Ed Tobin March 2012 Form 9 QUARTERLY GIFT DISCLOSURE
(GIFTS. OVER $100)
LAST NAME—FIRST NAME—MIDDLE NAME: NAME OF AGENCY:
TOBIN, ED CITY OF MIAMI BEACH
MAILING ADDRESS: OFFICE OR POSITION HELD:
1700 CONVENTION CENTER DRIVE COMMISSIONER
CITY: ZIP. COUNTY: F R QUARTER ENDING(CHECK ONE): YEAFZ
MIAMI BEACH, FL 33139 DADS ARCH ❑JUNE ❑SEPTEMBER ❑DECEMBER 20_
PART A—STATEMENT OF GIFTS
Please list below each gift,the value of which you believe to exceed$100,accepted by you during the calendar quarter for which this statement is
being filed.You are required to describe the gift and stale the monetary value of the gift,the name and address of the person making the gift,and the
date(s)the gift was received.If any of these fads,other than the gift description,are unknown or not applicable,you should so state on the form.As
explained more fully in the instructions on the reverse side of the form,you are not required to disclose gifts from relatives or certain other gifts.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 PERSOIJ
RECEIVED OF GIFT VALUE MAKING THE GIFT MAKING THE GIFT
SEE ATTACH D
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C 7
71 N it
❑ CHECK HERE IF CONTINUED ON SEPARATE SHEET U�
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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 —OATH
I,the person whose name appears at the beginning of this form,do STATE OF FLORIDA
COUNTY OF
depose on oath or affirmation and say that the information disclosed Sworn,tq(or affirmed)and subs abed before me this
r'N day of /�� 20�
herein and on any attachments made by me constitutes a true accurate,
by
and total listing of all gifts required to be reported by Section 112.3148,
Florida StaW (Signature of Notary Public-Stale of Florida) a ^' S
m m N Z
J � g
Q y
(Print,Type,or Stamp Com issioned Name of Notary Public)
IGNA U FICIAL Personally Known �OR Produced Identification i au.
i Type of Identification Produced cc
PART D—FILING INSTRUCTIONS
This form,when duly signed and notarized,must be filed with the Commission on Ethics,P.O.Drawer 15709,Tallahassee,Florida 32317-
cal address:3600 Maclay Blvd.South,Suite 201,Tallahassee,Florida 32312.The form must be filed no later than the last day of the cale
that follows the calendar quarter for which this form is filed(For example,if a gift is received in March,it should be disclosed by June 30.) �=
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CE FORM 9-EFF. 1/200,7 (See reverse side for in " ,
FORM 9 QUARTERLY GIFT DISCLOSURE
(ATTACHMENT)
RE: Commissioner Ed Tobin
Ticket Distribution for January—March 2012
City of Miami Beach Mayor and Commission Office
DATE EVENT VALUE
2/10/2012 Le Corsire
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
2 tickets @ $60.00 ea. $120.00
2/11/2012 Forever Tango
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
2 tickets @ $53.50 ea. $107.00
2/14/2012 . Chirino
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
2 tickets @ $98.50 ea. $197.00
2/18/2012 Miami City Ballet Program III
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
2 tickets @ $85.00 ea. $170.00
2/18/2012 Miami Dade County League of Cities Gala
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
2 tickets @ $215.71 ea. $431.42
2/23/2012 Food and Wine "Moet Hennessy Q
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
2 tickets @ $300.00 ea. $600.00
2/24/2012 Food and Wine Burger Bash
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
2 tickets @ $225.00 ea. $450.00
RE: Commissioner Ed Tobin
Ticket Distribution for January—March 2012
City of Miami Beach Mayor and Commission Office
DATE EVENT VALUE
2/25/2012 Miami Wine and Spirits Expo
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
2 tickets @ $75.00 ea. $150.00
2/25/2012 Food and Wine Grand Tasting
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
2 tickets @ $225.00 ea. $450.00
2/25/2012 Food and Wine Best Thing Ever Ate
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
2 tickets @ $110.00 ea. $220.00
2/26/2012 Food and Wine Trucks on the Beach
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
2 tickets @ $95.00 ea.. $190.00
2/26/2012 Miami Wine and Spirits Expo
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
2 tickets @ $75.00 ea. $150.00
3/1/2012 . Miami City Ballet Symphonic Dances
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
2 tickets @ $85.00 ea. $170.00
3/5/2012 Guns and Roses
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
2 tickets @ $62.50 ea. $125.00
RE: Commissioner Ed Tobin
Ticket Distribution for January—March 2012
City of Miami Beach Mayor and Commission Office
DATE EVENT VALUE
3/10/2012 John Leguizamo
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
2 tickets @ $53.00 ea. $106.00
3/11/2012 John Leguizamo
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
2 tickets @ $53.00 ea. $106.00
3/23/2012 Miami Home and Design Show
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
10 tickets @ $10.00 ea. I $100.00
3/31/2012 Miami City Ballet Program IV
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
2 tickets @ $85.00 ea. $170.00