Roland Loring 12/31/2007
Cih- of Miami d~ach, 1700 Convention Center Drive, Miami Beach, Fbrida 33139, www.miamibeachA.gov
OFFICE OF THE CITY CLERK, Robert Percher, City Clerk
TEL: (305) 673-741 1, FAX: (305) 673-7254
05-22-2008
Ronald Loring
907 N. Shore Drive
Miami Beach, Florida 33141
SUBJECT: Normandy Shores Local Gov. Neiahborhood Imnv.
Congratulations! You have been appointed by the City Commission to the agency,
board or committee named above for a term ending: 12/31/2008.
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,
t
~~ ~ ~~ ~
Robert Percher
City Clerk
cc: Saul Frances, Parking Director
Weithorn Deede
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 ploy in our vibrant, tropical, historic community
I•
Cif)- of Miami Beath, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov
OFFICE OF THE CITY CLERK, Robert Parcher, Ciy Clerk
TEI: (305) 673-7411, FAX: (305 673-7254
TO Ronald Loring
RE: Normandy shores Local Gov. Neighborhood Impv.
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: 12/31/2008.
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 O~cersand 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 (de ending on the board/~ ommittee on which
I serve) on July 1st, following the closing of the calen~j~ear on which I bQ~61~ ed.
~.
Sworn to and subscribed before me this l ~ day of ~uNC~ , 200
~~ -- 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 commiRed to providing excellent public service and sofey to all who live, work, and play in our vibrant, tropical, historic communiy
~•-.
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~ ~f~~~ I AM I QEHL; H
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NAME:
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HOME ADDRESS: ~
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PHONE: ~~~ r
Business Name:
Address: y5R`~-~'
i Lam!//.~~osition:
Initial
Professional License (descnbe) Expires:
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 six months in a business established in the city.
• Resident of Miami Beach for a minimum of six (li) months: Yes _; or No '__! _
• Demonstrate an ownership/interest in a business in Mia i Beach for a minimum of six (6) months: Yes or No '
• Are you a registered voter in Miami Beach: Yes or No i '~.
• (Please circle one): I am now a resident of: ~Nort~ h 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.
choices will be observed by the Citv Clerk's Office. (Regular Boards of City)
i Affordable Housin Adviso Committee ^ Health Facilities Authori Board
^ Art in Public Places Committee ^ His anic Affairs Committee
^ Beach Preservation Board ^ Historic Preservation Board*
^ Beautification Committee ^Housin Authorit *
^ Board of Ad'ustment* ^ Loan Review Committee*
^ B et Adviso Committee ^ Marine Authorit *
a ital Im rovements Oversi ht ^ Miami Beach Commission for Women
^ Committee on Homeless ^ Miami Beach Cultural Arts Council
^ Committee for Quali Education in MB ^ Miami Beach Florida Sister Cities
^ Communit Develo ment Adviso * ^ Normand Shores Local Gov't Nei h. Im rovement
^ Communi Relations Board ^ Parks and Recreation Facilities Board
^ Convention Center Adviso Board ^ Personnel Board*
^ Cultural Arts Nei hborhood District Overla CANDO ^ Plannin Board
^ Debarment Committee ^ Police Citizens Relations Committee
^ Desi n Review Board* ^ Production Indust Council
^ Disabili Access Committee ^ Public Safet Adviso Committee
^ Fine Arts Board ^ Safe Committee
^ Ga Business Develo ment Ad Hoc ^ Trans arenc Reliabilit & Accountabili Committee "TRAC
^ Golf Adviso Committee ^ Trans ortation and Parkin Committee
^ Green Ad Hoc Committee ^ Visitor and Convention Authorit
^ Health Adviso Committee
* .,--- ^ Youth Center Adviso Board
,.~„1
CITY OF MIAMI BEACH
BOARD AND COMMITTEE APPLICATION FORM
F:\CLER\$ALUB&C Application\B&C Application Revised 051908.dc: 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 i ~. If yes, please list the names of your children, their
ages, and which programs. List below:
Child's name: Age: Program:
Child's name:
.Have you ever been convicted of a felony: Yes i ', or No
Age:F Program:
If yes, please explain in detail:
• Do you currently have a violation(s) of City of Miami Beach codes: Yes ' or No yes, please explain in detail:
• Do you currently owe the City of Miami Beach any money: Yes ^ or No /f yes, explain in detail
• Are ~rou cur~t~ servin~,9n any C{ty Boards or Committees: lfesF~i'or No u. If yes; which board?
• What organizations in the City of Miam~ach do you currently hold membership in?
Name: ~ Title:
Name: Title:
• List all properties o ned or have an interest in, which are located within the City of Miami Beach; _
c..e ~ - -
• I am now employed by the City of Miami Beach: Yes I I or No ich department?
• Pursuant to City Code Section 2-25 (b): Do you have a parent i-, spouse _l, child [:, brother :~, or sister i who is employed by the
City of Miami Beach? Check all that apply. Identify the department(s): r1 /j~
This section is "not required" but desired: Age: _~ years old Gender: Male ~~ Female ^
Ethnic Ori ~ (Check one)
White frican-American/Black ^ Hispanic: ^ Asian or Pacific Islander ^ American Indian or Alaskan Native ^
"I hereby attest q%iEh accuracy and truthfulness of the application and have received, read and will abide by Chapter 2,
A~ifbe VI`,~ ofC' Code "Standards of Conduct for City Officers, Employees and Agency Members."
Please attach a copy of your resume to this application
NOTE: Applications will remain on file for a period of one (1) calendar year.
Employment Status: Employed ^ Retired ^ Home-maker ^ Other ~~'" k,/l')~(
Received in City Clerk's Office by Date
Name of Deputy Clerk
Document Control Number (Assigned by the City Clerk's Office) Entered By Date ~~ ~/~~
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