Marc Gidney 12/31/2008=~~1 BEACH
~,~;~ Miami Beane, 77~ Conventian Center ~i:i;vE, ruiiomi Ftiench, ~lor:~c~ 3 ~'• 9, '+v~+*.miamibeochfl.gov
CITY CLERK'S OFFICE
Tel: 305-673-7411 ,Fax: 305-673-7254 CiryClerk@miamibeachfl.gov
December 21, 2007
Marc Gidney
2800 Banyan Blvd, Circle NW
Miami Beach, Fla 33431
SUBJECT: Budget Advisory Committee
Congratulations! You have been reappointed by Commissioner Deede Weithorn to the above-
referenced agency, board or committee for a term ending 12131/08.
If you are unable to accept this appointment, please notify the City Clerk's Office at
305.673.7411.
Sincerely,
d %~h~.~'~ S~
~-7L- f
Robert E. Parcher
City Clerk
C Saul Frances, Parking Director
Jose Cruz
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
Citywide Permit Application (Parking Department form)
Booklet -Guide to the Sunshine Amendment and Code of Ethics for Public Officers and
Employees
1Yri~e ore mmrr~itfed:'o proW~=na excz.ler , ~,;~Lc seeeic2 ~r,~ ;z7fery io c8 why in~e, pro 1, aria arm in oar ~~;i7ron~. tropimf, historic commuN€v.
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.pov
OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk
Tel: (305) 673-7411, Fax: (305) 673-7254
TO Marc Gidney
RE: Budget Advisory Committee
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 cal~egr on~ic~ I have~served.
~fllarc Gid ey
Sworn to and subscribed before me this ~ day of a'~ , 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.
m MIAMIBEI,CH
NAME:
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Last Name ~ First Name Middle Initial
HOME ADDRESS: ~~ ~ -3 ~r`t P ~ /< r.!//~ T 7 ~.- !(vz- z S w(9e2,~ ~C ~'~~~~
No. Street City GState Zip ode
PHONE: -~~Sr'Y~~ 6 ~ ~ ~/.D~r/f~' ~O ~ ~~`~co. Co`,
Home Work Fax Email address
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Business Name: .~/U C~'~ ~ ~'~'leosition: C~~ ~- t'~~.---
Address: -~ Z~ "- ,/ S ~s % 2 ~ )' /'_~! s /i~~r/ ~`~S ~ c ,S'~/~ /
No. Street City ~-' S~ Zip Code
Professional License (describe) ~ Expires: 2-~' ~ ,~;~€~srr a ~.:~ra ~3 .FTy ~~c~a~s~:U=
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: YeNo L~~
-------,
• Demonstrate an ownership/interest in a business in Miami Beac/h for a minimum of six (6) months: Yes iyor 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:
~1~ef~
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
^ Bow of Adjustment*
udget 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 AdvisoryCommittee
^ Health Facilities Authority Board
^ Hispanic Affairs Committee
^ Historic Preservation Board*
' Bosh Required to File State Disclosure form
^ Housing Authority*
^ Loan Review 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
F:ICLERISALLIB&C Appiicationl[3&C Application Revised Q~31106 jakes.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 ! I 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:
•Wave 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 yes, please explain in detail:
• Do you currently owe the City of Miami Beach any money: Yes ^ or No f yes, explain in detail
• Are you currently serving on any City Boards or Committees: Yes ^ or No ryes; which board?
• What organizations in the City of Miami Beach do you currently hold membership in?
Name: Title:
Name:
Title:
• 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 No[~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: ~ years old Gender: Male ~ Female ^
Ethnic ,Ord' in (Check one)
White [!'African-American/Black ~ispanic: ^ Asian or Pacific Islander ^ American Indian or Alaskan Native ^
Employment Status: Employed B'Retired ^ Home-maker ^ Other ^
2
F:ICLERISAL~!B&C ~,{3;~lic~tiranl~t'C, A~pli~sts<:m Revised 0911(76 jakt~s.d:x;
"I hereby attest to the accuracy and tr hfulness of the application and have received, read and will abide by Chapter 2,
Article VII - of o "Ste of Conduct for City Officers, Employees and Agency Members."
~° ~~ "~,~
p `s ure Date ~
Name of Applicant (PLEASE PRINT)
~^
lease a ach a copy of your resu to this application
NOTE: plications will remain o fi for a period of one (1) calendar year.
t '~
Received in City Clerk's Office by Date
N eputy CI
Document Control Number (Assigned b t City Clerk's Office) Entered B Dat
Revised 5107
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