Karen Rivo 06/30/2008/•
Cite of Miami d~ach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miomibeachfl.gov
OFFICE OF THE CITY CLERK, Robert Parcher, Ciy Clerk
TEL: (305) 673-7411, FAX: (305) 673-7254
06-26-2007
Karen Rivo
4566 Prairie Ave
Miami Beach, Florida 33140
SUBJECT: Committee for Quality Education in MB
Congratulations! You have been reappointed as a representative for the MB Senior High School
PTA to the agency, board or committee named above for a term ending 06/30/2008.
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,
Robert Parcher
cc: Saul Frances, Parking Director
Leslie Rosenfeld
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 Employees
We are committed to providing excellent public service and safety to all who live, work, and ploy in our vibrant, tropical, historic communiy
e
Clif~r of Miami Bach, 1700 Convention Center Drive, Miami Beach, Fbrida 33139, www.miamibeachR.gov
OFFICE Of THE CITY CLERK, Robert Parcher, City Clerk
TEL: (305) 673-7411, FAX: (305) 673-7254
TO Karen Rivo
RE: MB Committee on the Quality Education
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: 06/30/2008.
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 Ethia Guide to the Sunshine
Amendment and Code of Ethics for Pub/ic 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 on which I have served.
Sworn to and subscribed before me
*Please visit the City of Miami Eieach website at www.miamibeachfl.gov under City Clerk/Board and Committees
for additional information regarding the Financial Disclosure Requirements.
We are commined to providing excellent public service and safely to all who live, work, and play in our vibrant, tropical, historic communiy.
_ ~ ~ ,
_ °~
NAME:
,_ . , ~-
t:ast Name /- ( First Na/m~e ,~ /~ Middle Initial
HOME ADDRESS: ~~ lfI ~O ~ ~Gt ~ ~ ~ e i/~ ~ ~-_ ~'°' ~ L 3f ~, f'v
~ o• Street City State Zip Code
PHONE: d~?
Home
Business Name:
Address:
No.
Professional License (describe) _
Street
City State
_ Expires:
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~nterest for a minimum of six months in a business established in the city.
• Resident of Miami Beach for a minimum of six (ti) months: Yes ~r No ^
• Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: Yes ^ or No ~
• Are you a registered voter in Miami Beach: Yes ~.0 or No ^
• (Please check one): I am now a resident of: North Beach ^ South Beach ^ Middle Beach C~
• I am applying for an appointment because I have special abilities, knowledge, experience. Please list below:
~~c~fia~
Please list your preferences in order of ranking [1] first choice [2] second choice, and [3] third choice. Please note that only three f3)
choices will be observed by the Citv Clerk's Office (Regular Boards of City)
^ Art in Public Places Committee
^ Beach Preservation Board
^ Beautification Committee
^ Board of Adjustment*
^ Budget Advisory Committee
Fax
Position: _
~~e-~ QGLj ~ (Uc
address
^ Committee on Homeless
,0'Committee for Quality Education in MB
^ Community Development Advisory*
^ Community Relations Board
^ Convention Center Advisory Board
^ Debarment Committee
^ Design Review Board*
^ Disability Access Committee
^ Fine Arts Board
^ Golf Advisory Committee
^ Health Advisory Committee
^ Health Facilities Authority Board
^ Hispanic Affairs Committee
0 Historic Preservation Board*
* Board Required to File State Disclosure form
Z ~ ZS "
Work
^ Housing Authority*
^ Loan Review Committee*
^ Mayor's Green Ad-Hoc Committee
^ Marine Authority*
^ Miami Beach Cultural Arts Council
^ Miami Beach Commission on Status of Women
^ Miami Beach Florida Sister Cities
^ Normandy Shores Local Gov't Neigh. Improvement
^ Oversight Committee for General Obligation Bond
^ Parks and Recreation Facilities Board
^ Personnel Board*
^ Planning Board*
^ Police Citizens Relations Committee
^ Production Industry Council
0 Public Safety Advisory Committee
0 Safety Committee
^ Transportation and Parking Committee
^ Visitor and Convention Authority*
^ Youth Center Advisory Board
1
. . ~, a~ ~> ~:~~7 ~~`oc.
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: No C!. 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 Nos, please explain in detail:
• Do you currently have a violation(s) of City of Miami Beach codes: Yes ~ or No~, please explain in detail:
• Do you currently owe the City of Miami Beach any money: Yes ^ or No yes, explain in detail
• Are you currently serving on any City Boards or Committees: Yes No ^. If yes; which board?
• What organizations in the City of Miami Beach do you currently hold membership in?
Name: ----~'
Name: %~ Title:
• List all properties owned or have an interest in, which are located within the City of Miami Beach:
~m ~ - add ~~ ~ -~ {-rb .~-~-
• I am now employed by the City of Miami Beach: Yes ^ or No~hich department?
• Pursuant to City Code Section 2-25 (b): Do you have a parent ^, spouse ~, child ^, brother ~, or sister ~ 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: ~ Z- years old Gender: Male ^ Female-0'~
Ethnic Orig~ (Check one)
White frican-American/Black ^ Hispanic: ^ Asian or Pacific Islander ^ American Indian or Alaskan Native ^
Employment Status: Employed_^ Retired~iome-maker ^ Other ^
"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."
a--- ~~
Appli ant's Signature
~o(a3 ~~~ ~%~~ ~ P-r w
Date
Name of Applicant (PLEASE PRINT)
Please attach a copy of your resume to this application
NOTE: Applications will remain on file for a p~e7liod of one (1) calendar year.
Received in City Clerk's Office by
Document Control Number (Assigned`by the City Clerk's
Date
2
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