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Silvia Rotbart 12/31/2008M ~ I j ~ x ~ ~~'p°` ^ss City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk Tel: (305) 673-7411, Fax: (305) 673-7254 12/21/2007 Silvia Rotbart 1675 Cleveland Rd Miami Beach, Florida 33141 ;aUBJECT Beautification Committee Congratulations! You have been reappointed by Mavfor Matti H. Bower to the above referenced agency, board or committee for a term ending: 1213112008. 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 c" ~ City Clerk cc: Saul Frances, Parking Director John Oldenberg 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, 259 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) 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 play in our vibrant, tropical, historic community. City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.aov OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk Tel: (305) 673-7411, Fax: (305) 673-7254 TO Silvia Rotbart RE: Beautification 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: 12/31/1997. 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 ~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 calendar year on which I have served. f~ ., r' J SiYvia Rotbart Sworn to and subscribed before me this ~ day of VA/_ /! , 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. We are committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical, historic community. .... -..-.. Q~ ~T `~ CITY OF MIAMI BEACH BOARDS AND COMMITTEE APPLICATION FORM Pursuant to City Code section 2-22(4) a and b: Members of agencies, boards, and committees shall be affiliated with the ity; 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 d Or No u Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: Yes ilor No I am applying for a Board appointment because I have ecial abilities, knowledge, experience: Yes u My special abilities,knowledge, or experienceis:~~lu/5l?P ~l/~S~S.~/~/,~'~~"i`~IV/•~l/V~I~If/9Z, ©yr/~C'///iR5 Are you a registered .v~~ot//e~~r in Miami Beach: Yes a or No ~ _ NAME: ~° ~fi'~s~~ ~J~L-Vf~7' ~, Last Name First Name Middle Initial Home: _ Address: ~~ y C.~~I/~%i-~r~p ~~ I~TI,IYr/ ~A/l['1~ ~' ~°~~~f No. Street ~j~~ ill' Sta///JJJte ~J Zi~p~Co{de //~ Phone: ~ ~ ~ ~"" '" Home Work Fax Email address (Please check one): I am now,, a,~resi1dent~o/f: North Beach '!South Beach a Middle Beach U Business Name:rr.'~Q~/~J1°) / /` ,~~1jjT~~~ls ' Applicant's Position:~l~q ~.~JJ~~J ~ /~Pf7v t~~~~~~ Address: ~. Y~/ ~~u5 xrJOl ~ "3 /~lJ pdtl!'ft ~ ~ ~~ l S~~ No. Street City State Zip Code Owner _ Stockholder/Shareholder ~` Corporate Officer's Other Explain: Professional License (describe) ~ L PIJQ®kt~t~ t-a~~y1V~~~ ~< ~/~~ Expires: ~/~- Attach acopy ofthe license listed above. ~~ ~~ Have you ever been convicted of a felony: Yes '-' or No ~ If yes, please explain in detail: 2. Do you currently have a violation(s) of City of Miami Beach codes: Yes'_'' or No;LI. If yes, please explain in detail: 3. Do you currently owe the City of Miami Beach any money: Yes' or No ~ If yes, explain in detail 4. Are you currently serving on any City Boards or Committees: Yes ~r No u. If yes; which board? ~P/ f ~~ 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 i~~a urlg/hcAY~IC ry`1'1~~ . 1~7~ the City of Miami Beach: Ta/ t.-t/~y`~/"S //v"~ ~j~/ I am now employed by the City of Miami Beach: Yes '~ or No' If yes, which department? •, F:\CLER\$ALL\B&C Application\B&C Application Revised 091106.doc Pursuant to City Code Section 2 23 {b): Do you hev®a parent U, beach? Check aN that apply. I~ntity tiw de~rdnent{s): U, ehikt U, broth®r U, or sister U who is empbyed by the City of Miami Please list your preferenoas in order of ranking [t) first choice [2~ second choice, and [3j third choice. Please note that only three (3) choices will be observed by the City Clerk's Office. (Regular Boards of City) u Art in Public Places Committee U Barrier Fnee Environment Contrnittee u Beach Preservation Boats u Beautification Committee u Boats of Adju~'rrertt" tudget Advisory Committaee ommkfiee on Hortteless Committee for Quality Education in MB U Community Devebpment Advisory* u Community Relations Boats u Convention Cer-ter Advisory Board U Convention Center Capital Projerr<'s Oversight u Debamtent Committee u Design Review Boerd* u Fine Arta Board U Goff Advisory Committee U Health Adv~ory Committee U Health Facilities Authority Board ~u H}}i~oricPro ly4 lion Board` *Board Requifed'top~He Sd~t~ D(sNtosure form J Housing Authority* .~ Loan Rev~w Committes* J Marine Authority* J Miami Beach Cultural Arts Council J Miami Beach Commission on Status of Women ~ Miami Beach Florida Sister Cities J Normandy Shores Local Gov't Neigh. Improvement J Oversight Committee for General Obligation Bond J Parks and Recreation Facilities Board J Personnel Board* J Planning Board* J Police Citizens Relations Committee J Production Industry Counal J Public Safety Advisory Committee Safety Committee Transportation and Parking Committee J V'~si~r and Convention Authority* J Youth Center Advisory Board Note: If applying for Youth Advisory Board, please indicate your affiliation with the Scott Rakow Youth Center. f .Past serviro-e on the Youth Center Advisory Boats: Yes U No u Years of Service: ___„___ ~. Present participation in Youth CeMaer ectivitiea by your children Yeau No u. If yea, please list the names of your ahlldren, their ages, and which programs. List below: Child's narrw: Age: Program: Child's name: Age: Program: This section is "not r+aquired" but desired: Ada: ~ years old Ethnic Origin (Check one) tiVltlle~Afrlwn-AmerlcaMBl>eck U Htspanic:~ Asl or PacMc Islander U American Indian or Alaskan NaBve U Empioyntent Status: Employed 1~ Retired UHome-rrreker U Other U, "1 hereby attest to the accuracy and truthfitMess of the appllcstdon and have received, read and will abide by Chapter 2, Artlde Vii - of City C le "Standards of Conduct for City OflicersLl:mpioyess andpA,g~en~cy~M{e~mbe~ra."? ~ l~l~' //~ U,j.~ ,GAL ~ <~1~T1_.L_1 r.. s re Date Name of Applicant (PLEASE PRINT) Attachment: Please attach a copy of your resume to your application. NOTE; Applicatbns will remain on file for a period of one (1) calendar year. Received in City Clerk's Office 6 y Dap Clerk Date DocunteM Control Number (Assigned by the City Clerk's Office) ~ ~ Entered By Dat~ ~~ Revised 911'I~06 ih 2 ~. F: ~I.FR`$AL ~ BBC' kph licaticnb?C Application Revised X91 10G dac ~ ~ ~~ Gender: Male u F