Loading...
Leonard Wien, Jr. 12/31/2009~~, F Clty Ot 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 02!05/2008 Leonard Wien, Jr. 3005 Flamingo Dr Miami Beach, Florida 33140 Budget Advisory Committee Congratulations! You have been reappointed by Commissioner Richard L.. Steinber ~ to the above referenced agency, board or committee for a term ending: 12131!2009. 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 Parcher City Clerk cc: Saul Frances, Parking Director Jase Cruz 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) Booklet -Guide to the Sunshine Amendment and Code of Ethics for Public Officers and Employees We are committed to providing excellent public service and safety to at! 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 Leonard Wien, Jr. RE: Budget Advisory 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 Pub/ic 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 commit eon which I serve) on July 1st, following the closing of the calendar year on which I have served. Leonard Sworn to and subscribed before me this .% ~ day of =~~~ .~.,,,,__~, 200 ~- [r -Silvia Prieto r~ - 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 fo all who live, work and play in our vibrant, tropical, historic community. R n~e6 I m MIAMIBEACH BOARDS AND COMMITTEE APPLICATION FORM Pursuant to City Code section 2-22_(4) a and b: Members of agencies, baards, and r_ommitiees shall be affiliated with the city; this requirernent shall be fuHilled 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: Yes [~ or No [ ) Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: Yes ~ or No [ ) I am applying for a Board appointment because I have special obiliiies, knowledge, experience: Yes [ My special abilities, knowledge, or experience is: hra,..~ ~ pN ~~~ ~~ r.~'~~ ~.-, 7 ~~~~ Are yov a registered voter in Miami Beach: Yes t5d' or No ^ -~ NAME: ~ , Q,-_.' ~--p Q ~ ©` , ~r Last Name Home ~~ s ~ (~ ~..~.„ Address: No. Street First ~. , o.._.r~.. '~a ~ Middle Initial F~ ~ r~~ Phone: ~~~C,3~~41~ ~~ S ~-`~~~' Home Work City Fax State Zip Code Email address (Please check one): I am now aresident /of: Noorth Beach ^ South Be/ach ^ Middle Beach Business Name: ~^-~' `~~ ~ GZ ~.. , ~~~~ ~~! ~~ ~ ~~ Applicant's Position: _ l~ ~ -"'2~.~ ~~n2 ~ Address: ~?~ ~ C'~.~vr ~O~ ~'t-2„1 ~U' ~ /vl.' ~'.,,^' ~..QoZ t-~ ~~ No. City ~ner ^ Stockholder/Shareholder ^ Corporate Officer ^ Other Explain: h~~ Professional License (describe): _ Expires: Attach a copy of the license Listed above. ~ ~ 1. Have you ever been convicted of a felony: Yes ^ or No I~'(f 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: 4. Are you currently serving on any City Boards or Committees: Yes ^ or No If yes; which board? What organizations in the C,,ity ofOMiami Beach~-do you currently hold membershipnin? Nome: M ~ . ~ tyQO~,~ "~'l• C^~ ~t~ Title: t,~ r~~ ~~1Q, ~.w~/l Name: S~~ ~~ S~ lyl~ ?~-~ r-., ~2,~-r~ ~ ` ~ ~ Title: V ~1`~-:~ t ~~'--, List all properties owned ar have an interest in, which are located within the City of Miami Beach: C:\DOCUMENTS AND SETTINGS\CIERGIBE\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 departmeni? Pursuant to City Code Section 2-25 (b): Do you hove o parent ^], spouse ^], child ^], brother ^^~or sister ^] who employed by the City of Miami Beach? Check all that apply. Identify the department(s): __~A ^-~ Please list your preferences in order of ranking [1 J first choice (2] seccnd choice, and [3] third choice. Please note that only three (3) choices will be observed by the City Clerk's Office. (Reaular Boards of Citvl ^ Art in Public Places Committee ^Housin Authori ^ Barrier Free Environment Committee DLoan Review Committee* ^ Beach Preservation Board ^Morine 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 I ^ Committee for Quality of Education in Miami Beach . m rovement ^North Beach Youth Center Oversi l,t Committee ^ Community Development Advisory Committee* ^Oversight Committee for General Obligation Bond ^ Communit Relations Board ^Parks 8 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 Sofet Adviso Committee ^ Health Adviso Committee ^ Safe Committee ^ Health Facilities Authorit ^ Trans ortation & Parkin Committee ^Hispanic Affairs Committee ^ Visitor 8~ 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: [~' ~ ~ Gender: Male or Female ^ +'~"'~'' "` Ethnic Origin (Check one) White E~AfrlCan-American/Black ^ Hispanic: ^ Asian or Pacific Islander ^ American Indian or Alaskan Native ^ Employment Status: Employed ~ Retired ^ Home-maker ^ Other ^ ul 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 Me/tubers." Applicant's Signature Date Name of Applicant (PLEASE PRINT) Attachment: Please attach a copy of your resume to your application. NOTE: Applications will remain on file for a period of one (1) calendar year. Received in City Clerk's Offic {~~_~j~_ by Cx, Deputy Clerk Document Control Number ( ssig eri d by the City Clerk ffice) Revised 11/15/05 C:\DOCUMENTS AND SETTINGS\CLERGBE\LOCAL SETTINGS\TEMPORARY INTERNET FILES\OLK14\BC APPLICATION NOV 20051.DOC