Tathiane Trofino - December 2014 mi
COPY
1915 •2015
MIAMIBEACH
OFFICE OF THE CITY CLERK
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, FL 33139
www.miamibeachfl.gov
Telephone: 305.673-7411
March 31, 2015
Miami-Dade Clerk of the
Board of Co. Commissioners
111 NW 1St Street, # 17-202
Miami, FL 33128
Pursuant to Section 2-11.1(e)(4) of the Code of Miami-Dade County, attached please,find a copy
of the Miami-Dade County Quarterly Gift Disclosure Form, for the quarter ending December
2014, for Ms. Tathiane Trofino, Commission Aide at City of Miami Beach. The original has been
filed with the Miami Beach Office of the City Clerk. •
Should you have any questions or require any additional information, please contact me at
305.673.7411.
Respectfully,
R fael E. Granado,
ity Clerk
Attachments
REG:clr
Sent Certified Return Receipt
F:ICLERI$ALLIGIFT D!SCLOSURES1201414th Quarter Oct-DectTathiane Trofino-MD Bd of County Commissioners.docx
MIAMI-DADE COUNTY
QUARTERLY GIFT DISCLOSURE
LAST NAME-FIRST NAME-MIDDLE NAME: NAME OF AGENCY:
ii Tr o1 'n d [a Oil' (- (2., {- o�- M,' -,; DC- J1
STREE ADDRESS: OFFICE OR tOSITION HELD:
6031 COOOM S Av-t✓ .4 172_4 Commis cio0 A,` dc
CITY: M r Q,rt,' ' c 4 c.El_ FOR QUARTER ENDING(Check One):
ZIP: 3 31 L! o ❑ MARCH —/ ❑ JUNE
COUNTY: N i'G, ; (p c,ri, ❑ SEPT. I DEC. YEAR:20 11
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 GIFT
SAVE Ncillatvctyl !Jr O Ton 1_ tlsoo B.`caarne_Btvc(
/0-Z 5 - 20 I1 'Bc (L - 7 a-- .sv;k 3 4 o
ZOO VI);!ifs 1.-evt'ne, 110 a C0�vrtiN i Leo
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 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. 1
PART D: OATH.
I, the person whose name appears at the beginning of STATE OF FL.O ID
this form, do depose on oath or affirmation and say COUNTY OF Al ' Yry fi
that the information disclosed herein and on any 1
attachments made by me constitutes a true, accurate, Sworn�.to(or affilme and subscribed before me this
and total listing of all gifts required to be reported by "1 Sl day of M ,20 1'O ,
Section 2-11.1 (e)(4) of the Code of Miami-Dade ,�� __ ``
County. by 1- 1 d-l-1 'f'11.1 v ,
(s ame of Person Makin!G. •.. osure)
Fraturesof Not.,.Publ. ,State.f Florida)
Si ature f Person Making Gift Disclosure
����euuee�.ej-
( t,Type,oldogrred Name of Notary Public)
,��� ��. ..., iii
`��O .;60SS�•.1 iii
ersonally lgoym as-° '.rrrc�duced Identification
Type of Ideni atiVllic4;
4:. A+e•04,2075
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COE 02/2010
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Certified Mail Provides: : .
® A mailing receipt .
Si A'unique identifier for your mailpiece
s A record of delivery kept by the Postal Service for two years
Important Reminders:
® Certified Mail may ONLY be combined with First-Class Mail®or Priority Mail®.' .,
to Certified Mail is not available for any class of international mail. i`
® NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For. ll
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valuables,please consider Insured or Registered Mail. L N C
® For an additional fee,a Return Receipt may be requested to provide proof of _C C CV
delivery.To obtain Return Receipt service,please complete and attach a Return �'' N. k
Receipt(PS Form 3811)to the article and add applicable postage to cover the : 0 rn CV ;`cn fee.Endorse mailpiece Return Receipt Requested'.To receive a fee waiver for — N
a duplicate return receipt,a USPS® y receipt •Y
P p ®postmark on our Certified Mail recei t is c,� I'
required. Cr)
s For an additional fee, delivery may be restricted to the addressee or ' 0 O N J
addressee's authorized agent.Advise the clerk or mark the mailpiece with the a) 0 4-' LL
endorsement°Restricted Delivery". (1)
e If a postmark on the Certified Mail receipt is desired,please present the arti- N 0 4 E (:;
cle at the post office for postmarking. If a postmark on the Certified Mail o U r- }
receipt is not needed,detach and affix label with postage and mail. ! 4- •— F
IMPORTANT:Save this receipt and present it when making an inquiry. ca -0 z
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PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047 2 ea N— ;` ;
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