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Ricky Arriola Form 9 QTR 2 MIAMI BEACH OFFICE OF THE CITY CLERK City of Miami Beach, 1700 Convention Center Drive, Miami Beach, FL 33139 wwwm is m i beachfl.gov Telephone: 305.673-741 1 September 28, 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: • Ricky Arriola — Commissioner (City of Miami Beach) Should you have any questions or require any additional information, please contact me at 305.673.7411. Respectfully, Rafael E. Granado, City Clerk Attachment REG:cd Sent Certified Return Receipt 7017-1450-0002-2744-0303 RFC(-1'I Ffl Form 9 QUARTERLY GIFT DISCLOSURE (GIFTS OVER $100) ?ell SEP 28 NI 4: 31 LAST NAME--FIRST NAME--MIDDLE NAME: NAME OF AGENCY: , . 1 A�.;; Pi,;:A :i Arriola, Ricky City of Miami Beach, -_ - ; 4•;,' CLEf..;-- MAILING ADDRESS: OFFICE OR POSITION HELD: 1700 Convention Center Drive Commissioner CITY: ZIP: COUNTY: FOR QUARTER ENDING(CHECK ONE): YEAR Miami Beach 33139 Miami-Dade ❑MARCH erJUNE ❑SEPTEMBER ❑DECEMBER 20'1$, 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 4/12/18 Queen of Basel Tickets (2) $200 Miami New Drama 1040 Lincoln Rd Miami Beach, FL 33139 4/23/18 eMerge Convention $1,495 eMerge Americas, LLC 2333 Ponce Dc/.eon Blvd,Suite 900 VIP Ticket(1) Coral Gables,Fl.33134 5/14/18 Air& Sea Show Tickets(2) $1000 MDM GROUP, LTD 1012 East Broward Boulevard Ft.Lauderdale,Fl.33301 5/15/18 SCOPE VIP Ticket(1) $150 Michele Burger 6103 Aqua Avenue Miami Beach, FL 33141 Rif 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 FLORIDA COUNTY OF /'+(A( -DhbC— depose on oath or affirmation and say �that the information disclosed Swom o r affirmed)ands scr bed before me this q day of /it` ,20 I U herein and on any attachments made by me constitutes a true accurate, by KIC1CY ALA o and total listing of all gifts required to be reported by Section 112.3148, Florida St ute . (Signature of No ... - •• - - _ _ __ __---- \- _ flab,• •JASON SALVATORE (Print,Type,or Stam Commi . 1e �� a T •• :: ber 14,2020 SIGNAT R REPORTING OFFICIAL Personally Known 0 � '' ^`:;124,1,11.4 •tour/Type of Identification Produce. "Q''? Public Undermitels 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.6/2016) (See reverse side for instructions)'' Date Received Description of Monetary Name of Address of Gift Value Person Making Person Making Gift Gift 5/29 Art Basel VIP $200 Art Basel U.S. 1111 Brickell Ticket(1) Corp Ave, Ste 1700 Miami, FL 33131 6/12 American Black $1,800 ABFF 6600 Sunset Blvd, Film Festival VENTURES, Suite 316 Tickets(2) LLC Los Angeles,CA 90028 = � z�. -" XJ t, co -71 !r n t*t u. GJ i N ■ ■ ■ m D ____ > 0 > (4 -00 z 35; Up � C1� 5b� �. 3 m Z 3 O m c O a m i * a m • J 3 (9 aN -, n CT � O0e 0NNo00nm � 7Na a N ill a tn rm ? mnu —' oo c m ] m p — 0S jt2 . m mm -Q- 5 y m• 3 v — 77w maa Z 3 -' m0 0m CO in n % � — .xON • (I) _ a L t A tr 30 = C) If ri m 3 ' co • 3 °• 0 U.S. Postal Service"' CERTIFIED MAIL° RECEIPT 2 0 —_ m m0 Domestic Mail Only LU 0 rn In For delivery information.visit our website at www.usps.com-. 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