Meryl Wolfson 12/31/2009m MIAMIBEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, vrww.miamibeachfl.gov
CITY CLERK'S OFFICE
Tel: 305-673-7411 ,Fax: 305-673-7254
December 11, 2007
Meryl Wolfson
5055 No. Bay Road
Miami Beach, FL 33140
SUBJECT: PARKS AND RECREATIONAL FACILITIES BOARD
Dear Ms. Wolfson:
Congratulations! You have been reappointed by Vice-Mayor Libbin to the above-referenced agency,
board or committee for a term ending 12/31/09.
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.
Sincerely, ;,
Robert Parcher
City Clerk
cc: Saul Frances, Parking Director
Kevin Smith, City Liaison
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) Palm Court Building 309 23rd St, Ste 200
Booklet -Guide to the Sunshine Amendment and Code of Ethics for Public Officers and Employees
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Cinr of Miami il<wch, 1700 Convention Center Drive, Miami Beach, Fbrida 33139, www.miamibeachR.gov
OFFICE OF THE CITY CLERK, Robert Parcher, Ciy Clerk
TEL: (305) 673-7411, FAX: (305) 673-7254
TO Meryl Wolfson
RE: Parks and Recreational Facilities 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: 12/31/2009.
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 on which I have served.
W
Meryl olf77s~~onnn,,
Sworn to and subscribed before me this ~~ day of 'J~~c.~ ,2~0~0_-?
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 are commined to providing excellent public service and safety to all who live, work, and play in our vibrant, tropical, historic community.
CITY OF MIAMI BEACH BOARDS AND COMMITTEE
"` ~. APPLICATION FORM
Pursuant to City Code section 2-224) 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 (ti) months: Yes ~ ] or No (~
I am applying for a Board appointment because I have special abilities, knowledge, experience: Yes ~],
My special abilities, knowledge, or experience is:
Are you a registered voter in Miami Beach: Yes or No [ ]
NAME: (.~0~~ 6-J ~~~-~-~I ~
Last Name Q First Name Middle Initial
Home ~J Ste- ~ ~ (,~-`mil ~C~ f l l ~-t i l~C..~-. ~'2- 33 ~ ~ c~
Address: No. Street City State Zip Code
Phone: ~O~~IQ~ ~~ ~ ~ U
Home Work Fax
I am now a resident of: North Beach [ ]South Beach [ ]Middle Beach
Business Name:
Address:
Applicant's Position:
No. Street
City
[ ]Owner [ ]Stockholder/Shareholder [ ]Corporate Officer [ ]Other Explain:
Professional License (describe):
Att h a co of the /icense listed above.
Email address
State Zip Code
Expires:
ac py
1. Have you ever been convicted of a felony: Yes [ ] or No~ If yes, please explain in detail:
i. Do you currently have a violation(s) of City of Miami Beach codes: Yes [ ] or No ~ If yes, please explain in detail:
3. Do you currently owe the City of Miami Beach any money:
If yes, explain in detail:
4. Are you currently sei
If yes; which board?
What organizations in the
Name:
Name:
Title:
W ~9'r
Title:
List all properties owned R~have an interest in, which are located within the City of Miami Beach:
S-eC.t~boy~e. ~ ~OK~
I am now employed by the City of Miami Beach: Yes [ ] or No [~ If yes, 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):
Yes [ ] or No [~
on any City Boards or Committees: Yes ~] or No [X
of Miami Beach do you currently hold membership in?
F:\C LER\$ALL\EL[ZABE'118&C\BCAPPLIC. DOC
Please list your preferences in order c'~';ing [1] first choice [2] next choice and' ~~ --
(Regular Boards of City)
( Board Required to File State DiS,,:~sure forms)
Art in Public Places
Barrier Free Environment Committee
Beach Preservation Board
Beautification Committee
Board of Adjustment (flood Mgmt.)*
Budget Advisory Committee
Committee on Homeless
Committee for Quality Education in MB
Community Development Advisory*
Community Relations Board
Convention Center Advisory Board
Convention Center Capital Projects Oversigh
debarment Committee
design Review Board
=ine Arts Board
golf Advisory Committee
iealth Advisory Committee
iealth Facilities Authority
iispanic Affairs Committee
listoric Preservation Board*
lousing Authority*
oan Review Committee*
( ]Marine Authority*
[ ]Miami Beach Cultural Arts Council
NW,Miami Beach Commission on Status of Women
( )North Beach Youth Center Oversight Committee
[ ]Nuisance Abatement Board*
[ ]Oversight Committee for General Obligation Bond
[ ;~] Parks and Recreation Facilities Board
[ ]Personnel Board*
( )Planning Board*
[ ]Police Citizens Relations Committee
[ )Production Industry Council
[ ]Safety Committee
t [ ]South Point Advisory Board*
to Redevelopment Agency
[ ]
Expa~tty
[ ]Transportation and Parking Board
[ ]Visitor and Convention Authority*
( ]Youth Center Advisory Board
( ]Public Safety Committee
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: [ ] Gender: M [ ] or F [~
Ethnic Origi (Check one)
White [ ] African-American/Black [ ] Hispanic: [ ]
Asian a 'fic Islander [ ]American Indian or Alaskan Native [ ]
Employment Status: Employe Retired [ ]Home-maker ~] Other [
I hereby attest to the accurary nd truthfulness of the a li a ~
Chapter 2, Article VII - of the City Code "St ndards of Conduct foaCity Officers,) Employ es and Agenlcy by
ers." / ~/z p 5.
~ ~ - / w/ ~ 3 ~~~~- L LSO L FS ~ t~J
Applicant's S nature Dat Name of Applicant (PLEASE PRINT)
~-~t y ~OCn i'vt c,J
Attachment: Please attach a copy of your resume to your application.
NOTE; Applications will rema~n ile for a ppr ~ of one (1) calendar year.
Received in City Clerk's Office ~ /~.t /~3 by
Clerk
Document Control Number (Assigned by the City Clerk's 0 e)
Rev #6- 05/15/02
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