Leslie Graff 12/31/2008
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
01-14-2008
Leslie Graff
5080 Alton Rd
Miami Beach, Florida 33140
'SUBJECT: Parks and Recreational Facilities Board
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,
a
i-~' " L ~~
Robert Parcher
City Clerk
cc: Saul Frances, Parking Director
Kevin Smith
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 fo a!I who live, work and play in our vibrant, tropical, historic community.
~'1~p 9
~~ml~f t t ~~Y ~ ~'.d 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 Leslie Graff
RE: Parks and Recreational Facilities 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: 12/31/2008.
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 t board or committee on which
I serve) on July 1st, following the closing of the calendar year o 'ch I have served„ /~
~.~ Leslie Gr2~ff'
Sworn to and subscribed before me this day ofJ~ ~ , 200_d
./~
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 alJ who live, work and play in our vibrant, tropical, historic community.
m MIAMIBEACH
Resident of Miami Beach for a minimum of six (b) months: Yes ~ or No [ ]
Demonstrate on ownership/interest in a business in Miami Beach for o minimum of six (b) months: Ye
I am applying for a Board appointment because I have special abilities, knowledge, experience: Yes or No [ )
My special abilities, knowledge, or experience is:
Are you o regist ed voter i i Beach: Ye~r No ^
NAME: ,~~,~-~ I ----
„ ~ /.
/'" 4
~~~~I vP
Pursuant to City Code section 2-2?_(-0) o and b: Members of agencies, boards, and committees shall be affiliated wish the city; this requirement <
be fulfilled in the following ways: o) an individual shall have been a resident of the city for o minimum of six months; or b) on individual s
demonstrate ownership/interest for a minimum of six months in a business established in the city.
First Nome Middle Initial
~ 33 > ~ v
((~~,, l' \ ` City State Zip Code
Phone:`~~b(O ~ ~t `! ~~ ~j~jZ~ ~ S ~ ~ ~ ~~5,1 C
Home Work Fax /~c. ~ ~ ~ ~~ l'm`
Em address
(Please check one): I am now a resident of: North Beach ^ South Beach ^ Middle Beach
Business Name. Applicant's Position:
Address:
Last Name
Home ~Lt'~r~f7 fT ~~j/1/ ~~ro
Address: No. Street
BOARDS AND COMMITTEE APPLICATION FORM
No.
Street
City
^ 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 o felony: Yes ^ or No ~If yes, please explain in detail:
State Zip Code
Expires:
2. Do you currently have a violation(s) of City of Miami Beach codes: Yes ^ or No~. If yes, please explain in detail:
3. Do you currently owe the City of Miami Beach any money: Yes ^ or No
If yes, explain in detail:
_. _
4. Are you currently serving on any City Boards or Commi es: Yes~.or No ^
If yes; which board? ~" ~~ •,,
What organizations in the City of Miami Beach do you currently hold membership in?
Name:
Title:
Name:
Title:
List all properties o,~vned or haveRn inte(est in, which e located within the City of Miami Beach:
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I am now employed by the City of Miami Beach: Yes ^ or N If yes; which deparimeni?
Pursuant to City Code Section 2-25 (b): Do you have a parent ^], spouse ^], child ^], brother ^l, 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.
Re ular t3oards of Lit
^ Art in Public Places Committee ^Housin Authorit
O Barrier Free Environment Committee ^loan Review Committee'
^ Beach Preservation Board ^Marine Authority "
O Beautification Committee ^Miami Beach Cultural Arts Council
^ Board of Adjustment (Flood Management * ^Miami Beach Commission on Status of Women
^ Bud et Adviso Committee ^Miami Beach Florida Sister Cities
D Committee on the Homeless ^Normond Shores Local Gov. Nei hborhood Im rovement
O Committee for Qualit of Education in Miami Beach ^North Beach Youth Center Oversi ht Committee
^ Communi Development Advisory Committee' ^Oversight Committee for Genera- Obligation Bond
^ Communit Relations Board arks & Recreational Facilities Board
D Convention Center Advisory Board ^ Personnel Board
D Debarment Committee ^ Plannin Board "
O Desi n Review Board " ^ Police Citizens Relations Committee
^ Fine Arts Board ^ Production Indust Council
^ Golf Adviso Committee ^ Public Sofet Adviso Committee
^ Health Adviso Committee ^ Safe Committee
^ Health Facilities Authorit ^ Trans ortation & Parkin Committee
^Hispanic Affairs Committee ^ Visitor & Convention Authority "
DHistoric 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 . Post service on the Youth Center Advisory Board: Yes ^ Na'CI Years of Service ^
2. Present participation in Youth Center activities by your children Yes ^ No ^. If yes, please list the nornes of your children,
their ages, and which programs. List below:
Child's name:
Child's name:
This section is "not required" but desired: Age: ^
Ethnic Origin (Check one)
White ^ African-American/Black ^ Hispanic: ^
_Asian or Pacific.Islander.^ American Indian or Alaskan Native ^
Employment Status: Employed ^ Retired ^ Home-maker ^ Other ^ _
Age: Program:
Age: Program:
"I hereb s to the accuracy and truthfulness of the application and have received, read and will abide by
Cha r icle II f the City Code "Standards of Conduct for City Officers, Em loyees nd ency
"
ppli ant's Sig ur Date Name of Applicant (PLEASE PRINT)
Attachment: Please attach a copy of your resume to your application.
NOTE: Applications will remain on file for a period of one (1) calendar year.
Received in City Clerk's Office ~ by -- Deputy Clerk
Document Control Number (Assi ned y the City Clerk ffice) ~ ~' Revised 1 1 /15/05
Gender: Male or Female ^
C:\DOCUMENTS AND SETTINGS\CLERGIBE\LOCAL SETTINGS\TEMPORARY INTERNET FILES\OLK14\BC APPLICATION NOV 20051.DOC