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Alyssia Berthoumieux County Form QTR IMIA/IBEACH 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 28, 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 2024, for the following City of Miami Beach Personnel: • Alyssia Berthoumieux - Sustainability Coordinator (City of Miami Beach) 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 REGIS BARBOU Attachments REG:rq 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 I F T D I S C L O S U R E LAST NAME-FIRST NAME-MIDDLE NAME: NAME OF AGENCY: Berthoumieux, Alyssia City of Miami Beach STREE ADDRESS: OFFICE OR POSITION HELD: 1700 Convention Center Dr Sr. Sustainability Coordinator CITY: Miami Beach FOR QUARTER ENDING (Check One): ZIP: 33139 MARCH □JUNE COUNTY: Miami-Dade □SEPT. □DEC. YEAR: 2024 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 Aspen Ideas Climate Ihe Aspen Institute $500 2300 N St. NW 3/11 /24- 3/13/24 Conference ticket code Michele Burger Suite 700 W ashinaton , DC 20037 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 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 St., Suite 17-1 0, 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. er")9l220"tzss a_ayor 24.2o. . S of<uk by C O E 02/2010 (Print, Type, or Stam p Commi ssion ed Name of Notary Public) Personaly known to me o ~roau4,Jde)fj;8J/9"32 5, Tye or tin«rcanion roadie&a: /Li "t_/,se #ii.... CHARLES J. DAGOSTIN $ j$? wcowussroN + n 1s7os ±j,SN.i; EXPIRES: December 14, 2025 $j$" Bonded Tu Notary Public Underwriters B e rth o u m ie u x _A ly ssi a From: Sent: To: Subject: The Aspen Ideas: Climate Team <aspenideasclimate@aspeninstitute.org> Tuesday, February 27, 2024 8:20 AM Berthoumieux, Alyssia Registration Confirm ed - Aspen Ideas: Climate 2024 [ THIS MESSAGE COMES FROM AN EXTERNAL EMAIL- USE CAUTION WHEN REPLYING AND OPENING LINKS OR ATTACHMENTS] IDEAS ae MIAMI BEACH 2024 Dear Alyssia, Your registration has been confirmed. Please save this email for future reference. You will find information on hotels, travel and other logistics in a separate welcome email to follow. More details, including the schedule and final speaker list, will be closer to the start of the event. We look forward to welcoming you to Miami Beach in March. Event: Aspen Ideas: Climate 2024 Event Dates: March 11, 2024- March 13, 2024 Event Location: Miami Beach Convention Center Passholder Name: Alyssia Berthoumieux Confirmation Number: YHNVXQ923FG Registration Details 1 2i t y Clerk USPS CER TIFIED M A IL I 111111 I 9214 8901 9403 8354 8948 21 MIAMI-DADE CLERK OF THE BOARD OF COUNTY COMMISSIONERS 111NW 1ST ST UNIT 17-10 MIAMI FL 33128-1902 ::I Here eturn Reference Number: sername: Charles Dagostin ode Violation # : ourt Case#: roperty Address :: ermit ID#: ustom 5: ostage: $7.3600