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Robert "Nick" Manning 12/31/2009r 4 i 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: (305j 673-7254 12-21-2007 Nick Manning U.BJECT: Production Industry Council Congratulations! You have been appointed by Commissioner Deede Weithorn to the agency, board or committee named above for a term ending: 1213112009. 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 shah 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, i~ Robert Parcher City Clerk cc: Saul Frances, Parking Director Graham Winick 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. 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 Nick Manning RE: Production Industry Council 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. Nick Manning Sworn to and subscribed before me this ~ 2' day of , 200$ ti 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 committed to providing excegent public service and safety to all who live, work and play in our vibrant, tropical, historic community. W r T---- NAME: ~~ ~ iU N / ~ CS O 13~~'1~1'/ /Y I L K PJ- SD o~1 Last Name First Name Middle Initial HOME ADDRESS: 1 ~ ~ o ~C ~ -4-a~/ L~ fiZ 1 if ~ I~'~ 1,# (M ~ ~L~IfG~ ~l ~~ 1 ~ 7 No. Street City State Zip Code PHONE: Home Work O ~'/ Fax ~ Kl~ ~I~NO,C0 Email address Business Name: ~tZ Q'~ Ik ~,c? c~ .2f-C4 Position: _ C~~ Address: ~„ Ct - No. Street City State Zip Code Professional License (describe) Expires: Pursuant to City Code section 2-22(4) a and b: Members of agencies, boards, and c ittees shall be affiliated with the city; this requirement shall be fulfilled in the following ways: a) an individual shall have b n a resident of the city for a minimum of six' months; orb) an individual shall demonstrate ownership/interest for a minimum o ix months in a business established in the city. • Resident of Miami Beach for a minimum of six (6) months: Yes • Demonstrate an ownership/interest in a business in Miami Bea 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 Middle Beach • I am applying for an appointment because I have special abilit s, knowledge, experience. Please list bel Please list your preferences in order of ranking [1] first choice [2] second choice, a ~ce. 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 Beach Preservation Board Beautification Committee Board of Adjustment" Budget Advisory Committee Committee on Homeless 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 Historic Preservation Board" Housing Authority'` Loan Review Committee* Marine Authority` Miami Beach Cultural Arts Council Miami Beach Commission for Women -Miami Beach Florida Sister Cities Normandy Shores Local Gov't Neigh. Improvement Oversight Committee for General Obligation B6Rd ~, Parks and Recreation Facilities Board --+ o° Personnel Board'` '~ ''' Planning Board' ~ Police Citizens Relations Committee ~ ~ ,Production Industry Council ~ O Public Safety Advisory Committee - Saf t C itt cri e y omm ee c~ Transportation and Parking Committee -~~ r Visitor and Convention Authority" ~ ~, Youth Center Advisory Board rTT cri :7 ~7 .^rj '` Board Required to File State Disclosure form 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: .Have you ever been convicted of a felony: Yes or No ,7C If yes, please explain in detail: • Do you currently have a violation(s) of City of Miami Beach codes: Yes or No S(. 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 X If yes; which board? • What organizations in the Ci^ty~of Miami Beach do you currently hold membership in? Name: ~1 ~,1M, ~ SrG ry f!'LeX'~ /L P~e~ ~-e- Title: Name: ~ ~ ~ i?~ J ,,.,,, Title: • List all properties owned or have an interest in, which are located within the City of Miami Beach: ~rV~o -- l ~~a d~~.,~N,~c2 • I am now employed by the City of Miami Beach: Yes or No~(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): This section is "not required" but desired: Age: ~_ years old Gender: Maley Female Ethnic Origin (Check one} Whited African-American/Black - Hispanic: ~ Asian or Pacific Islander _ American Indian or Alaskan Native Employment Status: Employed = Retired ~ Home-maker ~ Other - "I hereby attest to the accuracy and truthfulness of the application and have received, read and will abide by Chapter 2, rtic VII - of the City Code "Standards of Conduct for City Officers, Employees and Agency Members." ., t Applicant's Sig Z/2 ~ Date Please attach a copy of your resume t~ this application NOTE: Applications will remain on file for a period of one (1) calendar year. Received in City Clerk's Office by ~E2~ ~!. ~w w,~, G Name of Applicant (PLEASE PRINT) Date Rfame of Deputy Clerk Document Control Number (Assigned by the City Clerk's Office) Entered By