Dennis Leyva County Form MIAMI BEACH
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 29, 2019
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
2018, for the following City of Miami Beach Personnel:
Brandi Reddick — City of Miami Beach (Cultural Affairs Manager)
Silvia Royer— City of Miami Beach (Film & Print Liaison)
Tanya Nelson — City of Miami Beach (Field Monitor)
Linette Nodarsi — City of Miami Beach (Film & Event Manager)
Dennis Leyva — City of Miami Beach (Art in Public Places Administrator)
Geraldine Toussaint — City of Miami Beach (Office Associate 4)
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,
Ra/el E. ranado,
City Clerk
Attachments
REG:cd
Sent Certified Return Receipt
9214 8901 9403 8380 7359 90
City of Miami Beach USPS CERTIFIED MAIL
City Clerk
1700 Convention Center Dr
Miami Beach FI 33139 11
111
9214 8901 9403 8380 7359 90
MIAMI-DADE CLERK OF THE BOARD OF COUNTY COMMISSIONERS
111 NW 1ST ST UNIT 17-10
MIAMI FL 33128-1902
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Return Reference#:County Gift Disclosure
Username:Charles Dagostin
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MIAMI-DADE COUNTY
QUARTERLY GIFT DISCLOSURE
101MR 1428 PPS ! :
39
LAST NAME-FIRST NAME-MIDDLE NAME: NAME OF AGENCY:
Z.gyVAI DeN/I45 City of Miami Beach
STREE ADDRESS: OFFICE OR POSITION HELD:
1700 Convention Center Dr Wi,si p 39j A/ /Ai/JTM RP—
CITY:Miami Beach ^. Fnit QUARTER ENDING(Check One):
ZIP:33139 MARCH ❑ JUNg.
COUNTY: Miami-Dade SEPT. DEC. YEAR:20 j1)
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
12/3/2018 Art Basel VIP card $150.00 Bob Goodman 30041 Street,Ste 214
Miami Beach,FL 33140
12/3/2018 Design Miami VIP card $150.00 Jen Roberts 3841 NE 2nd Ave,Ste 400
Miami,FL 33137
CHECK HERE IF CONTINUED ON SEPARATE SHEET.❑
PART B: RECEIPT PROVIDED BY PERSON MAKING THE GIFT.If any receipt fora 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.
I, the person whose name appears at the beginning of STATE OF FLORIDA
this form, do depose on oath or affirmation and say COUNTY OF PA1a4cYt, tIcsltJL
that the information disclosed herein and on any
attachments made by me constitutes a true, accurate, Sworn to(or affirmed)and subscribed before me this
and total listing of all gifts required to be reported by day of 1^-'-u^ ,20 1i ,
Section 2-11.1 (e)(4) of the Code of Miami-Dade �n
County. by it J' 1 S
(Name of Person Malan ift
Disclosure)
(Signature of Notary Public,S
ignature of Person M 'ng Gift Di'sclosure ` ' �� 3
(Print,Type,or Type, Commissioned Name of Notary Public)
%Personally known to me or❑Produced Identification
/Type of Identification Produced:
,,,,,,,,,,��, GERALDINE TOUSSAINT
f. Notary Public-State of Florida
COE 02/2010 Commission#GG 060275
� 6.
p��tt,u�� Bonded through XNational Notary Assn.