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Jason Greene - County Form Quarter IIMIAMI 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 September 4,2024 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 June 2024,for the following City of Miami Beach Personnel: •Jason Greene -City of Miami Beach Finance Director 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. # RalE.Granado City Clerk Attachments REG:rq Sent Certified Return Receipt MIAMI-DADE COUNTY QUARTERLY GIFT DISCLOSURE 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 24 PART A:STATEMENT OF GIFTS.List below each gift,or series of gifts,from one person or entity inexcessof$100,accepted by you during the calendar quarter for which this statement is being filed.Describe the giftandstatethemonetaryvalueofthegift,the name and address of the person making the gift,and the dates the giftswerereceived.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 Officers 203 N.LaSalle StreetJune6-12,2024 for GFOA Board meeting $2,654.79 Association (GFOA)Suite 2700andConferenceChicago,IL 60601 CHECK HERE IF CONTINUED ON SEPARATE SHEET.0 PART B:RECEIPT PROVIDED BY PERSON MAKING THE GIFT.If any receipt for a giftlistedabovewasprovidedtoyoubythepersonmakingthegift,you are required to attach a copy of that receipt to thisform.You may attach an explanation of any differences between the information disclosed on this form and the information on the receipt.CHECK HERE IF A RECEIPT IS ATTACHED TO THIS FORM.□ PART C:FILING INSTRUCTIONS.The signed and notarized form must be filed no later than the last dayofthecalendarquarterthatfollowsthequarterforwhichthisformapplies.For example,if a gift is received in March,it should be disclosed by the end of the next quarter,i.e.,June 30.County personnel file with the Clerk of the BoardofCountyCommissioners,111 NW I st St.,Suite 17-10,Miami,FL 33128.Municipal personnel file with theirrespectivemunicipalclerks. PARTD:OATH. I,the person whose name appears at the beginning of this form,do depose on oath or affirmation and say that the information disclosed herein and on any attachments made by me constitutes a true,accurate, and total listing of all gifts required to be reported by Section 2-11.1 (e)(4)of the Code of Miami-Dade County. ~~ 4:::r:o·=f..P-=e="r~so::=n:::::.M-a_king_G_i-ft_D_i_s_cl_o_su_r_e=- COE02/20l0 STATE OF FLORIDA . coUNTY or Hara.Dal. Sworn to (or affirmed)and subscribed before me thisAdayorSep+ember 2o 2 .'»yh,@ee (Print,Type,or Stamp Commissioned Name ofNotary Public) Personally known to me or DJ Produced Identification T'ype of Identification Produced: spl"po,LourdesAbreusg}!:%"4"t con.4Hg74r%sEe.ii$Expires:Feb.25,2025%jpi@gseon.bed mu Aaron Notary City Clerk USPS CERTIFIED MAIL Ill 111111111 I 9214 8901 9403 8376 4790 06 MIAMI-DADE CLERK OF THE BOARD OF COUNTY COMMISSIONERS 111NW 1ST ST UNIT 17-10 MIAMI FL 33128-1902 Fold Here Return Reference Number: Username:Charles Dagostin Code Violation #: Court Case #: Property Address :: Permit ID#: Custom 5: Postage:$8 .1600