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Dan Gelber Form 9MIAMI BEACH OFFICE OF THE CITY CLERK City of Miami Beach, 1700 Convention Center Drive, Miami Beach, FL 33139 www.miamibeachfl.aov Telephone: 305.673-741 1 June 26, 2018 Florida Commission on Ethics P.O. Drawer 15709 Tallahassee, FL 32317-5709 Pursuant to Sec. 112.3148, Florida Statutes, please find a Quarterly Gift Disclosure State Form (9), for the quarter ending March 2018, for the following City of Miami Beach Personnel: • Micky Steinberg — Commissioner (City of Miami Beach) • Dan Gelber — Mayor (City of Miami Beach) Should you have any questions or require any additional information, please contact me at 305.673.7411. Respectfully, R lfael E. Granado, City Clerk Attachment REG:cd Sent Certified Return Receipt 7017-1450-0002-2744-0242 Form 9 QUARTERLY GIFT DISCLOSURE (GIFTS OVER $100) LAST NAME -- FIRST NAME -- MIDDLE NAME: NAME OF AGENCY: C�-e-1 br , n is -e, Sot I C 4-'-I Ofi M) GtJrn t -, 1` If Gt C- h MAILING ADDRES: OFFICE Ort POSITION HELD: I�ot ConvCrhon (XYfCY 1r. CITY: ZIP: COUNTY: • F R QUARTER ENDING (CHECK ONE): YEAR M s, � �/h �2 1 �� M 1 �n� of-e. ❑JUNE SEPTEMBER ❑ DECEMBER 20 Ic� 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 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 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, STATE OF FLORIDA COUNTY OF ~i t ic?PI - Dfr0 fi Sworn tit affirmed) and a�bscribed before me this 1 day of �"l , 20 by D F+tv l t3 4 S • C la )2, ek Florida Statutes. (Signature of Notary Public -State of Florida) (Print, Type, or Stamp Commissioned Name of Notary Public) Personally Known tl OR Produced Identification Type of Identification Produced TING OFFICIAL PART D — FILING INSTRUCTIONS ca - 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. 6/2016) (See reverse side for instructions) N W (JJ W N N N I\ N W N 0 1V NJ o NJ o NJ NNJ 0 m N N 1, 00 '0 03 N 03 03 LA 0 co n T O G C � 3 cn fD F-+ fD O_ 03 T O 2 O O h v 0 O rr Q -n S O4 D) T Vf fD O fD v m fD nrr fl —I •< -. Fl = h T Q T- 0)- N O fD rD n- T1 3 �. n (A -I N 0 -I N 0 F.) 0) rr 0 fD T - 0)_n N CD Di T - . rt ro 93 17)t N ^ in VA I--% rl fD o - cn ter -- 0 I1-� CD -, 0) 0 n 0 CD D) n 3f11VA 431VWIIS3 enanD eiae j )2 uoa19 oileiAl lenRsal pool )g au!M peag 4lnos Jaleayl Auolop 1N3AINi13AO9/21ONO4 DATE OF EVENT: January 28, 2018 GIFT: 4 Tickets, "The Elaborate Entrance of Chad Deity" Show VALUE OF GIFT: $59 each, Total: $236.00* PAID BY: Colony Theatre NAME OF EVENT: South Beach Wine & Food Festival DATE OF EVENT: February 23, 2018 — February 25, 2018 GIFT: 2 Credential Passes VALUE OF GIFT: $1,100.00 each, Total: $2,200 PAID BY: South Beach Wine & Food Festival NAME OF EVENT: Equality Florida Gala DATE OF EVENT: March 10, 2018 GIFT: 2 Tickets VALUE OF GIFT: $75 each, Total $150 PAID BY: Equality Florida DATE OF EVENT: March 19, 2018 GIFT: 2 Tickets, Heat Game VALUE OF GIFT: $1,050 each, Total $2,100 PAID BY: Philip Levine DATE OF EVENT: March 20, 2018 GIFT: Bottle of Moet and 2 flutes VALUE OF GIFT: $109.00 PAID BY: Marco Giron & Maria Cueva • ■ ■ D ODa)1 0 3 �# O�O CT O Al .* C.11 ty p m 7 A S .t 3 rnm co m. W a Q cs (4- 1:13 a B a .g‘ o Q3 o 3 0 Z o m B. Received by (Printed Name) Xco V) n • 1 3S SIH1 3137d111103 :a3aN3 RZ W ec 1450 0002 1450 0002 U.S. Postal Service' CERTIFIED MAIL° RECEIPT Domestic Mail Only OFFICIAL USE Certified Mail Fee $ Extra Services & Fees (check box, add fee as appropriate) ❑ Return Receipt (handcopy) $ ❑ Retum Receipt (electronic) $ Postmark ❑ Certified Mail Restricted Delivery $ Here ❑Adult Signature Required $ ❑ Adult Signature Restricted Delivery $ postage Total Pos C� r- Sent To a D D Street ani City, Stan Florida Commission on Ethics P.O. Drawer 15709 Tallahassee, FL. 32317 - 5709