Jorge Exposito - December 2011 Form 9 QUARTERLY GIFT DISCLOSURE
(GIFTS OVER $100)
LAST NAME-FIRST NAME-MIDDLE NAME: NAME OF AGENCY:
EXPOSITO, JORGE CITY OF MIAMI BEACH
MAILINGADDRESS: OFFICE OR POSITION HELD:
1700 CONVENTION CENTER DRIVE COMMISSIONER
CITY: ZIP: COUNTY: FOR QUARTER ENDING (CHECK ONE : YEAR
MIAMI BEACH, FL 33139 DADE ❑MARCH ❑JUNE OSEPTEMBER 9 DECEMBER 20J4
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 PERSON
RECEIVED OF GIFT VALUE MAKING THE GIFT MAKING THE GIFT
SEE ATTACH D
❑ CHECK HERE IF CONTINUED ON SEPARATE SHEET �� c
(7.
PART B-RECEIPT PROVIDED BY PERSON MAKING THE GIFT r-
z
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:bf,that reipt�4d this
form.You may attach an explanation of any differences between the information disclosed on this form and the informateo on t�e receiP�
13 CHECK HERE IF A RECEIPT 15 ATTACHED TO THIS FORM -n — 'T(
N
PART C—OATH
I,the person whose name appears at the beginning of this form,do STATE OF FLORIDA
COUNTY OF QQdQ
depose on oath or affirmation and say that the information disclosed Sworn to(or affirmed)and subscribed before me this
r I
day of in at)t) 20 /d
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,
rida Statutes. (Signature of bl' -S to f Florida)
(Print,Type,or Stamp Co---
SIGN TU E OF REPORTING OFF L Personally Known !/
Type of Identification Produc
PART D-FILING INSTRUCTIONS
This form,when duly signed and notarized,must be filed with the Commission on Ethics,P.O.Drawer 157D9,Tallahassee,Florida 32317-5709;physi-
cal address:3600 Maclay Blvd.South,Suite 201,Tallahassee,Florida 32312.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. 1/2007 (See reverse side for instructions)
FORM 9 QUARTERLY GIFT DISCLOSURE
(ATTACHMENT)
RE: Commissioner Jorge Exposito
Ticket Distribution for October—December 2011
City of Miami Beach Mayor and Commission Office
DATE EVENT VALUE
Oct. 2 Camila
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
2 tickets @ $98.50 ea. $197.00
Oct. 8 Andres Calamaro
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
2 tickets @ $63.50 ea. $127.00
Oct. 15 Giselle
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
2'tickets @ $60.00 ea. $120.00
Oct. 15 Nat'l Gay & Lesbian Task Force Gala
Provided by City of Miami Beach
Miami Beach, FL 33139
1 ticket @ 200.00 ea. $200.00
Oct. 22 Miami Arts Gala
Provided by City of Miami Beach
Miami Beach, FL 33139
1 ticket @ 300.00 ea. $300.00
Oct. 22 Miami City Ballet Program I
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
2 tickets @ $85.00 ea. $170.00
Oct. 28 Miami International Auto Show
Provided by City of Miami Beach
1700 Convention Center Dr.
Miaini.Beach, FL 33139
I 0..tickets @ $10.00 ea. $100.00
FORM-9 QUARTERLY GIFT DISCLOSURE
(ATTACHMENT)
RE: Commissioner Jorge Exposito
Ticket Distribution for October—December 2011
City of Miami Beach Mayor and Commission Office
DATE EVENT VALUE
Nov.l David Sedaris
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
2 tickets @ $50.00 ea. $100.00
Nov.l l Maria Bethama
Provided by City of Miami Beach
1.700 Convention Center Dr.
Miami Beach, FL 33139
2..tickets @ $80.00ea. $160.00
Nov.12 Sting
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
2 tickets @ $86.50ea. $173.00
Nov.13 Sting
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
2 tickets @ $86.50ea. $173.00
Nov.18 Bikini Physique Prejudging
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
2 tickets @ $53.50ea. $107.00
Nov.19 Bikini Physique Finals
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
2 tickets @ $78.50ea. $157.00
Nov.23 Tigger(short film)
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
2 tickets @ $55.00ea. $110.00
FORM 9 QUARTERLY GIFT DISCLOSURE
(ATTACHMENT)
RE: Commissioner Jorge Exposito
Ticket Distfibution for October—December 2011
City of Miami Beach Mayor and Commission Office
DATE EVENT VALUE
Dec.01 :Enrique Bunbury
Provided by City of Miami Beach
• 1700 Convention Center Dr.
Miami Beach, FL 33139
Z-tickets @ $73.00ea. $146.00
Dec.02 Sleepless Night Cafe Bustelo box
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
1 box @ $100.00ea. $100.00
Dec.03 Daniel Levi
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
2 tickets @ $50.00ea. $100.00
Dec.03 Jean Carlos Canela
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
2 tickets @ $78.25ea. $156.50
Dec.05 Janet Jackson
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
2.tickets @ $116.50ea. $233.00
Dec.17 The Nutcracker
Provided by City of Miami Beach
1.700 Convention Center Dr.
Miami Beach, FL 33139
2 tickets @ $58.00ea. $116.00
FORM 9 QUARTERLY GIFT DISCLOSURE
(ATTACHMENT)
L
RE: Commissioner Jorge Ex
posito
Ticket Distribution for October— December 2011
City of Miami Beach Mayor and Commission Office
DATE EVENT VALUE
Dec.20 Woody Allen Jazz Band
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
2'tickets @ $125.00ea. $250.00
I