Barbara Marfil 6/30/07
tD
......
City of Miami leach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miomibeachfl.gov
OFfiCE OF THE CITY CLERK, Robert Parcher, City Clerk
TEl: (3051 673.7411, fAX: (3051673.7254
01-18-2007
Barbara Martil
804 85th St #6
Miami Beach, Florida 33141
SUBJECT: Committee for Quality Education in MB
Congratulations! You have been appointed by virtue of your being a representative for the Biscayne
Elementary School to the agency, board or committee named above for a term ending 06/30/2007.
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,
~p~/sJ;{j
City Clerk
cc: Saul Frances, Parking Director
Leslie Rosenfeld
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
6. Miami Beach Code Section 2-459
7. Miami-Dade County Code Section 2-11.1
(
We ore committed 10 providing excellent public service and safety to 01/ who live, work, and play in our vibran', tropical, historic community
tD
......
City of Miami leach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miomibeachA.gov
OffiCE Of THE CITY CLERK, Robert Parcher, City Ci.rk
TEl: 13051673.7411, fAX: (3051 673-7254
TO Barbara Marfil
RE: Committee for Quality Education in MB
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: 06/30/2007.
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 andlor Committee, I must comply with the flnancial disclosure' require-
ments of Miami-Dade County or the State of Florida (depending on the board or committee on which
'-I~'""'" .,..~..,o'".m""'7}ji2;;:jP
B bara Marfil
*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 ore commifted to providing excellent public seNice and safery to all who live, work, and ploy in our vibrant, tropical, historic community
~
-
MIAMI BEACH
M ClY{'." I
Last Name
HOME ADDRESS: X 0 C{
'~6 )'-CrN?I/_.2.37u
PHONE: ~) - x--6" ---01,":> 7l
Home
NAME:
~51-,
Street
BEACH
APPLICATION FORM
BOI\IWS AND
rf)c.,/'~"0
First Name
a4i- 6
I
Middle Initial
1:1,'q ""': ~cA F ( 3J14(
City State Zip Code
b,r~ .........Af-/@':f<{,-,OdJO>"'-'l
Email address
-~ys--81;;&--77~ I
Work Fax
t\{'''''''''''\i~_ Position: G'\n'-.
77 "S1-< M(\,
Street City
(\ ( J!r- Expires:
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 ownershipllnterest for a minimum of six months in a business established in the city.
Business Name: 8& ::>Cc^,'-1 ""e.
\
Address: '600
No.
Professional license (describe)
f'''~~'''v-e-l
FI,
State
'<,~ \ 'd
Zip Code
Aftacf! a cony of Un,; lic{fnse
. Resident of Miami Beach for a minimum of six (6) months: YeS1i-or No D
. Demonstrate an ownershiplinterest in a business in Miami Beach for a minimum of six (6) months: Yes D or No ~
. Are you a registered voter in Miami Beach: Yes D or No E'"'
. (Please check one): I am now a resident of: North Beacl1ilSouth Beach D Middle Beach D
. I am applying for an appointment because I have special abilities, knowledge, experience. Please list below:
Please list your preferences in order of ranking [1] first choice [2] second choice, and [3] third choice. Please note that on Iv three (3)
choices will be observed bv the Citv Clerk's Office. (Regular Boards of City)
o Art in Public Places Committee
o Beach Preservation Board
D Beautification Committee
D Board of Adjustment"
D Budget Advisory Committee
D Committee on Homeless
'" Committee for Quality Education in MB
o Community Development Advisory"
D Community Relations Board
D Convention Center Advisory Board
D Debarment Committee
o Design Review Board"
o Disability Access Committee
o Fine Arts Board
D Golf Advisory Committee
o Health AdvisoryCommittee
o Health Facilities Authority Board
o Hispanic Affairs Committee
o Historic Preservation Board"
* Board Required to, File State Disclosure form
o Housing Authority"
o Loan Review Committee"
o Marine Authority"
o Miami Beach Cultural Arts Council
o Miami Beach Commission on Status of Women
o Miami Beach Florida Sister Cities
o Normandy Shores Local Gov't Neigh. Improvement
o Oversight Committee for General Obligation Bond
o Parks and Recreation Facilities Board
o Personnel Board"
o Planning Board"
o Police Citizens Relations Committee
o Production Industry Council
o Public Safety Advisory Committee
o Safety Committee
o Transportation and Parking Committee
o Visitor and Convention Authority"
o Youth Center Advisory Board
F:\CLER\SALL\B&C Apphcation\B&C Application Revis(~d 091106 Jakes.doc
Note; If applying for Youth Advisory Board, please indicate your affiliation with the Scott Rakow Youth Center:
1. Past service on the Youth Center Advisory Board: Yes [] No : j 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 progratqs. Li t~ow:
Child's name: _~ Age: _ Program:
I f
Child's name: Age: Program:
.Have you ever been convicted of a felony: Yes D or Noy{, If yes, please explain in detail:
. Do you currently have a violation(s) of City of Miami Beach codes: Yes D or NO:f. If yes, please explain in detail;
. Do you currently owe the City of Miami Beach any money: Yes D or NoP. If yes, explain in detail
. Are you currently serving on any City Boards or Committees: Yes D or No~ If yes; which board?
. What organizations in the City of Miami Beach do you currently hold membership in?
~ /~
1 \. I
Name:
Title:
Name:
Title:
. List all properties owned or have an interest in, which are located within the City of Miami Beach:
. I am now employed by the City of Miami Beach: Yes D or N~ Which department?
. Pursuant to City Code Section 2-25 (b): Do you have a parent D, spouse D, child D, brother D, or sister 0 who is employed by the
City of Miami Beach? Check all that apply. Identify the department(s):
This section is "not required" but desired: Age: :, '3 years old Gender: Male 0 Femal~
Ethnic Origin (Check one)
White 0 African.American/Black 0 HispanicX! Asian or Pacific Islander 0 American Indian or Alaskan Native 0
Employment Status: EmPIOye~Retired 0 Home-maker 0 Other 0
"I hereby attest to the accuracy and truthfulness of the application and have received, read and will abide by Chapter 2,
Article VII- of the City Code "Standards of Conduct for City Officers, Employees and Agency Members."
r-d-C\-<9 '+
Date
~'rA,..c ~('~~ \
Name of Applicant (PLEASE PRINT)
Please attach a copy of your resume to this application
NOTE: Applications will remain on file for a period of one (1) calendar year.
a of Deputy"C~ n
lerk's Office>(;/lr.;L..<{4
2
Entered By
Dale
Received in City Clerk's Office by
Document Control Number (Assigned by the Ci
F:\CLER\SALl.\B&C Appllcation\B&C Appllcation Rovised OB11 06 jakes.doc