Jose Smith September 2011 COUNTY .. •
•
MIAMI -DADS COUNTY
QUARTERLY GIFT DISCLOSURE
LAST NAME - FIRST NAME - MIDDLE NAME NAME OF AGENCY
Smith, Jose City of Miami Beach
STREL ADDRESS OFFICE 01: POSITION 1
1700 Convention Center Dr. 4th Fl. City Attorney
CITY Miami Beach FOR QUARTER ENDING (ace) One;
GIN 33139 O Iv1ARCH ❑ JUNE
COUNTY iami
M — Dade E SE M G DEC YEAR. 21) 1 1_
PAET A: STATEMENT OF GIFTS. List below each gilt, or series of gifts, Irony one person or entity in
excess of a ;100, accepted by you uurnng the calendar quarter for which llii s =lei is being filed Descri ihL. gift
and State Ltic monetary value of the ;Tuft, the name and address of the person making the gift. and the dates the DILL,
were- received If any of lhesc facts arc unknown or not applicable, state this on the forn You are not required Lo
file this statement for any calendar quarter during which you did not receive a reportable gift.
DATE. DESCRIPTION MONETARY NAME OF PERSON ADDRESS OFPEI :SON
RECEIVED OF GIFT' VALUE MAKING THE GIFT MAKING THE GIFT
Please ,gee attached Exhibit
CHECK HERE IF CONTINUED ON SEPARATE SHEET.
PART Ii: RECEIPT PROVIDED BY PERSON MAKING THE GIFT. If any receipt fora gift
listed above was provided to you by the person making the gift you are required to attach a copy of that receipt to thus.
lorn> You rna'v attach an explanation of any differences between the information disclosed on this f oral and tiny
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 For example, if a gilt is received 1 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 Commissioners 111 NW 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 FLORIDA
Om 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
and total listing of all gifts required to be reported by d'7 day ofSeptember , 20 1 1
Section 2 -11.1 (e)(4) of the Code of Miami -Dade
Coui by Jose Smith
(Name of 1'erxun (Making Gil aanosure)
gamine of Nom 1• Hubiic. Stine of Florida) -
L' ' of allPr Making Gift Disclosure ����'"r'�'�.
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Over a $100
Date Description Monetary Name of person Address of person
Rec. of gift Value making the gift making the gift
6/25/11 ABFF $130.00 City of Miami Beach 1700 Convention Center Dr.
Miami Beach, FL 33139
7/5/11 Christian Castro $207.00 " - GC LC -- GC " - CC CC -- GC
7/15/11 David Sedans $100.00 " - ,, CC -- GC " - GC LC -- LC
7/15/11 Andres Calamaro $127.00 " - LC ,, -- C.4 " - CC -- CC
7/22/11 Miami Spice Kickoff $250.00 " - GC GC -- CC " - GC " -- GC
7/27/11 Chris Tucker $131.00 " - 4, CC -- GC " - 4., 44 -- GC
8/11/11 Camila $197.00 " - " CC -- GC " - " ,C -- CC
8/11/11 Ballet Etudes $120.00 " - CC GC -- GC " - GC LC -- CC
8/11/11 Black Star $100.00 " - 44 GC -- 4, " - GC C, -- CC
9/16/11 XVI International $117.00 " - GC GC -- GC " - CC ,C -- GC
Ballet Festival of Miami (Sat.)
9/16/11 XVI International $117.00 " - ,C -- CC " - CC CC -- G4
Ballet Festival of Miami (Sun.)
9/16/2011 Wine Festival $140.00 " - LC GC -- GC " - GI " -- GC
9/19/11 Maria Bethania $160.00 " - 6, CC -- GC " - 44 CC -- G4
9/21/2011 Program I $170.00 " - CC LC -- 4, " - GC " -- GC
(Arsht Center)
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O FFICE OF THE CI ATTORNEY
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JOSE SMITH .4\,..._ 4.1 Telephone: (305) 673 -7470
City Attorney • ,.r Facsimile: (305) 673 -7002
September 27, 2011
- Clerk of the Board of the County Commission
111 NW 1 Street, Suite 17 -202
Miami, FL 33128 Via Certified Mail — Return _Receipt Requested
Article No.: 7009 1680 0000 0420 8638
Re: Gift Disclosure
Dear Sir /Madam:
Enclosed please find my quarterly gift disclosure for the period ending September 30, 2011.
Very truly y”
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se ith
City Attorney
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1700 Convention Center Drive -- Fourth Floor -- Miami Beach, Florida 33139