Tathiane Trofino AMENDED County FormMIAMIBEACH
OFFICE OF THE CITY CLERK
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, FL 33139
www. miamibeachfl.aov
Telephone: 305.673-741 1
April 4, 2018
Miami -Dade Clerk of the
Board of County Commissioners
111 NW 1st Street, # 17-10
Miami, FL 33128
Pursuant to Section 2-11.1(e)(4) of the Code of Miami -Dade County, attached please find an
AMENDED copy of the Miami -Dade County Quarterly Gift Disclosure Form, for the quarter
ending December 2017, for the following City of Miami Beach Personnel:
Tathiane Trofino — Commission Aide (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,
Rafael E.°Granado,
City Clerk
Attachments
REG:cd
Sent Certified Return Receipt
7017-1450-0002-2745-0012
MIAMI-DADE COUNTY
QUARTERLY GIFT DISCLOSURE
LAST NAME -FIRST NAME -MIDDLE NAME:
1Cr.)n Icti-hlane_
STREE ADDRESS:
I/00 e01,-, ee4 bovc—
CITY: Mi itt ISea(h
ZIP: 3 3 S"
COUNTY: tAltutti- ac�
NAME OF AGENCY:
61- MicaY �cac
OFFICE OR POSITION HELD:
ConiinissioA
FOR QUARTER ENDING (Check One):
0 MARCH
0 SEPT. 6-41/DEC.
❑ JUNE
YEAR: 20 17
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
RECEIVED OF GIFT
10 /07 7/7 Lir13TQ' T,tc
Fi =c Gu,1r—
I l/ f t /17 I Dir Tower — TtC1(C)
,,) �/� J cI phc. &Fcti.
Cum evidcit. II /01 /2(017 C'elc5,ahorL
CHECK HERE IF CONTINUED ON SEPARATE SHEET. 0
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. 0
MONETARY NAME OF PERSON
VALUE MAKING THE GIFT
ADDRESS OF PERSON
MAKING THE GIFT
(700 (70/i i4.14,4•-•
Crn+y
totio t, -1csIn. Qd
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 1't 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
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 2-11.1 (e)(4) of the Code. of Miami -Dade
County.
Sigrfature of Person Making Gift Disclosure
COE 02/2010
STATE OF
COUNTY OF FLORIDA'M /AAst (/l i°
Sw rn to (or aff med) ajtd subscribed before me this
day of , 20_
by Troc„A/0_,
(Nat of Person Making Gift closure)
(Signatorf Notary Public State of Florida)
ei.,,,
wAost,V
(Print. Tvpc. or Stamp Commissioned Nanic of Nt tary Public)
Personally known to me or 0 Produced Identification
Type of Identification Produced:
Charles J. DAgostin
, NOTARY PUBLIC
STATE OF FLORIDA
Comm# GG168171
4'c CI Expires 12/14/2021
ENDER: COMPLETE TH S SECT! • u
$z laa
N > 0 c oo
N 745, 0
rnv• O mo af¢ o EEg. ¢
Q Q o ) Z mt- `c c- m E.
_2M.ii -am o o
l7❑ Q �❑ • 2iDm tY�;jrm m
cc
.0 2mmmmm g,plm N
E 3 ai¢tY0 It v1 v)¢ E
m o
— 0 0 o❑❑ ❑ ❑❑ o
1
• c
mE 2-o -o > i~ m
z 0 m 8m
-0
-� a) m8 0
a)
2 C
• a)
as• o
co V i V }
CO t CO•
X m • o
o. v,
L
to
a, a) C
.,.. O
-
c4) --c +J an
O -O - $ V --.In
Ch N U Y E E
-o masa �E
C-0.0.0 v O
m tv"' m 8' U C.)
N C= o Q N ��+
O �w o C
CD
E E �� lc' • 9 o
a) m' ea U cp . U
.1.--: m
• E
m cn
,-
SD.,'sm V• o
O
N O yQ iQ T al t G
E y0c0
f6
O
U Q m Q o¢ m
■ ■ o _
00
N
ri
m
J
LL
E
2
O
e 00
® C(00
mom O
CO
_ - (0
TO
00
—o
O
®
rn
mow
0)
O
2. Article Number (Transfer from service labell
2745 0012
m
to0
0
0
Cu
0
rti r,
� a
T
{ O
D 1
r -i r-
rti 0
1-4
E
ti
2745 0012
2745 0012
U.S. Postal Service"'
CERTIFIED MAIL° RECEIPT
Domestic Mail Only
OFFICIAL
Certified Mail Fee
Extra Services & Fees (check box, add fee as appropriate)
❑ Return Receipt (hardcopy $
• O • ❑ Return Receipt (electronic) $ Postmark
0 Certified Mail Restricted Delivery $ Here
USE
❑ Adult Signature RequiredCI 0
$
❑ Adult Signature Restricted Delivery $
Postage
$
Total Posta
7017 1450
7017 1450
Sent To
Street and,
City, State,
Miami -Dade Clerk of the
Board of County Commissioners
111 NW 1st Street, # 17-10
Miami, FL.33128