Lisa Ware 12/31/2008~~ ~ s _ ..
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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
Lisa Ware
1020 Meridian Ave #206
Miami Beach, Florida 33139
~1~3.1ECT: _ Committee on the Homeless
Congratulations! You have been reappointed by Commissioner Jonah M. Wolfson
to the above referenced agency, board or committee for a term ending: 12/31/2008.
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
Maria Ruiz
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)
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.
t ~
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
TO Lisa Ware
RE: Committee on the Homeless
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: 12/31/2008.
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 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.
~'~ V
Lisa Ware
Sworn to and subscribed before me this ~ day of ~~~ , 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.
CITY O! .~IIAMY BEACH BOARDS AND COF, .ITTEE
APPLICATION FORM
Pursuant b Gty Code section 2-~z(4) a and b: Members of agencies, boards, and committees shall be affiliated with the city; this J (~~
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 [ t,}~or No [ ]
Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: Yes [ J 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: ~/'y~~'~~° . _ ~t 5 ~
fast Name First Name Middle Initial
Home 100 ~.2..lrtC~IO~YL ~V'Q. ~aaP ~ _ ~3t39
Address: No. Street City State Zip Code
Phone: 3~5 - 53~ _(a(~{- 3~S--AGO ~~6a ~ ~~ ru,1_ -~Usa.
Home Work Fax Email ad ress
I am now a resident of: North Beach [ ]South Beach [/jMiddle Beach [ ]
Business Name: ~: O C-~n ~ ~U`e- ~k- Applicant's Position: 5 'D~' ~ ~~
Address: ~ ~-0 I ~a ~o ,~J~ ~l~C ~ ~~ 133
No. Street City Stalte Zip Code
[ ]Owner [ ]Stockholder/Shareholder (/jCorporate Officer [ ]Other Explain: y 1 ~- ~~-SI ~~
Professional License (describe): Expires:
Attach a copy of afhe /icense listed above.
1. Have you ever been convicted of a felony: Yes [ ] or No [ /f If yes, please explain in detail:
z. Do you currently have a violation(s) of Clty of Miami Beach codes: Yes [ ] or No [.~ If yes, please explain in detail:
3. Oo you currently owe the City of Miami Beach any money: Yes [ ] or No [J.1
If yes, explain in detail:
4. Are you currently seMng on ant( Gry Boards or Committees: Yes [ ] or No [ ..]~
If yes; which board?
what organizations in the City of Miami Beach do you currently hold membership in7
Name:
Title:
Name: Title:
List all p o~perties~ owned or have an interest in, which are located within the Ciry of Miami Beach:
I am now employed by the Ciry of Miami Beach; Yes [ ] or No [~ If yes, which department,
Pursuant to Clty Code Section 2-25 (b): Do you have a parent [ ], spouse [ ], child [ ], brother [ ], or sister [ ]who
~~Q
F \C4ER\CAI,I,IG1.I7.ABr'i1BRtC`.RCAPPLJCOd,~1oc
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): r~Or'Q-
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 City Clerk's Office. (Regular Boards of City)
Housing Authority*
3~ Art in Public Places Committee Loan Review Committee*
C; Barrier Free Environment Committee Marine Authority"
C~ Beach Preservation Board :Miami Beach Cultural Arts Council
Ci Beautification Committee ;Miami Beach Commission on Status of Women
7 Board of Adjustment" i ~ Miami Beach Florida Sister Cities
^ Budget Advisory Committee C' Normandy Shores Local Gov't Neigh. Improvement
CO,rhmittee on Homeless C Oversight Committee for General Obligation Bond
^ Committee for Quality Education in MB C Parks and Recreation.Facilities Board
^ Community Development Advisory* _ ^ Personnel Board"
o Community Relations Board ~ ~ Planning Board*
^ Convention Center Advisory Board ;Police Citizens Relations Committee
^ Convention Center Capital Projects Oversight o`~PrOdUCtion Industry Council
^ Debarment Committee ~~ Public Safety Advisory Committee
^ Design Review Board* n Safety Committee
^ Fine Arts Board ^ Transportation and Parking Committee
^ Golf Advisory Committee C Visitor and Convention Authority"
^ Health Advisory Committee ^ Youth Center Advisory Board
^ Health Facilities Authority Board
^ Historic Preservation Board*
'Board Required to File State Disclosure form
Note: If applying for Youth Advisory Board, please indicate your affiliation with the Scott Rakow Youth
Center: ..l/c..~
1. Past service on the Youth Center Advisory Board: Yes ~-i No t~ 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:
Thls section is "not required" but desired: Age: years old
Ethnic Origin (Check one)
White ^Afncan-American/Black~$, Hispanic: ^
Asian or Pacific Islander ^ American Indian or Alaskan Native ^
Employment Status: Employed ~1 Retired ^ Home-maker ^ Other ^ ,
Age: Program:
Gender: Male ^ Female ^
"I hereby attest to the accuracy and truthfulness of the application and have received, read and will abide by Chapter 2,
Article II - Ci ode "Standards of Conduct for City Officers, Employees and Agency Members."
dl I[~-,aoo~ Lisa. t-. Watre,
i n ign ur Date Name of Applicant (PLEASE PRINT)
Attachment: Please attach a copy of your resume to your application.
NOTE: Applications will remain on file for a pe~od of one (1) calendar year.
Received in City Clerk's Office b Deputy Clerk Date
Document Control Number (Assigned by t e City Clerk's Office) Entered By Date,
9/11/06 Ih
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