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Gertrude Arfa 12/31/2008~~ ~ ~, 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 01 /14/2008 Gertrude Arfa 4925 Collins Ave Miami Beach, Florida 33140 ET: Miami Beach Commission For Women Congratulations! You have been reappointed by Commissioner Ed Tobin 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 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, 2-2458, 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 p/ay in our vibrant, tropical, historic community. '~° t f .~ 't ~ , "~L 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 Gertrude Arfa 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 t~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. Gertrude Arfa Sworn to and subscribed before me this day of ` , 200 Silvia 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. ..m., FROf1 ARFA-TRIJL FA: hJO. 3~55730^5^ -~». FJo~~. ?S Z^~37 11:49AM P1 ' A r i f S 7 „ k NAME: Last Name ~ ', y ~ .. .. , .. ~ ../~.. y } First Name Middle Initial HOME ADDRESS: C ~,5~ ~d ~~ / ~S' v , PHONE; ~ ~- 3~ i~~ No. ~ ! Street / City State Zip Code ~~ / ~' b ~ ~ ~ ~~ ~i ~ ~~ L-. 7 ~ 1? .7 ~ ~ //ten ~. ~w L 1i ~ /_1 Home Business Name: Position: ax address • 'h~~ Address: No, Street City State Zip Code Professional License (describe Expir®s: ~~z,.,~r.:'r , ~~>;. , c ;~,, r~7~~. 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 far a minimum of six months; or b) an individual shall demonstrate ownershiplinterest 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 n . Demonstrate an ownershiplinterest in a business in Miami Beach for a minimum of six (6) months: Yes or No C • Are you a registered voter in Miami beach: Yes r~No i1 • (Please check one): 1 am now a resident of: North BeachL"7 South Beach i. Middle Beach C7 • l am applying for an appointment because I have special abilities, knowledge, experience. Please list below: ~qv~ ~n-verb ~S ~:Q~a-~ ,~u> P~~ ; o~-.v : - ~t~-c U r-> he co~craa !~~~ ~+ /~ meads ~~-~~ / 57i~ SCR t~ ~ ~ do~9 0_lY kuSc~M - ~~~~"v m;~~s - 7~L4v~t.~.vDU~Py~f~Y~ Please list your preferences in order of ranking [1] first choice (2j second choice, and [3] third choice. Please note that only three f3) choices will be observed by the Ciiy CIPrk's Office. (Regular BoaMs of City) ^ Art in Public Places Committee it Housing Authority`. 0 Beach Preservation Board ^ Loan Review Committee" D Beautification Committee ' ~ Mayor's GreEn Ad-Hoc Committee ^ Board of Adjustment'" ^ Marine Authority' 0 Budget Advisory Committee Q Miami Beach Cultural Arts Council ^ Committee on Homeless ~i Miami Beach Commission on Status of Women ^ Committee for Quality Education in MB ^ Miami beach Florida Sister Cities ^ Community Development Advisory* ^ Normandy Shores Local Gov't Neigh. Improvement Community Relations Board ^ Oversight Committee for General Obligation Bond ^ Convention Center Advisory Board n Parks and Recreation Facilities Board ^ Debarment Committee 0 Personnel Board' ^ Design Review Board' Q Planning Board C Disability Access Committee 0 Police Citizens Relations Committee C] Fine Arts Board _ ~ 0 Production Industry Council C Public Safety Advisory Committee Post-it's Fax Note 7671 c`~tr`/r ~d ' pagrs~ 2 To - From Co. "" Phone# 37000 Phone# 3 _(~'7,?~- o0 O/ FaxN ~ Troo~O ,. F3x# _. 1~7'~-:~~G ~ .:Safety Committee +JTransportaticn and Parking Committee Visitor and Convention Authority* ^ Youth Center Advisory Board -.. + ~ 1 ,,. ,: .,._, .." ,~_....n~ ,i !~~ i.i^,:y ~ ..,?: Rile'{ ~•f: `t.,.. ~~.f.'C ~. C~%.ii: ll_n :?..;'. L-_., .IJ~y l:; iCr~~ .IOi: ~o ~ J ti FROf=1 ARFA-TR'.,J~ Fa;<: r~lo. Mesh ~ so.sb~ r~l~~.:. ?0 20©~ i i : aoar~i I=2 Note; If applying fot' Youth Advisory Board, please indicate your afriliation 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 bolow•. Child's names Age: Program: Child's name: Age: Program' •Have you ever been convicted of a felony: Yes ^ or No ~' tf yes, please explain in detail: • Do you currently have a violation(s) of City of Miami Beach codes: Yes ^ or No~f yes, please explain in detail: • Do you currently owe the City of Miami Beach any money: Yes C] or No ~f yes, explain in detail • Are you currently servin//go~on any City Boards or Co/m~mittees: Yes ~r No 0 If yes; which board? 1.6~iryl.l~~/J.~,d'x~ ~Y' ~. • What organizations in the City of Miami Beach do you currently hold membership ins Name: ~/~7 /~ _ Title: ~~¢/~~ ~Zei'!J Name; ~l~v N ~ ~ o~ ~/lflr? M~ ,B Lit Title: J~OF},Q, n ~ ~~''~- • List all properties owned or have an interest in, which are located within the City of Miami Beach' • I am now employed by the City of Miami Beach: Yes ^ or Noi~!Which department? • Pursuant to City Cod® 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}: ~j( v This section is "not required" but desired: Age: years old Gender: Male Q Female GL-~J Ethnic Ori in (Check one) White ~rican-American/Black Cl Hispanic: ^ Asian or Pacific Islander ^ American Indian or Alaskan Native ^ Employment Status: Employed ^ Retired ^ Home-maker ^ Other ^ "1 hereby attest to the accuracy and truthfutnoss of the applicatlon and have received. read and wit( abide by Chapter 2, Article VII - of tha City Code "Standards of Conduct for City Officers, Employaos and Agency Members." Applicant's Signature Date Name of Applicant (PLEASE PRINT} Please attach a copy of your resume to this application NOTE: Applications will remain pn file for a period of one (1) calendar year. Received in City Clerk's Office by Date Nam® of D9puty Clerk,A Document Control Number (Assigned by the Clty Gerk's QffiCe) ~~ ~/ Entered By ~ DatE ,. ,,,~7`uri e, H,. .I":. 6f,S,~1;.16'i:~N~1C; LJ.1` ~L.);31 .S Y.y&'t1 X111 [117 f:i rY II+Yi~Y;1r..~ 414. _4,;;~}~~;1 _'',u~. ,'l~~, r ) ~~,. ~t:~i-i~ ~UI~ 1~~ ~`i,~l ~iq;: