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Kenneth Carsto 12/31/2009i, 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 01 /03/2008 Kenneth Carsto 5601 Collins Ave 1510 Miami Beach, Florida 33140 SUBJECT: Committee on the Homeless Congratulations! You have been reappointed by Mayor Matti H. Bower to the above referenced agency, board or committee for a term ending: 1213112009. 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, f l 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 al! who live, work and play in our vibrant, tropical, historic community. 4 q ¢ ~h $ 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 Kenneth Carsto 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: 12/31/2009. 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 dsclosure* 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. Kenneth Carsto Sworn to and subscribed before me this 9~'` day of ~ , 200,Q: ~ ~;~v Silva Prieto 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. NAME: ef}1~LS`r'p ~~,(/~"7'+l ~ . Last Name First Name Middle Initial HOME ADDRESS: j ~~/ ~OLG-/.IIS At/L~", / S/d /LI /~jy// ~6~ ~ , ~ 3/ S~ No. Street City State Zip Code PHONE: ~C~cS' -~107~0~/~ C~~7~.r~+iBtZ[.SO~Il~f• x/L`T Home Work Fax Email address Business Name: Y~'77.~GD Position: Address: No. Professional License (describe) Street City State Zip Code _ Expires: 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; 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 or No • Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) month or No • Are you a registered voter in Miami Beac . Ye or No • (Please check one): I am now a resident of: North Beach South Beach Middle Beac • 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 (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* '` Board Required to File State Disclosure form 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 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