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Jason Yedwab 6/30/08 Repm_ MIAMIBEACH City of Miami Beath, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov CITY CLERK'S O FICE Tel: X305-67~-74 ,Fax: 305-673-7254 ~/~ Jason Yedwab 7118 Bonita Dr., #601 Miami Beach, Fla. 33141 SUBJECT: Committee for Quality Education In Miami Beach Dear Mr. Yedwab: Congratulations! You have been reappointed by virtue of your being a representative to the agency, board or committee named above for a term ending 06130/2008. 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, L ,~ / , ~~) ~`"~ZL~ O J ~2 C~Gc.~1, Robert Parcher City Clerk cc: Saul Frances, Parking Director Leslie Rosenfeld ,Liaison 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 F:\CLER\$ALL\SILVIA\Board & Committees Letters\Reappointment Letter Hayes.doc We are committed to providing excellent public service and safety to all who live, work, and play in our vibrant, tropical, historic community. Cihr of 1Nio~ni d~och, 1700 Convention Center Drive, Miami Beach, Fbrida 33139, www.miamibeachR.gov OFFICE OF THE CITY CLERK, Robert Percher, Ciy Clerk TEL: (305) 673-7411, FAX: (305) 673-7254 TO Jason Yedwab RE: Committee for Quality Education in Miami Beach 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: 06/30/200$. ~ (~j 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 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 which I have served. ~ J on Yedwab Sworn to and subscribed before me this 2 S day of ar C ~ , 200 Vii" r \~a~~ zi~~ -- ____ t`"'''`, Liliam Hatfield 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 ore committed to providing excellent public service and safely to all who live, work, and play in our vibrant, Tropical, historic community. ~~~~~ February 27, 2008 City of Miami Beach Office of the City Clerk 1700 Convention Center Drive Miami Beach, FL 33139 RE: Appointment of Representative from South Pointe Elementary School to the City of Miami Beach Committee for Quality Education Dear Sir or Madam: Please be advised that I appointed Mr. Jason B. Yedwab as the representative of the PTA of South Pointe Elementary School to the City of Miami Beach Committee for Quality Education for the August 2007 --July 2008 term. Please update your records accordingly, and thank you for your attention to this matter. Sincerely, NAME: ~~ 5 Pry O u*a~sc fracme HOME ADDRESS: / I I d ~ ~~ I ~a `~~ ~ ~f~ No. Street First Name Middle Initial n~ //~ iPa~Mr~ ~~~tC ~ ~ L 3 7/ / I City State Zip Code PHONE: ~~S'~~~' ~ .3 3 ~5' ~6'`~i9Jt7 3C~s, ig~~ ~~' i? 1^nc~OwiP ~an.n~n ~~ MR Home Work Fax Email addre s Business Name: ~C't~wa ~j `~' / c'~ Wc, ~ t 1- ~a ~' , Position: ~~ ~ 5t'~~„ Address: 3 QI'v(i n ve n u b S o f ~~~(~ ~~ 33/S~y No. P f i l Li ~~ _ Streett~ ~ G'r/ ~ '~ t~ L City L~~ ~ State Zip Code 1 ' ro ona ess cense (describe) ~L t; ) uf t l t U/), i -Expires: - ~ Q 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 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) month :Yes or No • Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: Yes o No • Are you a registered voter in Miami Beach: es or No .- • (Please check one): I am now a resident of~ North Beach South Beach Middle Beach • I am applying for an appointment because I 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 Beach Preservation Board Beautification Committee Board of Adjustment* 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 Housing Authority* Loan Review Committee* Marine Authority* Miami Beach Cultural Arts Council Miami Beach Commission for Women =Miami Beach Florida Sister Cities r Normandy Shores Local Gov't Neigh. Improvement Oversight Committee for General Obligation Bond Parks and Recreation Facilities Board Personnel Board* Planning Board* Police Citizens Relations Committee Production Industry Council Public Safety Advisory Committee Safety Committee Transportation and Parking Committee Visitor and Convention Authority* Youth Center Advisory Board 1 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 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 orl`J~p If yes, please explain in detail: • Do you currently have a violation(s) of City of Miami Beach codes: Yes o No . If yes, please explain in detail: • Do you currently owe the City of Miami Beach any money: Yes o No If yes, explain in detail ./Are you cu~r}rently serving on any City Boards o~r`Committee Yes or No If yes; which board? l~ ~ Ml ~ t I I E' ~' ~~ : ~~ e~ ~~~ ~S~ LY c~H c li ~~ c~ r~ • What organizations in the City of Miami Beach do you currently hold membership in? Name: Title: Name: Title: • Li-s7t all pro/~pertie/s owned or haveµan interest in, whicth are located within the City of Miami Beach l cif ao-,;~u ~F,~-.(~~ 't76L~J /~i~i~ /Jc'Gr~, >~L 33/y~ • I am now employed by the City of Miami Beach: Yes o 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): ~~ 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 ~ ~ 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 Code "Standards of Conduct for City Officers, Employees and Agency Members." t-~ y d . A licant's 'nature Dat ease attach a copy of your resume to this application NOTE: Applications will remain on file for a period of one (1) calendar year. Name of Applicant (PLEASE PRINT) Received in City Clerk's Office by Date ~~~ ~ ~ Name of D putt' Clerk ~^ ~--,/~.~ Document Control Number (Assigned by the City Clerk's Office) ~J Entered By ~~I Date ~/~ ~~b ~ Revised 10/29/2007 L. Hatfield