Michael Baum 12/31/2008
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city of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov
OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk
TEL: (305) 673-7411, FAX: (305) 673-7254
02-09-2007
Michael Baum
9 LaGorce Circle, LaGorce Island
Miami Beach, Florida 33141
IWJf.;Ji;CT: Community Development Advisory 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 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,
~~t~JtA
Robert Parcher
City Clerk
cc: Saul Frances, Parking Director
Thomas Urriola
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 are commiffed to providing excellent public service and safety /0 all who live, work, and play in our vibrant, troplcol, historic community
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city of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www,miamibeachfl,gov
OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk
TEL: (305) 673-7411, FAX: (305) 673-7254
TO Michael Baum
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 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 ca~:rved'_ _ _
Michael Baum
Sworn to and subscribed before me this :;2. '- day of
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Deputy Clerk
*Please visit the City of Miami Beach website at www.miamibeachfl.gov under City derk/Board and Committees
for additional information regarding the Financial Disclosure Requirements.
We are committed to providing excellent public seNice and safety 10 all who live, work, and play in our vibrant, tropicol, historic community
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MIAMIBEACH
BOARDS AND COMMITIEE APPLICATION FORM
Pursuant to City Code section 2-22(4) 0 and b: Members of agencies, boards, and committees sholl be affiliated with the city; this requirement sholl
be fulfilled in the following ways: 0) an individual shall hove been a resident of the city for 0 minimum of six months; or b) an individual shall
demonstrate ownership/interest for a minimum of six months in a business establis 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 Miomi Beach for a minimum of six (6) months: Yes [ ~ No [ ]
I am applying for a Board appointment because I have speciol obilities, knowledge, experience: Yes [J .?A \./- {Zq:?
My special abilities, knowledge, or experience is: C 6 .~""h.."A-< ~ I""..:u(-~;- 7....1 t'o UuJ (1A-('0'i 1-"01 ~~h
Are you a registered voter in Miami Beach: Yes 0 or No D. I, J
NAME: b~ M. ;tA t L lit t\-~, ( IV ,
Last Name First Name Middle Initial
Home -1- I It J 0 tl { e C'tf'L 11 t/tttt ( 7Z c L. p{
Address: No, Stree City State
Phone: 3c\~.....fbr b201- 60'0flaL{-Jt({q 3bV ~'7b']- tA1IAlbI3A@.46t.(QI"'t
Home Work Fax /' Emoil address
(Please check one): I am now a resident of: North Beach ~outh Beach 0 Middle Beach 0
Business Name;glktvYt ClA, rt4 f /LA-cite. C((j(;l<- Applicant's Position: ~ Chtl4/JlA^iTlc. -p{,.7.!/(VJ<.v
Address: l\'l~ 71 .5;;./ tLtl~(J3>C(.., /p( 5'.3., I{(
No. Street ( City
~wner 0 Stockholder/Shareholder 0 Corporate Officer 0 Other Explain:
'331 1((
Zi p Code
State
Zip Code
Professional License (describe):
Attach a copy of the license listed above.
1. Have you ever been convicted of a felony: Yes 0 or
Expires: J (...{~ ~,
2. Do you currently have a violation(s) of City of Miomi Beach codes: Yes 0 or No
3. Do you currently owe the City of Miami Beach any money: Yes 0 or No
If yes, explain in detail: .....
4. Are you currently serving on any City Boards or Committees: Yes 0 or No ~
If yes; which board?
What organizations in the City of Miami Beach do you currently hold membership in?
Name:
Title:
Name:
Title:
List all properties owned or hav.!Lan interest in, which are located within the City of Miami Beach: . '.
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C:\DOCUMENTS AND SETTINGS\ClERGIBE\LOCAL SETTINGS\TEMPORARY INTERNET FllES\OLK14\BC APPLICATION NOV 20051.DOC
I am now employed by the City of Miami Beach: Yes 0 or No ~iCh deportment?
Pursuant to City Code Section 2-25 (b): Do you hove a parent 0], spouse 0], child 0], brother 0], or sister 0] who is
employed by the City of Miami Beach? Check 0/1 thot apply. Identify the department(s): jJ U
.
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.
ReQular Boards of City)
J;!!-.ri in Public Places Committee DHousing Authority
o l rrier Free Environment Committee Dloan Review Committee.
o Beach Preservation Board DMarine Authority ·
o Bea.)tification Committee DMiami Beach Cultural Arts Council
o Board of Adjustment (Flood Manaqement) - DMiami Beach Commission on Status of Women
o Budqet Advisory Committee OMiami Beach Florida Sister Cities
o Committee on the Homeless ONormandy Shores local Gov. Neiqhborhood Improvement
o CoJ:Prlliitee for Quality of Education in Miami Beach ONorth Beach Youth Center Oversiqht Committee
~ommunity Development Advisory Committee- DOversight Committee for General Obligation Bond
o Community Relations Board OParks & Recreational Facilities Board
o Convention Center Advisory Board o Personnel Boord · ,
,
o Debarment Committee D Planning Board -
o Desiqn Review Board - o Police Citizens Relations Committee
o Fine Arts Board o Production Industry Council
o Golf Advisory Committee o Public Safety Advisory Committee
o Health Advisory Committee o Safety Committee
o Health FaCilities Authority o Transportation & ParkinQ Committee
OHispanic Affairs Committee o Visitor & Convention Authority ..
OHistoric Preservation Board - o Youth Center Advisory 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. Post service on the Youth Center Advisory Boord: Yes 0 No 0 Years of Service 0
2. Present participotion in Youth Center activities by your children Yes 0 No O. If yes, please list the names of your children,
their ages, and which programs. List below:
Child's name:
Child's name:
Age: _ Program:
Age: _ Program:
Age: ~ f1 Gender@r Female
This section is "not required" but desired:
Ethnic OrigiJYtCheck one)
White 0-4Jrican-American/Black 0 Hi ': 0
Asian or Pacific Islander 0 Am . an Indian or Alaskan Native 0
Employment Status: Employed Retired 0 Home-maker 0 Other 0
~
"1 hereby attest to the occurocy and truthfulness of the application and have received, read and will abide by
Chapter VII - of the City Code .Standards of Conduct for City Officers, Employees and Agency
N
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Dote Nome 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.
Recel,ed In Clly Cle,k', Office :2.].:) . by . b f?t""eSCl\ Deputy Cle,k
Document Control Number (Assigned b the City C1erk'~ffice) S Revised 11/15/05
C\DOCUMENTS AND SETTlNGS\CLERGIBE\LOCAL SETTINGS\TEMPORARY INTERNET FILES\OLK 14\BC APPLICATION NOV 20051 DOC