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Donna Feig 12/31/2008.~ .~ 4 $ I T 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 01-18-2008 Donna Feig 1480 Daytonia Rd Miami Beach, Florida 33141 :SUBJECT: Transportation and Parking Committee Congratulations! You have been appointed by Commissioner Ed Tobin to the agency, board or committee named above for a term ending: 1213112009. 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, ~l ., / ~s- Robert Parcher City Clerk cc: Saul Frances, Parking Director Saul Frances 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 to all who live, work and play in our vibrant, tropical, historic community. ® ~ ~~ = ~~ 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 Donna Feig RE: Transportation and Parking 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/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 calendar year on which I have served. Sworn to and subscribed before me this~T 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 MIAMIBEACH BOARDS AND COMMITTEE APPLICATION FORM 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; orb) an indviduai shall demonstrate ownershiplnterestfor a minimum ofsix months in a business estabfshed in the city. Resident of Miami Beach for a minimum of sbc (6) months: Yes ] or No [ ) Demonstrate an ownership/interest in a business in Miami Bea or a minimum of s'Ix {6) months: Yes [) or No I am applying for a Board appointment because I have special ablifies, knowledge, experience: Yes My special bi ies, knowledge or experience is: ~ ty~yrjGtPA. Are you a reg s red vot in Miami Bea :Yes or No ^ _ ~"T° NAME: Last Name Home ___~_~ ~i0 .lll Address: No. Street ~ City Initial State Zip Code Phone: ~ '.~~~ .~J ~U7~ .~S~Sif~-l~r~~ COL. C DIY> Home Work Fax Email a dress (Please check one): i am now a resident of: North Beach South Beach O Middle Beech ~ Business Name: ~iZQ,E,~~1 ~~~.ZS .~1 1S'CQ.~(~ Applicant's Position: Address: J"t'J ~ • ~ ~ s' LK,F.FT ~ ~~~ a~ ~~. 3c~~~ No. Street City State Zip Code ^ Owner ~ Stockholder/Shareholder ~ Corporate Officer ~ Other Explain: Professional License {describe): Expires: A>riacfi a copy of the f~cense listed above. i . Have you ever been convicted of a felony: Yes ~ or No ^ ff yes, please explain in decal: ~~~~ ~~~ 2. Do you currently have a violation{s) of City of Miami Beach codes: Yes ^ or No~ If yes, please explain in detail: ~,, Q _.~" ~ r-~ --,=~ 3. Do you currently owe the City of Miami Beach any money: Yss ^ or No ~. =-~ `~' 6~~ Byes, explain in detail: cry ~R ~~~, c,~ F ~'l 4. Are you currently serving on any City Boards or Committees: Yes ~ or No'L~ ~ - `~ Byes; which boards ~ °i Name C:\DOCUMENTS AND SErrINGS\COMPGARJ\LOCAL SETTINGS\TEMPORARY INTERNET FILES\OLK87\BC APPLICATION NOV 200b.DOC ,.~.. I am now employed by the City of Miami Beach: Yes ~ or No ~ if yes, which department8 , Pursuant to City Code Section 2-25 (b): Do you have a parent O], spouse Oj, child Dj, brother ^j, or sister Dj who ~ e toyed by the City of Miami Beach2 Check all that apply. Identify the department(s): Please list your preferences in order of ranking [i ]first choice [2j second choice, and [3j third choice. Please note that only three (3) choices wiN be observed by the City Clerk's OMlce. Ke Ular esoaras yr ~.n O Art in Public Places Committee ^Housin Authorit ^ Barrier Free Environment Committee C]loan Review Committee* O Beach Preservation Board OMarine Authorit « ^ Beauiiftcation Committee Miami Beach Cultural Arts Council D Board of A ustment Rood Mana meet ' OMiami Beach Commission on Status of Women ^ Bud et Adviso Committee D Committee on the Homeless Miami Beach Rorida Sister Cities ONormand Shores Locaf Gov. Nei boyhood Im rovement ^ Committee for Audi of Education in Miami Beach O Communit Devel ent Advis Committee« ONorth Beach Youth Center Oversi t Committee versight Committee for Generd Obligation Bond ^ Communit Relations Bocud Parks 8 Recreationd Facilities Board O Convention Center Advisory Board ^ Personnel Board « O Debarment Committee ~ Plannin Board « ^ De Review Board « ~ PoUce Citizens Rela#ions Committee O Rne Arts Board O Production Indust Council O Golf Advil Committee ^ Public 5d`et Advil Committee D Health Adviso Committee O Safe Committee ^ Health Facilities Authori Iran ortation & Parkin Committee ^Hispanic Affdrs Committee `~ Visitor & Convention Authorit « ^Historic Preservation Board • O Youth Center Advisory Board Note: If Center., *Board Required to File State Disclosure form for Youth Advisory Board, please indicate your affiliation with the Scott Rakow Youth 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 ~Q. If yes, please I'ISt the names of your chtdren, their ages, and which programs. 1_ist below: Child's name: Chdd's name: Age: Program: Age: Program: This section is "not required" but desired: Aye:' Gender. Male ema D Ethnic Oriytn (Check one) Whlte~ Africon-American/Block O Misponk: O Aatan or PacMc islander D American Indian or Alaskan Native O Employment Status: Employed'( Retired © Home-maker ~ Other ^ "1 hereby aHest to the accuracy and huthfuiness of the appBcation and have received, read and wNi abkle by Chapter 2, Article VII - of the qty Code °Stondards of Conduct for City OMcera, Employees Agency Memb ~rs." App icant's Signature Date Name of Applicant (PLEASE PRINT) Attac errt: Please attach o copy of your resume to your oppikation. NOTE: ApplicaMons wiN remain on fife for a period of one (1) calendar year. C:\DOCUMENTS AND SETTINGS\COMPGARJ\LOCAL SETTINGS\TEMPORARY INTERNET FILES\OLK87\BC APPLICATION NOV ~.DOC What organizations in the City of Miami Beach do you currently hold membership in8 Name: ~ Stt~11R1 ~~I,IDEr~,. Title: ~GU~~ _ Name: ~~~,~~~ Title: ~t~~r~- List all properties owned or have an interest in, which are located within the City of Miami Beach: l~~0 3~cv+~R ~ -~bME ~s~~-C~ C:\DOCUMENTS AND SETTINGS\COMPGARJ\LOCAL SETTINGS\TEMPORARY INTERNET FILES\OLK87\BC APPLICATION NOV 2005.DOC