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John Alemán Quarterly State Form December 2016Form 9 QUARTERLY GIFT DISCLOSURE (GIFTS OVER $100) DATE RECEIVED LAST NAME -- FIRST NAME -- MIDDLE NAME: ALEMAN. JOHN ELIZABETH NAME OF AGENCY: CITY OF MIAMI BFACH NAME OF PERSON MAKING THE GIFT MAILING ADDRESS: 1700 CONVFNTION CFNTFR DRIVF OFFICE OR POSITION HELD: COMMISSIONER CITY: ZIP: COUNTY: FOR QUARTER ENDING (CHECK ONE): YEAR MIAMI BEACH 33139 MIAMI-DADE UMARCH UJUNE SEPTEMBER 0 DECEMBER 2016 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 RECEIVED DESCRIPTION OF GIFT MONETARY VALUE NAME OF PERSON MAKING THE GIFT ADDRESS OF PERSON MAKING THE GIFT SEE ATTACHED G' 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 1, the person whose name appears at the beginning of this form, do depose on oath or affirmation and say that the information disclosed herein and on any attachments made by me constitutes a true accurate, and total listing of all gifts required to be reported by Section 112.3148, Flo •a Statutes. SQATU'E OF REPORTING OFF CIAL STATE OF FLORID c� COUNTY OF c r t UpQ & Sworn to or affirme ) and su scribe= me this Z day of G, by 5a 1' 20 (* Fnatu ofh•aa) j- (Print, Type, or Stamp Commissio Personally Known t,/OR P Type of Identification Produced °O.Wi MARIA RUIZ-PAZ MY COMMISSION # GG 037 91 .`• i *2) -- N' ' ^ �1n • Newry Public Underwriters 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: 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) �' NJ N O 112/19/2016 \ N O \ N O \ N O N O N N O N 111/30/2016- 12/4/2016 11/30/20161' 12/4/2016 \ N O - N O N O . O\ N O 0 N O O\ Nco O Holiday Gift - Chocolate basket Event Tickets - Miami Beach Bowl Holiday Gift - Personalized Coffee Mugs O a d < Ll x E Ol0 ID to -5.1 Event Tickets - Diane Schuur with Ed CaIle's Mamblue Band Event Tickets - South Beach Jazz Festival VIP Cocktail Reception Event Tickets: 2016 National Human Relations Award Dinner Event Tickets - Design Miami Event Tickets - Art Basel First Choice VIP Event Tickets - LGBTQ Task Force Gala Event Tickets - Florida Foster Care Review's llth Annual Claws for Kids Luncheon O CD an Event Tickets - Adele Concert VIP Ladies Night Out Event Event Tickets - Latin Songwriters Hall of Fame La Musa Awards Event Tickets - United States Hispanic Chamber of Commerce Gala 0 —' 0 fD N A NJ I -i A N N N N Ni N N N NJ NJ 3 0 C 7 t' co O O O W O O N O W 03 b 0 b o O O b 0 b o 0 O b 0 O b In O O 0 O O N tri O N N O O O O r O 0 O Om O 03 C LSN Partners Miami Beach Bowl Pe Management RCI Group The Colony Theater David New Mayor Philip Levine Design Miami Art Basel Boucher Brothers Sally Heyman O ' < Momentum Consulting - Shelly Cook Betsy Perez Ocean Terrace Holdings 0 o 3 O 801 Godfrey Road Miami Beach, FL 33140 501 Marlins Way Miami, FL 33125 2929 SW 3rd Ave, Suite 212 Miami, FL 33129 300 Alton Road Miami Beach, FL 33140 1041 Lincoln Rd Miami Beach, FL 33139 Power Access Inc. 1616 Michigan Ave., 81 Miami Beach, Florida 33139 1700 Convention Center Dr Miami Beach, FL 33139 3841 NE 2nd Avenue, Suite 400 Miami, FL 33137 Art Basel U.S. Corp. c/o MCH Swiss Exhibition (Basel) Ltd. Messeplatz 10 4005 Basel, Switzerland 1451 Ocean Dr. 8205 Miami Beach, FL 33139 1100 NE 163rd St, Suite 303 North Miami Beach, FL 33162 4500 Biscayne Blvd., Suite 340 Miami, FL 33137 14750 NW 77th Court, Suite 313 Miami Lakes, FL 33016 7605 Collins Ave. Miami Beach, 33141 Address 1035 N Miami Ave., Suite 201 Miami, FL 33136 Did Not Attend Given to: 2 tickets - Grethel Aguiar Given to: 2 tickets - Cilia Maria Ruiz -Paz Action Given to: 1 ticket - Cilia Maria Ruiz -Paz 1 ticket - Gloria Campos