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Rachel Umlas 12/31/08 m City of Miami Beach, 1700 CDf1Vcnlioll Center Drive, Miami Beach, Florida 33139, vvwvvrniamibeachflgov OFFICE Of THE CiTY CLERK, Robert Parcher, City Clerk Tel 305673-74 Ii, Fox 305-673-7254 01-09-2007 Rachel Umlas 1424 S. Biscayne Point Rd Miami Beach, Florida 33139 SDsueCT: Community Development Advisory Committee Congratulations! You have been appointed by Commissioner Saul Gross to the agency, board or committee named above for a term ending: 12/31/2008. Pursuant to Ordinance No. 2006-3543, commencing with terms beginning on or after January 1st, 2007, the term of board members who are directly appointed by a member of the City Commission shall automatically expire on December 31 of the year the appointing elected official leaves office. If you are unable to accept this appointment or have any questions, please call the City Clerk's Office at 305-673-7411. Please read the enclosed materials carefully. Congratulations again and good luck. Sincerely, K~UtJ6 Robert Parcher f ~ City Clerk cc: Saul Frances, Parking Director /'/ Thomas Urriola ATTACHMENTS: 1. City Code Ordinance section, applicable to agency, board or committee 2. General Provisions of Ordinance NO.97-3086 Amended by Ordinance No. 2006-3543 3. Ordinance No. 97-3105 4. Citywide parking permit application - Return completed application to the Parking Department located at Palm Court Building, 309 23rd Street, Suite 200 - Tel: 305-673-7505 5. Guide to the Sunshine Amendment and Code of Ethics for Public Officers and Employe 6. Miami Beach Code Section 2-459 7. Miami-Dade County Code Section 2-11.1 "'.'C' ..lre (;:~'r~~I,':.:-:,,'j' 10 r-vr:,.;:;.I"-<J eYC"t"!!';-"!';;' ',., .-....,he; i!\'e, '.'Yo,r.t unci pfo\, in .'~-;~ir v-'bii.)ni, :/')P!cc;f. hiYt)ric comrnuniiy' lD ...... city of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov OFFICE OF THE CITY CLERK, Robert Porcher, City Clerk TEL: (305) 673-7411, FAX: (3051 673-7254 TO Rachel Umlas RE: Community Development Advisory Committee 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: 12/31/2008. 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 theFlorida Commission on Ethics Guide to the Sunshine Amendment and Code of Ethics for Public Officers and Employees, and understand that as a member of a City of Miami Beach Board and/or Committee, I must mply with the financial disclosure* require- ments of Miami-Dade County or the State of Florida (de en 'ng on the board or committee on which I serve) on July 1 st, following the closing of the calendcf ye r on which I have served. Rachel Urn as Sworn to and subscribed before me t~is I Cj "'day of ~~5 ~~-e.~a~~~~~ 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. We are committed to providing excel/ent public service and safety to 01/ who live, work, and play in our vibrant, tropical. historic community m City of Miami Beach, 1/00 CDnvcntion Center Drive, Miami Beach, Florida 33139, vvwvvrnlarnibeachflgov OFFICE OF Tt-IE CiTY CLERK, Robert Parcher, City Clerk Tel 305-673-7411, Fox 305673-7254 01-09-2007 Rachel Umlas 1424 S. Biscayne Point Rd Miami Beach, Florida 33139 SUS)ECT: Community Development Advisory Committee Congratulations! You have been appointed by Commissioner Saul Gross to the agency, board or committee named above for a term ending: 12/31/2008. Pursuant to Ordinance No. 2006-3543, commencing with terms beginning on or after January 1st, 2007, the term of board members who are directly appointed by a member of the City Commission shall automatically expire on December 31 of the year the appointing elected official leaves office. If you are unable to accept this appointment or have any questions, please call the City Clerk's Office at 305-673-7411. Please read the enclosed materials carefully. Congratulations again and good luck. Sincerely, K~U tJ6 Robert Parcher f ~ City Clerk cc: Saul Frances, Parking Director 6./'/ Thomas Urriola ATTACHMENTS: 1. City Code Ordinance section, applicable to agency, board or committee 2. General Provisions of Ordinance NO.97-3086 Amended by Ordinance No. 2006-3543 3. Ordinance No. 97-3105 4. Citywide parking permit application - Return completed application to the Parking Department located at Palm Court Building, 309 23rd Street, Suite 200 - Tel: 305-673-7505 5. Guide to the Sunshine Amendment and Code of Ethics for Public Officers and Employe 6. Miami Beach Code Section 2-459 7. Miami-Dade County Code Section 2-11.1 ~,'.' e ;.ire (;,': ,:".!,'_:,-,.,:j' iO nr,'/., ~f;n::.J .:"X{:("fJ,;'YL' J'J'.',":e ,,":,':,;' _~[)f',:'i); :() i,d,' v.,he; i!ve. ,/I/()fk. urrd pfCil in v....bfoni, !1::.Jp.'CO!. hi.s!oric communi;,! lD ...... city of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov OFFICE OF THE CITY CLERK, Robert Porcher, City Clerk TEL: (305) 673-7411, FAX: (3051 673-7254 TO Rachel Umlas RE: Community Development Advisory Committee 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: 12/31/2008. 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 theFlorida Commission on Ethics Guide to the Sunshine Amendment and Code of Ethics for Public Officers and Employees, and understand that as a member of a City of Miami Beach Board and/or Committee, I must mply with the financial disclosure* require- ments of Miami-Dade County or the State of Florida (de en ing on the board or committee on which I serve) on July 1 st, following the closing of the calendct ye r on which I have served. Sworn ilMLtfdt .. Rachel Urn as to and subscribed before me t~is I ct'" day of ~~T ~~-e.~a~~~~~ 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. We are committed to providing excellenf public service and safety to all who live, work, and play in our vibrant, tropical, historic community lD MIAlv\1 BEACH Pursuant to City Code section 2-22(4) a and b: Members of agencies, boards, and committees shall be affiliated with the city; this requirement shall be fulfilled in the following ways: a) an individual shall have been a resident of the city for a minimum of six months; or b) an individual shall demonstrate ownershlp/interest for a minimum of six months in a business established in the city. Resident of Miami Beach for a minimum of six (6) months: Yes or No Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: Yes] or No NAME: Iddle Initial I am applying for a Board appointment because I have speci My special abilities, knowledge, or experience i : Are you a registered voter in iami Beach: Yes Home: .~-( No. Street City State Phone: '30) -SloS--- S'~OS '3C'5-S3Z.--L(?Z~ ;vS--Cfq~ ":-S0crD Home Work Fax Emall aAdress :~:;:: N,m..UY'1 \ (l <; 6(~~"p~eaxs.:t,: P05;.O;I,O M' ~ f lj~~ ~a a , (0)> Address: Jd ~D 7___ Ai ~f\ {2-d, wq 56 M b, ~ l ~ ~ III 0 \ No. / Street < City State ~wner D Stockholder/Shareholder D Corporate Officer LJ Other Explain: Address: Zip Code Professional License (describe) i~ U~tu;i: ,; Ar* . Expires: 1. Have you ever been convicted of a felony: Yes [J or N~lf yes, please explain in detail: 2. Do you currently have a violation(s) of City of Miami Beach codes: Yes [J or N~-'f yes, please explain in detail: 3. Do you currently owe the City of Miami Beach any money: Yes D or NOY If yes, explain in detail 4. Are you currently serving on any City Boards or Committees: Yes~r No O. If yes; which board? ~ ([l 'M1at organizations in the City of Miami Beach do you currently hold membership in? II r it-- Name: I V . Title: Name: Title: List all properties owned or have an interest in, which are located within the City of Miami Beach: IL{Zl\ 5\2z5t-sc ct'-{ IN .y1- 120) ,AA h \ fL ,'~ 3 I U i I am now employed by the City of Miami Beach: Yes D or N~ If yes, which department? FICU::f<\SML\iJ&C AppllCalion\i\8.C f'.\.!pl!cdIICoI1 ReVised UU110G doc Pursuant to City Code Section 2-25 (b): Do you have a parent Beach? Check all that apply. Identify the department(s): child " brother or sister who is employed by the City of Miami Please list your preferences in order of ranking [1] first choice [2] second choice, and [3] third choice. Please note that only three (3) choices will be observed by the City Clerk's Office. (Regular Boards of City) Housing Authority' Loan Review Committee' Marine Authonty' Miami Beach Cultural Arts Council Miami Beach Commission on Status of Women . Miami Beach Florida Sister Cities L Normandy Shores Local Gov't Neigh. Improvement . Oversight Committee for General Obligation Bond Parks and Recreation Facilities Board Personnel Board' I . Planning Board' : > Police Citizens Relations Committee Production Industry Council c; Public Safety Advisory Committee II Safety Committee Transportation and Parking Committee Visitor and Convention Authority' ~J Youth Center Advisory Board Art in Public Places Committee Barrier Free Environment Committee ~.J Beach Preservation Board [; Beautification Committee Board of Adjustment' [1 Budget Advisory Committee :J Committee on Homeless [J ~ommittee for Quality Education in MB XCommunity Development Advisory. [j Community Relations Board [] Convention Center Advisory Board [] Convention Center Capital Projects Oversight o Debarment Committee [] Design Review Board' [J Fine Arts Board o Golf Advisory Committee [] Health Advisory Committee [] Health Facilities Authority Board [] Historic Preservation Board. *Board Required to File State Disclosure form Note: If applying for Youth Advisory Board, please in~afe ~ffiliation with the Scott Rakow Youth Center: ! \j (. 1. Past service on the Youth Center Advisory Board: Yes ,-, No-; Years of Service: 2. Present participation in Youth Center activities by your children Yes[J No .J. If yes, please list the names of your children, their ages, and which programs. List below: Child's name: Age: _ Program: Child's name: Age: _ Program: This section is "not required" but desired: Age:3.fi years old Gender: Male iJ Femal~ Ethnic Origin (Check one) WhltetslAfrican-American/Black J Hispanic: lJ Asian or Pacific Islander [; American Indian or Alaskan Native [J Emp y nt Status: EmPloye~ Retired ~j Home-maker [J Other [I "I reb attest to t;te accura y and trut ulness of the application and have received, read and will abide by Chapter 2, ArtlF e II f t ~ C ty Co "tan ards i Conduct for City Officers, Employees and Age'1cy Members." . ,I -Ltli, ()7 T? L~('hf?l ()vV\(Clj Date ~ Name of Applicant (PLEASE PRINT) Attachment: Please attach a copy of your resume to your application. NOTE: Applications will remain on file for a period of one (1) calendar year. Received in City Clerk's Office by Document Control Number (Assigned by the City Clerk's Office) Deputy Clerk Date Date Entered By Revised 9/11/06 Ih F\CLEHI$ALL \Lk~C ~~(f'v";~'(~'rj JS)1 1:_1(3.ljPc 2