Diana Fontani County Form QTR I121 A.MM1BEACH V\l/\//\
OFF ICE OF THE CITY CLERK
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, FL 33139
www._miamibeach[,gov
Telephone: 305.673-7411
June 30, 2021
Miami-Dade Clerk of the
Board of County Commissioners
111NW 1Street, # 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 March 2021, for
the following City of Miami Beach Personnel:
Diana Fontani - Aide to Commissioner Góngora
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. R e sn
Rafael E. Granado,
City Clerk
Attachments
REG:cd
Sent Certified Return Receipt
M IA M I-D A D E C O U N T Y
Q U A R T E R L Y G IF T D IS C L O S U R E
LAST NAME-FIRST NAME-MIDDLE NAME: NNAME 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: FOR QUARTER ENDING (Check One):
ZIP: MARCH □JUNE
COUNT,Miami Beach, 33139 Miami Dade County □SEPT. □DEC. YEAR: 20 2.\
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
01/27/2021 Dinner at Santorni $100 Georgios 101 Ocean Drive
During the Anniversary
where a proclamation wa presented
CHECK HERE IF CONTINUED ON SEPARA TE 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 I st 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
Cou
STATE OF FLORIDA
COUNTY OF ;a-a
Sworn to (or affirmed) and subscribed before me this o day or Jua .,20. 2l .
» Oaoa fonMai
(Name of Person Making Gift Disclosure)
D. Ca
(Print, pe. or Stamp Commissioned Name of Notary Public)
~onally known to me or D Produced Identification
Type of Identification Produced: _
COE 02/2010 TICK D. CAMM
l „ii}ii5., PA" 4Gs 2oo247 ¡~;¡•· j•·~·~ t,\'( cQMMISSION # ¿; '¿¿ ypRES: April 19, 2022
i8±, 3 LN ,,Me (Jpderwriters ; $' aaa mu Notary Po°
«fj%i,ti''
City Clerk
1700 Convention Center Drive
Miami Beach FL 33139
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MIAMI-DADE CLERK OF THE BOARD OF COUNTY COMMISSIONERS
111NW 1ST ST UNIT 17-10
MIAMI FLORIDA 33128-1902
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Return Reference Number:
Usern ame: Patrick Camm
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