Jeffrey Rynor 12/31/2008
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City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachA.gov
OFFICE OF THE CITY CLERK, Robert Porcher, City Clerk
TEL: (305) 673.7411, FAX: (305) 673.7254
01-22-2007
Jeffrey Rynor
5385 North Bay Rd
Miami Beach, Florida 33140
SUBJECT: Oversight Committee for General Obligation Bond
Congratulations! You have been appointed by the City Commission
to the agency, board or committee named above for a term ending 12/31/2008.
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,
~r-t4 ~/~JvJ
Robert Parcher
City Clerk
cc: Saul Frances, Parking Director
Jorge Chartrand
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 are committed to providing excellent public selVice and safety to all who live, work, and play in our vibrant, tropical, historic community
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city of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachA.gov
OFFICE OF THE CITY CLERK, Robert Porcher, City Clerk
TEL: (305) 673.7411, FAX: (305) 673.7254
TO Jeffrey Rynor
RE: Oversight Committee for General Oversight 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 1 st, following the closing of the calendar year on which I hav erve.
Sworn to and subscribed
, 200_1
9:::JQ~
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*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 are committed to providing excellent public 5elVice and safety to all who live, work, and play in our vibrant, tropical, historic community
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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.
. I Resident of Miami Beach for a minimum of six (6) months: Yes 1- or No -
{-1;emonstrate an ownershiplinterest in a business in Miami Beach for a minimum of six (6) months: Yes [J or No [I
V I am applying for a Board appointment because I have special abilities, knowledge, experience: Yes:J
/" My special abilities, knowledge, or experience is:
Are you a registered voter in Miami Beach: Yes )(Or No -=-_ ('>()
NAME: ~~~lO\ C) e.:t:i:'f""'e-i Q
Last me ...:") d First N me Middle Initial
Home: S'3~ S- N ~o.<( ~_
No.
Street
WI \'.t:a '^" "
City
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State
JJ:3 (l.j..f
Zip Code
Address:
Phone:
Home
Work
Fax
Email address
=:J
Business Name:
Applicant's Position:
Address:
No.
Street
City
State
Zip Code
DOwner D StockholderlShareholder D Corporate Officer D Other Explain:
Professional License (describe) Expires:
ti:;:;jp{j -i~f (?-\/('c
1. Have you ever been convicted of a felony: Yes D or No~es, please explain in detail:
2. Do you currently have a violation(s) of City of Miami Beach codes: Yes D or N . If yes, please explain in detail:
3. Do you currently owe the City of Miami Beach any money: Yes D or N . If yes, explain in detail
4. Are you currently serving on any City Boards or Committees: Yes_ or No L:. If yes; which board? I C\ m
~ ~e.. \.J \ ZoC.Cll' a. '(V\ tA &etA. V\1 r:,Uod u..aroeA:>~
What organizations in the City of Miami Beach do you currently hold membership in?
Name:
C-'r1Cl\'\
-C- 'C"\l Moo
f\l\ A-
Title:
Name:
Title:
List all properties owned or have an interest in, which are located within the City of Miami Beach:
\. vYl'6 ~OW\e.: 'i"".~g~
N ~'() ~d.
M.g.
I am now employed by the City of Miami Beach: Yes D or *f yes, which department?
Pursuant to City Code Section 2-25 (b): Do you have a parent D, spouse D, child D, brother D, or sister D who is employed by the City of Miami
Beach? Check all that apply. Identify the department(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
D Miami Beach Commission on Status of Women
C Miami Beach Florida Sister Cities
[ Normandy Shores Local Gov't Neigh. Improvement
~versight Committee for General Obligation Bond
11 Parks and Recreation Facilities Board
~J Personnel Board*
] Planning Board*
1 Police Citizens Relations Committee
1 Production Industry Council
1 Public Safety Advisory Committee
1.1 Safety Committee
1 : Transportation and Parking Committee
1 Visitor and Convention Authority*
Youth Center Advisory Board
Art in Public Places Committee
1_ Barrier Free Environment Committee
[[ Beach Preservation Board
[: Beautification Committee
Board of Adjustment*
1 Budget Advisory Committee
1 Committee on Homeless
Committee for Quality Education in MB
1 Community Development Advisory*
] Community Relations Board
Convention Center Advisory Board
~j Convention Center Capital Projects Oversight
Debarment Committee
Design Review Board*
Fine Arts Board
[ Golf Advisory Committee
[ Health Advisory Committee
Health Facilities Authority Board
[ 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 Yes=: No D. 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: 5Q years old
Ethnic Origin (Check one)
WhiteJQ\frican-American/Black D Hispanic: D
Asian or Pacific Islander D A.~can Indian or Alaskan Native D
Employment Status: Employe~3 . d D Home-maker D Other D
uracy a truthfulness of the application and have received, read and will abide by Chapter 2,
ards of Conduct for City Officers, Employees and Agency Members."
~~-c-e~ ~L2rvor
Name of plicant (RLEASE PRINT)
Gender:
Malk
Female 1 1
JL 1'l!"110<;'
Date
Act: P e attach a copy of your resume to your application.
OT : Applications will remain on file for a period of one (1) calendar year.
Received in City Clerk's Office
bY~ 0
Document Control Number (Assigned by the City Clerk's Office) 21 ("~
Deputy Clerk
Date
Datetlf 1 "Lt 0 ...,
ReVised 9/11/06 Ih
Entered By 1\1.-
2