Rafael Paz County Form QTR IMIAMI-DADE COUNTY
QUARTERLY GIFT DISCLOSURE
LAST NAME-FIRST NAME-MI DDLE NAME: NAM E OF AGENCY:
Paz, Rafael A. City of Miami Beach
STRE E AD DRE SS: OFFICE OR POSITION HELD:
1700 Convention Center Drive City Attorney
CITY: Miami Beach FOR QUAR TE R END ING (Check One):
ZIP: 33139 I MARCH □JUNE
COUN TY : Miami-Dade □SEPT. □DEC. YEAR: 2023
PART A: ST A TEMENT 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 MONE TARY NAME OF PERSON ADDRESS OF PERSON
RE CEIVED OF GIFT VAL UE MAK ING THE GIFT MAKING TH E GIFT
2 tickets, Miami Open $300- 500 per ticket PDI Healthcare, Inc.
400 Chestnut Ridge Rd,
3/23/23 Woodcliff Lake, NJ
CHECK HERE IF CONTINUED ON SEP ARA TE 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 form and the
information on the receipt. CHECK HERE IF A RECEIPT IS A TT ACHED TO THIS FORM. D]
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 1 St., Suite 17-10, Miami, FL 33128. Municipal personnel file with their
respective municipal clerks.
PARTD: 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.
Signature of Person Making Gift Disclosure
STATE OF FLORIDA
COUNTY OF _Miami-Dade
Sworn to (or affirmed) and subscribed before me this
zO day of Mc; ,2023 , -- t
by Rafael A. Paz
·ure)
~
COE 02/2010
D ' A g o s t i n , C h a r le s
From:
Sent:
To:
Su bject:
A tt achm ents:
Granado, Rafael
Wednesday, May 31, 2023 11:33 AM
D'Agostin, Charles
FW: Quarterly Gift Disclosure - Due June 30, 2023
Miami-Dade County Quarterly Gift_March 2023_EXECUTED.pdf; Form 9 Quarterly Gift
Disclosure_March 2023_EXECUTED.pdf
Rafael E. Granado, Esq., City Clerk
OFFICE OF THE CITY CLERK
1700 Convention Center Drive, Miami Beach, FL 33139
Tel: 305.673. 7 411 rafaelgranado@miamibeachfl.gov
We are committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical,
historic community.
From: Granado, Rafael
Se n t: Tuesday, May 30, 2023 5:24 PM
To: Mena Caceres, Keila <KeilaMenaCaceres@miamibeachfl.gov>; D'Agostin, Charles
<CharlesDAgostin@miamibeachfl.gov>
Su b ject: FW: Quarterly Gift Disclosure - Due June 30, 2023
Who is doing these?
/\;\ 1 f 1\/, l n r: f.\ c·· ~-t v r vii hl.. M.a l
Rafael E. Granado, Esq., City Clerk
OFFICE OF THE CITY CLERK
1700 Convention Center Drive, Miami Beach, FL 33139
Tel: 305.673.7411 rafaelgranado@miamibeachfl.gov
We are committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical,
historic community.
From: Gonzalez, Amada <AmadaGonzalez@miamibeachfl.gov>
Sen t: Tuesday, May 30, 2023 4:42 PM
To: Granado, Rafael <RafaelGranado@miamibeachfl.gov>
C c : Paz, Rafael <RafaelPaz@miamibeachfl.gov>
Su b ject: RE: Quarterly Gift Disclosure - Due June 30, 2023
Hi Ralph,
1
A tt a c h e d a re R a fa e l's e x e c u te d S ta te (F o rm 9 ) and Miami-Dade County Quarterly Gift Disclosure forms. I will drop off
the County Form to you and mail the State (Form 9) to Commission on Ethics, P.O. Drawer 15709, Tallahassee, Florida
32317-5709.
Thanks,
t ti
Amada Gonzalez, Assistant to the City Attorney
OFFICE OF THE CITY ATTORNEY
Tel: 305-673-7470 Ext 26607
Fro m : Granado, Rafael <RafaelGranado@miamibeachfl.gov>
Sent: Tuesday, May 30, 2023 8:37 AM
To: Mayor's Office Staff <MayorsOfficeStaff@miamibeachfl.gov>; Mayor Office Team
<MayorsOfficeleam@MiamiBeach.onmicrosoft.com>; Mayor's Office Aides <MayorsOfficeAides@miamibeachfl.gov>;
Mayor and Commissioners Office <MayorandCommissionersOffice@miamibeachfl.gov>; Mayor's Office
<MAYO Dept@miamibeachfl.gov>
Cc: City Clerk's Office <CityClerksOffice@miamibeachfl.gov>; City Attorney's Office
<CityAttorneysOffice@miamibeachfl.gov>; City Manager's Office <CityManagersOffice@miamibeachfl.gov>; Office of
the Inspector General <OfficeofthelnspectorGeneral@miamibeachfl.gov>; Department Directors
<DepartmentDirectors@miamibeachfl.gov>; Division Directors <DivisionDirectors@miamibeachfl.gov>; Assistant
Department Directors <Assista ntDepa rtme ntDi recto rs@m ia mi beachfl .gov>; Assistant lJivisio n Di rectors
<Assista ntDivision Di rectors@mia mi beachfl.gov>; Executive Staff <ExecutiveStaff@mia m ibeachfl.gov>; Management
Team <ManagementTeam@miamibeachfl.gov>; Management Team Assistants
<ManagementTeamAssistants@miamibeachfl.gov>; D' Agostin, Charles <CharlesDAgostin@miamibeachfl.gov>; Granado,
Rafael <RafaelGranado@miamibeachfl.gov>; Mena Caceres, Keila <KeilaMenaCaceres@miamibeachfl.gov>; Camm,
Patrick <PatrickCamm@miamibeachfl.gov>; Granado, Rafael <Rafae1Granado@miamibeachfl.gov>
Subject: Quarterly Gift Disclosure - Due June 30, 2023
Im portance: High
G o o d m o rn in g ,
P le a se be rem i nd e d tha t Quarterly Gift Disclosures forms are due on or before June 30, 2023, for th e period
of January, February, and March 2023. Y o u m u st re p o rt any gift re ceived fro m an ind ivid u a l or single entity
d uring January, February, and/or March 2 023 in excess of $100.
Reporting is not required if no gift was received.
I ha v e a tta ch e d he re w ith a fo rm en ti tle d "2 0 2 3 Fi n an ci al D iscl osure Filin g R eq u irem e nts" to assist you in
de te rm in in g w he the r yo u are req u ire d to fil e the S ta te Q u art erly G ift D isclosu re (F o rm 9) or the M iam i-D ade
C o u n ty Q u a rt e rly G ift D is c losu re F o rm . (Note: Elected Officials are required to file Form 9.)
Where to file?
• F o rm 9 m u st be file d w ith the C o m m ission o n E th ics, P.O . D raw er 15 7 0 9 , T allaha sse e , Florida 32317-
57 0 9 .
• Mi am i-D a d e C o un t y Q ua rt e rl y Gift Di scl o su re m u st be file d wi th th e Ci ty Clerk, 1%Fl oor Ci ty H al l.
If yo u ha ve a n y q u e stion s, plea se fee l fr ee to co n ta ct m e.
R e g a rd s ,
2
Rafa el E. Granado, Esq., City Clerk
OFFICE OF THE CITY CLERK
1700 Convention Center Drive, Miami Beach, FL 33139
Tel: 305.673.7411 rafaelgranado@miamibeachfl.gov
We are committed to providing excellent public service and safety to all who live, work and play in our vibrant,
tropical, historic community.
3
City Clerk USPS CERTIFIED MAIL
Ill I 1111111 111
9214 8901 9403 8317 2980 62
MIAMI-DADE CLERK OF THE BOARD OF COUNTY COMMISSIONERS
111NW 1ST ST UNIT 17-10
MIAMI FL 33128-1902
F old Here
Return Reference Number:
Usern ame: Charles Dagostin
Code Violation # :
Court Case #:
Pro perty Address ::
Permit ID#:
Custom 5:
Postage: $6.8500