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Tanya Nelson County Form MIAMI BEACH OFFICE OF THE CITY CLERK City of Miami Beach, 1700 Convention Center Drive, Miami Beach, FL 33139 www.miamibeachfl.gov Telephone: 305.673-741 1 March 29, 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: Brandi Reddick— City of Miami Beach (Cultural Affairs Manager) Silvia Royer— City of Miami Beach (Film & Print Liaison) Tanya Nelson — City of Miami Beach (Field Monitor) Linette Nodarsi — City of Miami Beach (Film & Event Manager) Dennis Leyva — City of Miami Beach (Art in Public Places Administrator) Geraldine Toussaint — City of Miami Beach (Office Associate 4) 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, Ra/el E. ranado, City Clerk Attachments REG:cd Sent Certified Return Receipt 9214 8901 9403 8380 7359 90 City of Miami Beach USPS CERTIFIED MAIL City Clerk 1700 Convention Center Dr Miami Beach FI 33139 9214 8901 9403 8380 7359 90 MIAMI-DADE CLERK OF THE BOARD OF COUNTY COMMISSIONERS 111 NW 1ST ST UNIT 17-10 MIAMI FL 33128-1902 Fold Here • Return Reference#:County Gift Disclosure Username:Charles Dagostin Code Violation#: Court Case#: Property Address:: Permit ID#: Custom 5: Postage:$5.7500 MIAMI-DADE COUNTY QUARTERLY GIFT DISCLOSURE 7n19 Vis,;., 20 PH 4: 39 LAST NAME-FIRST NAME-MIDDLE NAME: NAME OF AGENCY: l - Wt lSon r lafta� , City of Miami Beach STREE ADDRESS: �J 'OFFICE OR POSITION HELD: 1700 Convention Center Dr -fc-144 montko t CITY:Miami Beach )R QUARTER ENDING(Check One): ZIP:33139 xl MARCH ❑ JUN COUNTY: Miami-Dade 0 SEPT. 'DEC. YEAR:20 1i 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 12/3/2018 Scope Art Fair VIP card $150.00 20 W 22nd Street Ramsay Fairs LLC New York, NY 10010 12/3/2018 Pulse Art Fair VIP card $175.00 Ramsay Fairs LLC 20 W 22nd Street New York, NY 10010 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 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 STATE OF FLORIDA this form, do depose on oath or affirmation and say COUNTY OF n1 I Lk,' 00,4(A-, that the information disclosed herein and on any attachments made by me constitutes a true, accurate, SwSm to(or affirmed)and subscribed before me this and total listing of all gifts required to be reported by AV day of Mara" ,20 /1 , Section 2-11.1 (e)(4) of the Code of Miami-Dade County. by (—. Ta (1 N� (Name of PersonMaid Gift Disclosure) __'' (Signature of Notary Public,State of Florida) Sign re of Person Making Gift Disclosure Ge,v4 out"e A I/c/4,/1/1 '-'--- (Print,Type,or Stamp Commissioned Name of Notary Public) Personally known to me or 0 Produced Identification ype of Identification Produced: 01Y ps . GERALDINE TOUSSAINT COE 02/2010 , ) ,.-:: Notary Public-State of Florida ,n Commission # GG 060275 's -,'••• J My Comm. Expires Jan 5,2021 ;'%6OF"ios Bonded through National Notary Ann. 1 nnu�