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Julio Lora 12/31/2008 G city of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachR.gov OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk TEL: (305) 673-7411 , FAX: \305\ 673-7254 02-14-2007 Julio Lora 110 S. Shore Dr #5C Miami Beach, Florida 33141 ~UIlJECT: Hispanic Affairs Committee Congratulations! You have been appointed by Mayor David Dermer 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. . .r ~r-Ie#(4)c't;A }i> Robert Parcher City Clerk cc: Saul Frances, Parking Director Nannette Rodriguez 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 pubk service and safety to all who live. work, and play in our vibrant, tropical, historic community lD ..... city of Miami leach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachR.gov OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk TEL: (305) 673-7411, FAX: (3051 673-7254 TO Julio Lora RE: Hispanic Affairs 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 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 1st, following the closing of the calendar on Whi~h I have se;;0 -Cf-~ Julio Lara Sworn to and subscribed before me this (p'TY\ day of tJ\ ~.xc..." . 200J- ~-e~____ 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 are commiffed to providing excellent public service and safety to all who live, work, and play in our vibrant, tropIcal. historic community ~ M\t~JV\\ BE CH Uo f(A- '\F~.'..' ",~;""""."", J;/("o L( l/t W C- ~ qJ:({S; l:..e Street lj, V ? , ("( y )' I 'I) Business Name f Nr ~ V I · 0:> Pos~lon M r-- PL Address: , ~ ~ ( ~ W 4.....fF c.( (L- 1-1 @, ) Street City State 1.._ (J t^-Y-- Expires: I NAME: Last Name HOME ADDRESS: "3 SV No. PHONE: ) ,- 7~ S- Home Work No. Professional License (describe) /L Middle Initial H~ R J~/3~ City I Ic ptate . Code..) "'\J (/ c. I) _ lA> y ~1:J I Wl.' Email address Fax 'fr3137 Zip Code 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 ownership/interest for a minjUm of six months in a business established in the city. . Resident of Miami Beach for a minimum of six (6) months: Yei or No 0 I . Demonstrate an ownership/interest in a business i7Miami Beach for a minimum of six (6) months: Yes 0 or No . Are you a registered voter in Miami Beach: Yes for No 0 / . (Please check one): I am now a resident of: North Beach 0 South Beachp Middle Beach 0 . I am applying for an appointment because I have special abilities, knowledge, experience. Please list below: 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) o Art in Public Places Committee o Beach Preservation Board o Beautification Committee o Board of Adjustment* o Budget Advisory Committee o Committee on Homeless o Committee for Quality Education in MB o Community Development Advisory* o Community Relations Board o Convention Center Advisory Board o Debarment Committee o Design Review Board* o Disability Access Committee o Fine Arts Board o Golf Advisory Committee o Health AdvisoryCommittee o Health Facilities Authority Board ~anic Affairs Committee o Historic Preservation Board* * Board Required to File State Disclosure form o Housing Authority* o Loan Review Committee* o Marine Authority* o Miami Beach Cultural Arts Council o Miami Beach Commission on Status of Women o Miami Beach Florida Sister Cities o Normandy Shores Local Gov't Neigh. Improvement o Oversight Committee for General Obligation Bond o Parks and Recreation Facilities Board o Personnel Board* o Planning Board* o Police Citizens Relations Committee o Production Industry Council o Public Safety Advisory Committee o Safety Committee o Transportation and Parking Committee o Visitor and Convention Authority* o Youth Center Advisory Board F:\CLER\SALL\B&C Application\B&C t"\pplication f~evisod 0911 06iakos.doc 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 I No.. Years of Service: 2. Present participation in Youth Center activities by your children Yes. i No'. 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; eHave you ever been convicted of a felony: Yes C or ~yes. please explain in detail: · Do you currently have a violation(s) of City of Miami Beach codes: Yes 0 or No . If yes, please explain in detail: · Do you currently owe the City of Miami Beach any money: Yes 0 or No . If yes, explain in detail · Ar7 Yr~ currently servi[lg on afY City Boards or o~ittees;.. Yes~ No O. If yes; which board? rns- ~ \.0 vN\ . . . Name: iami Beach do you currently hold membership _"R (1 Title: l5. L!. \ ~y--- Title: Name: · List all properties owned or have an interest in, which are located within the City of Miami Beach: · I am now employed by the City of Miami Beach: Yes 0 or No. hich department? · Pursuant to City Code Section 2-25 (b): Do you have a parent D, spo se 0, child 0, brother L:J, or sister [J who is employed by the City of Miami Beach? Check all that apply. Identify the department(s): This section is "not required" but desired: Age: years old Gender: Male 0 Female 0 Ethnic Origin (Check one) White 0 African-American/Black 0 Hispanic: 0 Asian or Pacific Islander 0 American Indian or Alaskan Native 0 Employment Status: Employed 0 Retired 0 Home-maker 0 Other 0 "I hereby attest to the accurac and truthfulness of the application and have received, read and will abide by Chapter 2, A' VII - o~ the CiUJ"" ta dards of Conductl., Ci~ Offic 6s1mp,oyees ~r:mbe[ 0 ~ A ignature Name of Applicant (PLEASE PRINT) Please attach a copy of your resume to this application NOTE: Applications will remain on file for a periOd of one (1) calendar year. Received in City Clerk's Office by Name of Deputy Clerk Document Control Number (Assigned by the City Clerk's Office) ~ 7 Entered By t:'1 <JJl1 (~n ~3 2 /~ppijcaticm\88.c Appl!c~jtion Re\/isocJ 0011 OF) iakcs.doc