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Ricardo Dopico County Form QTR IMIAMI BEACH OFFICE OF THE CITY CLERK City of Miami Beach, 1700 Convention Center Drive, Miami Beach, FL 33139 www.miamibeachtl.gov Telephone: 305 .673-741 1 June 26, 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 March and June 2023, for the following City of Miami Beach Personnel: Ricardo J. Dopico - City of Miami Beach (City Attorney Office) 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. 7 411. R•13 · RL E. Granado, City Clerk Attachments REG:cd Sent Certified Return Receipt M IAM I-DADE CO UNT Y Q UARTE RL Y G IFT DISCL O SU RE RECEIVED JUN 26 2023 CITY OF MIAMI BEACH LAST NAME-FIRST NAME-MIDDLE NAME: Ricardo J. Dopico AME OF AGENCY: City of Miami Beach STREE ADDRESS: 913 Escobar Avenue CITY: Coral Gables ZIP: 33134 COUNTY: Miami-Dade OFFICE OR POSITION HELD: 47TO<u1 0 TER ENDING (Check One): X MARCH □SEPT. □DEC. □JUNE YEAR: 2023 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 Ultra Music Festival 133 Grand Avenue Suite 3/24/2023 guest tickets $3000 Sandra York, PLLC Coconut Grove, FL 33133 CHECK HERE IF CONTINUED ON SEPARATE SHEET.□ 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 RECEIP T IS A TT ACHED 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 2-11.1 (e)(4) of the Code of Miami-Dade County. Signature of Person Making Gift Disclosure STATE OF FLORIDA/}, XL91 COUNTY OF I1'/9// Dk I Sworp to (or affirmed) d subscribed before me this &248 as r7UL, .2o23 . sBrcAo, »co (Name of Person Making Gift Disc 57z.. GUADALUPE C. RAMOS ~" $ wcownssoiiso sssr i;,J9,i; ExPIREs: September 8, 2024 7$ ponded Tru Notary Public Underwrit ers op» (Print. Type, or Stamp Commissioned Name of Notary Public) ~Personally known to me or□Produced I tentification Type of Identification Produced: I ! COE 02/2010 City Clerk USPS CERTIFIED MAIL 11111111111111 9214 8901 9403 8320 2887 91 MIAMI-DADE CLERK OF THE BOARD OF COUNTY COMMISSIONERS 111NW 1ST ST UNIT 17-10 MIAMI FL 33128-1902 Fold Here Return Reference Number: Usern ame: Charles Dagostin Code Violation # : Court Case #: Property Address : : Permit ID#: Custom 5: Postage: $6.8500