Diana Fontani County FormMIAMI BEACH
OFFICE OF THE CITY CLERK
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, FL 33139
www.miamibeachfl.gov
Telephone: 305.673-7411
September 30, 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 June 2019, for
the following City of Miami Beach Personnel:
Diana Fontani Martinez— 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,
ael E. Granado,
la. City Clerk
Attachments
REG:cd
Sent Certified Return Receipt
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
CITY: Miami Beach FOR QUARTER ENDING(Check One):
ZIP: 33139 MARCH Q JUNE
COUNTY: Miami Dade SEPT. 0 DEC. YEAR:2019
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
05/13/2019 Informed Families Fundraiser $200 Erin Dowd 6855 Red Road,Suite 500 Coral Gables,FL 33143
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 1"St.,Suite 1:7-10,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 FLO A Q
this form, do depose on oath or affirmation and say COUNTY OF Qm'l— ` a.eZe
that the information disclosed herein and on any
attachments made by me constitutes a true, accurate, orn to(or armed)a d subscribe before me this
and total listing of all gifts required to be reported by 0 day of-A24) 20 1
Section 2-11.1 (e)(4) of the Code of Miami-Dade I
nty. b &.h1 -
of Person Disclosure)
f
Si
aloe
of .. Publi,State of Florida)
Sign• e s son Making Gift Disclosure 1 i QJ? f
int,Type,or Stamp Commissioned Name of Notary Public)
Personally known to me or 0 Produced Identification
Type of Identification Produced:
rn' "•. CARMEN B.HERNANDEZ
MY COMMISSION#GG 208676
COE 02!2010 7.1 EXPIRES:August 3,2022
Bonded Thru Notary Public Underwriters
USPS CERTIFIED MAIL
4203312819029214890194038391232648
9214 8901 9403 8391 2326 48
City of Miami Beach
City Clerk
1700 Convention Center Dr
Miami Beach Fl 33139
MIAMI-DADE CLERK OF THE BOARD OF COUNTY COMMISSIONERS
111 NW 1ST ST UNIT 17-10
MIAMI FL 33128-1902
Return Reference#:
Username: Charles Dagostin
Postage: $5.6000
Code Violation # :
Court Case #:
Property Address ::
Permit ID #:
Custom 5:
Fold Here___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________