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Dan Gelber Form 9M I AMI BEACH OFFICE OF THE CITY CLERK City of Miami Beach, 1700 Convention Center Drive, Miami Beach, FL 33139 www.miamibeach],gov Telephone: 305 .673-7 411 March 26, 2020 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 December 2019, for the following City of Miami Beach Personnel: • Daniel Gelber - City of Miami Beach (Mayor) Should you have any questions or require any additional information, please contact me at 305.673. 7 411. 7 Rafael E. Granado, City Clerk Attachment REG:cd Sent Certified Return Receipt R-r...,·-··,·,. id:od-i\ MAA# Zo Form 9 QUARTERLY GIFT DISCLOSURE CIT OF Ate SeACH (GIFTS OVER $100) OFFE E ±,,I 7v r: LAST NAME -- FIRST NAME -- MIDDLE NAME NAME OF AGENCY: Gelber, Daniel, Saul City of Miami Beach MAILING ADDRESS OFFICE OR POSITION HELD: 1700 Convention Center Drive Mayor CITY: ZIP: COUNTY: FOR QUARTER ENDING (CHECK ONE): YEAR Miami Beach 33139 Miami Dade JMARCH JUNE OSEPTEMBER QDECEMBER 2049 PART A-- STATEMENT OF GIFTS Please list below each gift, the value of which you believe to exceed $100, accepted by you during the calendar quarter for which this statement is being filed. You are required to describe the gift and state the monetary value of the gift, the name and address of the person making the gift, and the date(s) the gift was received. If any of these facts, other than the gift description, are unknown or not applicable, you should so state on the form. As explained more fully in the instructions on the reverse side of the form, you are not required to disclose gifts from relatives or certain other gifts. You are not required to file this statement for any calendar quarter during which you did not receive a reportable gift. DATE DESCRIPTION MONETARY NAME OF PERSON ADDRESS OF PERSON RECEIVED OF GIFT VALUE MAKING THE GIFT MAKING THE GIFT SE Ar/ACH+ED r:{ CHECK HERE IF CONTINUED ON SEPARATE SHEET PART B - RECEIPT PROVIDED BY PERSON MAKING THE GIFT If any receipt for a gift listed above was provided to you by the person making the gift, you are required to attach a copy of that receipt to this form. You may attach an explanation of any differences between the information disclosed on this form and the information on the receipt. D CHECK HERE IF A RECEIPT IS ATTACHED TO THIS FORM PARTC-OATH I, the person whose name appears at the beginning of this form, do depose on oath or affirmation and say that the information disclosed herein and on any attachments made by me constitutes a true accurate, and total listing of all gifts required to be reported by Section 112.3148, Flo,;d, Sta~ - • SIGNATURE OF REPORTING OFFICIAL - STATE OF FLOR'.ââ • < COUNTY OF 144 DA 9mn to (or affirmed) and subscribed before me by means of 4$y 0,922esse,pp. 20 el g toro t?c [,, zoo ? by (Print, Type, or Stamp Cg "!" '°VF gel0 arson+iy koif_ oii@#ii ii«&mg,Go16s17+ Type of Identification Produced " 1 Expires 12/14/2021 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. 1/2016 (Refer to Rule 34-7.010(1)g), F.A.C.) (See reverse side for instructions) r DATE GIFT ESTIMATED DONOR/GOVERNMENT VALUE 11/17/2019 Light the Path Gala Ticket $250.00 Mark Herskowitz 12/3/2019 Design Miami VIP Multi Day Ticket $225.00 Art Basel 12/4/2019 Cookies $10.00 Art Basel 12/4/2019 Art Basel Tickets (3 VIP Tickets @$500 ea.) $1,500.00 Art Basel 12/16/2019 box of chocolates $10.00 Alex Heckler 12/16/2019 Wine $20.00 Michael Gongora 12/16/2019 Tequila $50.00 Ricky Arriola 12/18/2019 Gift Basket $150.00 Pan e Vino 12/18/2019 Gift Basket $100.00 Italian Consul General 12/18/2019 Wine $50.00 Jimmy Morales 12/18/2019 Starbucks Mug $15.00 Steven Meiner 12/23/2019 Reel Retro Viewer $50.00 Adrian Chamberlin City of Miami Beach City Clerk 1700 Convention Center Dr Miami Beach Fl 33139 USPS CERTIFIED MAIL 11111 1111111 I I 9214 890194038310 0331 41 FLORIDA COMMISSION ON ETHICS PO Box 15709 TALLAHASSEE FL 32317-5709 Fold Here Return Reference#: Usem am e: Charles Dagostin Code Vi ol ation # : Court Case #: Pro perty Address : : Perm it ID #: Custom 5: Postage: $5.7500