Merle Weiss 12/31/09
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City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miomibeochR.gov
OffiCE Of THE CITY CLERK, Robert Porcher, City Clerk
TEl: (305)673.7411, fM: 13051673.7254
02/06/2007
Merle Weiss
9 Island Aved #9
Miami Beach, Florida 33139
IIfilI!~n:~ Miami Beach Cultural Arts Council
Congratulations! You have been appointed by the City Commission to the above
referenced agency, board or committee for a term ending: 12/31/2009.
If you are unable to accept this appointment, please notify the City Clerk's Office at
(305) 673-7411.
Please read the enclosed material carefully. Again, congratulations and good luck.
Sincerely, If. fi
]e~ 6 )6
City Clerk
cc: Saul Frances, Parking Director
Gary Farmer
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, 2-2458, 2-459
Ordinance 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 Wide Permit Application - (Parking Department Form)
Booklet - Guide to the Sunshine Amendment and Code of Ethics for Public Officers and
Employees
We ore committed 10 providing excellent public service and safety 10 011 who live. work, and play in our vibronr, tropical, his'oric community
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City of Miami leach, 1700 Convention Center Drive, Miami Beach, Florida 33139, W'WW.miamibeochA.gov
OFFICE OF THE CITY CLERK, Robert Porcher, City Clerk
TEl: 13051673.7'" 11, FAX: 1305) 673-7254
TO Merle Weiss
RE: MB Cultural Arts Council
I do solemnly swear or affinm to bear true faith, loyalty and allegiance to the Government of the
United States, the State of Flortda, and the City of Miami Beach, and to perfonm 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 andlor Committee, I must comply with the financial disclosure' require-
ments 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 caiendar year on which I have served.
@Z~M
Sworn to and subscribed before
Deputy Clerk
'Please visit the City of Miami Beach website at www.miamibeachft.gov under City Clerk/Board and Committees
for additional information regarding the Financial Disclosure Requirements.
We ore commiffed to providing excellent public service and safety to 01/ who live, work, and ploy in our vibrant, tropical, histodc community
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MIAMIBEACH
BOARDS AND COMMITTEE APPLICATION FORM
Pursuant to City Code section 2.22(4) a and b: Members of agencies, boards, and committees sholl be affiliated with the city; this requirement sh
be fulfjlled in the following ways: 0) on individual shall have been a resident of the city for 0 minimum of six months; or b) on individual sh
demonstrate ownership/interest for 0 minimum of six months in 0 business e~lished in the city.
Resident of Miomi Beoch for a minimum of six (6) months: Yes Iv{ or No [ ) /
Demonstrate an ownership/interest in a business in Miami Beach for 0 minimum of S.iX (6) months: Yes [ lfi No [v('
I am opplying for 0 Boord appointment becouse I hav speciolobilities knowl.w>l;\ ~x~ri : Ye ~ ._
My speciol obilities, knowledge, or experience is: ~ \ M \V\v tJ\ U t:;-
Are you a regis\e~ef voter in Miami 8eoch: Yes or Na 0 I 11,,1 (-Q..
NAME: W.e-.~<jS ,vIe;
Lasttame:e 5 ~CLA~
-\\v~
Home
Address:
No.
Streel
Phon,;{Os- 'i:32' (( 6 t-
Home
Y\b
Work
(Please check one): I am now a resident of:
Business Nome:
yJGL
City
Stote
Zip Code
Applicant's Position:
Address:
No.
DOwner 0 Stockholder/Shareholder 0 Corporate Officer 0 Other Exploin:
Professional License (describe):
Attach a copy of the license listed above.
1. Have you ever been convicted of a felony: Yes 0 or
No ~s, please exploin in detail:
Expires:
2. Do you currently have 0 violation(s) .of City of Miomi Beach codes:
Yes 0 or No ~yes, pleose explain in detoil:
3. Do you currently owe the City of Miomi Beach any money: Yes 0 or No if'
If yes, explain in detail: , -'
~'y:,;e:~~hc~:~~~~ SCVgf1VW3oa;~ier;vY~~ ~oD.
What organizations in the City of Mromi Beach do you currently hold membership in? _ L ~
Name: '), t:l__~_her C~z:~>\Ef2- Title. war J W'\eW\ ~
Name ~d\SS M0"5 eJ)yV\ Title' MeYY\ be...r
List all properties owned or hove an interest in, w~ ore locate
C\DOCUMENTS AND SETTINGS\ClERGIBE\lOCAl SETTINGS\TEMPORARY INTERNET FllES\OlK14\BC APPLICATION NOV 20051 DOC
10m now employed by the Cty of Miami Beoch: Yes 0 or No ~ which deportment?
Pursuont to City Code Section 2.25 (b):
employed by the City of Miami Beach?
Do you hove a parent OJ. spouse OJ. child OJ. brother OJ. or sister OJ who is
Check all that ap:l\ Identify the deporlment(s):
I-+1Q
Please list your preferences in order of ronking [1 J first choice [2] second choice, and 13] third choice. Pleose note thot only
three (3) choices will be observed by the City Clerk's Office.
Regular 80ards of Citv)
o Art in Public Places Committee OHousina Authority
o Barrier Free Environment Committee' Oloon...,Review Committee-
o Beach PreseIVotion Board OM6rjp(e Authority "
o Beautification Committee ~mi Beach Cultural Arts Council
o Boord of Adjustment (Flood Monooement) " 0Miami Beach Commission on Status of Women
o Budget Advisory Commiffee OMiami Beach Florida Sister Cities
o Committee on the Homeless ONormandv Shores loco I Gov. Neighborhood Improvement
o Committee for Quality of Education in Miami Beach ONorth Beach Youth Center Oversight Committee
o Community Development Advisory Committee. DOversight Committee for General Obligation Bond.
o Community Relations Boord DPorks & Recreafional Facilities Boord
o Convention Ce"nter Advisofy Boord o Personnel Boord.
o Debarment Committee o Planning Boord *
o Design Review Boord * o Police Citizens Relations Committee
o Fine Arls Boord o Production Industrv Council
o Golf Advisory Commiffee o Public Safety Advisorv CommiHee
o Health Advisory Commiffee o Sof<W'Commiffee
o Health Focilities Authoritv O}ronsDortation & Parkina Committee
DHisponic Affairs Committee 1Slf Visitor & Convention Authori"ty *
OHistoric Preservation Board * o Youth Center Advisory Boord
"Boord Required t
Note: If applying for Youth Advisory Board, please indic te y
Center:
1. Past service on the Youth Center Advisory Boord: Yes 0 0 Years of Service 0
2. Present parlicipation in Youth Center octivities by your children Yes 0 No O. If yes, please list the names of your children,
their ages, and which program~. List below:
Child's name: \ f'\ __ ~ Age: _ Program:
Child's nome: '4 \ Age: _ Program:
This se~tio is "not required" but desired.: Age: 0 ,Gender: Male 0:mal )0
Ethnic 0 gin (Check one) ~ I
White African-Americon/810ck 0 Hispanic: 0 ~
' ",_Asian Qr !'O(;ifi~ Islander 0 American Indian or Alaskan ative 0
Employment Status: Employed 0 Retired 0 Home-maker Other 0
"I hereby attest to the accuracy and truthfulness of the application and hove received, reod and will abide by
Chopter 2, Article VII - of the City Code 'Standards of Conduct for City Officers, Employees and Agency
M e L~t'r mQfJf- tJeJCO '
Date Name of Applicant (PLEASE PRINT)
Attachment: Please ottach a copy of your resume to your application.
NOTE: Applications will remain an 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
Revised 11/15/05
C:\DOCUMENTS AND SETTlNGS\ClERGIBE\lOCAl SETTINGS\TEMPORARY INTERNET FllES\OlKI4\BC APPLICATION NOV 20051 DOC