Patrick Camm County Form Quarter I MIAMI BEA H
OFFICE OF THE CITY CLERK
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, FL 33139
www.miamibeachfl.gov
Telephone: 305.673-7411
June 4, 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 March 2019, for
the following City of Miami Beach Personnel:
Patrick Camm — City of Miami Beach (Records Management Specialist)
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
MIAMI-DADE COUNTY
QUARTERLY GIFT DISCLOSURE
LAST NAME-FIRST NAME-MIDDLE NAME: NAME OF AGENCY:
Cjl,r^ I'
i ^ l Ck 1�Q 'C AAVLYvi BOSCE OR POSITION HELD:
C t
y ��A I
STREE ADDRESS:
1700 Conder},or C1-r OCIJt eco( 5llanac EMPn� 51VCACI t(S 1
CITY: M i 0.M3 ectc-h FOR QUARTER ENDING(Check One)!
ZIP: J 13� MARCH 0 JUNE
CI SEPT. 0 DEC. YEAR:2019
COUNTY: M l ar-►1 -Dai e,
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
ClX1'a-Co\42+ickels) arv,rni5516net '(7L1o(o,nvcnkonae
Fed Z2�20tq 43ecchs: c, 664415S6 ka1qM
\ Alerear, ()rive,A4ict . r3eaefn
CHECK HERE IF CONTINUED ON SEPARATE SHEET.0
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 on 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 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 FLO IDAQC
this form, do depose on oath or affirmation and say COUNTY OF in t AptAt -
that the information disclosed herein and on any to(or aff rmed and subscril1before me this
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attachments made by me constitutes a true, accurate, S rn da of i . —,20 I ,
and total listing of all gifts required to be reported by
Section 2-11.1 (e)(4) of the Code of Miami-Dade by /�-TX ' C ry
County. �C.me of Person Making Gift Disclosure)
Al
/ ,4 _____________ (Signature of Notary Public,State of Florida)
Si_ at re of Person Making Gift Disclosures_ �ksonl r'-C'
(Print,Type,or Stamp Commissioned Name of Notary Public)
lPersonally known to me or 0 Produced Identification
Type of Identification Produced:
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SOBEWFF>SATURDAY EVENTS
Coca-Cola Beachside BBQ presented by The National Pork Board hosted by Guy Fieri
1 Email/Account#
Event Date:Saturday, February 22,2020 at 7:00 pm
Password
Promotions
Where: Login
Marriott Bonvoy North Venue
Beachside at Delano-Entrance at 1 Lincoln Road New User
Miami Beach,FL Forgot Password?
When
Saturday,February 23
7:00 PM-10:00 PM
Fan-favorite rockstar chef,restaurateur, Emmy Award-winning television personality and New York Times'bestselling author Guy Fieri is'no stranger to
hosting the Festival's most iconic barbecue celebrations,previously serving as host in 2012 and 2015.With all that experience under his belt,plus curating a
featured barbecue area at Stagecoach this past year,he's back on the beach with his signature high-energy style to help us round up more than 30 of the
nation's top grill maestros.They will churn out mouth-watering creations of beef,pork,poultry,and more cooked low and slow to serve up both classic and
non-traditional barbecue flavors.
These savory samplings will be accompanied by wines,spirits and captivating,live country-rock performances by GRAMMY award-nominated artist Cassadee
Pope and Lukas Nelson&Promise of the Real to cap off this carnivorous celebration! Pope,the first female winner of NBC's The Voice,will croon the night
away with her melodious hits like"Take You Home"and"One More Red Light,"as Nelson,co-producer of the music for the 2018 film A Star is Born and son of
the legendary Willie Nelson,and POTR will light up the beach with their soulful hits like"Set Me Down on a Cloud"and"If I Started Over!"
Review the Festival's strict bag policy at sobewff.org/bagpolicy
How many tickets?
Price Level: General Admission
Limit of eight(8)tickets per event per transaction.
Price Quantity
Adult 0
$175.00
Add to Cart 0
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e Barilla's Italian Bites on the Beach sponsored by HCP Media and the Miami Herald Media Compa 01111
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City of Miami Beach USPS CERTIFIED MAIL
City Clerk
1700 Convention Center Dr
Miami Beach FI 33139 11 H1111
I I
i
9214 8901 9403 8384 2347 27
MIAMI-DADE CLERK OF THE BOARD OF COUNTY COMMISSIONERS
111 NW 1ST ST UNIT 17-10
MIAMI FL 33128-1902
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