Mark Hayes 12/31/2009
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
02-06-2008
Mark Hayes
3001 Prairie Ave.
Miami Beach, Florida 33140
x--
,,;_ Community Development Advisory Committee
Congratulations! You have been appointed by Commissioner Jonah M. Wolfson
to the agency, board or committee named above for a term ending: 12/31/2009.
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,
~~z/s~
Robert Parcher
City Clerk
cc: Saul Frances, Parking Director
John Quade
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, 258 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 sa/ety to aH who live, work and play in our vibrant, tropical, historic community.
Clty Of Mieml Beech, 1700 Convention Center Drive, Miami Beach, Florida 33739, www miamibeachfl.aov
OFFICE OF THE CITY CLERK, Robert Percher, City Clerk
Tel: (305) 673-7411, Fax: (305) 673-7254
TO Mark Hayes
RE: Community Development Advisory Committee
I do solemnly swear or affirm to bear true faith, loyally 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 appointedforaterm 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
Amendmentand Code of Ethics for Public ~cers and Employees, and understand that as a member
of a City of Miami Beach Board and/or Committee, 1 must comply with a financial disclosure' require-
ments of Miami-Dade County or the State of Flodda (depending orytboagi or committee on which
I serve) on July 1st, following the closing of the calendar ye~-~m I served.
Sworn to and subscribed before me this b day of ~.~~~, 200
Silvia Prieto
Deputy Clerk
*Please visit the Gty of Miami Beach website at www.miamibeachfl.gov under City Clerk/Board and Committees
for additional information regarding the Financial Disdosure Requirements.
We are committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical, histodc community.
.,
NAME: ' ~%~ \,J
La ame
HOME ADDRESS: ~ ~~
No.
'~ 3 t ~? "
PHONE: ~"~ ~~-' ~~
Home
Street
3~S"-
Work
y~@lcdie Imuai
~f
a'~c~;'t
.~ i r >(
Business Name: ~•°~ X,'•~~ t~ i C'; ~'~a /~ ~~ Q~~ Sc~l1* iN(Position: GS -~\ C N"
Address: ~ ~-GC. Pti~l ! C nt t'n ^ f~ J~,Vt ~~1 , U I i` ~ ~~ ~ (~
No.
Professional License (describe)
Street
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 a business in Miami Beach for a minimum of six (6) months: Yes,/or 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(,t;
• I am applying for an appointment because 1 have special abilities, knowledge, experience. Please list below:
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
r Beach Preservation Board
^. Beautification Committee
Board of Adjustment*
^C Budget 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 Advisory Committee
Health Facilities Authority Board
~-Hispanic Affairs Committee
Historic Preservation Board*
Board Required to File State Disclosure form
First Name
~` Qc~ -2 t~ ~t~ ~'1
Housing Authority*
Loan Review Committee*
_~ Marine Authority*
_ Miami Beach Cultural Arts Council
^_ Miami Beach Commission for Women
-Miami Beach Florida Sister Cities
Normandy Shores Local Gov't Neigh. Improvement
_ Oversight Committee for General Obligatio n Bond
Parks and Recreation Facilities Board
Personnel Board* n rv
Planning Board* .=i o
Police Citizens Relations Committee --< °p ~
Production Industry Council n a ~'I
Public Safety Advisory Committee rrr--, Z
- Safety Committee ~ ~
C Transportation and Parking Committee --
Visitor and Convention Authority* ~' ~ 'C
Youth Center Advisory Board ~ ~ ~ 1'1
~
c~ cn
'
T Ao-
Note: If applying for Youth Advisory Board, please indicate your affliction with the Scott Rakow Youth Center:
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 . 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:
.Have you ever been convicted of a felony: Yes or N~)/ If yes, please explain in detail:
• Do you currently have a violation(s) of City of Miami Beach codes: Yes or Nd~~. If yes, please explain in detail:
• Do you currently owe the City of Miami Beach any money: Yes or No~~ If yes, explain in detail
• Are you currently serving on any City Boards or Committees: Yes or Nq~' If yes; which board?
• What organizations in the City of Miami Beach do you currently hold membership in?
Name: Title:
Name:
Title:
• List all pr!o~pe~~rt(ies 1owned or have an intere/St in, which are located within the City of Miami Beach:
~Q(~~~1r1 ~~ !h' ~W~'v ,~ i~~7.~iU j~Jl't~i1.~r~: i (~ ` j.:~. .._ .~ !/
/ a-- t 6 ~f'~ / .(a4~
• I am now employed by the City of Miami Beach: Yes or N~`Y' 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 Origin (Check one)
White'~African-American/Black : Hispanic ~ Asian or Pacific Islander _ American Indian or Alaskan Native
Employment Status: Employed Retired CC Home-maker ~~ Other
"I hereby attest the accuracy and truthfulness of the application and have received, read and will abide by Chapter 2,
Article Ypl~ of t, Ciq!)C~ ~ "Standards of Conduct for City Officers, Employees and Agency Members."
'// ~ / r r~
A plican~ Sig tur" ei ~ ~ l ~~ i ~ r ~ ~
,/ ~Date~ Name of Applicant (PLEASE PRINT)
Please attach a copy of your resume to this application
NOTE: Applications will remain on file for a period of one (1) calendar year.
Received in City Clerk's Office by ...~.-Sc' ~ -~.. Date ~t ~ ~
Name of 6eputy Clerk OC
Document Control Number (Assigned by the City Clerk's Office) 23 OJ Entered By Date I ~ fY O~
Revis tl 10291 0] L Hattieltl
~y
3001 Prairie Avenue Miami Beach Florida, 331 34
305-531-3616
Emeraldcatering.nef
To use my knowledge of running businesses and developing working relationships in
the financial environment. To help better the community that I live in and use my
affiliation with running 4 catering facilities on Miami Beach to further the work that
is need on the committee.
Class of 1986
Bachelors in Science
F ~~~~e'12IF1~~'f
President
1995 -current
Operate 4 Catering facilities, Over see staffing and employees
3~S#.1.~
^ Management of employees
^ Event planning
^ Building of facilities
^ Menu Planning