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Kristn Rosen Gonzalez County FormMIAMIBEACH OFFICE OF THE CITY CLERK City of Miami Beach, 1700 Convention Center Drive, Miami Beach, FL 33139 www.miamibeachfl.gov Telephone: 305.673-7411 September 27, 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 June 2018, for the following City of Miami Beach Personnel: John Elizabeth Aleman — Commissioner (City of Miami Beach) Kristen Rosen Gonzalez — Commissioner (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. Respectfully, Rafael E. Granado, City Clerk Attachments REG:cd Sent Certified Return Receipt 7017-1450-0002-2744-0280 MIAMI-DADE COUNTY QUARTERLY GIFT DISCLOSURE LAST NAME -FIRST NAME -MIDDLE NAME: Gonzalez Rosen, Kristen NAME OF AGENCY: City of Miami Beach STREE ADDRESS: OFFICE OR POSITION HELD: 1700 Convention Center Drive Commissioner CITY: Miami Beach FOR QUARTER ENDING (Check One): ZIP: 33139 ❑ MARCH Ek JUNE COUNTY:Miami-Dade ❑ SEPT. ❑ DEC. YEAR: 20 18 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 IOF GIFT VALUE MAKING THE GIFT MAKING THE GIFT - Power of the Purse MB Mayor & Com 1700 Convention 04/27/18 Luncheon 150.00 05/26-27/18 - Air & Sea Show - , 500.00 Mickey Markoff Ft. Lauderdale 06/02/18 MB Chamber Gala 325.00 Dr. Ino Halegua 605 Lincoln Rd r Dr CHECK HERE IF CONTINUED ON SEPARATE SHEET. V 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 1" 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 Section4) of the Code of Miami -Dade County #11" Gift Disclosure COE 02/2010 STATE OF FLORIDA COUNTY OF MIAMI-DADE Sworn to (or affirmed) and subscribed before me this 96 day of SQntPmbpr , 20JB_, by GLORIASALOM MY COMMISSION A FF 986535 ''%;os �;.•• Bonded Thru Notary Public Underwriters X Personally kno- ^ " Type of Identification Produced: QUARTERLY GIFT DISCLOSURE KRISTEN GONZALEZ, ROSEN Quarter Ending June, 2018 04/07/18 MB GAY PRIDE Fest 100.00 MB Gay Pride 04/23/18 E -Merge Summit 195.00 Manny Medina 05/11/18 United Way 300.00 Miguel Diaz de la Portilla 05/12/18 MD League of Cities 600.00 MB Mayor & Comm. 64th Gala 06/08/18 Save Dade Champion Of Equality 25th Ann. 150.00 MB Mayor & Comm. 06/19/18 MD Gay & Lesbian Ruby Gala 200.00 MB Mayor & Comm. 06/19/18 Rhythm Foundation 301h Anniversary 250.00 Rhythm Foundation Miami Beach Miami 200 S. 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