Diana Fontani County Form MIAMIBEACH
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 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:
Heather Shaw—City of Miami Beach (Assistant Director Tourism & Economic Development)
Diana Fontani Martinez— City of Miami Beach (Commission Aide)
Elias Gonzalez— City of Miami Beach (Commission Aide)
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
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Sent Certified Return Receipt
9214-8901-9403-8380-7489-69
City of Miami Beach USPS CERTIFIED MAIL
City Clerk
1700 Convention Center Dr
Miami Beach FI 33139 IN 111
9214 8901 9403 8380 7489 69
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#:County Gift Disclosure
Username:Charles Dagostin
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MIAMI-DADE COUNTY
QUARTERLY GIFT DISCLOSURE
LAST NAME-FIRST NAME-MIDDLE NAME: NAME OF AGENCY:
Fontani Martinez, Diana City of Miami Beach
STREE ADDRESS: OFFICE OR POSITION HELD:
1700 Convention Center Drive Aide to Commissioner Michael Gongora
CITY:Miami Beach FOR QUARTER ENDING(Check One):
ZIP:33139 0 MARCH 0 JUNE
COUNTY:Miami-Dade 0 SEPT. IN DEC. YEAR:201 S
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
11/26/2018 VIP Art Basel Card ($150 each card)Total:$150 236 West 30th Street,6th Floor
Art Basel New York,NY 10001
3841 NE 2nd Avenue,Suite 400
11/26/2018 VIP Design Miami Card ($95 each card)Total:$95 Design Miami Miami,FL 33137
11/26/2018 Scope PlanOnum VIP $200 each card)Total:$200 Scope Art 42BlaNY 11217
Event Ticket pBrooklyn,
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.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 FLORID , .— \
this form, do depose on oath or affirmation and say COUNTY OF J
that the information disclosed herein and on any
attachments made by me constitutes a true, accurate, Sworn to(or affi a and subscribed before me this
and total listing of all gifts required to be reported by 91 day of ,20 / ,
Section -11.1 (e)(4) of the Code of Miami-Dade �/i4�A- On f4-Al frbew�, '/l/G2
Co y by
rr.me, Pell.'Making Gift Disclosure)
y , /(Signat , o otary Public,State of Florida)
Sign. e of P7 son Making Gift Disclosure .tom_ Charles J.DAgostin
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_ -STATE OF FLORIDA
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