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John Elizabeth Aleman County FormMIA 1EACH OFFICE OF THE CITY CLERK City of Miami Beach, 1700 Convention Center Drive, Miami Beach, FL 33139 www.miamibeachfl.aov Telephone: 305.673.7411 March 26, 2018 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: • John Elizabeth Aleman — Commissioner — Group VI • Cilia Maria Ruiz -Paz — Commission Aide • Gloria Salom — Commission Aide • Mark George Samulian Commissioner Group 11 The originals have 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, Rafael E. Granado, City Clerk Attachments REG: rq Sent Certified Return Receipt a) CD , U) U) .> : t 2--(1-3 ...s.- CD 'a C:1 . to a) 0 < < 6 >-Z - . - 0 El 1 00 'CC- C•• d ILI_ ' al Q .- : g -E... . 0(1) _-.0 a) .: --, 9- ci) .,.. 4-, L., • ... E o z c -0 co ....... () - •--0 _0- - z LU '-- ri .?... '.?. c6 ---1 - c a) Ft. w .... o.) ) - o -c) ...-11.- -: i") - cC co 4.-. 0 0 '4 X rsi d .... ts b-.-- • 1, 2 i. -5. o . -: .. . - .2.20 •5 f 'i- x — .- ,-. 4:: ti,d, . 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(1) L"--" •E -•-t - 0 . • -0) - (7\1 '-- CL, 10 pJOO2J V ni Muepi enbiun V El bu1ll2w V II • rPio'�.Yr4a1Yl Vwi6J�:a16 "iilil.11lll.1..IJ:IIk'.� ak.E CWP....P; 6 � dtl ,i:Slli YI it ddri LP�i IV GW:WII ba.;ilW 'W Flil 1.11141,111 .IIIgJL 1,411. 611 Pul161,:ll ,a:6,i lLI,,116Vs1111L.1..r C4 0 co L1-1 -0 U o U u w u. • E o 2 w • m L > 1..L • o 0 CD ✓ C U 00 0 E 0 U 0 Fr - D D rR r� r-4 m m © D nP� 1 i.i ru D D D D E3D Restricted Delivery Fee © D (Endorsement Required} D D ru ru Total Postage & Fees r-1 rR Return Receipt Fee (Endorsement Required) i-1 rR D D ice- Sent To r� IQ e Ce or PO Box No, GJity State, Z!P+4 Postmark Here ---------- MIAMI-DADE COUNTY QUARTERLY GIFT DISCLOSURE LAST NAME -FIRST NAME -MIDDLE NAME: ALEMAN, JOHN ELIZABETH STREE ADDRESS: 1700 CONVENTION CENTER DRIVE CITY: ZIP: MIAMI BEACH, 33139, MIAMI-DADE COUNTY: NAME OF AGENCY: CITY OF MIAMI BEACH OFFICE OR POSITION HELD: COMMISSIONER FOR QUARTER ENDING (Check One): O MARCH O SEPT. EZ1 DEC. OF Trr, n 6P 0 JUNE YEAR: 20 1 1 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 SEE ATTACHED DESCRIPTION MONETARY NAME OF PERSON ADDRESS OF PERSON OF GIFT VALUE MAKING THE GIFT MAKING THE GIFT 17 CHECK HERE IF CONTINUED ON SEPARATE SHEET. II 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. 0 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 1st St., Suite 17-10, Miami, FL 33128. Municipal personnel file with their respective municipal clerks. PART D: OATH. 1, 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. 4 Si.nat of Person Making Gift Disclosure COE 02/2010 STATE OF FLORID4 COUNTY OF M(ASY1 i-(702CUit Sworn to (or affirmed) and subscribed before me this 240 day of _gelid\ , 20i by -5*Or\C‘bi44(‘ ,c,UNrn (Name 4on110111,„t ift Disclosure) o ary Publ. rida) (Print, Type, or Stamp Commissioned Name of Notary Public) Ef‘rsonally known to me or 0 Produced Identification Type of Identification Produced: `, • 41, CILIA MARIA RUIZ.PAZ ▪ MY COMMISSION # GG 037391 EXPIRES; October 10, 2020 Bonded Thru Notary Public Underwriters N N 1-, 1-4 Iv N `. `N \ 00 0 0 0 O 0 0 0 ....1 ....! 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