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Michael Perlmutter 12/31/07 lD ..... city of Miami leach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeochA.gov OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk TEL: (305) 673-7411, FAX: (305) 673-7254 April 13, 2007 Michael Perlmutter 1000 South Pointe Dr Miami Beach, Florida 33139 SUBJECT: Personnel Board Congratulations! You have been appointed by the City Commission to the above referenced agency, board or committee for a term ending: 12/31/2007. If you are unable to accept this appointment, please notify the City Clerk's Office at (305) 673-7411. Please read the enclosed material carefully. Again, congratulations and good luck. ~C.t p~ Robert Parcher City Clerk / cc: Saul Frances, Parking Director Mayra Buttacavoli 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, 2-2458, 2-459 Ordinance 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 Employees We ore commined to providing excellent public service and salety to 011 who live, work, ond ploy in our vibrant, troplcol, historic community lD ..... city of Miami leach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachA.gov OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk TEL: (305) 673-7411, FAX: (305) 673-7254 TO: Michael Perlmutter RE: Personnel Board 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: 12/31/2007. 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 Florida 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* requirements 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 have served. Michael Perlmutter /# )/~-- Sworn to and subscribed before me this 13th day of April 2007. ~ Liliam R. Hatfield 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 excellent public service and sofety to oil who live, work, ond ploy in our vibront, tropico/, historic community lD - M! /\ /\ I~\ BEA( H I ! /_.\/ V \ ., . .':. . 1i: ~~~R.. NAME: Last Name !,.i FOr?!": {t\;c=.~,,~ "\ First Name 1)R.. ~ O?D\ Middle Initial M: A.M.: B~~c:. ~ f:.l J"J/3? City St~te lip Code ('I\..u..n.A,vo f)\:)(~ @ fJOJ.... (~ Fax Email address HOME ADDRESS: No. 1&&0 . So~1k f1 i;v(,f Street PHONE: 305""- 5"35"- 9? 51. Home Work Business Name: Position: Address: No. Street lip Code Professional License (describe) City State Expires: 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 lror No 0 . Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: Yes 0 or No jJ!( . Are you a registered voter in Miami Beach: Yes ?J..or No 0 . (Please check one): I am now a resident of: North Beach 0 South Beach kMiddle 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 J !!'6olf Advisory Committee o Health AdvisoryCommittee o Health Facilities Authority Board o Hispanic 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 I fM"'F>ersonnel Board* o Planning Board. o Police Citizens Relations Committee o Production Industry Council o Public Safety Advisory Committee o Safety Committee '}... ~ransportation and Parking Committee o Visitor and Convention Authority. o Youth Center Advisory Board F:\CLER\SALL\B&C Apf'liCiltion\B&C Application HevisC'cJ DD11Oi3 lakes 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 r 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: .Have you ever been convicted of a felony: Yes 0 or No ~ If yes, please explain in detail: · Do you currently have a violation(s) of City of Miami Beach codes: Yes D or Noj:l(.lf yes, please explain in detail: · Do you currently owe the City of Miami Beach any money: Yes D or No ~ If yes, explain in detail · Are you currently serving on any City Boards or Committees: Yes 0 or No xr: 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 have an interest in, which are located within the City of Miami Beach: · I am now employed by the City of Miami Beach: Yes D or No.2( Which department? · Pursuant to City Code Section 2-25 (b): Do you have a parent ~, spouse U, child 0, brother U, or sister [J who is employed by the City of Miami Beach? Check all that apply. Identify the department{s): lVv This section is "not required" but desired: Age: ''3 years old Gender: Male~ Female 0 Ethnic Origin (Check one) White ~frican-American/Black 0 Hispanic: 0 Asian or Pacific Islander 0 American Indian or Alaskan Native 0 Employment Status: Employed~ Retired 0 Home-maker 0 Other 0 "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, Employees and Agency Members." tJ1/$f;o ()YI/3/o7 Date f\ccnA-~1 RRl~lTit< Name of Applicant (PLEASE PRINT) Applicant's Signature Please attach a copy of your resume to this application NOTE: Applications will remain on file for a period of one (1) calendar year. Received in City Clerk's Office by{l '.b/7r /. ':!. M2/U:!.~ - Name of Deputy Clerk ! Entered By ,/7JI':.-; Document Control Number (Assigned by the City Clerk's Office) ~ ~ 2 Date Date F:ICLERI$ALUH&C ,1>,pplir;2tic,nlfjgC Applicatinn Revis,,!'1 0\11108 iakco"doc MICHAEL PERLMUTTER 1000 South Pointe Drive #3701 Miami Beach, Florida 33139 Home Phone 305 5359752 Mobile Phone 732 600 7825 OBJECTIVE: To continue my involvement in community service in my present home municipality QUALIFICATIONS I own and operate a chain of high-volume supermarkets in New Jersey and employ nearly 3000 employees. I have also served as a lay member of the NJ State Ethics Committee serving in a mediating position between attorneys, their clients and public interests. EDUCATION Graduate: Lakewood High School, Lakewood, New Jersey Graduate: Rider University, Lawrenceville, New Jersey 1965 BS in Commerce MILITARY U S Army Presidential Honor Guard, Fort Meyer, Arlington, VA. 1966-1968 EMPLOYMENT 1968-present: Sr. Vice President, Perlmart, Inc., 954 Route 166, Toms River, NJ 08753. Perlmart, Inc. owns and operates a chain of Shoprite Supermarkets in Ocean County, New Jersey. COMMUNITY SERVICE Past President, Ocean County Chamber of Commerce with over 700 members. This position gave me experience in dealing with community and government agencies. Lay member, NJ State Bar Ethics Committee, appointed by the Governor, New Jersey for numerous terms Chairman, Environmental Committee, Wakefern Food Corporation Member, Wakefern Labor Relations Committee: served as a contract negotiator dealing with numerous retail trade unions with membership of more than 25,000 employees. Volunteer member, First Aid Squad of Toms River, NJ: served as a volunteer EMT for many years. Member Board of Directors, Murano at Portofino, a condominium in Miami Beach, FL PERSONAL Married to Marlene Perlmutter Personal interests: Golf, Boating, Reading