Eliot Pearlson 12/31/08
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City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miomibeochfl.gov
OFFICE OF THE CITY CLERK, Robert Porcher, Cily Clerk
TEL: 1305) 673.7411 , F 1(1.: (3051 673.7254
02-02-2007
Eliot Pearlson
575 S. Shore Dr
Miami Beach, Florida 33141
lIII~t~"~ Community Relations Board
Congratulations! You have been appointed by Commissioner Jerry Libbin
to the agency, board or committee named above for a term ending: 12/3112008.
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.
i:~JP~jJ~
Robert Parcher
City Clerk
cc: Saul Frances, Parking Director
Barbara Hawayek
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 Wide Permit Application - (Parking Department Form)
Booklet - Guide to the Sunshine Amendment and Code of Ethics for Public Officers and Employee
We ole committed to providing excellent public service and solely to all who live, work. and play in our vibronf, tropicol, historic community
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city of Mkuni Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miomibeochA.gov
OFFICE OF THE CITY CLERK, Robert Porcher, Cily Clerk
TEl: 13051673.7411, FI(1.: 13051673.7254
TO Eliot H. Pearlson
RE: Community Relations 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 tenm 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 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 1 st, following the closing of the calendar year on which I have serv
-C~ 4\ -
Eliot H. Pearlson
Sworn to and subscribed before me this G~ day of
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 ore committed to providing excellent public service ond safety to 011 who live, work, and play in our vibrant, tropical, historic communily
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Pursuant to City Coda .ectlon 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 ownershlpflnterest 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 ::J ,
Demonstrate an ownershiplintemst in a business in Miami Beach for a minimum of six (6) months: Yes 0 or No rY"
I am applying for a Board appointment because I have special abllilie~\ knowledge, experience: Yes t(; J..., /", , '
My special abilities, knowledge, or experience is:}-I.Q\i feLl( ~S I (l,Q~. ,-:;' J<J. Co"". R.VO,Ht:'~ l>>'Hi4L#cm
Are you a registered vR'" in Miami Beach: Yes iii&NO 0
NAME: t' e.o.~ Dr\ & \ \ 0 -r l-h:::~ /r
~ G~ames.. 5 Ho~ (YU ~ First Name Middle Initial
_ .__ ~ JY\P:, FL s31Lj/
No. Street City State Zip Cod}')
,,?O'S---g(,(~ Q'ld2 36 f6?-()>.N P.RQ(QX(Si\'1e~( ~
Home Work Fax -=-tnail address
,;
Home:
Address:
Phone:
o
o
~\
o. Street City
DOwner 0 StockholderlShareholder 0 Corporate Officer 0 Other Explain: _RA861
Applicanfs Position:
8>
Business Name:
Address:
Professional Ucense (describe)
1. Have you ever been convicted of a felony: Yes 0 or No IIC yes. please ""plein In detail:
Expires:
2. Do you currently have a violation(s) of City of Miami Beach codes: Yes 0 or No . If yes. please explain in detail:
3. Do you currently awe the City of Miami Beach any money: Yes 0 or No ~; yes, expIeln in _11
4. Ate you currently serving on any City Boards or Committees: Yes 0 or No ~yes; which board?
What organizations In the City of Miami Beach do you currenUy hold membership In?
Name:
~
Tille:
~
Name:
TiUe:
List all properties owned or have an interest in, which are located within the CJty of Miami Beach:
6':f-5
S,5~
~~
I am now employed by the CIty of Miami Beach: Ye~,(fi/;f yes, which ~rtment?
~uant to City Code Section 245 (b): Do you have a parent 0, spouse 0, child 0, brother 0, or sister 0 who is employed by the City of Miami
,Beach? Check all that apply. Identify the departmen~s): ~.~
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 Authority'
] Miami Beach Cultural Arts Council
] Miami Beach Commission on SIatus of Women
] Miami Beach Florida Sister Cities
] Nonmandy Shores Local Gov't Neigh. Improvement
] Oversight Committee for General Obligation Bond
] Parks and Recreation Facilities Board
] Personnel Board"
] Planning Board"
"Police Citizens Relations Committee -1P 2-
] Production Industry Council
] Public Safety Advisory Committee
] Safety Committee
] Transportation and Parking Committee
] Visitor and Convention Authority'
] Youth Center Advisory Board
] Art In Public Places Committee
] Barrier Free Environment Committee
] Beach Preservation Board
] Beautification Committee
] Board of Adjustment"
] Budget Advisory Committee
] Committee on Homeless
] Committee for Quality Education in MB
~Community Development Advisory"
y Community Relations Board
] Convention Center Advisory Board
] Convention Center Capital Projects Oversight
] Debannent Committee
] Design Review Board'
] Fine Arts Board
] Golf Advisory Committee
] Hea~h Advisory Committee
] Health Facil~ies Authority Board
] Historic Preservation Board'
'Board Required to File Slate Disclosure fonn
Note: If epplying for You1h Advisory Board, please indicate your affiliation with the Scott Rakow Youth
Center:
1. Past service on the Youth Center Advisory Board: Yes ] No r/vears of Servjce:
2. Present participation in You1h Center activities by your children Yes] No Y.lf yes, please list the names of your children, their ages,
and which programs. List below:
Child's neme: Age: _ Program:
Child's name: Age: _ Program:
This section" "not required" but desired: Age: ~years old Gender: Male r/"
Ethnic grigln (Check one)
White'li AfrIcan-American/Black 0 Hispanic: 0
Aslen or Paclflc Islander 0 Am8JIcan IndIan or Alaskan Native 0
Employment Status: Empl ed lfRatired 0 Home-maker 0 Other 0
lnesa of the application and have recelved, read and will abide by Chapter 2,
of Conduct for City OffIcers, Employees and Apency Members." {
'2:!2/ ov /://01 H- f-eq r (')oV
Date Name of Applicant (PlEASE PRINT)
Female]
Attachment: Please attach a copy of your resume to your application.
NOTE: Applications will remain on Ie for a peri of one (1) calendar year.
Reoeived in City ClerK's Office
Document Control Number (
Date
Date
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