Alex J. Fernandez - Form 9 Quarter IIIMIAMI 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
December 30,2024
Florida Commission on Ethics
P.O.Drawer 15709
Tallahassee,FL 32317-5709
Pursuant to Sec.112.3148,Florida Statutes,please find Quarterly Gift Disclosure State Form
(9),for the quarter ending September 2024,for the following City of Miami Beach Personnel:
•Alex Fernandez -Commissioner
Should you have any questions or require any additional information,please contact me at
305.673.7411.
Respectfu lly,7¥
Rafael E.Granado
City Clerk
Attachments
REG:rq
Sent Certified Return Receipt
Form 9 QUARTERLY GIFT DISCLOSURE
(GIFTS OVER $100)
LAST NAME --FIRST NAME --MIDDLE NAME:NAME OF AGENCY:Fernandez,Alejandro Jesus Citv of Miami Beach
MAILING ADDRESS:OFFICE OR POSITION HELD:
1700 Convention Center Dr Commissioner
CITY:ZIP:COUNTY:FOR QUARTER ENDING (CHECK ONE):YEAR
Miami Beach 33139 Miami Dade County JMARCH 0JUNE @S EPTEMBER O DECEMBER 2024
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 state 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 facts,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
RECEIVED
DESCRIPTION
OF GIFT
MONETARY
VALUE
NAME OF PERSON
MAKING THE GIFT
ADDRESS OF PERSON
MAKING THE GIFT
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-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 112.3148,
SIGNATURE
sore or o"/,j -MAMcouNrYor/dj/it4//tD
Sorn to (or affirmed)and subscribed before me by means of
~~sical presence or p online notarization,this
2
-~-+/_
Dy _zti_]'Il'l'''7t'tutt
(Print,Type,or Stamp Commissioned Name of Notary Public)
Personally Known __K__OR Produced Identification
Type of Identification Produced _
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 32317-5709;physi-
cal address:325 John Knox Road,Building E,Suite 200,Tallahassee,Florida 32303.The form must be filed no later than the last day of the calendar
quarter 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.)
CE FORM 9 -EFF.1/2016 (Refer to Rule 34-7.010(1)(g)F.A.C.)iris.GUADALUPE C.RAMOS (Se everse side for instructions)<42#t.#MY COMMISSION #HH 525322
?73'%°EXPIRES;September 8,2028gt%''
Date Received Description of Gift Monetary Name of Person Address of Person Making
Value Making the Gift the Gift
July 30"2024 Lunch $115 Robyn Malek 5901 Broken Sound Pkwy
NW #600,Boca Raton,FL
33487
September 23 Ticket for Favela Non-profit $108.55 City of Miami Beach 1700 Convention Center Dr
2024 Fund raiser
-PPot28%,/54 }X"#71''X·%a.,oo H R/.
202/3£2-aiaad &ui ,1/
City of Miami Beach
City Clerk
1700 Convention Center Dr
Miami Beach Fl 33139
USPS CERTIFIED MAIL
II I 111111111
9214 8901 9403 8394 0296 10
FLORIDA COMMISSION ON ETHICS
P.O.DRAWER 15709
TALLAHASSEE,FL 32317-5709
Id Here
eturn Reference Number:
Jsername:Regis Barbou
Code Violation #:
Court Case #:
roperty Address ::
ermit ID #:
Custom 5:
ostage:$8.1600