Rickelle Williams County Form QTR IVM IAMI BEACH
OFFICE OF THE CITY CLERK
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, FL 33139
www .m iam ibe achfl ,gov
Telephone: 305 .673-7 411
March 29, 2023
Miami-Dade Clerk of the
Board of County Commissioners
111 NW 1 Street, # 17 -1 0
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
2022, for the following City of Miami Beach Personnel:
Heather Shaw - City of Miami Beach (Assistant Director - Economic Development)
Rickel le Williams - City of Miami Beach (Director - Economic Development)
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.
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:
Williams, Rickelle City of Miami Beach
STREE ADDRESS: OFFICE OR POSITION HEL D:
1700 Convention Center Dr. Director - Economic Development
CITY: FOR QUARTER ENDING (Check One):
ZIP: Miami Beach, FL 33139 DJ MARCH J JUNE
COUNT Y: 3 SEPT Q DEC. YEAR: 20. 22
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 thc 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 OFGIFT VALUE MAKING THE GIT MA KING THE GIT
Premium Pass 300 W 41st st
Miami Beach, FL 12/2022 Art Basel $600 Art Basel 33139
CHECK HERE IF CONTINUED ON SEPARATE SHEET. []
PART B: RECEIPT PROVIDED BY PERSON MAKING THE GIFT. It ay receipt for a gin
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. EI
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, II 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 (c)(4) of the Code of Miami-Dade
County.
0 ht fol [ltllae Signature of Person Making Gu 5f4
STATE OF FLORIDA
COUNTY OF Mini - Dade
Sworn to (or affirmed) and subscribed before me this
2& day or £torch ,2023
(Print, Type, or Stamp Commissioned Name of Notary Public)
ersonally known to me or DJ Produced Identification
Type of Identification Produced:
COE 02/2010
g9!t@, STEPHANIE NICOLE REY ROOKS %pi , Neary obi • sate ot Ftorca 3ft3¢ conmtsco + 347040 ?if° y comm. Expires Jen 8, 2027
Bonced through National Notary Assn,
City Clerk USPS CERTIFIED MAIL
I 1111111 11
9214 8901 9403 8309 0465 96
MIAMI-DADE CLERK OF THE BOARD OF COUNTY COMMISSIONERS
111NW 1ST ST UNIT 17-10
MIAMI FL 33128-1902
Fold Here
Return Reference Number:
Username: Charles Dagostin
Code Violation # :
Court Case #:
Property Address : :
Permit ID#:
Custom 5:
Postage: $6.8500