Matti Bower December 2012 /
Form 9 QUARTERLY GIFT DISCLOSURE
(GIFTS OVER $100)
LAST NAME—FIRST NAME—MIDDLE NAME: NAME OF AGENCY:
- ROWER MATTT CITY OF M1 A MT FIE A C14
MAILING ADDRESS: OFFICE OR POSITION HELD:
CITY: ZIP: COUNTY: FOR QUARTER ENDING (CHECK ONE): YEAR
MIAMI BEACH FL 33139 DARE ❑MARCH ❑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 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 DESCRIPTION MONETARY NAME OF PERSON ADDRESS OF PERSON
RECEIVED OF GIFT VALUE MAKING THE GIFT MAKING THE GIFT
C7 N
SEE ATTAC ED
Cl) 3
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❑ CHECK HERE IF CONTINUED ON SEPARATE SHEET --
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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
PARTC—OATH
I,the person whose name appears at the beginning of this form,do STATE OF FLOR
COUNTY OF _
depose on oath or affirmation and say that the information disclosed Sworn to(or affirmed)and subscribed before me this
Z day of 120
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 Statutes. (Signature otary Public-State of Florida)
((a 1
(Print,Type,or Stamp�'ommissioned Name of Notary Public)
NA RE=OFREPO I G O ICIA e — Personally Known t/ OR Produced Identification
Type of Identification Produced
PART D—FILING INSTRUCTION
.• �,•,
BARBARA PAREDES
This form,when duly signed and notarized,must be filed with the Commission on Ethics,P.O.Dra 7 9 AgAYFI9440%SA -Otftr r
cal address:3600 Maclay Blvd.South,Suite 201,Tallahassee,Florida 32312.The form must be I A My rAtRMyWltll"l' 44,40l@
that follows the calendar quarter for which this form is filed(For example,if a gift is received in M' ch' $e disftBfftI9*0hJftW 27224
CE FORM 9-EFF. 1/2007 (See reverse si a Tor instru tions)
FORM 9 QUARTERLY GIFT DISCLOSURE
(ATTACHMENT)
J�
RE: Mayor Matti Bower
Ticket Distribution for October—December 2012
City of Miami Beach Mayor and Commission Office
DATE EVENT VALUE
10/6/12 Sparkle 16th Annual National
Gay& Lesbian Task Force Dinner
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
1 tickets @ $200.00 ea $200.00
10/11/2012 Australian Pink Floyd
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
2 tickets @ $50.50 ea. $101.00
10/12/2012 Olga Tanon
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
2 tickets @ $118.50 ea. $237.00
10/20/2012 Miami City Ballet Program 1
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
2 tickets @ $85.00 ea. $170.00
11/1/12 Miami Beach Botanical Garden 50th Event
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
1 tickets @ $125.00 ea $125.00
11/9-18/2012 Miami International Auto Show
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
- 10 tickets @ $10.00 ea. $100.00
12/05/2012 The MMG Tour Starring
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
2 tickets @ $82.50 ea. $165.00
12/28/2012 Life in Color Day Glow
Provided by City of Miami Beach
1700-Convention Center Dr.
Miami Beach, FL 33139