Jason Green County Form QTR IIMIAMI BEACH
O FFIC E O F THE CITY CLERK
City of Mi a mi Deuhi, 1700 Convention Center Drive, Mi ami Beach, FL 33139
www.miamibeach!l,gov
Telephone: 305.673-7411
June 12, 2023
Miami-Dade Clerk of the
Board of County Commissioners
111NW 1S treet, # 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 and
June 2023, for the following City of Miami Beach Personnel:
Jason Greene - City of Miami Beach (Chief Financial 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
305.673.7411.
Respectfully,
Ra~ranado,
City Clerk
Attachments
REG:cd
Sent Certified Return Receipt
M IA M I-D A D E C O U N T Y.
Q U A R T E R L Y G IF T D IS C L O S U R E
LAST NAME-FIRST NAME-MIDDLE NAME: NAME OF AGENCY:
Greene, Jason, David City of Miami Beach
STREE ADDRESS: OFFICE OR POSITION HELD:
1700 Convention Center Drive CFO
CITY: Miami Beach FOR QUARTER ENDING (Check One):
ZIP: 33139 □MARCH X JUNE
COUNTY: Miami-Dade □SEPT. □DEC. YEAR: 20 23
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
Travel expenses Government Finance Offi ce rs 203 N. LaSalle Street
May 18-23, 2023 for GFOA Board meeting $2,817.76 Association (GFOA) Suite 2700
and Conference Chicago, IL 60601
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 ATTACHED TO THIS FORM. 0
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 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.
STATE OF FLORIDA
COUNTY OF /Lian,-_Dode
Sworn to (or affirmed) and subscribed before me this
as day or May ,2023 .
J
b :Jets O Y'\ Dc..v itj b I e12.n e y _
(Signature of Notary Public, State of Florida)
(Print, Type, or Stamp Commissioned Name of Notary Public)
D Personally known to me or pq Produced Identification
Type of Identification Produced: L
COE02/2010
MARIA ROSA ARRABAL
MY COMMISSION# HH 328682
EXPIRES: Novemb er 2, 2026
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MIAMI-DADE CLERK OF THE BOARD OF COUNTY COMMISSIONERS
111NW 1ST ST UNIT 17-10
MIAMI FL 33128-1902
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