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Judith Berson-Levinson 12/31/2009l~ #. .t ~~. _. -._ ~.~_~ ..~, .. - f. 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) 673-7471, Fax: (305) 673-7254 01 /24/2008 Judith Berson-Levinson 900 Bay Dr PH-1 Miami Beach, Florida 33141 SUBJECT:'; Beautification Committee Congratulations! You have been reappointed by Commissioner Richard l_. &teinber to the above referenced agency, board or committee for a term endin,,~: 1213112009. If you are unable to accept this appointment, please notify the City Olerk's Office at (305) 673-7411. Please read the enclosed material carefully. Again, congratulations and good luck. Sincerely, % z~Gi.~~/sue ~~~~°~~ r Robert Parcher City Clerk cc: Saul Frances, Parking Director John Oldenberg 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 ..^,ode of Ethics Orcfin~nce City Wide Permit Application - (Parking Department Form) Booklet -Guide to the Sunshine Amendment and Code of Ethics for Public Officers 2rd Employees We are committed to providing excellent public service and sa/ety 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.aov OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk Tel: (305) 673-7411, Fax: (305) 673-7254 TO Judith Berson-Levinson RE: Beautification 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 Cade 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 the board or committee on which I serve) on July 1st, following the closing of the calendar year on wfyeFrt)have served. / Judith Berson-Levinson Sworn to and subscribed before this da of ~ ~j/~/~270'0~~ V ~y%~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 all who live, work and play in our vibrant, tropical, historic community. ~ .u1 m MAM1E~tACI~ ,.- ~ r. • a,~ ~. _ .~ ~ 3 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: Ye ' - or No ~~.'. Demonstrate an ownership/interest in abusiness in Miami Beach for a minimum of six (6) months: Yes or No I I am applying for a Board appointment because I ~ve special abilities, My special abilities, knowledge, or experience is: l7U CA-"f7 ~ fJ r Are you a registered voter ic~n Mia;~mi~ Beach:/Yes/ PS Or No ~,.; NAME: ~CIW~ I V ~ ~Y/V ~ ~~©]~. ~~ Home: C- Initial Address: I "i I U VVI I f7 ~ /.r< tl /~( ~ / 4 I ~~No. ~f SVeet City%~ State ZipC/ode Phone: ~~~ O_~~ ~ 'T3~ .~'7 7~ 6 ~3~Q ~S r~6~ ~7d J ~ 5~ SO Vl ~GOI . Home Work Fax mail address (Please cr ~,. ~ -r a': . .., ~ ~,I ,er?~r,~r oc q,_a~~~I~c~:r,h... `~C7F~` ,I ":,eaeit Business Name: I ~ O~ ~J]~~ ~{ ~p't~P Applicant's Position: V Address: q~U Ply Dl2 ~(-f ( ~ /~M I V~~4cM r2 33/~ I No. Street City State Zip Code ;1~ Owner C StockholdeNShareph~~olnder 0 Corporate Officer G Other Explain: Professional License (describe) gra-tL ~S I I i ~/~r ~OMM u~(~~1~ ~l~ (Z Expires: Attach £, ,,, , Ur... ?,: ... .. .. ,,._ ~ 1. Have you ever been convicted of a felony: Yes ~~ or No If yes, please explain in detail: 2. Do you arrently have a violation(s) of Ciry of Miami Beach codes: Yes C or No ,. If yes, please explain in detail: 3. Do you currently owe the City of Miami Beach any money: Yes C or No If yes, explain in detail 4. Are you cumently serving on any City Boards or Committees: Yes o or No If yes; which board? What organizations in the City of Miami Beach do you List all properties owned or have an interest in, which are y hold membership in7 Title: „~ ~~ ~_Title:__L ed within the Cirypf Miami Beach I am now employed Dy the City of Miami Beach: Yes C or NW~S If yes, which department? V ll LGR\SALLSk3Kt" ,4pplii aI ornEi&C @upiirdl¢in Pev~sed 091106-hoc / Pursuant to CIry 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): Please list your preferences in order of ranking [iJ first choice [2] second choice, and [3] third choice. Please note that only three (3) choices will be observed by [he City Clerk's Office. (Regular Boards of City) '.-: Art in Public Places Committee ~,.: Barrier Free Environment Committee [1 Beach Preservation Board ~3~ Beautification Committee is Board of Adjustment" ~Z¢(Budget Advisory Committee ~ Committee on Homeless j ,krCommittee for Quality Education in MB ^ Community Development Advisory` ^ Communiry Relations Board ^ Convention Center Advisory Board ^ Convention Center Capital Projects Oversight ^ Debarment Committee ^ Design Review Board' Fine Arts Board ^ Golf Advisory Committee ^ Health Advisory Committee 0 Health Facilities Authority Board ^ Historic Preservation Board' Housing Authority' Loan Review Committee` Marine Authority" _ Miami Beach Cultural Arts Council Miami Beach Commission on Status of Women ~, Miami Beach Florida Sister Cities G Normandy Shores Local Gov't Neigh. Improvement r ~~ Oversight Committee for General Obligation Bond •:' Parks and Recreation Facilities Board Ci Personnel Board' L ~~ Planning Board' i; Police Citizens Relations Committee - Production Industry Council ':Public Safety Advisory Committee ~ Safety Committee C Transportation and Parking Committee f_. Visitor and Convention Authority` 7 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 Cerder: t. Past service on the Youth Center Advisory Board: Yes ^ No~Years of Service: 2. Present participation in Youth Center activities by your children Yes Nom 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: This section is "not required" but desired: Age: ~yyeare old Ethnie O gin (Check one) yyh African-American/Black ^ Hispanic: ^ Asian or Pacific Islander 0 American Indian or Alaskan Native ^ Employment Status: Employed L Retired~i Home-maker ~ Other fl . Gender: Male a Female "I hereby a st to the accuracy and truthfulness of the application and have received, read and will abide by Chapter 2, Artlcle VI of a City Code "~tehdards oT Conduct for City Officers, Employees and Agency Members " / / 23/ b 7 ~~ d r~~ ~Scs, - L~~ t n S o ~ Appli 's Signature Date Name of Applicant (PLEASE PRINT) A chment: Please attach a copy of your resume to your application. NOTE: Applications will remain on file Tor a period of one (1) calendar year. ~, Received in City Clerk's Office I /~ /Q-~- by ~ ~ ~ ~~ Deputy Clerk Date Document Control Number (Assigned y the CiCi-ry Clerk's Otfice) Ir(h W Entered By Date ~°T Revised 9/11/06Ih z ~~ ~~~ F:ACLEf2\$ALL1t3RC Anpl r elu i a :(; ql ~ ~ , ,u ~=~ h Jll~'-U8 ;ioc t` `~,