Dennis Leyva County FormMIAMIBEACH
OFFICE OF THE CITY CLERK
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, FL 33139
www. miamibeachfl.aov
Telephone: 305.673-741 1
March 12, 2017
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 December
2017, for the following City of Miami Beach Personnel:
• Brandi Reddick — City of Miami Beach (Cultural Affairs Program Manager)
• Dennis Leyva — City of Miami Beach (Art in Public Places Administrator)
• Eva Silverstein — City of Miami Beach (Director of Tourism, Culture & Economic Development
• Luis Wong — City of Miami Beach (Senior Administrative Manager)
• Linette Nodarse — City of Miami Beach (Special Events Production Liaison)
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,
Ffael . Granado,
City Clerk
Attachments
REG:cd
Sent Certified Return Receipt
7017-1450-0002-2744-0150
MIAMI-DADE COUNTY
QUARTERLY GIFT DISCLOSURE
LAST NAME -FIRST NAME -MIDDLE NAME:
Leyva, Dennis
STREE ADDRESS:
1700 Convention Center Drive
CITY: Miami Beach
ZIP: 33139
COUNTY: Miami -Dade
NAME OF AGENCY:
City of Miami Beach
OFFICE OR POSITION HELD:
Art in Public Places Administrator
RECEi V D
2OI8 MAR -9 PM 4:20
FOR QUARTER ENDING (Check One):
MARCH
❑ SEPT. DEC.
❑ JUNE
YEAR: 2011
,:EACH
Y
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
RECEIVED
12/5/2017
12/5/2017
DESCRIPTION MONETARY NAME OF PERSON ADDRESS OF PERSON
OF GIFT VALUE MAKING THE GIFT
Art Basel VIP card $150.00 Bob Goodman
Design Miami VIP card $150.00 Jen Roberts
MAKING THE GIFT
300 41St Street, Ste 214
Miami Beach, FL 33140
3841 NE 2nd Ave, Ste 400
Miami, Florida 33137
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, 111 NW lst 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
County.
Signa ure of Person aking Gift Disclosure
COE 02/2010
GERALDINE TOUSSAINT
�v. P�ot•,.
Notary Public - State of Florida
," Commission # GG 060275
4 ��,� .>?;c My Comm. Expires Jan 5. 2021
Of fL` Bonded through National Notary Assn. r
STATE OF FLORIDA
COUNTY OF MI Gu'ri — DAM__
Sworn to (or affirmed) and subscribed before me this
21,o day of �ctnuwv` , 20 l�
by befI1t
(Name of Person Making Gift Disclosure)
(Signature of Notary Public, State of Florida)
(Print, Type, or Stamp Commissioned Name of Notary Public)
i 'Personally known to me or 0 Produced Identification
Type of Identification Produced:
CO e N
®
<AD _
N�
0.)
-.
1 Tl N
r
0 rD
v — w
COco
sommi
v N
0
W
Co
saauo!ss!wwoj Alunoj jo paeog
aye jo laao aped-iweiw
B. Received by (Printed Name)
2
0 r
fD 0 ❑
0 > >
0 a
m
N
(0
`< (D
n •1103S SIH1 3137d1N00 :U3. k
0 NO NOI103S SIHI 31.37d141* .
(T
M
Ce
L' 0
w -0
U
r
U F
w
2 �
• E
0 _o
w
0 0
V c C
Y
L
Ca C
0
E
O
c_ >
i 0
0
o
0
u�-
O p
U1 Lrt
1-9 rR
0 p
U.S. Postal Service"''
CERTIFIED MAIL° RECEIPT
Domestic Mail Only
• .•1 • 1 . . 1 1.__
I 1 L
. - Certified Mat Fee
r- r- $
n.J f Extra Services & Fees (check box, add fee as appropriate)
0 Retum Receipt (hardcopy) $
0 • O ❑ Retum Receipt (electronic) $
❑ Certified Mail Restricted Delivery $
0 Adult Signature Required $
p p
0 Adult Signature Restricted Delivery $
p Postage
u7 u'7 $
Total Past
rR a
r- C`- Sent To
r-9 ra
0 0 Street and
r- r-
Ciry, State,
JSE
Postmark
Here
Miami -Dade Clerk of the
Board of County Commissioners
111 NW 1st Street, # 17-10
Miami, FL.33128
II) tot