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Maria Estevez December 2012i Form 9 QUARTERLY GIFT DISCLOSURE (GIFTS OVER $100) LAST NAME--FIRST NAME--MIDDLE NAME: NAME OF AGENCY , Ec�=11C-7--- MAILING ADDRESS: V OFFICE 04 POSITION HELD: Q (CO)c (f� :�XniN "�q CITY: ZIP: COUNTY- FOR QUARTER ENDING(CHECK ONE): YEAR b V, (�V� ❑MARCH ❑JUNE ❑SEPTEMBER L)ff DECEMBER 20E :n (F� PART A—STATEMENT OF GIFTS Please list below each gift,the value of which you believe to exceed$100,accepted by you during the calendar quarter for which this statement is being filed.You are required to describe the gift and state the monetary value of the gift,the name and address of the person making the gift,and the date(s)the gift was received.If any of these facts,other than the gift description,are unknown or not applicable,you should so state on the form.As explained more fully in the instructions on the reverse side of the form,you are not required to disclose gifts from relatives or certain other gifts.You are not required to file this statement for any calendar quarter during which you did not receive a reportable gift. DATE DESCRIPTION MONETARY NAME OF PERSON ADDRESS OF PERSON RECEIVED OF GIFT VALUE MAKING THE GIFT MAKING THE GIFT 12�C) i 2. O�S� CC l^i CY .............T. ❑ CHECK HERE IF CONTINUED ON SEPARATE SHEET PART B—RECEIPT PROVIDED BY PERSON MAKING THE GIFT If any receipt for a gift listed above was provided to you by the person making the gift,you are requi�1id',��6,b��VV� opy of-that rapt to this form.You may attach an explanation of any differences between the information disclosed on this, a•r1d4•t'FgV/rt�o� tion�thd-r@ceipl'.e_y com ❑ CHECK HERE IF A RECEIPT IS ATTACHED TO THIS FORM o�� ®e o�•��T� Q 11 PART C—OATH tic I,the person whose name appears at the beginning of this form,do STATE OF FLORIDA 'i•°•V de;4riters °•° q�w COUNTY OF ••°•••• pP�`` - 6U depose on oath or affirmation and say that the information disclosed Sworn to(or affirmed)and su 0fp%1'me this-- p p day of ' t2Q/ZS..7 herein and on any attachments made by me constitutes a true accurate, , by and total listing of all gifts required to be reported by Section 112.3148, Florida Stat s. Signature of Notary lic-S to of Florida) (Print,Type,or Stamp o missioned Name of Notary Public) SIGN G OFFICIAL Personally Known V OR Produced Identification Type of Identification Produced PART D—FILING INSTRUCTIONS This form,when duly signed and notarized,must be filed with the Commission on Ethics,P.O.Drawer 15709,Tallahassee,Florida 32317-5709;physi- cal address:3600 Maclay Blvd.South,Suite 201,Tallahassee,Florida 32312.The form must be filed no later than the last day of the calendar quarter that follows the calendar quarter for which this form is filed(For example,if a gift is received in March,it should be disclosed by June 30.) CE FORM 9-EFF.1/2007 (See reverse side for instructions)�' Estevez, Maria From: Peacock, Althea Sent: Friday, November 30, 2012 5:32 PM To: Diaz, Natasha; Heaton, Mary; Farmer, Gary; Tackett, Deborah; Rodriguez, Jennifer; Denis, Cristina; Chiovaro, Carmela; Ferreiro, Ines; Hatfield, Liliam; Cardillo, Lilia; Martinez, Katherine; Hall, Borinquen; Leon, Alexis; Gillis, Brian; Ajami, Richard; Rosario, Dirnorah; Estevez, Maria; Fink, Jay; Saltrick, Richard; Wheaton, Elizabeth; Gonzalez, Jose; Alvarez, Mike- Public Works; Zamora, Alberto; Cano, Jorge; Sarmiento, Fiorella; Bistolfi, Juan; Trigo, Linette; Dukes, Ebony; Levy, Ronald; Ramirez, Howard; Singh, Narinder; Gonzalez, Antonio; Blanco, Linda; Sand, Lily; Castell, George; Hemmings, Laurel; Smith, Treisa Cc: Sklar, Max; Peacock, Althea Subject: Employee Recognition Program Congratulations! As part of the City's Employee Recognition Program, the Administration will be recognizing those employees who, in the past year, have exemplified the City's Vision, Mission and Values. All department directors were asked to submit the names and the justification for the recognition of their top 5% performing employees to the City Manager's Office. Because you have been recognized by your department head, you are entitled to receive an Art Basel Vernissage Ticket or a Day Pass. Please familiarize yourself with the City's Gift Policy and fill out the Gift Disclosure Form and disclose the gift. You may contact me at ext. 6513 to redeem your Vernissage Ticket or your Day Pass. Thank you! Althea MIAMSEACH Althea Peacock, Executive Office Associate I OFFICE OF THE CITY MANAGER 1700 Convention Center Drive, Miami Beach,FL 33139 Tel:305-673-7000 ext.6513/Fax:305-673-7782/ www.miamibeachfl.gov altheageacock(a-)miamibeachfl.gov C-) N p r � i N °tom Q �1 - r-►-t f! C 1, _1 N CD �r W 1