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John Aleman Form 9
MIAMI BEACH OFFICE OF THE CITY CLERK City of Miami Beach, 1700 Convention Center Drive, Miami Beach, FL 33139 www.miamibeachfi.gov Telephone: 305.673-7411 September 27, 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 June 2018, for the following City of Miami Beach Personnel: • John Elizabeth Aleman — Commissioner (City of Miami Beach) • Kristen Rosen Gonzalez — Commissioner (City of Miami Beach) • Mark Samuelian — Commissioner (City of Miami Beach) • Daniel Gelber — Mayor (City of Miami Beach) Should you have any questions or require any additional information, please contact me at 305.673.7411. Respectfull , Rafael E. Granado, City Clerk Attachment REG:cd Sent Certified Return Receipt 7017-1450-0002-2744-0266 Form 9 QUARTERLY GIFT DISCLOSURE (GIFTS OVER $100) LAST NAME -- FIRST NAME -- MIDDLE NAME: NAME OF AGENCY: EMAN N ELIZAL3ETH CITY OF MIAMI BEACH MAILING ADDRESS: OFFICE OR POSITION HELD: 1700 (-,QNVFNTIQN CENTER DRIVE COMMISSIONER CITY: ZIP: COUNTY: ENDING (CHECK ONE): YEAR =ORRTER 0JUNE ❑SEPTEMBER ❑ DECEMBER 20gg_ MIAMI BEACH 33139 MIAMI-DADE PART A — STATEMENT OF GIFTS Please list below each gift, the value of which you believe to exceed $100, accepted by you during the calendar quarter for which this statement is being filed. You are required to describe the gift and state the monetary value of the gift, the name and address of the person making the gift, and the date(s) the gift was received. If any of these facts, other than the gift description, are unknown or not applicable, you should so state on the form. As explained more fully in the instructions on the reverse side of the form, you are not required to disclose gifts from relatives or certain other gifts. You are not required to file this statement for any calendar quarter during which you did not receive a reportable gift. DATE RECEIVED DESCRIPTION OF GIFT MONETARY VALUE NAME OF PERSON MAKING THE GIFT ADDRESS OF PERSON MAKING THE GIFT SEE ATTACHED Id CHECK HERE IF CONTINUED ON SEPARATE SHEET PART B — RECEIPT PROVIDED BY PERSON MAKING THE GIFT If any receipt for a gift listed above was provided to you by the person making the gift, you are required to attach a copy of that receipt to this form. You may attach an explanation of any differences between the information disclosed on this form and the information on the receipt. ❑ CHECK HERE IF A RECEIPT IS ATTACHED TO THIS FORM PART C — OATH I, the person whose name appears at the beginning of this form, do STATE OF FLORID COUNTY OF i�W1 —�tkQ depose on oath or affirmation and say that the information disclosed Sworn to or affirmed) and subscribed before me this day of %tQkrnhLr- -20 herein and on any attachments made by me constitutes a true accurate, i by and total listing of all gifts required to be reported by Section 112.3148, Flo 'da Statutes. ure of Notaryublic- t e o lorida) (Print, Type, or Stamp Commis rt . K$ a of NotfiIVVt AI0 SI NA E OF RE ORTING OFFICIAL Personally Known O M-entML�Rfh i;SSION#GG037391 Type of Identification Produced '�;- EXPIRt:3:0*ber10,2020 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) Zt N W N W N W N W N 00 Q n < !U < (D < (D N D (D N !D O m � N A N d S V S N S 3 F i o 0 0 G w O O c m D N A N N N 3 O c 7 0 p 00 p N CD A w � a m o 0 N W a w ro w ro w m � w m to to In N S V t/� C w m n 0 c DI �� m � `1 Z O c O t 3 cfl � N �1=_ Ln m O CD n CDC:3�. ru m co A w ru ---I -j co Ln O ru a - LT' 300000❑w i00nODD �oommaa(n ti~aa�2 n. > > W m ID I I D s c acD i C, cD m � a a < m C. 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