R 9 B Honorable Mayor and Members of the City Commission (2) OCT 1 7 2018
MIAMI BEACH -6
COMMISSION MEMORANDUM
TO: Honorable Mayor and Members of the City Commission
FROM: Rafael E. Granado, City Clerk
DATE: October 15, 2018
SUBJECT: City Commission—At-Large Nominations for October 17, 2018— Release#2
Below please find the City Commission At-Large Nominations received to date for the October
17, 2018 Commission Meeting. Changes made since Release# 1 are shown in red.
BOARD AND COMMITTEES:
1. AFFORDABLE HOUSING ADVISORY COMMITTEE
VACANCIES (4):
• Allison L. Stone
Nominated for appointment (Represents Employers within the Jurisdiction Category) by
Commissioner Aleman.
(Release# 1, Page 3)
• Barbara Montero
Nominated for appointment (Resides within Jurisdiction of Local Governing Body) by
Commissioner Gongora.
(Release# 2, Page 3)
2. ANIMAL WELFARE COMMITTEE
VACANCIES (2):
• Linda T. Diamond
Nominated for appointment (Sobe Cats Spay & Neuter, Inc. Category) by Sobe Cats
Spay & Neuter, Inc. and requires ratification by the City Commission.
(Release# 1, Page 11)
3. HEALTH ADVISORY COMMITTEE
VACANCIES (2):
No nominations received.
4. HEALTH FACILITIES ADVISORY BOARD
VACANCIES (0):
• Sidney Goldin
Nominated for reappointment (General Business Category) by Commissioner
Steinberg.
(Release# 1, Page 17)
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5. NEXT GENERATION COUNCIL
VACANCIES (3):
No nominations received.
6. TRANSPORTATION, PARKING AND BICYCLE-PEDESTRIAN FACILITIES COMMITTEE
VACANCIES (3):
No nominations received.
F:\CLER1$ALL\REG\COMMISSION MEETINGS12018\10172018\101718 RELEASE#2.docx .
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CI MIAMI B EACHCITY OF MIAMI BEACH
BOARD AND COMMITTEE APPLICATION FORM
NAME: Montero Barbara
Last Name First Name Middle Initial
HOME ADDRESS: Miami Beach Florida 33139
Apt No. Home No./Street City State Zip Code
PHONE: (305)673-2812 (786)294-6411 bbibas@saftpay.com
Home Work Email Address
Business Name: Safety pay Position: CMO
Address: 420 Lincoln Rd#600 Miami Beach Florida 33139-
• Street City State Zip Code
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 Yes
• Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six(6)months: Yes
•Are you a registered voter in Miami Beach: Yes
• (Please circle one): I am now a resident of: South Beach
• I am applying for an appointment because I have special abilities, knowledge and experience. Please list below:
•Are you presently a registered lobbyist with the City of Miami Beach? No
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 City Clerk's Office. (Regular Boards of City)
Choice 1:
Choice 2:
Choice 3:
• Board members are required to file Form 1 —"Statement of Financial Interest"with the State.
If you seek appointment to a professional seat(e.g.,lawyer,architect,etc.)on the Board of Adjustment, Design Review
Board, Historic Preservation Board or Planning Board,attach a copy of your currently-effectively license, and furnish the
following information:
Type of Professional License License Number
License Issuance Date License Expiration Date
•
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: No Years of Service:
2. Present participation in Youth Center activities by your children No if yes, please list the names of your children,their
ages,and which programs. List below:
Child Name Age Program
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• Have you ever been convicted of a felony: No If yes,please explain in detail:
• Do you currently have a violation(s)of City of Miami Beach codes: No If yes, please explain in detail:
• Do you currently owe the City of Miami Beach any money: No If yes, please explain in detail:
•Are you currently serving on any City Boards or Committees: No If yes,which board?
•What organizations in the City of Miami Beach do you currently hold membership in?
• I am now employed by the city of Miami Beach: No Which department?
• List all properties owned or have an interest in,which are located within the City of Miami Beach:
Property
1900 Sunset Harbour Dr.#2208
1900 Sunset Harbour Drive#709
Gender: Female
The following information is voluntary and is neither part of your application nor has any bearing on your consideration for appointment. It is
being asked to comply with federal equal opportunity reporting requirements.
Race/Ethnic Categories
What is your race?Mark one or more races to indicate what you consider yourself to be. White
Other Description:
Are you Spanish/Hispanic/Latino? Mark the "No" box if not Spanish/Hispanic/Latino. No
Physically Challenged: No
NOTE: If appointed,you will be required to follow certain laws which apply to city board/committee members.
These laws include,but are not limited to,the following:
o Prohibition from directly or indirectly lobbying city personnel(Miami Beach City Code section 2-459). •
o Prohibition from contracting with the city(Miami-Dade County Code section 2-11.1).
o Prohibition from lobbying before board/committee you have served on for period of one year after leaving office(Miami
Beach Code section 2-26).
o Requirement to disclose certain financial interests and gifts(Miami-Dade County Code section 2-11.1).
(re:CMB Community Development Advisory Committee): prohibition,during tenure and for one year after leaving office,
from having any interest in or receiving any benefit from Community Development Block Grant funds for either yourself,
or those with whom you have business or immediate family ties(CFR 570.611).
Upon request,copies of these laws may be obtained from the City Clerk.
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"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."
I Barbara Montero agreed to the following terms on 3120/2014
Received in the City Clerk's Office by:
Name of Deputy Clerk Control No. Date
+t
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