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Cilia-Maria Ruiz-Paz County FormMIAMIBEACH OFFICE OF THE CITY CLERK City of Miami Beach, 1700 Convention Center Drive, Miami Beach, FL 33139 WWW. m iam ibeachfi.gov Telephone: 305.673-7411 September 23, 2019 Miami -Dade Clerk of the 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 June 2019, for the following City of Miami Beach Personnel: Cilia -Maria Ruiz -Paz — City of Miami Beach (Commission Aide) Elizabeth John Aleman — City Of Miami Beach (Commissioner) 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 MIAMI-DADE COUNTY QUARTERLY GIFT DISCLOSURE LAST NAME -FIRST NAME -MIDDLE NAME: NAME OF AGENCY: RUIZ-PAZ, CILIA -MARIA CITY OF MIAMI BEACH STREE ADDRESS: OFFICE OR POSITION HELD: 1700 CONVENTION CENTER DRIVE COMMISSION AIDE CITY: FOR QUARTER ENDING (Check One): ZIP: MIAMI BEACH, 33139, MIAMI-DADE ❑ MARCH 0 JUNE COUNTY: ❑ SEPT. ❑ DEC. YEAR: 20_ 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 Me 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 4/1/2019 Event Tickets: Pride $1,000 Miami Beach Pride 1210 Washington Ave #210 Miami Beach, FL 33139 Event Tickets: Miami Beach Mango's Tropical Cafe 900 Ocean Drive 6/1/2019 Chamber of Commerce Gala $250 Miami Beach, FL 33139 6/14/2019 Event Tickets: $300 SAVE 1951 NW 7th Ave Champions of Equality Miami, FL 33136 CHECK HERE 1F 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. ❑ 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) of the Code of Miami -Dade County. -, 4 �_/ 2 A � - Si at of rsonking ' isclosure COE 02/2010 STATE OF FLORIDA COUNTY OF MIAMI-DADE =w rn ff}�a o (or aned),ansubscribed before me this day of. � 2019 by Cilia M-gia Ruiz -Paz y J. STATE OF FLORIDA (Print, Type, or St ionR 10 f l c Expires 12/14/2021 Personally known to me or ❑ Prod ed Identification Type of Identification Produced: City of Miami Beach USPS CERTIFIED MAIL City Clerk 1700 Convention Center Dr Miami Beach FI 33139 9214 8901 9403 8390 8568 45 MIAMI-DADE CLERK OF THE BOARD OF COUNTY COMMISSIONERS 111 NW IST ST UNIT 17-10 MIAMI FL 33128-1902 Fold Here Return Reference#: Username: Charles Dagostin Code Violation # Court Case #: Property Address Permit ID #: Custom 5: Postage: $5.7500