Steve Zuckerman 12/31/08
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City of Miami a.ach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miomibeochA.gov
OfFICE OF THE CITY CLERK, Robert Parcher, Gty Clerk
TEL: (3051673-7411, FAX: (3051673-7254
02-02-2007
Steve Zuckerman
320 W 46th SI.
Miami Beach, Florida 33140
.~'1'~,Jl' Loan Review Committee
Congratulations! You have been appointed by Commissioner Jerry Libbin
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 1 st, 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,
~~~-IP~!::ID
Robert Parcher
City Clerk
cc: Saul Frances, Parking Director
Edward Barberio
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 ore commined to providing excellent public service and safely to a/I who live, WOfk, and ploy in our vibrant, trop'ca/, historic community
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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: 1305)673.7411, FAX: (3051673-7254
TO Steve Zuckerman
RE: Loan Review Committee
I do solemnly swear or affirm to bear true faith, loyalty and allegiance to the Govemment 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 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 calendar year on which I have served.
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Sworn
to and subscribed before m: this ~ day of ~, 2001-
~e-~
Deputy Clerk
'Please visit the City of Miami Beach website at www.miamibeachfi.gov under City Clerk/Board and Committees
for additional information regarding the Financial Disclosure Requirements.
We ore committed to providing excellent public 5efVice and sofety to 01/ who live, work, and ploy in our vibrant, tropical. historic communily
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MIAMI BE:ACH
CITY OF MIAMI BEACH
BOARDS AND COMMITTEE APPLICATION FORM
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 ownershiplinterest 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~r No L
Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: Yes [J or No K
I am applying for a Board appointment because I have special abilities, knowledge, experienc.ei,,\es!(" J
My special abilities, knowledge, or experie~ ~ [..5: "'uS I tie;'';; 'S (LG ~tfv~f""l G(/g,
Are you a registered voter in Miami BeaCh~S ._ or No n
NAME Zuc-lc..e f-tVlAY\ \ ----- Si'""'QJetJ
Last Name First Name
-h,..J,oMC':5
p,
Middle Initial
Home:
Address: '52.-0 ()> Lib 11., ~T
No. Street
Phone: 30$ z:,3'i 3'-{LL 78(,
.
Home Work
M(~( t3.eC4~ Pc ~51'iO
City State Zip Code
n. ~ oo"LL SZUclC€(M,Q.,.Je/NNov'I'J(A(>rtd?...eo,..,
Fax Email address
{please check one}: ! am now a resident of: North Beach ~ South Beach ::J Middle Beac)<(
Business Name: 3::"J/Jov' {) utI, A; L..- Applicant's Position: M aAo.) ,..,- ') ?-<lJ ....r~
Address:
City
State
Zip Code
No. Street
r~er C] Stockholder/Shareholder J ~orate Officer J
Other Explain:
Profeszionallicensp. (r:lescribe)
Attach if copy cfrhe'Jiccilse i1stedabo~.----- --.....---
Expires.
1. Have you ever been convicted of a felony: Yes:'::: or No ~f yes, please explain in detail:
2. Do you currently have a violation(s) of City of Miami Beach codes: Yes LJ or No ~ If yes, please explain in detail:
3. Do you currently owe the City of Miami Beach any money: Yes !-I or N~ If yes, explain in detail
4. Are you currently serving on any City Boards or Committees: Yes LJ or No'b)t If yes; which board?
V\lhat organizations in the City of Miami Beach do you currently hold membership in?
Name:
b.l 01\ f"""
Title:
Name:
Title:
List all properties owned or have an interest in, which are located within the City of Miami Beach:
3 ~ 0 '^ \ t..(fo 11, c;,V...(Jl.t
I am now employed by the City of Miami Beach: Yes U or No~ If yes, which department?
F:\CLER\$f\LL\B&C Applic8.tion\B&C l\pplkatioD Revised OS110G.doc
-
Pursuant to City Code Section 2-25 (b): Do you have a parent J, louse J, child I_I, brother 1-, or sister = who is employed by the City of Miami
Beach? Check all that apply. Identify the department(s): .! Gt" C
Please list your preferences in order of ranking [1] first choice [2] second choice, and [3] third choice. Please note that only three (3)
chaices will be abserved by the City Clerk's Office. (Regular Boards of City)
[J Housing Authority"
CItl,oan Review Committee*
:::J Marine Authority"
J Miami Beach Cultural Arts Council
; Miami Beach Commission on Status of Women
r~ Miami Beach Florida Sister Cities
L Normandy Shores Local Gov't Neigh. Improvement
L Oversight Committee for General Obligation Bond
U Parks and Recreation Facilities Board
D Personnel Board*
o Planning Board*
':J Police Citizens Relations Committee
:J Production Industry Council
L Public Safety Advisory Committee
L Safety Committee
U Transportation and Parking Committee
D Visitor and Convention Authority*
u Youth Center Advisory Board
L_: Art in Public Places Committee
[J Barrier Free Environment Committee
u Beach Preservation Board
:J Beautification Committee
U Board of Adjustment*
c:J Budget Advisory Committee
~ Committee on Homeless
Li Committee for Quality Education in MB
C Community Development Advisory*
D Community Relations Board
u Convention Center Advisory Board
[J Convention Center Capital Projects Oversight
J Debarment Committee
J Design Review Board*
~ Fine Arts Board
L Golf Advisory Committee
IJ Health Advisory Committee
U Health Facilities Authority Board
1:1 Historic Preservation Board*
*Board Required to File State Disclosure form
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 [J No] Years of Service:
2. Present participation in Youth Center activities by your children YesU No c._ 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: ~ ~ars old Gender: Mal/
Ethnic OJ;i!lin (Check one)
White VAfrican-American/Black 0 Hispanic:
Asian or Pacific Islander 0 American Indian or Alaskan Native [
Employment Status: Employed [l~d D Home-maker L Other I
Female [
d truthfulness of the application and have received, read and will abide by Chapter 2,
d rds of conduClfarii}City Officers, Employees and Agency Members."
/ Of ~~.tc..tz~~
D t Na of Applicant (PLEASE PRINT)
Attachment: Please attach 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 Offi~ by
Document Control Number (Assigned by the City Clerk's Office)
Deputy Clerk
Date
2
F :\CLEF\\$AU.\B&C Applicati()n\B&C Application FZHVis():d 0911 UGJJoc
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