Ricky Arriola Quarter I 2020MIAM .BE A CH
O FFIC E O F T H E C ITY C LERK
C ity of M iam i Bea ch, 17 00 C o nvention C e nter D rive, M iam i Beach, FL 33 13 9
w ww .m ia m ibe a chll,g o v
Telep h on e: 30 5.6 7 3.7 4 11
June 26, 2020
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 March 2020, for the following City of Miami Beach Personnel:
• Ricky Arriola - Commissioner
Should you have any questions or require any additional information, please contact me at
305.673.7411.
Respectfully
R~anado,
City Clerk
Attachment
REG:pc
Sent Certified Return Receipt
F:\CLER\$ALL\GIFT DISCLOSURES\MASTER FOR THE STATE - REG.docx
, 19y a
i ti +
Form 9 QUARTERLY GIFT DISCLOSURE
(GIFTS OVER $100)
LA ST NAM E -- FI R S T NAM E -- MI D DL E NA M E : NA M E O F A G E N C Y:
A RR IO L A , R IC K Y C IT Y O F M IA M I B E A CH
M A ILI N G A D D R E S S : O FFIC E O R PO S IT IO N HE LD :
170 0 C O NV E N T IO N CE N T E R D R IV E C IT Y C O M M ISSIO N E R
C ITY : ZIP : CO U N TY : FO R Q U A RT E R EN D IN G (C H EC K O N E ): Y EAR
M IA M I B E A C H 33139 M IA M I-D A D E 2ARCH O JU NE □SEPTEM BER □D EC EM BER 2020
PART A STATEMENT OF GIFTS
P le ase list be lo w eac h gift, the value of w hich you believe to exceed $10 0, accepted by you during the ca lendar quarter fo r w hich this statem ent is
be ing file d . You are req uired to de scribe the gift and state the m onetary value of the gift, the nam e and address of the person m aking the gift, and the
date(s) the gift w as receive d, If any of the se facts, other than the gift description, are unknow n or not applicable, you should so state on the fo rm . As
explained m o re fully in the instru ctions on the reverse side of the fo rm , you are not required to discl ose 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.
D A TE D E S C R IP T IO N M O N ETA RY NA M E OF PER SO N AD D R ESS OF PER SO N
R E C E IV E D O F G IFT VA LU E M AKIN G TH E GIFT M AKIN G TH E G IFT
1/25/20 Theatre Tickets $200 Miami New Drama 1040 Lincoln Rd, M iam i
Beach, FL 3313 9
□CHECK HERE IF CONTINUED ON SEPARATE SHEET
PART B RECEIPT PROVIDED BY PERSON MAKING THE GIFT
If any rece ipt fo r a gift listed ab ove w as pro vide d to yo u by the person m aking the gift , you are required to attach a copy of that re ceipt to this
fo rm , Y ou m a y att a ch an exp la n atio n of any differences betw ee n the info rm ation discl osed on this fo rm and the info rm ation on the receipt,
O CHECK HERE IF A RECEIPT IS ATTACHED TO THIS FORM
PARTC-OATH
I. the pe rson w ho se na m e ap p e ars at the be g inning of this form , do
de pose on oath or affi rm a tio n and say that the info rm ation discl osed
he rein and on an y attachm e nts m ade by m e constit utes a true accura te,
and total listing of all gifts requ ired to be repo rted by Section 112 .3148,
Flo rida S tatutes. 9e
SIGNA ißRE O F R EP OR TI N G OF FICI A L
STATE O F FLO R ID A
couNrY or lai : fb)de
Sw orn to (or affi rm ed) and subscribed before m e by m eans of
O physical presence or O online notarization, this
Z6 dayot '5aoe 2o_ZO
». Rc«y _/lota
09247
, 12
(Print, Type, or Stam p
Personally Know n
Type of Identification Produced
PART D FILING INSTRUCTIONS
This fo rm , w he n duly sig ne d and no tarized , m ust be fil ed w ith the C om m ission on Ethi cs , P.O . Draw er 15709, Tallahassee, Fl orida 32317-5709; ph ysi -
cal ad dress: 32 5 Jo h n K no x R oad , B uild ing E , Suite 200 , Tallahassee, Fl orida 32303. Th e fo rm m ust be filed no later than the last day of the calendar
qu art er tha t follo w s the cale nd a r qu a rt er fo r w hich this fo rm is fil ed (For exam ple, if a gift is received in M arch, it should be discl osed by Jun e 30.)
CE FO R M 9 - E FF , 1/20 16 (R ef er to R ul e 34-7.0 10 (1)(g ), FA.C.) (See revers e side for instructions) @
City Clerk
1700 Convention Center Drive
Miami Beach FL 33139 I
USPS CERTIFIED MAIL
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9214 8901 9403 8315 2517 17
FLORIDA COMMISSION ON ETHICS
PO Box 15709
TALLAHASSEE FL 32317-5709
Fold Here
Return Reference#:
Usern am e: Patrick Cam m
Code Violation # :
Court Case#:
Property Address ::
Perm it ID #:
Custom 5:
Postage: $5.7500