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Rickelle Williams County Form QTR IIIM IA M IB E H OFFICE OF THE CITY CLERK City of Miami Beach, 1700 Convention Center Drive, Miami Beach, FL 33139 www.miamibeachfl.gov Telephone: 305 .673-741 December 27, 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 September 2023, for the following City of Miami Beach Personnel: Rickelle Williams - Economic Development Director (City of Miami Beach) 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. PAT fael E. Granado, {o City Clerk D, CAMM 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: NAME OF AGENCY: WILLI AMS, RICKELLE CITY OF MIAMI BEACH - ECONOM IC DEVELOP MENT STREE ADD RESS: OFFICE OR POSITION HELD: 1700 CO N V ENT ION CENTER DR. DIRECTOR CITY: MIAM I BEACH FOR QUARTER ENDING (Check One): ZIP: 33139 □MARCIi □JUNE COUNTY: MIAMI-DADE Msrrr. X-DEC. YEAR: 20 23 PART A: ST A TEMENT 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 thc gift, the name and address of the person making the gift, and the dates thc gifts were received. If any of these facts are unknown or not applicable, state this on the form. You are not required to fil e th is statem en t fo r an y calen d ar qu arter d u rin g w h ich you did n ot receive a rep ortab le gift. DATE DESC R IPT IO N M O N ET A R Y NA M E OF PER SO N AD D RES S OF PER S O N REC EIV E D O F G IFT V AL U E M A K IN G TIIE G IFT M A K IN G TH E G IFT MIAMI BEACH CHAMBER olL:/I III 8/25/23 NO KNOWN VALUE CONVENTION 70I 3RICKELL AVE n2700 LUNCHEON & VISIOTRS BUREAU MIAMI, FL 33131 CHECK HERE IF CONTINUED ON SEPARATE SHEET. [] PART B: RECEIPT PROVIDED BY PERSON MAKING THE GIFT. If any receipt fora gill 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 discloscd on this form and the information on the receipt, CHECK HERE IF A RE C E IPT IS ATTACHED TO TH IS FORM . D] 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 rcceivcd 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, IHI NW I'St., Suite I7-10, 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 rcquired to be reported by Section 2-111 (c)(4) of the Code of Miami-Dade County. cl, hello» sake or res~tine Gt Disc»sore ST ATE OF FLORIDA COUNTY OF pi Om i Dad.a Sworn to (or affirmed) and subscribed before me this 22ay o f Dec •20.23 by 2ice1le \)illioms (Name of eon Making Gilt Disclosure) (Print, Type, or Stamp Commissioned Name of Notary Public) ]Personally known to me or [) Produced Identification Type of Identification Produced: _ COE 02/2010 ..... G]··~v,i,.:,... STEPHANIE NICOLE REY BROOKS 8 Notary Public - State of Florida 3u '5} commission # HH 347040 $;574$% My comm. Expires Jan 8, 2027 Bonded through National Notary Assn. City Clerk USPS CERTIFIED MAIL I 11 1111 9214 8901 9403 8342 8320 64 MIAMI-DADE CLERK OF THE BOARD OF COUNTY COMMISSIONERS 111NW 1ST ST UNIT 17-10 MIAMI FL 33128-1902 Fold Here Return Reference Number: Username: Charles Dagostin Code Violation # : Court Case #: Property Address : : Permit ID#: Custom 5: Postage: $7.1800