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Tathiane Trofino 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 March 28, 2019 Miami -Dade Clerk of the Board of County Commissioners 111 NW 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 December 2018, for the following City of Miami Beach Personnel: Tathiane Trofino — City of Miami Beach (Commission Aide) 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, Raf el E. anado, City Clerk Attachments REG:cd Sent Certified Return Receipt 9214 8901 9403 8380 7262 40 City of Miami Beach USPS CERTIFIED MAIL City Clerk 1700 Convention Center Dr Miami Beach FI 33139 1111111 1111 111 111 ill I IRA Ill 9214 8901 9403 8380 7262 40 MIAMI-DADE CLERK OF THE BOARD OF COUNTY COMMISSIONERS 111 NW 1ST ST UNIT 17-10 MIAMI FL 33128-1902 Fold Here Return Reference#: Gift Disclosure Username: Charles Dagostin Code Violation # Court Case #: Property Address Permit ID #: Custom 5: Postage: $5.6000 MIAMI-DADE COUNTY QUARTERLY GIFT DISCLOSURE LAST NAME -FIRST NAME -MIDDLE NAME: Trofino, Tathiane NAME OF AGENCY: City of Miami Beach STREE ADDRESS: OFFICE OR POSITION HELD: 1700 Convention Center Drive Commission Aide CITY: Miami Beach FOR QUARTER ENDING (Check One): ZIP: 33139 ❑ MARCH ❑ NNE COUNTY: Miami- Dade ❑ SEPT. C9 DEC. YEAR: 20,.$_ 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 OF GIFT VALUE MAKING THE GIFT MAKING THE GIFT 10/11/2018 Children's Home Society Claws for a Cause $500 Micky Steinberg 767 Arthur Godfrey Rd i Dinn r Miami Beach, 33140 12/05/2018 Scope Plantinum VIP Event Ticket $200 Scope Art Fair p 452 Baltic St. Brooklyn, NY 11217 12/05/2018 Art Basel VIP Ticket $150 Bob Goodman 300 41st Street, Suite 214 Miami Beach, FL 33140 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 I" 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. .Signatu of Person Making Gift Disclosure COE 02/2010 STATE OF FLOR A nn _� COUNTY OF •ri4A4 — � �� o (or affirmed an ubscribed before me this aay of �, 20 , by A n/ / ��'a`�t /✓tom ame of Person Makin Gift Disclosure) (Si at e of Notary Public State of Miffs J. pq905tin NOTARY PUBLIC (Print, Type, or Stamp Co ` i _,mFwA6EPVFv7L0RIDA "? Comm# GG168171 Personally known to me o ce6jo if 11 14/2021 Type of Identification Produced: