Jose Smith March 2012 (2) MIAMI.-DADE COUNTI'
QUARTERLI' GIFT DISCLOSURE
LAST NAME-FIRST NAME-1AIDDLE NAME: NAME OF AGENCY:
Smith,Jose City of Miami Beach-City Attorney's Office
STREE ADDRESS: OFFICE OR POSITION HELD:
1700 Convention Center Drive, 4th Floor City Attorney
CITY: FOI:QUARTER ENDING(Checl,One):
Miami Beach
ZIP: 33139 ® MAkCkl ❑ .IUNE �� 3
COUNTY: Miami-Dade ❑ SEPT. ❑ DEC. YEAR:20 12 r !
PART A: STATEMENT OF GIFTS. List below each gift,or series of gifts,from one person or entity in C,
excess of$100,accepted by you during the calendar quarter-for which this statement.is being filed. Describe the gift
and stale the monetary value of the gift,the name and address of the person malting the dint,and the dates the gifts
were received.If any of these facts are unknown or not applicable, state this on the form.You are not required to
file this statement for any calendar quarter during which you did not receive a reportable gift. f
DATE DESCRIPTION MONETARY NAME OF PERSON ADDPESS OF PERSON
RECEIVED OF GIFT' VALUE MAKING THE G1FT MAKING TI.IE GIFT
See attacheld Exhibit"A"
CHECK BEIZE IF CONTINUED ON SETA UTE SI-MET.
PART I3: RECEIPT PROVIDED BY PERSON MAILING THE GIFT. If any receipt fora gift
listed above was provided to you by the person making the crift,you are required to attach a coP),of that receipt to this
form.You-may attach an explanation of any differences between the information disclosed on this form and the
information on the receipt.CHECK HERE IF A RECEIPT IS ATTACHED TO THIS FORM. ❑
PART C: FILING INSTRUCTIONS.The signed and notarized form must be filed no later than the last day
of the calendar quarter that follows the quarter for which this form applies.Far exanZple.,if I gift is received in March,
it should-be disclosed-by the end of-the next quarter,i:e.,June 30. County personnel file with the-Clerk of the Board
of County ComiTu'ssioners,111 N"W 1"St.,Suite 17-10,Miami,FL 33128.Municipal personnel file with their
respective municipal clerks.
PART D: OATH.
1, the person whose name appears at the beginning of STATE OF II'LORIDA
this form, do depose on oath or affirmation and say COUNTY OF Miami-Dade
that the information disclosed herein and on any
attachments made by me constitutes a true, accurate, Sworn to(or affirmed)and subscribed before me this
12
and total listing of all gifts required to be reported by day of March _,20
Section 2-11.1 (e)(4) of the Code of Miami-Dade I
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Personally known to me or❑Produced Identification
Type of Identification Produced:
COE 02/2010
Over a$100
Date Description Monetary Name of person, Address of person
Rec. of gift Value making the gift making the gift
I
1-17-12 Le Corsaire $120.00 City of Miami Beach 1700 Convention Center Drive
2-9-12 8:00 pm Miami Beach
1-17-12 Le Corsaire $120.00 66 " -- " "—" " -- 66
1-17-12 Legends of Russian $120.00 "—46 it -- it 46—66 it -- 46
Ballet
1-17-12 Forever Tango $107.00 "—66
2-11-2012 @ 8:30 p.m.
1-17-12 Paco de Lucia $150.00 "—66
1-17-12 John Leguizamo $106.00 "—64
3-9-12 @8:00 p.m.
1-17-12 John Leguizamo $106.00 66
3-10-12 @8:00 .m.
1-17-12 Willy Chirino $197.00 66
1-19-12 Orig.MB Antique Show$136.00
2-10-12 Miami City Ballet $170.00
Program 3
2-13-12 Gian Marco $177.00
2-13-12 Lewis Black $99.00
2-13-12 Ballet Folclorico de $137.00
Antioquia
2-17-12 Miami Wine& Spirits $300.00
Expo
2-23-12 South Beach Wine&
Food Festival—Moet's
The Qu $600.00
2-23-12 South Beach Wine &
Food Festival—Burger
Bash $450.00
2-23-12 South Beach Wine& $450.00
Food Festival-Grand
Tasting
2-23-12 South Beach Wine & $190.00
Food Festival-Trucks
on the Beach
,1
Over a $100
Date Description Monetary Name of person Address of person
Rec. of gift Value making the gift making the gift
2-1 7-12 Symphonic Dances $170.00 &C
2-29-12 Guns and Roses $125.00
3-14-12 Roberto Antonio $107.00
3-14-12 Charly Garcia $173.00
3-22-12 Wrestlemania $560.00
(3-29 to 4-1-12)