Nicholas Kallergis - COUNTY FORM Q1 2025.docx USPS CERTIFIED MAIL
4203312819029214890194038321632845
9214 8901 9403 8321 6328 45
City Clerk
MIAMI-DADE CLERK OF THE BOARD OF COUNTY COMMISSIONERS
111 NW 1ST ST
UNIT 17-10
MIAMI FL 33128-1902
Return Reference Number:
Username: Charles Dagostin
Postage: $8.1600
Code Violation # :
Court Case #:
Property Address ::
Permit ID #:
Custom 5:
Fold Here___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
OFFICE OF THE CITY CLERK City of Miami Beach, 1700 Convention Center Drive, Miami Beach, FL 33139 www.miamibeachfl.gov Telephone: 305.673.7411
July 1, 2024 Miami-Dade Clerk of the Board of County Commissioners 111 NW 1st 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 2025, for the following City of Miami Beach Personnel:
• Nicholas E. Kallergis – Chief Deputy City Attorney 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,
Rafael E. 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:
Kallergis,Nicholas E.City of Miami Beach
STREE ADDRESS:OFFICE OR POSITION HELD:
1700 Convention Center Dr.Chief Deputy City Attorney
CITY:Miami Beach FOR QUARTER ENDING (Check One):
ZIP:FL ]MARCH □JUNE
COUNT.33139 □SEPT.□DEC.YEAR:2025
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 tofilethisstatementforanycalendarquarterduringwhichyoudidnotreceiveareportablegift.
DATE DESCRIPTION MONETARY NAME OF PERSON ADDRESS OF PERSON
RECEIVED OF GIFT VALUE MAKING THE GIFT MAKING THE GIFT
2 tickets to SOBEWFF $530 City of Miami Beach 1700 Convention Center DD02/22/2025 Grand Tasting Village (Per ticket policy)Miami Beach,FL 33139
CHECK HERE IF CONTINUED ON SEPARATE SHEET.□
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 Board
of County Commissioners,111 NW 1St.,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.
srarE or0}%%,COUNTY OF ./AN-DO/A>
Sworn to (or affirmed)and subscribed before me thisldayorL,202 ,C
etS
(Print,Type,or Stamp Commissioned NameofNotary Public)
S Personally known to me or D Produced Identification
Type of Identification Produced:_
COE02/2010 MERARI MOTOLA
MYCOMMISSION#HH 575414
EXPIRES:September11,2028