Deede Weithorn March 2014 Y t
MIAMI-DADE COUNTY
QUARTERLY GIFT DISCLOSURE
LAST NAME-FIRST NAME-MIDDLE NAME: NAME OF AGENCY:
Weithorn, Deede - City of Miami Beach
STREE ADDRESS: OFFICE OR POSITION HELD:
1700 Convention Center Drive Commissioner
CITY: Miami Beach FOUARTER ENDING(Check One):
ZIP: 33139 Miami-Dade L7 MARCH ❑ JUNE
COUNTY: ❑ SEPT. ❑ DEC. YEAR:20 14
PART A: STATEMENT OF GIFTS.List below each gift,or series of gifts,from one person or entity in
excess of$100,accepted by you during the calendar quarter for which this statement is being filed.Describe the gift
and state the monetary value of the gift,the name and address of the person making the gift,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. `__
DATE DESCRIPTION MONETARY NAME OF PERSON ADDRESS OF PERSON
RECEIVED OF GIFT VALUE MAKING THE GIFT MAKING THE-GIFTX,
Olt F=
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CHECK MERE 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 required to attach a copy 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.For example,if a 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 Commissioners, 111 NW 1st St.,Suite 17-10,Miami,FL 33128.Municipal personnel file with their
respective municipal clerks.
PART D: OATH.
I, the person whose name appears at the beginning of STATE OF FLORIDA
this form, do depose on oath or affirmation and say COUNTY OF TDX7?.1'n%
that the information disclosed herein and on any
F
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 day of WaA�CJC) ,20 L q ,
Section 2-11.1 (e)(4) of the Code of Miami-Dade
County. by bQP-A ,
(Nai of Pe mg Disclosure)
(Signa,ur bhc,S ta 057T lo rid a)
Signature of Person Making Gift Disclosure (� ,
�r (Print,Type,or Stamp Commissioned Name of Notary Public)
N' 07551 94ersonally known to me or❑Produced Identification
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.Q P&�: My COMMISS ch 21 2015 Type of Identification Produced:
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MIAMIBEACH
City of Miami Beach, 1700 Convention Center Drive,Miami Beach,Florida 33139,www.miamibeachfl.gov
OFFICE OF THE CITY CLERK,Rafael Granado,City Clerk
Tel:(305)673-7411,Fax:(305)673-7254
March 27 2014
Miami Dade Clerk of the
Board of Co. Commissioners
111 NW 1St St. #17-202
Miami, FL 33128
Per Miami-Dade County requirements as defined in Section 2-11.1, (e)(4), of the
Code of Miami-Dade County attached please find a Quarterly Gift Disclosure,
for a City Commissioner of the City of Miami Beach.
Should you have any questions or require any additional information, please
contact me at 305-673-7411.
Sincerely,
Rafael E. Granado
City Clerk
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Attachments
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