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Prakash Kumar 12.31.26MIAMI BEACH BOA R D A N D CO MM ITTEE CHEC KLIST APPOINTEE:Prakash Kumar DATE OF APPOINTMENT:1/23/2025 BOARD/COMMITTEE:Convention Center Advisory Pg{Appointed by:Commissioner Bhatt FOR SCANNER Scan o Scan o Scan o Scan o Scan o FOR CLERK STAFF o Letter of Appointment TERM END.12/31/26 TERM LIMIT.12/31/28 o Letter of Reappointment o Copy of Letter of Appointment/Reappointment e-mailed to Committee Liaison on 1/23/25 o Board and Committee Application (Completed on I o Resume/Curriculum Vitae o Diversity Statistics Reporting (Completed on o Oath R ECEIV ED JAN 2 3 7075 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 MembersCITYOFMIAMIBEACH OFFICE OF THE CITY CLERKo Citywide Permit Application (Parking Department Form) Scan o Scan o o Booklet -Guide to Sunshine Amendment &Code of Ethics fo r Public Officers and Employees o Source of Income Statement o Acknowledgment Statement o Board and Committees Liaison Responsibilities ~o Diversity Statist;cs Report;ng .fl]I acknowledge that pursuant to Sec.2-22(9)of the Miam i Beach Code of Ordinances,I will be removed from my board/com m ittee upon fa ilure 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 calend ar year,such m em ber shall be autom atically rem oved.To calculate the num ber of absences under the 33 percent fo rm 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 will be rem oved upon failure to attend three of the regularly scheduled m eetings per calend ar year;or upon abstaining fro m voting due to a conflict of interest on four 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. Received on:_0_1_12_3_12_5 s;gned byQ_·--....________,..,..~_,_,_ Date ~d or~•ommitt Member Pro cessed on.91/By Employee:I Date ciy Cielonese n initials We are committed to providing excellent public service and solely to all who live,work,and play in our vibrant,tropical,historic community. MIAMI BEACH City of M iami Beach,ZOO Convention Center Drive,Miami Boach ,Florida 33 139 yyyyy_miamnibggchf]_go OFFICE OF THE CITY CLERK,Rafael E.Granado,Ciy Clerk Tel:305.673.7411,Fax.305.673.7254 Email:CityClerk @m iamibeach fl.gov January 22,2025 M r.Prakash Kumar 533 Collins Avenue,Apt 1204 M iami Beach,Florida 33139 SUBJECT;Convention Center Advisory Board Congratulations!You have been reappointed by Commissioner Tanya Bhatt to the above referenced, board or committee,for a term ending:12/31/2026. 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 Of fice of the City Clerk at 305.673.7411.Please read the enclosed materials carefully. Congratulations and good luck. Re:;J • .±.. City Clerk cc:Jose Gonzalez,Parking Director Heather Shaw,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 W ide Permit Applica tion -(Parking Department Form) Booklet -Guide to the Sunshine Amendment and Code of Ethics for Public Officers and Employees MIAMI BEACH City of Miami Beach,1/0O Convention Center Drive,Miami Bach,Florida 33 139 yyw_miamibachllgo OFFICE OF THE CITY CLERK,Rafael E.Granado,City Clerk Tel:305.673.7411,Fax.305.673.7254 Email:CiNyClerk @miamibeac hfl.gov Oath of Office Oath of Civility and Acknowledgements TO:Mr.Prakash Kumar 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. Sworn to and subscribed before me this UL025 CA,/Alice Lavado 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 R EC E IV E D JAN 1 3 7075 AM BENGTcmoN,,cs8OFFICEOFIt City of Miami Beach 1 700 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 com pliance with the affiliation requirement of Miam i Beach City Code Sections 2-22 (4), as (check(✓)all that apply): ~am a resident of the City of Miami Beach for six months or longer. ore Awes.$3g,all,g,d uty l1 s,).Mu FE 3NP>f D I have an ownership interest (for a minimum of six months)in a business established in the City of Miam i Beach (for a minimum of six months). Nam e of Business:------------------------- H3JS[fess (]]res,S, D I am a full-tim e em ployee of a business (for a minim 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 (fo r a minim um of six months). [[are [[ys[[eSS, H3JS]fess (]res,S, "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 docum ent and that the facts states 'it are true. 01/23/25 Si Prakash Kumar Date Printed Nam e MIAMI BEACH City of Miami Beach l 7 0 0 C onventio n C enter D rive M iam i Beach,Florid a 33 13 9 www .m iam ib ea ch[l.gov OFFICE OF THE CITY CLERK Email:BC@miamibeachfl.gov Tele phone :30 5 .67 3 7 4 1 l DIVERSITY STATISTICS REP ORI Kumar Last Name Prakash 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: tie knee0OtherDIprefer not to answer. Race/Ethnic Categories: What is your race?D African American/Black Asian or Pacific Islander0Caucasian/W hiteNativeAmerican/American IndianDOther-Print Race:-------------□I prefer not to answer. Do you consider yourself to be Spanish,Hispanic,or Latino/a? ves No0Iprefer not to answer. Do you consider yourself Physically Disabled? v .9tprefer not to answer this question. Page 6of 6 F:\C L E 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 TIO N S FIN A L D R A FTS \B O A R D A N D C O M M ITT E E A P P LI C AT IO N R EG FIN A L.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:305.673.7 411 Kumar Last Name BOARD &COMMITTEE ACKNOWLEDGEMENT STATEMENTS Prakash 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. 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 of6 F:\CLER\$ALLIBOARD AND COMMITT EES DATABASE\Board and Committee Application\BOARD AND COMMITT EE APPLICATION JULY 2024.d0cx Updated:July 2,2024 MIAMl·DADE-EI,SOURCE OF INCOME STATEMENT Section 2-11.1(@)of the County Ethics Code requires that certain em ployees and public offi cials file a financial disclosure Statem ent on a yearly basis by July 1st of every year. 2024 Kumar First Name Prakash Middle Name/InitialDisclosureforTaxYearEndingLastName Mailing Address -Street Number,Street Name,or P.O.Boxcolt City,State,Zip 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 L]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 Boa rd Member (check one) D County []Municipal:Miami Beach (Municipality) Board where serving Convention Center Advisory Board Alternate address (if home address is exempt)I Work telephone I Term began on/ended on List below every source of incom e you re ceived,along with the address and the principal activity of each source.Include your public salary.Place the sources of incom e in descending order,with the largest source first.Exam ples of sources of incom e include:com pensation fo r services,incom e fro m business,gains fro m pro perty dealings,interest,rents,dividends,pensions,IRA distributions,and social security paym ents.Also,include any source of incom e received by another person for your benefit.How ever,the incom e 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 s a( I hereby swear (or affirm)that the info rmation above is a true and correct statement. •.e.sia#areatPerson s ciosi@ o[] Date signed RECEIVED BY ELECTIONS DEPARTMENT:-RECEIVEDDElectronicCopy JAN 2 3 7025 CITY OF MIAMI BEACH OFFICE OF THE CITY CLERK OFFIC E USE ONLY Accepted:Y I N Deficiency:Pro cessed Date/Initials:Scanned Date/initials: 138SP-14 COE 2016