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Leonard Turkel 10/11/2011~~, ~ b t .~ .. .. City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.oov OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk Tel: (305) 673-7411, Fax: (305) 673-7254 10-26-2007 Leonard Turkel 16 Island Ave Miami Beach, Florida 33139 ECT: Housing Authori Congratulations! You have been appointed by Mayor David Dermer to the agency, board or committee named above for a term ending: 1 0/1 11201 1. 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 City Clerk cc: Saul Frances, Parking Director John Quade 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 committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical, historic community. GV ~ ~ ~ ~~` ~~ ~~ ' ^, s , ~' ~ City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.oov OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk Tel: (305) 673-7411, Fax: (305) 673-7254 TO Leonard Turkel RE: Housing Authority 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: 12/31/2011. 1 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 Pub/ic ~cers 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 c~ndar year on which I have,6~er~d. ~ Sworn to and subscribed befo *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 committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical, historic community. NAME _~ ~ r v:: ~. ~ r x ~ ~,?T'~ Tv HOME ADDRESS PHONE Hoi Business Name: Address: Last Name First Name Middle Initial f SAN ~ _ ~IA~ f ~ ~L ~3 (~ No. _ , -. ~ Street ~ ~ - _ City r r , t ,,,~ f State Zip Code Position: No. Professional License (describe) Street State Zip Code Expires: _ . - ~ =~~y. crt tF~~ erc~arx~:= 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 mini/mum of six months in a business established in the city. • Resident of Miami Beach for a minimum of six (Ei) months: Yes`~I or 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`~or No ^ • (Please check one): I am now a resident of: North Beach ^ South Beach`E~J Middle Beach ^ • 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 Citv Clerk's Office. (Regular Boards of City) ^ Art in Public Places Committee ~IHousing Authority* ^ Beach Preservation Board ^ Loan Review Committee* ^ Beautification Committee ^ Mayor's Green Ad-Hoc Committee ^ Board of Adjustment* ^ Marine Authority* ^ Budget Advisory Committee ^ Miami Beach Cultural Arts Council ^ Committee on Homeless ^ Miami Beach Commission For Women ^ Committee for Quality Education in MB ^ Miami Beach Florida Sister Cities 0 Community Development Advisory* ^ Normandy Shores Local Gov't Neigh. Improvement ^ Community Relations Board ^ Oversight Committee for General Obligation Bond ^ Convention Center Advisory Board ^ Parks and Recreation Facilities Board ^ Debarment Committee ^ Personnel Board* ^ Design Review Board* ^ Planning Board* ^ Disability Access Committee ^ Police Citizens Relations Committee ^ Fine Arts Board ^ Production Industry Council ^ Golf Advisory Committee ^ Public Safety Advisory Committee ^ Health Advisory Committee ^ Safety Committee ^ Health Facilities Authority Board ^ Transportation and Parking Committee ^ Hispanic Affairs Committee ^ Visitor and Convention Authority* ^ Historic Preservation Board* D Youth Center Advisory Board * Board Required to File State Disclosure form City ~` ~G`_~PISALL1E3FxC:; Ais;~€;r.~iic7n f~rv r~~~:~ t:)~;tr.~ber ~ rz :+~i~7.~9cy. 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 C; No ,: Years of Service: 2. Present participation in Youth Center activities by your children Yes-i 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 ^ or Nom If yes, please explain in detail: • Do you currently have a violation(s) of City of Miami Beach codes: Yes ^ or No`P~. If yes, please explain in detail: • Do you currently owe the City of Miami Beach any money: Yes ^ or No If yes, explain in detail • Are you currently serving on any City Boards or Committees: Yes~or No ^. If yes; which board? U~ ~~ • What organizations in the City of Miami Beach do you currently hold membership in? Name: Name: Title: • List all propeerties owne~dr~or~hai ve ~n intere(~st in, which are locatend ~wAithin' tQhe City of Miami Beach: . I am now employed by the City of Miami Beach: Yes ^ or Nd~. Which 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): ut desired: Age: years old Gender: Male ^ Female ^ '(~S~i~~ nlc ngrn ec c one h White ^Afrkan-American/Black ^ Hispanic: ^ Asian or Pacific Islander ^ American Indian or Alaskan Native ^ `~ Employment Status: Employed ^ Retired ^ Home-maker ^ Other ^ " hereby attest to the accuracy and truthfulness of the application and have received, read and will abide by Chapter 2, icle VII - of the City C~"S~andards of Conduct for City Officers, Employees and Agency Members." Applicant's Signature i©`ZS~c~ a T Date Na of Aoi Please attach a copy of your resume to this application NOTE: Applications will remain on ~fi,`le for a period of one (7) calendar year. (PLEASE PRINT) Received in City Clerk's Office by Date me of Deputy Clerk ii Document Control Number (Assigned by the City Clerk's Office) ~~ Entered By Date 1