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Susanne Torriente County Form QTR1MIAMIBEACH 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 19, 2019 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 a copy of the Miami -Dade County Quarterly Gift Disclosure Form, for the quarter ending December 2018, for the following City of Miami Beach Personnel: Kathie Brooks — City of Miami Beach (Assistant City Manager) Susanne Torriente — City of Miami Beach (Assistant City Manager 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 . Granado, City Clerk Attachments REG:cd Sent Certified Return Receipt City of Miami Beach USPS CERTIFIED MAIL City Clerk 1700 Convention Center Dr Miami Beach FI 33139 9214 8901 9403 8380 3595 47 MIAMI-DADE CLERK OF THE BOARD OF COUNTY COMMISSIONERS 111 NW 1ST ST UNIT 17-10 MIAMI FL 33128-1902 Fold Here Return Reference#: Gift Disclosure Username: Charles Dagostin Code Violation #: Court Case #: Property Address Permit ID #: Custom 5: Postage: $5.7500 a A MIAMI-DADE COUNTY QUARTERLY GIFT DISCLOSURE LAST NAME -FIRST NAME -MIDDLE NAME: -FUZZ CKR-E- -S J Si to N E - l-lA-f _t C NAME OF AGENCY: C t T4 ©F fn 1 A-Kk L ;C -PCH STREE ADDRESS: OFFICE OR POSITION HELD: 1 W Go Q TZa+�) ► AL. g I S17NA t u" pe c CITY: (!9'77'1 I P_NeCA-t FOR QUARTER ENDING (Check One): ZIP: - ?'& 31 ❑ MARCH ❑ JUNE COUNTY: OPOE 1 ❑ SEPT. 11-I)EC. YEAR: 20a 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 RECEIVED DESCRIPTION OF GIFT MONETARY VALUE NAME OF PERSON MAKING THE GIFT ADDRESS OF PERSON MAKING THE GIFT [;EIL StZ i ? u 4 t s S r- U -I�tlL'r PVL_e -nG CHECK HERE IF CONTINUED ON SEPARATE SHEET. ❑ Gtr S �c T- USe-o 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 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) he Code of Miami -Dade County. t Signature of Pers"a'king gift Disclosure COE 02/2010 STATE OF FLORIDA COUNTY OF !j I lam - We, Swor to (or affirmed) arid subscribe before me this —124 --day of �, 20 L 1 by SU C( A L'. I'J - 1 Vy_r(t-�e {1tP Name of Penson Making Gift Disclosure) r.•' O?SIOM (Ynnt, Type, or Stari Commi$iy C�ersonally known g me pr ❑ Type of Identificati4 lftAlc 41bkk U01