Nicholas Kallergis(December 2022)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 31, 2023
Miami-Dade Clerk of the
Board of County Commissioners
111NW 1Street, # 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:
• Nicholas Kallergis - Deputy City Attorney
The original have 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.
Ry4lly,
Rafael E. Granado,
City Clerk
Attachments
REG:rq
Sent Certified Return Receipt
MIAMI-DADE COUNTY
QUARTERLY GIFT DISCLOSURE
RECEIVED
MAR 31 2023
CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
LAST NAME-FIRST NAME-MIDDLE NAME:
iholaf •
NAME OF AGENCY:
f Miowi eod
POSITION HELD:
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CITY: z. 33\3q
couNrY: .iowti- Dog 0 MARCH
D SEPT.
Check One). soc D JUNE
YEAR: 2 -
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
tile this statement for any calendar quarter during which you did not receive a reportable gift.
DATE DESCRIPTION MONETARY NAME OF PERSON ADDRESS or PERSON
RECEIVED OF GIFT VALUE MAKING THE GIFT MAKING THE GIFT
/0/2033 Ho(@) owe-do-5 sag4-a a: er t",, +kei tr ,el 20o Mr' i0ad ((
i -
CHECK HERE IF CONTINUED ON SEP ARA TE SHEET. DJ
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.□
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. l (e)(4) of the Code of Miami-Dade
County.
STATE OF FLORIDA (A
COUNTY OF Mio [aA-
Sworn to (or affirmed) and subscribed before me this
2[4yo HAqr}..202.2 .
» Mho! _Holy9i
ng Gift :losure)
nt, Type, or Stamp Commissioned Name of Notary Public)
ersonally known to me or □Produced Identification
Type of Identification Produced.
COE 02/2010
City Clerk
1700 Convention Center Drive
iami Beach FL 33139 I
USPS CERTIFIED MAIL
11 111
9214 8901 9403 8309 3748 04
MIAMI-DADE CLERK OF THE BOARD OF COUNTY COMMISSIONERS
111NW 1ST ST UNIT 17-10
MIAMI FL 33128-1902
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eturn Reference Number:
sername: Patrick Camm
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ostage: $6.8500