Kristen Rosen Gonzalez Form 9MIAMI BEACH
OFFICE OF THE CITY CLERK
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, FL 33139
www.miamibeachfl.aov
Telephone: 305.673-7411
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 $100)
LAST NAME -- FIRST NAME -- MIDDLE NAME:
NAME OF AGENCY:
Rosen Gonzalez, Kristen
City of Miami Beach
MAILING ADDRESS:
OFFICE OR POSITION HELD:
1700 Convention Center Drive
Commissioner
CITY: ZIP: COUNTY:
FOR QUARTER ENDING (CHECK ONE): YEAR
Miami Beach 33139 Miami -Dade
❑MARCH 4JUNE ❑SEPTEMBER ❑ DECEMBER 201$
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
04/27/18
Power Of The Purse
150.00
City of Miami Beach
1700 Convention Center
Luncheon
Mayor & Comm.
Dr. MB
05/26-27/18
Air & Sea Show
500.00
Mickey Markoff
Ft. Lauderdale
06/02/18
MB Chamber Gala
325.00
Dr. Ino Halegua
605 Lincoln Rd.,
Miami Beach
06/08/18
Save Dade Champion of
150.00
City of Miami Beach
1700 Convention Center
Equality 25th Ann.
Mayor & Comm
Dr. MB
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 IFA 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 lis in all ifts required to be reported by Section 112.3148,
Florida Stat t ! I
SIGNATURE pF13EPORTING OFFICIAIF
STATE OF FLORIDA
COUNTY OF M t A-'M'_Dftr-
Sworn to (pr affirmed) and Wbscribed before me this
�Q day of f� 201%
by
(Print, Type, or St,
Personally Known
Type of Identificati
PART D — FILING INSTRUCTIONS
GLORIASALOM
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) —
QUARTERLY GIFT DISCLOSURE
KRISTEN GONZALEZ, ROSEN
04/07/18 MB GAY PRIDE Fest 100.00
04/23/18 E -Merge Summit 195.00
05/11/18 United Way 300.00
05/12/18 MD League of Cities 600.00
64th Gala
06/08/18 Save Dade Champion
Of Equality 25th Ann. 150.00
06/19/18 MD Gay & Lesbian
Ruby Gala 200.00
06/19/18 Rhythm Foundation
30th Anniversary 250.00
MB Gay Pride
Quarter Ending June, 2018
Miami Beach
Manny Medina
Miguel Diaz de la Portilla
MB Mayor & Comm.
MB Mayor & Comm
MB Mayor & Comm.
Rhythm Foundation
Miami
200 S. Biscayne Blvd.
1700 Convention Ctr.Dr
1700 Convention Ctr.Dr
1700 Convention Ctr.Dr
MB Bandshell
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