Nikki Weisburd 12/31/2008~f/(A4t ~ ~ .. ~~ ~
z ~i. ¢ r
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
12-21-2007
Nikki Weisburd
;~>411»i,IEGT: Miami Beach Commission For Women
Congratulations! You have been appointed by Commissioner Ed Tobin
to the agency, board or committee named above for a term ending: 12/31/2008.
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,
O ~ S~~
>~
Robert Parcher
City Clerk
cc: Saul Frances, Parking Director
Maria E. Martinez
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 al! 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 Nikki Weisburd
RE: Miami Beach Commission for Women
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 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.
r`~nv~
r
Nikki Weis urd
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.
~ € ~ ., 3
/';
~- /° ~°~° ~ _ ; r ~~~ ~' ~_._ _ . ~• ~~ ~ CITY OF MIAMI BEACH
BOARDS AND COMMITTEE APPLICATION FORM
NAME: ~1 ~~`~L~S ~ ~ L r ~
Last Nam2e L~~ ~~ /~. First N~am~e/' Middle Initial ¢~
HOME ADDRESS: ~~.7 ~Qe"'`~"l.eW lJ`^ ~ ~ ~~ 'v
No. Street City State Zip Code
PHONE:
Home ~-~4~erk~
Business Name: !!~~ ,L -"'
Address: ~~J V `~ ~~~•
No. Street
Professional License (describe)
State Zip
Expires: Attach a copy of the license
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; orb) 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 (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 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 f31
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*
* Board Required to File State Disclosure form
Fax
Email address
!1•~~
Position: ,/~ I FCi~h
-- - -r'• -- --...
ity
^ Housing Authority*
^ Loan Review Committee*
^ Mayor's Green Ad-Hoc Committee
^ Marine Authority*
^ Miami Beach Cultural Arts Council
'Miami Beach Commission on Status of Women
^ Miami Beach Florida Sister Cities
^ Normandy Shores Local Gov't Neigh. Improvement
^ Oversight Committee for General Obligation Bond
^ Parks and Recreation Facilities Board
^ Personnel Board*
^ Planning Board*
^ Police Citizens Relations Committee
^ Production Industry Council
^ Public Safety Advisory Committee
^ Safety Committee
^ Transportation and Parking Committee
^ Visitor and Convention Authority*
^ Youth Center Advisory Board
1
C:\Documents and Settings\compurbmlLocal Settings\Temporary Internet Files\OLK1 CS\BC Application Revised July 18 2007.doc
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/ If yes, please explain in detail:
• Do you currently have a violation(s) of City of Miami Beach codes: Yes or No f . 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?
• What organizations in the City of Miami Beach do you currently hold membership in?
Name:
Name:
Title:
Title:
• List all properties owned or have an interest in, which are located within the City of Miami Beach:
3
• I am now employed by the City of Miami Beach: Yes : or N~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: ~5 years old Gender: Male ^ Female l~
Ethnic Origin (Check one) V
White~African-American/Black ^ Hispanic: ^ Asian or Pacific Islander ^ American Indian or Alaskan Native ^
Employment Status: Employe~'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,
Article VII - of the City Code "Standards of Conduct for City Officers, Employees and Agency Members."
t2- l~ ~ 0~ ~~~i wkisbu~
Applic nt's Signature Date ~ Name of Applicant (PLEASE PRINT)
Please attach a copy of your resume to this application
NOTE: Applications will remain on file for a period of one (1) calendar year.
Received in City Cferk's Office by Date
Name of Deputy Clerk
Document Control Number (Assigned by the City Clerk's Office) Entered By Date
Revised 1/25/07 jo
2
C:\Documents and Settings\compurbm\Local Settings\Temporary Internet Files\OLK1 C5\BC Application Revised July 18 2007.doc
Nikki S. Weisburd, Esq.
Nikki Weisburd is an attorney for the Transitioning Youth Project, a joint project of
Legal Aid Society and the Guardian Ad Litem program that aids teenage youth in
foster care. Ms. Weisburd has been with the project for three years and has
played an integral part in the training of new dependency judges and volunteer
lawyers. She wrote a manual for training volunteers to understand alt of the
issues facing teenage youth in foster care. Prior to her work in the foster care
system, Nikki was an associate at Hunton & Williams in Atlanta and worked for
Camp Twin Lakes, anon-profit camping facility for people with special needs.
Nikki also worked on Vice President Gore's advance team in the early 1990's
and worked on the Clinton/Gore re-election team in 1996.
Nikki graduated Phi Beta Kappa from Emory University and received a JD from
Emory University School of Law.
Nikki has volunteered for more than ten years as a camp counselor at Camp
Fiesta, a camp for children with cancer. She currently serves on the Board of
Trustees of Lehrman Community Day School and the Board of the Galim
Chapter of Hadassah on Miami Beach.
Nikki lives on Miami Beach with her husband, Randy, and their two children,
Hilary and Ryan.