Francis Trullenque 12/31/2009
City of Miami Beach, 1700 Convention Center Drive, Miami Beach. Florida 33139, www.iniamibeachfl.gev
OFFICE OF THE CITY CLERK. Robert Parcher, City Clerk
Tel: (305) 673-7411, Fax: (305) 673-7254
01-16-2008
Francis Trullenque
5620 Alton Rd
Miami Beach, Florida 33140
SUBJECT: Hispanic Affairs Committee _
Congratulations! You have been appointed by Commissioner Ed Tobin
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,
,,
~ 'G~ ~'~~',' ~'c~<f ..
G ~'~ Ul~
Robert Parcher
City Clerk
cc: Saul Frances, Parking Director
Nannette Rodriguez
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.
m ',IAiti11B1
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov
OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk
Tel: (305) 673-7411, Fax: (305) 673-7254
TO Francis Trullenque
RE: Hispanic Affairs 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 far Public OfFcers and Emp/ogees, 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.
~'
_._
`- - Francis Trullenque
Sworn to and subscribed before me this ~ da/y of . ~G,e,:,- ~ , 200~'~
11 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.
~~
NAME: p'~,,~C . ,J ~
Last Name
HOME ADDRESS: ~S`~o7~
No.
PHONE: ~~ /~!J!a L/ ~, ~ ~~
Home
Business Name: ct~ ~
Address: _ ~G ~~
No.
Professional License (describe) __
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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 es or No
• Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) month .Yes or No
• Are you a registered voter in Miami Bea : Y~-'
es ~ or No
• (Please check one}: I am now a resident of: North Beach South Beach Middle Bea h
• I am applying for an a omtm
pp ent because I have special abilities, knowledge, experience. Please list below:
Please list your preferences in order of ranking [1] first choice [2J second choice, and [3J third choice. Please note that only three f3)
choices will be observed b the Cit Clerk's Office. (Regular Boards of Cit
i~Art y)
in Public Places Committee
~: Beach Preservation Board
Beautification Committee `Housing Authority*
Board of Adjustment"` _ Loan Review Committee*
"- Budget Advisory Committee M~ ~me Authority*
-ta
i ~i Beach Cultur
l Art
C
mittee on Homeless ~~
a
s
ouncil
~IVliami Beach Commission for Women
~mittee for Quality Education in MB
„,/////~immunit
De
l
* _ Miami Beach Florida Sister Cities
y
ve
opment Advisory
- Community Relations Board __ Normandy Shores Local Gov't Neigh. Improvement
Convention Center Advisory Board
~ Ove~rsight Committee for General Obligation Bond
marks and Recreation Facilities Bo
rd
{
ebarment Committee
De ign Review Board` a
_ Personnel Board*
sability Access Committee
Fine Arts Board -Planning Board*
~ Police Citizens Relations Committee
:. Golf Advisory Committee P,r~duction Industry Council
r~li
S
Health Advisory Committee y
c
afety Advisory Committee
~
alth Facilities Authority Board
ispanic Affairs Committee j
afety Committee
`- Trarrssportation and Parking Committee
/
Historic Preservation B
d` ~.
~ or and Convention Authority*
oar outh C
First
State Zip
enter 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. Past service on the Youth Center Advisory Board: Yes No Years of ;je~uce:
2. Present participation in Youth Center activities by your children Yes o If yes, please list the names of your children,
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 No If yes, please explain in detail:
• Do you currently have a violation(s) of City of Miami Beach codes: Yes No If yes, please explain in detail:
• Do you currently owe the City of Miami Beach any money: Yes r No If yes, explain in detail
• Are you currently serving on any City Boards or Committe :Yes or No If yes; which board?
• What organizations in the City of Miami Beach do you currently hold membership in?
Name:
Name:
. List all properties owned or have an interest in, which are located within the City of Miami Beach:
A
• I am now employed by the City of Miami Beach: Yes r No 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): ~ >~ ~ )~~1
This section is "not required" but desired: Age: ~~ years old Gender: Male ~Fernale
Ethnic Origin (Check one)
White ~ African-American/Black _ ispanic: ~ Asian or Pacific Islander -American Indian or Alaskan Native
Employment Status: Employed ~;, red ~~' 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,Co ards of Conduct for City Officers, Employees and Agency Members."
~---- --~//J/ -_------ -
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Applic i,ghature !, D e Name of Applicant (PLEASE PRINT)
Please ch a copy of your resume to this application
NOTE pplications will remain on file for a period of one (1) calendar year.
Received in City Clerk's Office by ~~ ~ Date
Name of Deputy Clerk
Document Control Number (Assigned by the City Clerk's Office) Entered By ~2 ~ /Date
Revi ed 101291 007 L. Hatrield
their