Barbara Gillman 12/31/2007
City of Miami Beoth, 1700 Convention Center Drive, Miami Beoch, Florida 331 39, www miamibeachfl gov
OFFICE OF THE CITY C(ERK, Robert Parcher, City Clerk
Tel 305-673-7411, Fax 305-673-7254
01-08-2007
Barbara Gillman
16 Island Avenue
Miami Beach, Florida 33139
SUBJECT: Safety Committee
Congratulations! You have been appointed by Commissioner Simon Cruz
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,
d~ 1
~-
Robert Parcher
City Clerk
cc: Saul Frances, Parking Director
Ron Caplan
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 Employe
6. Miami Beach Code Section 2-459
7. Miami-Dade County Code Section 2-11.1
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'11AM1 BEACH
City of Miami Beath, 1700 Convention Center Drive, Miami Beoch, Florida 33139, www.miamibeachfl.gov
OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk
Tel: 305-673-741 1 ,Fax: 305-673-7254
TO Barbara Gilman
RE: Safety 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 theF/orida 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 year oq~nrhich I have serve,~l.
~--~~ B bara Gil an
Sworn to and subscribed befor th~s ~ day of ~' ~ , 200
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.
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m ~,11A~~',',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'!.. or No '
Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: Yes : or No =i-f
I am applying for a Board appointment because I have special abilities, knowledge, experience: Yes 1
My special abilities, knowledge, or experience is:
Are you a registere~J.yoter in Miami Beach: Y/es or No : n
NAME: ~~
Home: ~~
Address:
~Nxo.
Phone: ~v 1/
Business Name:
Address: _ ~ ~
Street City tate Zip Code
~v ~~ ~~~ ~ ~~~ ,
Fax Email address ~ ~/ ` ~
7 n
~~' A licant s Posdion: `-' ' `~ - _ '`~~
No. Street City
~ner ~ Stockholder/Shareholder ^ Corporate Officer ~ Other Explain:
Zip
Professional License (describe) Expires:
P~Yt ~x ~ .. ~ F ., ~ .... . .. .
1. Have you ever been convicted of a felony: Yes ^ or No ^ If yes, please explain in detail: / `~ V
2. Do you currently have a violation(s) of City of Miami Beach code~;,.Y~. G nr.Nn u,_.If yes, please explain in
3. Do you currently owe the City of Miami Beach any money: Yes L~ or No i~ If yes, explain in detail
4. Are you currently serving on any City Boards or Committees: Ye or No ~. If yes; which board? ~ ~~-
--~
What organizations in the City of Miami Beach do you currently hold membership in?
Name:
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 ^ or If yes, which department?
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