Randy Heimler 12/31/2009
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 /14/2008
Randy Heimler
1500 Bay Rd #1238
Miami Beach, Florida 33139
SUBJECT: Convention Center Advisory Board
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,
3
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Robert Parcher
City Clerk
cc: Saul Frances, Parking Director
Clara Larosa
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.
I ~~ i ~
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 Randy Heimler
RE: Convention Center Advisory Board
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 n which a e served.
Randy Heimler
Sworn to and subscribed before me this / day of__~~, 200'
Silvia Prieto ~~ S i L ~ t ~ ~i~l'~Q
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.
~~~~,~
.~
BOARDS AND COMMITTEE APPLICATION FORM
Pursuant to City Code section 2-22(4) a and 6: 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 (b) months: Yes [~ or No [ ]
Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (b) months: Yes [ ] or No [X]
I am applying for a Board appointment because I have cial abilitie , knowle ge xperience: Yes~^]
My special abilitie ,knowledge, or experience is: /I](/11, ~
Are you a regi e ed voter i Miami Beach: Yes ^ or No ^ ,,~^
NAME: /I1 ~ ~"~C
Egst Name ~ rust am~ Mi I Initial
Home ~ Q/ i~ l~~ ~ ~;
Address: No. Street ) City /~~ Sate ^Zip Code
Phone: ~ ~ ~ ~ lp` ~~~ ~(~ ~/ 1/~ dL -L
Home Work Fax Email address
(Please check one): I am now a resident of: North Beach South Beach ^ Middle Beach ^
Business Name:
Address
Applicant's Position:
No. Street City State Zip Code
^ Owner ^ Stockholder/Shareholder ^ Corporate Officer ^ Other Explain:
Professional License (describe):
Attach a copy of the license listed above. ~,(~
1 . Have you ever been convicted of a felony: Yes ^ or No L]' If yes, please explain in detail:
Expires:
2. Do you currently have a violation(s) of City of Miami Beach codes: Yes ^ or Nq.~. If yes, please explain in detail:
3. Do you currently owe the City of Miami Beach any money: Yes ^ or Nq~.
If yes, explain in detail:
4. Are you currently serving n any City Boards or Committee s or No ^.
If yes; which board? -~~ ~?'/~ ~~~~ .
What organizations in the City of Miami Beach do you currently hold membership in?
Name:
Name:
Title:
List all properties owned or have an interest in, which are located within the City of Miami Beach:
Title:
C:\DOCUMENTS AND SETTINGS\CLERGIBE\LOCAL SETTINGS\TEMPORARY INTERNET FILES\OLK14\BC APPLICATION NOV 20051.DOC
I am now employed by the City of Miami Beach: Yes ^ or No ~. If yes, 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):
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 Citvl
^ Art in Public Places Committee ^Housin Authori
^ Barrier Free Environment Committee ^Loan Review Committee*
^ Beach Preservation Board ^Marine Authority *
^ Beautification Committee ^Miami Beach Cultural Arts Council
^ Board of Adjustment (Flood Mana ement * ^Miami Beach Commission on Status of Women
^ Bud et Adviso Committee ^Miami Beach Florida Sister Cities
^ Committee on the Homeless ^Normand Shores Local Gov. Nei hborhood Im rovement
^ Committee for Quali of Education in Miami Beach ^North Beach Youth "Center Oversi ht Committee
^ Community Development Advisory Committee* ^Oversight Committee for General Obligation Bond
Communi Relations Board ^Parks & Recreational Facilities Board
Convention Center Advisory Board ^ Personnel Board
^ Debarment Committee ^ Planning Board
^ Design Review Board * ^ Police Citizens Relations Committee
^ Fine Arts Board ^ Production Indust Council
^ Golf Adviso Committee ^ Public Safet Adviso Committee
^ Health Adviso Committee ^ Safe Committee
^ Health Facilities Authori ^ Trans ortation & Parkin Committee
^Hispanic Affairs Committee ^ Visitor & Convention Authority
^Historic Preservation Board * ^ Youth Center Advisory 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:
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:
Child's name:
Age:
j ~~jAge:
This section is "not required" but desired: Age: ^-7'(} Gender Male r Female ^
Ethnic Origin (Check one)
White ~ African-American/Black ^ Hispanic: ^
____ Asian or Pacific_Islan_dsr_^__American_Indian or_Alaskan Native_^ _____
__ __ _ -
__ --
Employment Status: Employed ^ Retired ^ Home-maker ^ Other ^
"I hereby attest to the accuracy and truthfulness of the application n have rece've ,read and will abide by
Chapte 2, is VII - of the City Code "Standards of Conduct o City Office ~ , mployees and Agency
Memb rs " _
App icant's Si nature Dat ~ Na_me of A lican PLEASE PRINT
PP ( )
Attachment: Please attach opy f your resume to your application.
NOTE: Application will r ain on or a period of one (1) calendar year.
Received in City Clerk's Office ~ ~ De ut Clerk
P Y
Document Control Number (Assigned y the City Clerk's ice) Revised 1 1 /15/05
Program:
Program:
C:\DOCUMENTS AND SETTINGS\CLERGIBE\LOCAL SETTINGS\TEMPORARY INTERNET FILES\OLK14\BC APPLICATION NOV 20051.DOC