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John Elizabeth Aleman Form 9 QTR 3MIAMBEACH OFFICE OF THE CITY CLERK City of Miami Beach, 1700 Convention Center Drive, Miami Beach, FL 33139 www.miamibeachfl.gov Telephone: 305.673.7411 December 27, 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 September 2018, for the following City of Miami Beach Personnel: John Elizabeth Aleman — Commissioner 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:rg Sent Certified Return Receipt F:\CLER\$ALL\GIFT DISCLOSURES\2018\3rd QTR - Jul - Sep\Letter - Gongora.docx 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 F,:_ 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 Form 9 QUARTERLY GIFT DISCLOSURE DATE DESCRIPTION (GIFTS OVER $100) 7:;11 PU -,C PN 0 3 LAST NAME -- FIRST NAME -- MIDDLE NAME: NAME OF AGENCY: OF GIFT VALUE MAKING THE GIFT MAKING THE GIFT 7/16/2018 ALE MAN. ELIZABETH Funkshion - MAILING ADDRESS: (Not Used) OFFICE OR POSITION HELD: Miami Beach, FL 33139 OMMIS I NER $130 CITY: ZIP: COUNTY: FOR QUARTER ENDING (CHECK ONE): YEAR Florida ❑MARCH ❑JUNE OSEPTEMBER ❑ DECEMBER 201 MIAMI BEACH 33139 MIAMI-DADE Box Greens - Cheryl 9309 Dickens Ave 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 7/16/2018 Paraiso Fashion Fair $200 Funkshion 1825 West Ave #8 (Not Used) Miami Beach, FL 33139 Miami Beach Chamber of $130 Baptist Health South 8197 SW 89th Ter 9/21/2018 Comm. Real Estate Luncheon Florida Miami, FL 33176 Box Greens Launch Tickets Box Greens - Cheryl 9309 Dickens Ave 9/27/2018 (Not Used) $100 Arnold Surfside FL 33154 ❑ 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, Florida Statutes. &emsffv�_L SIGNATRE OF REPORTING OFFICIAL STATE OF FLORIRA , COUNTY OF - Sworn to (or afffir ed) and subscribed before me this 2.'4- T—day of 133' AL9M%a e_,f , 20 IV by _!"'i M96!0' re of ary lybfic-See 6YFlorida) (Print, Type, or Stamp 'Commissioned Name of Nota Publi Personally Known AZ Type of Identificatio Produc P�'' CILIA MARIARUIZ•P09 7391 EXPIRES: October 10, 2020 PART D — FILING INSTRUCTIONS =;;FOF€ aP; BondedThruNotaryPubiicUnderMrtiters 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) `r City of Mia City Clerk mi Beach USPS CERTIFIED MAIL 1700 Convention Center Dr Miami Beach FI 33139 9214 8901 9403 8376 8202 66 FLORIDA COMMISSION ON ETHICS PO Box 15709 TALLAHASSEE FL 32317-5709 Return Reference#: Username: Carmen Hernandez Code Violation #: Permit ID #: Court Case # Custom 4: Custom 5: Postage: 5.42