Jorge Exposito - December 2010 Form 9 i
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Form 9 QUARTERLY GIFT DISCLOSURE
, (GIFTS OVER $100)
i LAST NAME-FIRST NAME-MIDDLE NAME: NAME OF AGENCY:
EXPOSITO, JORGE CITY OF MIAMI BEACH
MAILING ADDRESS: OFFICE OR POSITION HELD:
, 1700 CONVENTION CENTER DRIVE COMMISSIONER
CITY: ZIP: COUNTY: FOR QUARTER ENDING(CHECK ONE : YEAR
1 MIAMI BEACH, FL 33139 DADE °MARCH °JUNE OSEPTEMBER t'DECEMBER 20(O
1 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.
1 DATE DESCRIPTION MONETARY • NAME OF PERSON ADDRESS OF PERSON
RECEIVED OF GIFT VALUE MAKING THE GIFT MAKING THE GIFT
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SEE ATTACH D
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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
g P Y Y P 9 9 Y q PY P
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 ARECEIPT IS ATTACHED TO THIS FORM
i • PART C—OATH .. . g
•. I,the person whose name appears at the beginning of this form,do STATE OF FLORIDA t ' =
COUNTY OF 11 inrn;--Dc..ci .�
depose on oath or affirmation and say that the information disclosed Sworn to(or affirmed)and subscribed before me this ?a
alo�` day of clQYI�IW' ,20 as 1 6
i herein and on any attachments made by me constitutes a true accurate, �; a- g;
by • •e •• ,. ..0 C. V
and total listing of all gifts required to be reported by Section 112.3148, 4 3
Iorida Statutes. • �� �-
(Signature of No- ublic-State of Florida) s ?.
(Print,Type,or Stamp Coyimissioned Name of Notary Public) :1.. ' �'a°SI A R OF REPORTING OFFICIAL Personally Known t/ OR Produced Identification �rttr. IAA-•o • rt .i.
// Type of Identification Produced � 'n,,,„ a` "'
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: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)r-
RE: Commissioner Jorge Exposito
Ticket Distribution for October- December 2010
City of Miami Beach Mayor and Commission Office
DATE EVENT VALUE
Nov 27 Gilberto Santa Rosa
Provided by City of Miami Beach
1700 Convention Center Dr. -
Miami Beach, FL 33139
2 tickets @ $88;25 ea. $176.50
Dec 4 Will y Chirino
Provided by City of Miami Beach
.1700 Convention Center Dr.
Miami Beach, FL 33139
2 tickets.@ $88.25 ea. $176.50
Dec 18 The Nutcracker(Kirova Ballet)
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
4 tickets @ $89.75 ea. $359.00
Dec. 31 New Years Eve Party
Provided by the Fontainebleau Hotel
4441 Collins Avenue
Miami Beach, FL 33140
2 tickets @ $250.00 each .$500.00