Kathie Brooks County FormMIAMIBEACH
OFFICE OF THE CITY CLERK
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, FL 33139
www.miamibeachfl ggov
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
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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
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Return Reference#: Gift Disclosure
Username: Charles Dagostin
Code Violation #
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MIAMI-DADE COUNTY
QUARTERLY GIFT DISCLOSURE 2
T is
LAST NAME -FIRST NAME -MIDDLE NAME:
NAME OF AGENCY: CITY OF MIAMI BEACH
BROOKS, KATHIE
quarter during which you did not receive a reportable gift.
MAILING ADDRESS: 1700 CONVENTION
OFFICE OR POSITION HELD: ASSISTANT CITY
CENTER DRIVE
MANAGER
CITY: MIAMI BEACH ZIP: 33139
FOR QUARTER ENDING (Check One): YEAR:
COUNTY: MIAMI DADE
MARCH JUNE SEPTEMBER DECEMBER 2018
PART A - STATEMENT OF GIFTS
Please list below each gift, or series of gifts of $100 or more, 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 OF
MONETARY VALUE
NAME OF PERSON
ADDRESS OF
RECEIVED
GIFT
MAKING THE GIFT
PERSON MAKING
THE GIFT
Art Basel Welcome
Bob Goodman
300 41s' Street,
December 5, 2018
Reception &
$100.00
Suite 214, Miami
Special Project
Beach, FL 33139
Preview
Bob Goodman
300 41" Street,
December 5, 2018
Art Basel VIP
$150.00
Suite 214, Miami
Opening
Beach, FL 33139
PAMM
Bob Goodman
300 411t Street
December 6, 2018
RECEPTION
$100.00
Suite 214, Miami, FL
33139
❑ 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.
PART C — OATH
I, the person whose name appears at the beginning of this form, STATE OF FLORIDA n .
COUNTY OF do
depose on oath or affirmation and say that the information
Sworn to (or affirmed) and subscribed before me this
disclosed herein and on any attachments made by me consti- te4 day of 20 l
by -
tutes a true, accurate, and total listing of all gifts required to be 1 1
(Signature o A % iorida)
reported by Section 2-11.1 (e)(4) of the Code of Miami -Dade �� : •'pMt1ISSIOH O
Wx
�G ��MBER ��o� �• y
County.
o *GG 222714
SIGN/URE OF REP/RTING OFFICIAL (Print, Type, orSt /massjotd a„ti ary Public)
Personally Known �C �/'(3'fQ�l�\fication_
Tvne of Identification Pro 1111111%1��
PART D — FILING INSTRUCTIONS
This form, when duly signed and notarized, must be filed with the Clerk of the Board of County Commission, 111 NW I" Street,
Suite 17-202, Miami, Florida 33128. 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.)