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Philip Levine - December 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 CI MARCH ❑JUNE SEPTEMBER lil DECEMBER 2014 MIAMI BEACH 33139 MIAMI-DADE 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 FLOnA - COUNTY OF r1 lam 1 -bo - depose on oath or affirmation and say that the information disclosed Sworn to(or affirmed)and subscribed before me this Zyt day of MarCln ,20 IS herein and on any attachments made by m=constitutes a true accurate, by P Ai •1 Levine.. and total listing of all gifts r -• f-/.,v" eported by Section 112.3148, r miliam Florida Statutes.':-' LgypA HERNANUQ Lure of Notary Public-State • , °ter�`'�c MY COMMISSION#FF025489 -% f EXPIRES:JUN 09,2017 a (P int,Type,or Stamp Commissioned Name of Notary Public) Bonded through 1st State lnsu SIGNATURr`O '"�,0.TING OFFICIA rsonally Known k OR Produced Identification ,/ �t '%, Type of Identification Produced PART D—FILING INSTRUCTIONS .," ':;PY 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.1/2007(Refer to Rule 34-7.010(1)(g),F.A.C.)(Rev.9/2014) (See reverse side for instructions) ' October`__December 2014 10/2/2014 LEOPOLDO BETANCOURT $137 FILLMORE 10/5/2014 CHVRCHES $57 FILLMORE 10/6/2014 ST.VINCENT $51 FILLMORE 10/7/2014 AUSTRALIAN PINK FLOYD $101 FILLMORE 10/8/2014 RODRIGO Y GABRIELA $77 FILLMORE 10/10/2014 GOV'T MULE $73 FILLMORE 10/12/2014 CEM YILMAZ $257 FILLMORE 10/16/2014 FOSTER THE PEOPLE $75 FILLMORE 10/18/2014 PORTER ROBINSON $65 FILLMORE 10/23/2014 FROM THE\CLASSICS TO COLOMBIAN COMPOSER $90 COLONY 10/24/2014 AEG -CHRIS D'ELIA $70 COLONY 10/25/2014 AN EVENING AT THE BALLET $0 COLONY 10/25/2014 BRAND NEW $55 FILLMORE 10/30/2014 PATRICK BRUEL $130 FILLMORE 11/5/2014 THE TRUTV- IMPRACTICAL JOKERS TOUR $99 FILLMORE 11/7/2014 PITINGO WITH HIS FLAMENCO &SOUL SHOW $90 COLONY 11/7-16/2014 AUTO SHOW -28 @ $15 EACH $420 CONVENTION CTR. 11/8/2014 INTERPOL $65 FILLMORE 11/11/2014 AN EVENING WITH PRIMUS AND THE CHOCOLATE FACTO $79 FILLMORE 11/14/2014 BRIGHT MINDS FILM $40 COLONY 11/15/2014 ISABELLA ROSSELLINI $97 FILLMORE 11/21/2014 LA LEY $117 FILLMORE 11/21/2014 MIAMI CONTEMPORARY DANCE- RAY SULLIVAN'S $72 COLONY 11/22/2014 DIEGO EL CIGALA $117 FILLMORE 12/6/2014 DREAMING ON THE BEAACH-GALA EVENT $507 FILLMORE 12/6/2014 THE CMB PLAYERS PRESENT"THE FREAK SHOW" $10 COLONY 12/7/2014 HOLIDAY IN MOTION $70 COLONY 12/7/2014 THE NUTCRACKER-VLADIMIR ISSAEV $107 COLONY 12/13/2014 DREAMING BIG - NICOLE HENRY $90 COLONY 12/19/2014 THE MAGIC OF ARIEL AND MERLIN $84 COLONY 12/26/2014 MOSCOW BALLET'S-GREAT RUSSIAN NUTCRACKER $197 FILLMORE 12/27/2014 TWERK THE HALLS-A TODDY HALLIDAY $50 COLONY ***ALL THE ABOVE ARE BASED ON QTY. 2 TICKETS. UNLESS SPECIFIED ***Disclosure: Mayor Philip Levine did NOT use any of the above tickets. Tickets were distributed to constituents Continued on next page Y1/ ' llJ, , l Additional Gifts Received: From: 10/31/2014 Two night cruise- London Royal Caribbean Cruise Line 10/21/2014 Cuff Links Jose Gonzalez 10/21/2014 Souvenir Dish Turkish Council General Ozgur Kivanc Alta 10/21/2014 Cigars Melina Almodova 10/6/2014 Personalized Pillow Nariander Singh 10/16/2014 Cigars Rep.Jose Oliva 10/16/2014 Drawing Ignacio Diaz 12/23/2014 Beach Towel Design Miami 12/23/2014 Painting Ron Bergeron Sr. 12/31/2014 Beer Case&Cigars Dr. Richard Cuello 12/31/2014 Leather passport book Nish De Gruiter . /i. ,,, - g i / %/. /F /9� /'' ,/, al ' / 1 /