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Theodore Shapiro 01/30/2007 & ~ city of Miami Beach, 1700 Convention Center Drive, Miomi Beach, Florida 33139, www.miomibeachR.gov OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk TEl: (305) 673-7411, FAX: (3051 673-7254 01-30-2007 Theodore Shapiro 4478 Post Ave Miami Beach, Florida 33140 I.ilfja:aec.r: Debarment Committee Congratulations! You have been appointed by Commissioner Michael Gongora 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, ~~bI~ City Clerk cc: Saul Frances, Parking Director Gus Lopez 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 committed to providing excel/ent public service and safety to 01/ who /'ve, work, and ploy in our vibrant, troplCOI, historic community & ~ -- 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: (3051 673-7254 TO Theodore Shapiro RE: Debarment 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 se<ve) on July 1st, following the closing ofthe calenda\~;n ~ ___ -\'~heodore Shapiro Sworn to and subscribed before me this n day of /1/1a.r CIA ,200J f >> ~~ -- --- 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 excel/ent public service and safety to 01/ who live, work, and ploy in our vibrant, tropical, historic community m -~~- MIAMI BEACH 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 minimum of six months in a business established in the city. Resident of Miami Beach for a minimum of six (6) months: Yes ~ No Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: Yes =, or No 'I Address: I am applying for a Board appointment because I have special abilities, knowledge, experience: Yes [I My special abilities, knowledge, or experience is: / Are you a registered voter in Miami Beach: Yes t.Yor No NAME: S ~O\ ~ ~I("O L t Name Q .' y tv. , "\ oS-, {\\,J'{. ~QS\' !tv{. treet i 1 ?(~-' ~ J.. j-?D?? ~ Work 1\eo&a'f~ Home: First Name c- Middle Initial tr'!t"~~ No. '3tJ)- ~ 1~-, C\o'\ '\ Home '-)6;, C'1cr-- \c)l '\ Fax 1!\\L\M~ ~t\G~ fL '33itO City State Zip Code fr d S.t,~" r \ I1r e ~1rf\ II. (0 v- Emall address ,./ Phone: o Business Name: Applicant's Position: Address: No. Street City State Zip Code CJ Owner [J Stockholder/Shareholder 0 Corporate Officer 0 Other Explain: Professional License (describe) Expires: 1. Have you ever been convicted of a felony: Yes 0 or No ~es, please explain in detail: 2. Do you currently have a violation(s) of City of Miami Beach codes: Yes [J or No ~es, please explain in detail: 3. Do you currently owe the City of Miami Beach any money: Yes [i or No ~ yes, explain in detail 4. Are you currently serving on any City Boards or Committees: Yes 0 or No !lV1f'yes; which board? VVhat organizations in the City of Miami Beach do you currently hold membership in? G"'j ,e'j (1 ~l(j" Ohr- C ~Ci ('1\ Title: '15ncvd, Name: /hJ?-1'1~1V r Name: Title: List all properties owned or have an interest in, which are located within the City of Miami Beach: q-q-1 i? 10)+ flw I am now employed by the City of Miami Beach: Yes 0 or N06yes, which department? F\CL[R\$i\LLIU6~C l\ppl:cdtronIU&C i\,pplicatlol1 PeVlse(j 09110Gdoc Pursuant to City Code Section 2-25 (b): Do you have a parent spouse n, child brother C, or sister J who is employed by the City of Miami Beach? .Check all that apply. Identify the department(s): 1/ i ^ Iv /1:1 . I 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) J Housing Authority* J Loan Review Committee* ] Marine Authority* ] Miami Beach Cultural Arts Council J Miami Beach Commission on Status of Women ] Miami Beach Florida Sister Cities [J Normandy Shores Local Gov't Neigh. Improvement !J Oversight Committee for General Obligation Bond C Parks and Recreation Facilities Board ] Personnel Board* Planning Board* [ Police Citizens Relations Committee [ Production Industry Council Public Safety Advisory Committee Safety Committee [ Transportation and Parking Committee Visitor and Convention Authority* r- Youth Center Advisory Board = Art in Public Places Committee [] Barrier Free Environment Committee C Beach Preservation Board Beautification Committee [] Board of Adjustment* Budget Advisory Committee [J Committee on Homeless [] Committee for Quality Education in MB [J Community Development Advisory* ] Community Relations Board J Convention Center Advisory Board ] ~onvention Center Capital Projects Oversight Q. ):roebarment 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 No] Years of Service: 2. Present participation in Youth Center activities by your children Yes] 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: This section is "not required" but desired: Age:~ years old Gender: Male V Ethnic OJigin (Check one) White ifAfrican-American/Black [J Hispanic: Asian or Pacific Islander C Ameljcan Indian or Alaskan Native Employment Status: Employed !?Retired 0 Home-maker Other Female] "I hereby attest to the accuracy and truthfulness of the application and have received, read and will abide by Chapter 2, Article VII- of the City Code "Standards of Conduct for City Officers, Employ,ees and Agency Members." .. ~ ~~~ r-.. Qdi/Jf '(Aeodave C, Slv1 ~)I'{'O Appli s S' nature ~ "" Date Name of Applicant (PLEASE PRINT) Attachment: Please attach a copy of your resume to your application. NOTE: Applications will remain on file for a period of one (1) calendar year. . - Received in City Clerk's Office ~bY___ b.. \<..~. a~ Document Control Number (Assigned by the City Clerk's Office) ~' I ., I Entered By Date Date " ~\\ ~ '5 ,),).. - \)~ "'~'\ \,~ \~~~ "', 2 Applicatlon Of} 1 , I Gl VV \ .~ L \",,1.{ ~\\~ . THEODORE C. SHAPIRO 4478 Post Avenue, Miami Beach, Florida 33140 Direct Line: 786-223-8087 Email: tedshaviro(ii)J!mail.com SUMMARY After graduating college with honors, flourished in outside medical sales for eight years. Next, founded, owned and operated a chain of gourmet coffee kiosks. From June, 2004, through February, 2006, sales associate for Crescent Heights, the nation's largest condo converter. Top- producer at the Mirador, selling over $60 million dollars of real estate from September, 2004 through November, 2005. EXPERIENCE AND ACCOMPLISHMENTS 2004-2006 Sales Associate, Crescent Heights of America, Miami, Florida Top producer at the Mirador, a high-profile, 1300-unit condo conversion in South Beach. . Sold over $60 million dollars of real estate in 14 months. . Top salesperson at four separate buildings within the Mirador complex. . Further gained experience at the Legacy Place, a 388- unit conversion in up-and-coming Palm Beach Gardens. 1999-2004 Owner/Operator, Java Cafe, Inc. Miami, Florida Established gourmet coffee kiosks in leading regional hospitals, malls, and office buildings. . Led sales and marketing efforts targeting hospital executives, food service directors and building management companies. . Implemented design, menu, staffing and marketing at numerous successful account locations. . Directed a staff of 25 employees and coordinated all ongoing client customer service needs. 1992-1999 Sales and Marketing Associate, Triumph Medical Equipment, Inc., Miami, Florida Marketed an array of medical products and services to area physicians and hospitals. . Significantly increased company's revenue by successfully introducing new products and servIces. . Planned and developed emerging products and services for use in the marketplace. EDUCATION B.A., History, University of Maryland, Baltimore County, 1992 *3.77 GPA COMMUNITY AFFILIATIONS/LICENSURE Board of Trustees, Congregation Ohr Chaim, 2002-Present Licensed Florida Real Estate Salesperson, April, 2004-Present Licensed Florida Mortgage Broker, August, 2004-Present REFERENCES Furnished upon request.