Elizabeth John Aleman Form 9! �' i � �1 I S' F � bl L� � � �
OFFICE OF THE CITY CLERK
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, FL 33139
www.miamibeachfl.pov
Telep h one: 3 05.673-741 1
September 26, 2017
Florida Commission on Ethics
P.O. Drawer 15709
Tallahassee, FL 32317-5709
Pursuant to Sec. 112.3148, Florida Statutes, please find Quarterly Gift Disclosure State �..._
(9), for the quarter ending June 2017, for the following City of Miami Beach Personnel:
• Elizabeth John Aleman — Commissioner City of Miami Beach
Should you have any questions or require any additional information, please contact me
305.673.7411.
Respectfully,
afael E. Granado,
City Clerk
Attachment
REG:cd
Sent Certified Return Receipt
Fp�� 9 C�UARiERLY GfFT DISCLOSURE
�E��i'���
(C�IFTS OVER $100) �Q�7 SE� 25 P� I��0
LAST NAME -� FIRST NAME -- MIDDLE NAME: NAME OF AGENCY: .�: 4� �,r ;,,; ,, �t �r � r�
ALEMAN. JOHN ELIZABETH
MAILING ADDRESS:
17�O C;nNVENTION CFNTFR nRIVF
CITY: ZIP: COUNTY:
isl. � ... :r°M�;i a.�Jii
��rv nF MIAMI;I��A`�;'#�r `,�::� �i �'� �! v[�i:
OFFICE OR POSITION HELD:
COMMISSIONER
FOR QUARTER ENDING (CHECK ONE): YEAR
❑MARCH G�JUNE ❑SEPTEMBER ❑ DECEMBER 20�
MIAMI BEACH 33139 MIAMI-DADE
.. _
PARTA— STA7ENEENT OF GIFTS
Please list below each gift, the value of which you believe to exceed $100, accepted by you during the calendar quarter for which this statement is
being filed. You are required to describa the gift and state the monetary value of the gift, the name and address of the person making the gift, and the
date(s) the gift was received. If any of these facts, other than the gift description, are unknown or not applicable, you should so state on the form. As
explained more fully in the insiructions on the reverse side of the form, you are not required to disclose gifts from relatives or certain other gifts. You
are not required to file thEs statement for any calendar quarter during which you did nat receive a reportable gift.
DATE
RECEIVED
SEE ATTACFiED
DESCRIPTION MONETARY NAME OF PERSON ADDRESS OF PERSON
OF GIFT VALUE MAKING THE GIFT MAKING THE GIFT
� CHECK HERE IF CONTINUED ON SEPARATE SHEET
P,41�T �— RECE[P� PROVIDED BY PERSON MAKlNG TNE GIFi
If any receipt for a gift listed above was provided to you by the person making the gifr, you are required to attach a copy of that receipt to this
form. You may attach an explaraiion of any differences between the irformation disclosed on this form and the inicrmation on the receipt.
❑ CHECK HERE IF A RECEIPT IS ATTACHED TO TFiiS FORIVI
PART C — OAiH
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 totai listing of all gifts required to be reported by Section 112.3148,
Florida Statutes.
l�� ��,�-
GNA c OF REPORTING OFFICIAL
STATE OF FLORID c� �J�
COUNTY OF II iQilfln � U�cJla
Sworn to1,or affirmed) and subscribed before me this
Z. � day of �O �QXY1F]p.�(" , 20 � i—
b,, �oh �'.. �tQ,+rnan
���� -
(S' ture of No ry P li� of Florida)
(Print, Type, or Stamp Co issioned Name of Notary Public)
Personally Known �OR Produced Identification
Type of Identification Produc��+
��,M; �1��,. CILIAMARIARUIZ-PAZ
PART D— FiUNG INSTRUCTiONS :� ,*_ MYCOMMISSION�kGG037391
:.,� , _
�P{�Es:O��e; 1L',2Q2^
I�•%,,,oF,�Q:'` Banded Thru Nofary Pubfk Undervmters
This form, when duly signed and notarized, must be filed with the Commission on Ethics, P.O. Drawer 15 T'TM"-�' _____—, ,. �� �.-. -- �
cai address: 325 John Knox Road; Building E, Suite 200, Tallahassee, Florida 32303. The form must be filed no later than the last day of the calendar
quarter that follaws the calendar quarter for which this form is filed (For example, if a gift is received in March, it should be disclosed by June 30.)
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