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Micky Steinberg Form 9 Quarter IMIAMMEACH OFFICE OF THE CITY CLERK City of Miami Beach, 1700 Convention Center Drive, Miami Beach, FL 33139 www. miamibeachfl.gov Telephone: 305.673-7411 June 27, 2019 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 2019, for the following City of Miami Beach Personnel: • Micky Steinberg — City of Miami Beach (Commissioner) Should you have any questions or require any additional information, please contact me at 305.673.7411. Respectfully, Ra ael E. Granado, City Clerk Attachment REG:cd Sent Certified Return Receipt 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 VC HECK 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 STATE OF FLORIDA COUNTY OF depose on oath or affirmation and say that the information disclosed Sworn to (or affirmed) and subscribed before me this 20 day of herein and on any attachments made by me constitutes a true accurate, by and total listing of all gifts required to be reported by Section 112.3148, Florida Statute . SIGNATU�E F REPORTING OFFICIAL (Signature of Notary Public -State of Florida) (Print, Type, or Stamp Commissioned Name of Notary Public) Personally Known OR Produced Identification Type of Identification Produced 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.) Commissioner Micky Steinberg Quarterly Gift Disclosure (Quarter Ending March 2019) DATE DESCRIPTION MONETARY NAME OF PERSON ADDRESS OF PERSON RECEIVED OF GIFT VALUE MAKING THE GIFT MAKING THE GIFT 02/22/2019 SOBE Food & Wine: 2 Tickets City of Miami 1700 Convention Burger Bash Total $500 Beach Center Drive Miami Beach, Florida 33139 02/23/2019 SOBE Food & Wine: 2 Tickets City of Miami 1700 Convention Beachside BBQ Total $350 Beach Center Drive Miami Beach, Florida 33139 02/24/2019 SOBE Food &Wine: 2 Tickets City of Miami 1700 Convention Bacardi Beach Total $230 Beach Center Drive Miami Beach, Florida Carnival 33139 02/23/2019 SOBE Food &Wine: 2 Tickets City of Miami 1700 Convention General Goya Food $382.50 Beach Center Drive Miami Beach, Florida Grand Tasting 33139 03/09/2019 Equality Florida Gala 2 Tickets City of Miami 1700 Convention Total $250 Beach Center Drive Miami Beach, Florida 33139 City of Miami Beach USPS CERTIFIED MAIL City Clerk 1700 Convention Center Dr Miami Beach FI 33139 9214 8901 9403 8385 4277 53 FLORIDA COMMISSION ON ETHICS PO Box 15709 TALLAHASSEE FL 32317-5709 Fold Here Return Reference#: Username: Charles Dagostin Code Violation #: Court Case #: Property Address Permit ID #: Custom 5: Postage: $5.6000