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Philip Levine - September 2014 Form 9 • • Form 9 QUARTERLY GIFT DISCLOSURE (GIFTS OVER $100) LAST NAME--FIRST NAME--MIDDLE NAME: NAME OF AGENCY: LEVINE, PHILIP CITY OF MIAMI BEACH MAILING ADDRESS: OFFICE OR POSITION HELD: 1700 Convention Center Drive MAYOR CITY: ZIP: COUNTY: FOR QUARTER ENDING(CHECK ONE): YEAR Miami Beach 33139 MIAMI-DADE ❑MARCH ❑JUNE Ii1SEPTEMBER ❑DECEMBER 2014 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 SEE ATTACHED ❑ 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 STATE OF FLORIDA COUNTY OF (Yl: l-i depose on oath or affirmation and say that the information disclosed Sworn to(or affirmed)and subscribed befor me this l day of r� 1 ,201`7 herein and on any attachments made by me constitutes a true accurate, ��`� p Cev\ • by 'P l�r and total listing of all gifts re•uired to.e reported by Section 112.31 Florida Statutes. - � e of No a blic-State of Florida) 1 • S 1-4_ N s,, ?J ��� (Print,Type, Stamp Co issioned Name of Notary Public) or Stam ryas SIGNATU OF O ..‘. OFF• yG0 ,SSA cv4 Personally Known �/ OR Produced Identification Type of Identification Produced fr9' ±.+jam" PART D—FILING INSTRUCTIONS This fo%en 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.1/2007(Refer to Rule 34-7.010(1)(g),F.A.C.)(Rev.912013) (See reverse side for instructions)''"1' 1 JULY-SEPTEMBER 2014 7/3/2014 FLORIDA SUPERCON MBCC $60 7/4/2014 FLORIDA SUPERCON MBCC $60 7/5/2014 FLORIDA SUPERCON MBCC $60 7/6/2014 FLORIDA SUPERCON MBCC $60 7/12/2014 RAY LAMONTAGNE FILLMORE $75 7/17/2014 TWERK DU SOLEIL FILLMORE $50 7/19/2014 VILMA PALMA& LOS PERICOS FILLMORE $77 7/20/2014 THE LITTLE RASCALS-CANCELED MBCC $45 CANCELED 7/27/2014 MONSTER ENERGY- DUB SHOW TOUR FILLMORE $40 8/9/2014 RUMBA FILLMORE $127 8/20/2014 BRAZILIAN FILM FESTIVAL- FIRST DAY ANY YE,COLONY $20 8/20/2014 BRAZILIAN FILM FESTIVAL- FIRST DAY ANY YE,COLONY $20 8/21/2014 BRAZILIAN FILM FESTIVAL- BETWEEN VALLEY'COLONY $20 8/21/2014 BRAZILIAN FILM FESTIVAL- BETWEEN VALLEY'COLONY $20 8/22/2014 BRAZILIAN FILM FESTIVAL-THE INVISIBLE COI COLONY $20 8/22/2014 BRAZILIAN FILM FESTIVAL-THE INVISIBLE COL COLONY $20 8/23/2014 BRAZILIAN FILM FESTIVAL- NEVER TOO OLD T COLONY $20 8/23/2014 BRAZILIAN FILM FESTIVAL- RIO SIEGE-9:30 P COLONY $20 8/23/2014 PIMPINELA FILLMORE $157 8/24/2014 TORI AMOS FILLMORE $97 8/24/2014 BRAZILIAN FILM FESTIVAL-GOLDEN OLDIES 2 COLONY $20 8/29/2014 MIAMI NEW CONTRUCTION SHOW MBCC $70 8/29-9/2/2014 HOME DESIGN AND REMODELING SHOW MBCC 56(qty. 8 @ $7) 8/30/2014 MIAMI NEW CONTRUCTION SHOW MBCC $70 8/30/2014 YORDANO FILLMORE $177 8/31/2014 MIAMI NEW CONTRUCTION SHOW MBCC $70 9/6/2014 BALLET FESTIVAL MIAMI-YOUNG MEDALIST P COLONY $50 9/7/2014 BALLET FESTIVAL MIAMI-CONTEMPORARY PE COLONY $50 9/7/2014 PRINCE ROYCE FILLMORE $205 9/9/2014 LILY ALLEN FILLMORE $59 9/12/2014 ERASURE-THE VIOLET FLAME TOUR FILLMORE $69 9/13/2014 CAETANO VELOSO FILLMORE $117 9/14/2014 XIX INTERNATIONAL BALLET FESTIVAL OF MIA FILLMORE $137 9/21/2014 JACK WHITE FILLMORE $125 9/22/2014 JACK WHITE FILLMORE $125 9/23/2014 4TH ANNUAL TURKISH FILM FESTIVAL-ONLY'COLONY NA 9/24/2014 4TH ANNUAL TURKISH FILM FESTIVAL-OH BR COLONY NA 9/24/2014 ENRIQUE BANBURY FILLMORE $77 9/24/2014 4TH ANNUAL TURKISH FILM FESTIVAL- LOVE I COLONY NA 9/25/2014 4TH ANNUAL TURKISH FILM FESTIVAL- BENIN COLONY NA 9/26/2014 FORMULA V FILLMORE $127 9/27/2014 XIX TUMI USA AWARDS COLONY $50 9/27/2014 PITINGO FILLMORE $97 9/28/2014 BELLE&SEBASTIAN FILLMORE $65 9/30/2014 DAVID GRAY FILLMORE $89 ***ALL THE ABOVE ARE BASED ON QTY. 2 TICKETS *** Disclosure: Mayor Philip Levine did NOT use any of the above tickets. Tickets were distributed to constituents Additional Gifts Received: QTY 16 Miami Beach: Blueprint of an Eden books by Michele Oka Donee$86.30 EACH QTY 3 Coffee cups from Maison Objet Unknown QTY 1 Fujisawa box from sister cities delegation Unknown