Heather Shaw County Form QTR IVMIAMI BEACH
OFFICE OF TH E CITY CLERK
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, FL 33139
www.miamibeachtl.gov
Telephone: 305.673-7411
March 29, 2023
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 December
2022, for the following City of Miami Beach Personnel:
Heather Shaw - City of Miami Beach (Assistant Director - Economic Development)
Rickelle 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:
Shaw, Heather City of Miami Beach
STREE ADDRESS: OFFICE OR POSITION HELD:
1700 Convention Center Dr. Assistant Director - Econom ic Developmen t
CITY: FOR QUARTER ENDING (Check One)
ZIP: Miami Beach, FL33139 D MARCH D JUNE
COUNTY: □SEPT. ? D1¢. YEAR: 20.22
PART A: STATEMENT OI 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 GIT MAKING THE GIFT
Premium Pass 300 W41st st.
Miami Beach. FL 12/2022 Art Basel $600 Art Basel 33139
CHECK HERE IF CONTINUED ON SEPARATE SHEET. El
PART B: RECEIPT PROVIDED BY PERSON MAKING THE GIFT. Away receipt for a gift
listed above was provided to you by the person making the gift, you are required to attach a copy of that receipt to this
form. You may attach an explanation of any differences between the information disclosed on this form and the
information on the receipt. CHECK HERE IF A RECEIPT IS ATTACHED TO THIS FORM. E]
PART C: FILING INSTRUCTIONS. The signed and notarized for must be filed no later than the last day
of the calendar quarter that follows the quarter for which this form ap plies. For example, if a gift is received in March,
it should be disclosed by the end of the next quarter, i.e., June 30. County personnel file with the Clerk of the Board
of County Commissioners, !HI NW 1 St., Suite I7-10., Miami, FL, 33128. Municipal personnel file with their
respective municipal clerks.
PART D: OATH.
I, the person whose name appears at the beginning of
this form, do depose on oath or affirmation and say
that the information disclosed herein and on any
attachments made by me constitutes a true, accurate,
and total listing of all gifts required to be reported by
Section 211 (e)4) of the Code of Miami-Dade
County. • -., ..las2- hiss sif9-«
STATE OF F LORIDA
COUNTY OF Mi ami Dad
Sworn to (or affirmed) and subscribed before me this
38 day 0Morch.20 23
M f Notay Pu'li. State: f Ftyida
_lens0ally known to me or ) Produced Identification
Type of Identification Produced..------
OE 022010
it z., STEPHANIE NICOLE REY ROOKS [8%$%pi6, oary Puc - $ate ot Ftors {3jJt 3/ commission r H 34704o @ri$ My comm. Expires Jan 8, 2027
Bonded through National Notary Assn,
City Clerk USPS CERTIFIED MAIL
I 111111 I
9214 8901 9403 8309 0465 96
MIAMI-DADE CLERK OF THE BOARD OF COUNTY COMMISSIONERS
111 NW1STSTUNIT17-10
MIAMI FL 33128-1902
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Username: Charles Dagostin
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