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Anthony Yarusso QTR I County FormMIAMI 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 January 13, 2021 Miami-Dade Clerk of the Board of County Commissioners 111NW 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 March 2021, for the following City of Miami Beach Personnel: Anthony Yarusso - City of Miami Beach (Police Officer) 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. 7 411. 3 Rafael E. Granado, City Clerk Attachments REG:cd Sent Certified Return Receipt City of Miami Beach City Clerk 1700 Convention Center Dr Miami Beach Fl 33139 USPS CERTIFIED MAIL 111111 9214 8901 9403 8329 6873 66 MIAMI-DADE CLERK OF THE BOARD OF COUNTY COMMISSIONERS 111 NW 1ST ST UNIT 17-10 MIAMI FL 33128-1902 Fold Here Return Reference#: Usern am e: Ch arles Dagostin Code Violation # : Court Case#: Property Address : : Perm it ID #: Custom 5: Postage: $5.9000 RECE I VED JAN -6 202 COITY OF M öi c 6,-,c# [ LAST NE-FIRST NAE-MIDDLE AE: TEOFAGENC. TWYCLERk % MIAMI-DADE COUNTY QUARTERLY GIFT DISCLOSURE a PD 284 5w 33:± Pa} FFICE OR POSITION HELD: le O{ce CITY: [oeséeod z1: 33633 COUNTY: em O4be PO QUARTER ENDING (Check One): A MARCH □SEPT. □DEC. □JUNE YEAR: 203./ 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 \/~/~ I -/l ficke} $goo es} -own,w llt o r4 5 a w .@e ta.la [3o Nw i}'h c+. -\ [ I - [4u «he, 3101' CHECK HERE IF CONTINUE D 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. Y ou 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. Co Signature of Person Making Gift Disclosure STATE OF FLORIDA coUNTY OF /a, Dea le Sworn to (or affirmed) and subscribed before me this _e day or. Seary 20_3l y_ HnaEhaaz. pg r4so (Prin t, Type, or Stamp t6mmissioned Name of Notary Public) ey se e.0,(/" Type of Identification Produced: _t[ COE02/2010 ii;». ROBIN HENSON 8%pp@i6 Notary ii - sate t Florida 3;933i commisto + GG 275501 3? My comm. Expires Mar 6, 2023 Bonded through National Notary As5n. Acosta, Paul From: Sent: To: Williams, Latoya <Lwilliams@OrangeBowl.org > Thursday, December 31, 2020 4:46 PM Acosta, Paul Subject: ECEwve AN -6 2o2} CITY o Oié-."AM sEeAo,, TTY CR? [ THIS MESSAGE COMES FROM AN EXTERNAL EMAIL - USE CAUTION WHEN REPLYING AND OPENING LINKS OR ATTACHMENTS] FW: Capital One Orange Bowl Importance: High Hello Assistant Chief Acosta, We actually have two (2) boxes we can offer you to distribute for a total of eight (8) tickets, four (4) per Luxury Box. Therefore you have the opportunity to provide two (2) officers the ability to have 3 guest each or four (4) officers the ability to have 1 guest each. See the options broken out below. ge e Box#1 #; ] Guest Options I Total # Tickets 1 Officer I 3 Guests I 4 Or 2 Officers ]1 Guest/oer tnte ] 4 in the same box) sii.. Box#2 - -na Guest Options Total# Tickets 1 Officer 3 Guests 4 Or 2 Officers 1 Guest/Officer (will be 4 in the same box) Please give me a call if you have any questions or need more information. Remember for each officer I will need to receive their contact information to include their Full Name, prefer telephone number and email address in or to send their tickets with instructions. Thank you, 1 LATO YA WILLIAMS • VP , Com munity Outreac h • 0 : 305-341-4728 «CapitalOhe RNGEBO r:yr «,a.o , 3? tg- -! ~-. MIAMI 22I HO ST COM M ITTEE 7cse, -o 9Yo, "és6#gee i ca, ORANGE BOWL COM MITTEE 14360 NW 77th Court • Miami Lakes, FL 33016 1.2.210-.a 1.11.212 F a t a .- 00 @ 0 0 Fro m : Williams, Latoya Se nt: Thursday, December 31, 2020 2:56 PM To: 'paulacosta@miamibeachfl.gov' <paulacosta@miamibeachfl.gov> Su bje ct: Capital One Orange Bowl Im p o rt an ce : High Good afternoon Assistant Chief Acosta, It was a pleasure speaking with you. The Orange Bowl has a few of its premium boxes it would like to provide to those who have continually supported the organization. We would like to provide one living room box for the Miami Beach Police Department to provide to an officer(s) who have gone above and behind the call of duty while on the front lines during the pandemic. The 72 Club Living Room Box is a four-person box and its tickets include all-inclusive food and beverage, premium Black Card parking, TV's with closed-circuit telecast of the game, and plush seating located on the 35-40 yard lines. You may offer the box to one(1) officer with three guests or two (2) officers with a guest each who do not mind being in close proximity to each other. Once you have determined who you would like to provide this opportunity to, I would need to receive their contact information to include their Full Name, prefer telephone number and email address. The 2021 Capital On e Orange Bowl will take place, Saturday, Jan 2"%, 8pm at Hard Rock Stadium and will feature the Texas A&M Aggies and North Carolina Tar Heels. Tickets and additional game day information will be shared digitally, therefore it is imperative the recipient(s) of the box provide an accurate email address. We are very excited to share this opportunity with our first responders and appreciate all that you do for our community. If you have any questions or need more information, please feel free to contact me via email or on my cell at (305) 542- 8450. Thank you, 2