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Rickelle Williams County Form QTR IM IA M I BEACH O FFIC E O F TH E C ITY C LERK C ity of M ia m i Beach, 17 0 0 C onvention C enter Drive, M iam i Beach, FL 3313 9 w ww.m iam ibeach ll .gov Telephone: 30 5.6 7 3-7 4 11 June 28, 2023 Miami-Dade Clerk of the Board of County Commissioners 111NW 1"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 March 2023, for the following City of Miami Beach Personnel: Rickelle Williams - City of Miami Beach (Economic Development Director) Heather Shaw - City of Miami Beach (Economic Development Assistant Director) 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. 7 411. Respectfully, Ra11,.nado, 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 JUN 27r s U CITY OF MIAMI BEA CH OFFICE OF THE CITY CLERK LAST NAME-FIRST NAME-MIDDLE NAME: NAME OF AGENCY: Williams, Rickelle City of Miami Beach - Economic Development STREE ADDRESS: OFFICE OR POSITION HELD: 1700 Convention Center Dr. Director CITY: Miami Beach FOR QUARTER ENDING (Check One): ZIP: 33139 MARCH 0 JUNE COUNTY: Miami-Dade □SEPT. □DEC. YEAR: 20_23 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 Infonna Markets 1650 SE 17th St.. #412 F. Feb 2023 VIP ticket $375 iami Int. Boat Show Laud, FL 33316 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.□ 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, H11 NW I St., Suite I7-10, Miami, FL 33128. Municipal personnel file with their respective municipal clerks. PARTD: 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. fcf ltiso Signature of Person Making Gift Disclosure STATE OF FLORIDA COUNTY OF Mi«m Dode Sworn to (or affirmed) and subscribed before me this L1 day or June .20.23 (Print, Type, or Stamp Commissioned Name of Notary Public) ~onally known to me or Produced Identification Type ofldentification Produced: _ COE 02/20IO iii4., STEPHANIE NICCLE REY 8ROOKS pp«, vary Public · sate ot Fiord&a "3'3Si comm»sen « « 3+7c«0 ;#f" wy comm. Exores an 8, 2027 "gcnced through National Notary Assn, City Clerk USPS CERTIFIED MAIL I I 111111 9214 8901 9403 8320 6308 73 MIAMI-DADE CLERK OF THE BOARD OF COUNTY COMMISSIONERS 111NW 1ST ST UNIT 17-10 MIAMI FL 33128-1902 Fold Herc Return Reference Number: Username: Charles Dagostin Code Violation # : Court Case #: Property Address :: Permit ID#: Custom 5: Postage: $6.8500