Rosalie Pincus 12/31/091 ~~ ' it
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CITY CLERK'S OFFICE
Tel: 305-673-7411 ,Fax: 305-673-7254
January 18, 2008
Rosalie Pincus
11 Island Avenue Apt 1512
Miami Beach, Florida 33139
SUBJECT: POLICE CITIZENS RELATIONS COMMITTEE
Dear Ms. Pincus:
Congratulations! You have been appointed by Commissioner Weithorn to the above-referenced
agency, board or committee for a term ending 12131/09.
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 Parc er
City Clerk
cc: Saul Frances, Parking Director
City Liaison Chief Noriega
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) Palm Court Building 309 23`" St, Ste 200
Booklet -Guide to the Sunshine Amendment and Code of Ethics for Public Officers and Employees
t=fR~~~'~Jlf~.~ ~.xl rimmi+rti ;:etc
1/y'eara comrmtterl nxprpuit~rnr~:t~xcellent put~lic s~rvJ~ crsd safety'to all v~%no h~ce, work, orrd play in ou+ vibrant, tropicof, historic cor<rrrrurrir'~.
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 Rosalie Pincus
RE: Police Citizens Relations 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: 12/31/2009.
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/o~ida Commission on Ethics Guide to the Sunshine
Amendment and Code of Ethics for Public ~ce~s 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~ar on which I have ed.
/,~
Rosalie Pincu
Sworn to and subscribed before me this ~ day o , 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 MIAMIBEACH
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 (b) months: Yes ~ J or No ( ]
Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (b) months: Yes ]~(] or No [ ]
I am applying for a Board appointment because I have special abilities, knowledge, experience: Yes [k]
My special abilities, knowledge, or experience is: ,~ o ~ ~ c ~ ~ ~
Are you a registered voter in Miami Beach: Yes or No ^
NAME: ~~~'~rUS ~aS J~
Last Name
Home ~ - l~`~c~c h 1 ~"ve n ~~
Address: No. Street
Phone: c 3~ - y a y y
Home y~/o~
(Please check one): I am now a resident of:
BOARDS AND COMMITTEE APPLICATION FORM
First Name Middle Initial
F`er~: t~ecN ~Q ~~/~Q
City State Zip Code
Business Name:
Address:
No.
Street
Fax Email address
North Beach ^ South Beach Middle Beach ^
Applicant's Position:
City
State Zip Code
^ Owner ^ Stockholder/Shareholder ^ Corporate Officer ^ Other Explain:
Professional License (describe): Expires:
Attach a copy of the license listed above.
1. Have you ever been convicted of a felony: Yes ^ or No~ If yes, please explain in detail:
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:
____ - _-
_- - _-..
re you currently serving on any City Boards or Committees: Yes ~ or No ^.
If yes; which board? ~~~s~~-~~~rca -- ~eQ~ o~c~ ~j;5 !~
What organizations in the City of Miami Beach do you currently hold membership in?
Name: ~~ ~~} ~~ n ~~i Title: "
//~~ ~/ ~ g
Name: l:._oYY~/Y1 urn ~ ~y ~i1Fr~ ~PCQ~7Yt ~~Prt~~„~ Title: ~ 2 ~~
~_)i ~~7
List all properties owned or have an interest in, which are located within the City of Miami Beach:
n
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 ^J, child ^J, brother ^], or sister ^] who is
employed by the City of Miami Beach? Check all that apply. Identify the department(s): 1'~ 'C~ ,
Please list your preferences in order of ranking [1 ]first choice [2] second choice, and [3J third choice. Please note that only
three (3) choices will be observed by the City Clerk's Office.
(Regular Boards of City)
^ Art in Public Places Committee ^Housin Authorit
^ Barrier Free Environment Committee ^Loan Review Committee*
^ Beach Preservation Board ^Marine Authority
^ 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
^ 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
Communit 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 Safe 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:
Past service on the Youth Center Advisory Board: Yes ^ No ^ Years of Service ^
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: Program:
Age: Program:
This section is "not required" but desired: Age: ^
Ethnic Origin (Check one)
White ~, African-American/Block ^ Hispanic: ^
_____ _ Asian or Pacifc_Island~r_^_ _American lndian_or Alaskan_Native ^ _
Employment Status: Employed ^ Retired ~ Home-maker ^ Other ^ _
"I hereby attest to the accuracy and truthfulness of the application and have received, read and will abide by
Chapter 2, Article VII - of the City Code "Standards of Conduct for City Officers, Employees and Agency
Members."
~~~ ~~ ~ S c~ ~ ~ ~ ~~L~~
Ap licant's Signatur Date Nam of Applicant (PLEASE PRINT)
Attachment: Please attach a copy of your resume to your application.
NOTE:1?p~ cats i~will remain on file for a period of one (1) calendar year.
Received in City Clerk's Office "f" " by ~ 0.~~ Deputy Clerk
Document Control Number (As igned by the City Clerk's Office) ~~ Revised 1 1 /15/05
Gender: Male or Female ^
C:\DO MENTS AND SETTINGS\CLERGIBE\LOCAL SETTINGS\TEMPORARY INTERNET FILES\OLK14\BC APPLICATION NOV 20051.DOC
ROSALIE B. PINCUS
11 Island Avenue Apt. # 1512 Miami Beach, Florida 305-532-4247
WORK EXPERIENCE
Miami Beach Senior High School, Miami Beach, Florida
^ Counselor, College Assistant Progtam, 1982-2002
VOLUNTEER EXPERIENCE
Minority and Women Owned Business Advisory Board, Miami-Dade County
Appointed 2003
Personnel Board City of Miami Beach, Member and Past Chairperson
Appointed 1999
Mount Sinai Medical Center Board of Trustees, Miami Beach, Florida
Appointed 1977, Appointed Life Trustee 1993
Miami Jewish Home and Hospital for the Aged ,Miami, Florida
Board of Directors Appointed 1986
Douglas Gardens Community Mental Health Center
Board of Directors, Appointed 1982, Past President
Fine Arts Board, City of Miami Beach
Member 1981-1995
Community Relations Board, City of Miami Beach
Member 1995-1997
Miami Beach Commission on the Status of Women, Miami Beach, Florida
Board of Directors 1997-1998
AWARDS RECEIVED
Unsung Heroine Award City of Miami Commission on Status of Women
1995
Key to the City of Miami Beach Presented by Mayor, 1994
EDUCATION
Rollins College Winter Park, Florida, Bachelor of Arts