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Eva Silverstein Form 9MIAMI BEACH OFFICE OF THE CITY CLERK City of Miami Beach, 1700 Convention Center Drive, Miami Beach, FL 33139 www.miamibeachfl.aov Telephone: 305.673-7411 March 12, 2018 Florida Commission on Ethics P.O. Drawer 15709 Tallahassee, FL 32317-5709 Pursuant to Sec. 112.3148, Florida Statutes, please find Quarterly Gift Disclosure State Form (9), for the quarter ending December 2017, for the following City of Miami Beach Personnel: • Brandi Reddick — City of Miami Beach (Cultural Affairs Program Manager) • Dennis Leyva — City of Miami Beach (Art in Public Places Administrator) • Eva Silverstein — City of Miami Beach (Director of Tourism, Culture & Economic Development) • Luis Wong — City of Miami Beach (Senior Administrative Manager) • Linette Nodarse — City of Miami Beach (Special Event Project Liaison) Should you have any questions or require any additional information, please contact me at 305.673.7411. Respectful) fRafae. Granado, City Clerk Attachment REG:cd Sent Certified Return Receipt 7017-1450-0002-2744-0143 Form 9 QUARTERLY GIFT DISCLOSURE (GIFTS OVER $100) NAME O ENCY: ('t � alien OFFICE OR'POSIION HELD: LASTMEL FIRST NAME -- MIDDLE NAME: 1 i vg MAILING ADDDfESS WV 414 014 ra f CITY: ZIP: ?A,:y COUNTY: r- / fl% i kaok I/ RECEIVE..) 7AIRM4R-9 PM !4:20 tCID" OF MIAMI BEI CH pcow Cr r:;L CI"t1r`►'LERK TA;7; ! /0ur/Si'N . oiioi e FOR QUARTE ENDING (CHECK ONE): .MARCH ❑JUNE ❑SEPTEMBER ❑ DECEMBER YEArt 20 I 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 RECEIVED 12-5 ra 12-5-/Z t1 -5-/j DESCRIPTION MONETARY NAME OF PERSON OF GIFT VALUE UiP did 1150. 00 'ber l' , ; f/iD0411 1150.00 Pahgi2I f air ”.. 00 12-- !Lir x1701 01 CHECK HERE IF CONTINUED ON SEPARATE SHEET MAKING THE GIFT RAI 4Ojrrz,rn ;&;Pulp anie �L I PART B — RECEIPT PROVIDED BY PERSON MAKING THE GIFT ADDRESS OF PERSON MAKING THEGIFT A00' I/! ;r Wrer7j BaLi! NE ?• v: loot Ads, kt m8 , ,t 8314'0 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 — OATH I, the person whose name appears at the beginning of this form, do depose on oath or affirmation and say that the information disclosed herein and on any attachments made by me constitutes a true accurate, and total listing of all gifts required to be reported by Section 112.3148, Florida SIGNAGE OF REPORTING OFFICIAL STATE OF FLORIDA COUNTY OF FYI '144911 —O(.4142 - Sworn to (or affirmed) and subscribed before me this c�O day of,_Cu11uCC , 20 156 by j\itok. I , &\VC�*Ir �l,�ti \/ (Signature of of (Print, Type, or Stamp Com Personally Known Type of Identification Produc (P PART D — FILING INSTRUCTIONS i "� TOUSSAINT GE'AL �l�Y PV9 ��, o �-eo Public -State of Florida i Ziietatinat1 m. Expires Jan 5, 202' ''•,' of :' Bonded through National Notary Ass 1. , ��ol III 1 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: 325 John Knox Road, Building E, Suite 200, Tallahassee, Florida 32303. 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 (Refer to Rule 34-7.010(1)(g), F.A.C.)(Rev. 9/2014) (See reverse side for instructions) cr Form 9 QUARTERLY GIFT DISCLOSURE RECEIVED (GIFTS OVER $100) LASA N ME -- FIRST NAME -- MIDDLE NAME: MAILING ADD ESS: / MO O (ti*i/ i Nrv, ,biellie CITY: ZIP: COUNTY: Lh X713% G�/idiot - /I/le NAME 91F AGENCY: r OFFICE O' POSITIONIT�HELD: I/;reder %' /ourr5107 f l /� lh/uvr 0 _ Aenciiirir Upu. FOR QUARTER ENDING (CHECK ONE): YEAR MARCH DJUNE DSEPTEMBER ❑ DECEMBER 2018 ?Q!INR-9 P! 4:20 CP MI BEACH Ci L.Ltti",. 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 v1 goof& 60 Oe i) . I2 -h-/ ig&f . 00 I tt 1 /eaoi /r. i 12d sE ,�L �' Q �i�tt Pr� M 0 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. 0 CHECK HERE IF A RECEIPT IS ATTACHED TO THIS FORM PART C — OATH I, the person whose name appears at the beginning of this form, do depose on oath or affirmation and say that the information disclosed herein and on any attachments made by me constitutes a true accurate, and total listing of all gifts required to be reported by Section 112.3148, E OF REPORTING OFFICIAL STATE OF FLORIDA COUNTY OF Sworn,(gy�o (por affirmed) and subl�bed before me this �j day of {( Wlt/C4•19 20 b by iV Oi k le,1‹4C4., aD ) Qun�vt�9— (Signature of Notary Public -State of Flo id (Print, Type, or Stamp Com Personally Known Type of Identification Produc ,,,NIS P Ilii- GERALDINE TOUSSAINT Arkttyareamain ul .'"� tiient%ff)3ilSion GG 060275 .cam; My Comm. Expires Jan 5. 2021 r 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: 325 John Knox Road, Building E, Suite 200, Tallahassee, Florida 32303. 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 (Refer to Rule 34-7.010(1)(g), F.A.C.)(Rev. 9/2014) (See reverse side for instructions) �' CII 'D N 0) o E-, D 0 C 3 Ln io al CO 0 c O CO 3 C 1 0 0 - O N nJ j W _. 1•3 m 1 On.l 0) (T -,1 - - 3 1 z -C iD rn z rn cri c 0 0 CO� N -P ni v O w` N O 1 CC 0 w ► •1133S SIM1 3137d141O0 :t130 00000000P . g3 g000(�DD W: XD mc��z�Ec m - co {»aa�.4mm(n(n—{Q CD p p 0-0-E471- 0 M CD CD mom_ igFEIF-..'''.s �2 a' m mmw y W 8 mac- n 'z •Z 3 $ a s (). el a ai ED= SP_ ' m a 3 <= z m_ 0a 0 m3 0 00 0 000 o m- CDi mtp to m D 073337 § 3 n �.m0c<- - J m am5am aam 00 0 13 Et n 3 �� ®� mwX z- 0 > 33 m 1 3 3 ° m a1 m L m w ^ ^ N. 0 a = 3 a ® m 3 a CIT 0002 2744 0002 2744 U.S. Postal Service"' CERTIFIED MAIL° RECEIPT Domestic Mail Only OFFICIAL Certified Mail Fee Extra Services & Fees (check box, add lee as appropriate) ❑ Retum Receipt (hardtop» $ ❑ Retum Receipt (electronic) $ Postrn 0 Certified Mail Restricted Delivery $ Her ❑ Adult Signature Required $ Adult Signature Restricted Delivery $ 0 0 Postage is) if) $ Total Florida Commission on Ethics $ P.O. Drawer 15709 N N Sent T( r -R ra Tallahassee, FL. 32317 - 5709 0 Street N N City, SI