA B A S E \B oard and C om m itt ee A pplica tion\B O A R D A N D C O M M ITT E E APP LI C AT IO N JU LY 2024.docx
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 1st
of every year.
Disclosure for Tax Year Ending
I
Last Name First Name Middle Name/Initial
2023 Motley Carol L
Mailing Address -Street Number,Street Name,or P.O.Box
201 S.Biscayne Blvd,Suite 2200
City,State,Zip
Miami,FL 33131
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.[l
Filing as an Employee (check one)
[]county 0 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 [Municipal:
(Municipality)
Board where serving
Miami Beach
Alternate address (if home address is exempt)
!
Work telephone I Term began on/ended on
(301)539-3020
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.[]
Name of Source of Income Address Description of the Principal Business Activity
GMCVB 201 S.Biscayne Blvd,suite 2200 Convention and Visitors Bureau
Miami,FL 33131
I hereby swear (or affirm)that the information above is a true and correct statement.~;::~:::r.z:,
1.10.2025 _
Date signed
RECEIVED BY ELECTIONS DEPARTMENT:
Jard-yCEIVEL[]Electronic Copy
JAN 14?0
CITY OF MIAMI BEACH
OFFICE USE ONLY Accepted:Y /N Deficiency.Processed Date/initials:Scanned Date/initials:
138SP-14 COE 2016
MIAMI BEA C H
City of Miami Beach,PARKING DEPARTMENT
BOARD &COMMITTEES
PARKING APPLICATION La
PA RK IN G1755MeridianAvenue,Suite 200 Miami Beach,FL 33139/Ph:(305)673-7505 or (305)673-7000 ext.6200
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 Citi Bike/Deco Bike Membership,or a
discounted MDC Monthly Transit Pass throughout your term,
Board Member Information
Date of Application:1.10.2025
Applicant Name:Carol Motley
Board/Committee Name:CCAB
Address:201 S.Biscayne Blvd,Suite 2200 Miami,FL 33131
E-Mail Address:Cmotley@gmcvb.com
Work Phone:301-539-3020 Home Phone:
Cell Phone:301-237-7807 Preferred Contact Method:cell
Please Choose One 1 O tion:
•Citywide Parking Permit/G7 Access Card Citi Bike/Deco Bike Membership
Vehicle Information (For Cityw ide Parking Permit/Access Card Only)
Tag:RGAS34 Color:Red
State:Florida Year:2017
Make:GLC 300 Model:Mercedes
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 regarding your 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 will be
responsible to pay a $10.00 replacement fee.
I•t s·t ~t~A,lican i mna ure:es
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:ParkingReception@miamibeachfl.gov
e-mail subiect:BOARD &COMMITTEE PARKING APPLICATION -APPLICANT NAME
f:\ping\$man\rar\forms\cw boards&committees parkingform.doc form updated 1/18/2024