Ricky Arriola Form 9AA EACH
OFFICE OF THE CITY CLERK
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, FL 33139
www.miamibeachfl.aov
Telephone: 305.673.7411
March 30, 2018
Florida Commission on Ethics
P.O. Drawer 15709
Tallahassee, FL 32317-5709
Pursuant to Sec. 112.3148, Florida Statutes, please find Quarterly Gift Disclosure State Form
(9), for the quarter ending December 2017, for the following City of Miami Beach Personnel:
• Ricky Arriola — Commissioner
Should you have any questions or require any additional information, please contact me at
305.673/411.
Respectfully,
Rafael E. Granado,
City Clerk
Attachment
REG: rg
Sent Certified Return Receipt
FACLER\SALL\GIFT DISCLOSURESWIASTER FOR THE STATE - REG.docx
Form 9 QUARTERLY GIFT DISCLOSURE
(GIFTS OVER $100)
LAST NAME -- FIRST NAME -- MIDDLE NAME: NAME OF AGENCY:
Arriola, Ricky City of Miami Beach
MAILING ADDRESS:. OFFICE OR POSITION HELD:
1700 Convention Center Drive Commissioner
CITY: ZIP: COUNTY: FOR QUARTER ENDING (CHECK ONE: YEAR
Miami Beach 33139 Miami -Dade CIMARCH UJUNE DSEPTEMBER:11:4 DECEMBER 20 17
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
12/3/2017 Nicole Henry Show Tickets $100 Miami New Drama 1040 Lincoln Road
Miami Beach, FL 33139
12/5/2017 Art Basel Tickets $260 Bob Goodman 300 West 41st St, #214
Miami Beach, FL 33140
12/5/2017 Design Miami Tickets $200 Bass Museum 2100 Collins Ave
Miami Beach, FL 33139
12/5/2017 Art Miami Tickets $190 Bass Museum 2100 Collins Ave
Miami Beach, FL 33139
IV'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.
U 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 4*i
gbv----11 subscr'bed 20
day of ore me this
ik
7 ,
depose on oath or affirmation and say that the information disclosed Sworn to (or ffirmed)9and
by cRT.k y 4 zifook4
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,
Florida Statutes. nature of No ry Public -State of orida)
SIGNA1XJRE OF REPORTING OFFICIAL
4/74-b 41t/PE
(Print, it es or Stampmmissionq
OR Protlucja
Type of Identification Produced
Personally Known
PART D - FILING INSTRUCTIONS
ALUPE
ation C RA OS
Notary Public - Stale of Florida
:352
My Comm. Expkes Sep 3, 2020 -
boded through Nativist Notary Assn.
This form, when duly signed and notarized, must be fled 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. 6/2016)
(See reverse side for instructions)
Date Received
Description of
Gift
12/5/2017- Art Basel Tickets
Monetary Value
$260
Name of Person
Making Gift
Bass Museum
Address of
Person Making
Gift
2100 Collins Ave
Miami Beach,
FL 33139
-n
o
0 CI fz
Cr
J
0
-11
0) =D
Q
D`.
c0
8 - .k -a
-f
trace 0 3
, 00c.0
E7 ov 9
(3 HIq
c�
si Eu
Q.
N a m
•
( 0 <
4,0,414,4
�.. : d Aide„tea,
0
60LS - LIEZE id 'aassegellel
60LSZ Jame -101 'O'd
u.�uli Y�.d.ILs di, 111., I „II,II ,!d...111cl
.l.iillliedklndn.�l�,,�ldk+�ue4i� Ii�LI:�iJ$�,ai.aiu�i.lra�.
. I i 4.. it..1.111.1.:
,F or
T 0 =,.0
CD M".•
Q5
r) a0-
O 'o 0
3 0 =-
CD
0 jo crP
o
0
Irt
n�
4csTi
tam
o
or
Oy ,ro.
(
C
e-3- 0- 0
o (73
a
rrfm
SD z
N 0
0 al
0. 0
C a
P --
in 0
�
fl
o t= 3
0 00 0 000 ,
g - i-)4. aa 1-.694 g: g,zi- ,-,3
� 013 �
8 Qaam. -
= `° -0 1 I.
,... _.ti ... -0 - 0 CD n
M 0g _ Di CD , '� 0 to
. -i-, a ( z
00 =I. ® CCD co
Rrma
!' ! m
n rC.l
E3
® ® Return Receipt Fee
En En (Endorsement Required)
® EJ
Restricted Delivery Fee
® (Endorsement Required)
Ej
flJ ru Total Postage & Fees
Hostage $
Certified Fee
Sent To
rR a
123 D Street, ,
N. P.- or PO
City, St
kVA
Florida Commission on Ethics
P.O. Drawer 15709
Tallahassee, FL. 32317 - 5709
Cn
0
N 3
00 CD ') 0
W
0
M
o
CO
Postmark
Here
n ;b
r
.47 =_ncD
CD
o3 0
-•
n
CD a
0 0 ..
CSA 2-t
m
Q* 0
to =
m
Q n
-i
-n -C
n
Q f?l
Co