Commissioner Steinberg Form 9 QTR I+4 M/BEACH l V t l i V ii
O FFIC E O F TH E CI TY C LERK
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, FL 33139
www._miamibegchf],goy
Telephone: 305.673-7411
June 30, 2021
Florida Com m ission on Ethics
P.O . D raw er 15709
Tallahassee, FL 32317-5709
Pursuant to S ec. 112.3148, Florida Statutes, please find a Q uarterly G ift Disclosure State Form
(9), fo r the quarter ending March 2021, fo r the following City of Miam i Beach Personnel:
• M ichael G óng ora - Com m issioner
• S teven J. Meiner- C om m issioner
• M icky Steinber g - C omm i s si on er
Should you have any questions or require any additional inform ation, please contact me at
305.673. 7 411.
71·
Rafael E. G ranado,
City C lerk
A ttachm ent
REG :cd
Sent C ertified Return Receipt
F o r m 9 QUARTERLY GIFT DISCLOSURE
(GIFTS OVER $100)
LAST NAME -- FIRST NAM E -- MIDDLE NAME: NAME OF AGENCY:
Steinberg, M icky C ity of M iam i Beach
MAILING ADDRESS: OFFICE OR POSITION HELD:
1700 C onvention Center D rive Comm issioner
CITY: ZIP: COUNTY: FOR QUARTER ENDING (CHECK ONE): YEAR
M iam i Beach FL M iam i-D ade 2ARCH OJUNE □SEPTEMBER O DECEMBER 2024
PART A- STATEMENT OF GIFT S
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
March 21, 2021 Bass Ball in a Box $500 The Bass Museum of Art 2100 Collins A venue
M iam i Beach, FL 33139
o CHECK HERE IF CONTINUED ON SEPARATE SHEET
PART B - RECEIPT PROVID ED 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.
O CHECK HERE IF A RECEIPT 15 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,
Florida Statutes.
2 siGuURE OF REPORTING OFFICIAL
STATE OF FLO RIDA
couNTY OF [Ayy- D o€&
S ort o (or affirmed) an d subscribed before me by means of
h ysical presen ce or [_] onlinge notarization , this -
3c» day of Q 0 4 _,2o -
by Diii} SI T߀Re .t sanai al uc-state or Fiori@a)
e , s o 6lò el72
(Print, Type, or Stamp Çommissioned Name of Notary Public)
Personally Known _V __ OR Produced Identification
Iype of identification Produced lh'
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; p
cal address: 325 John Knox Road, Building E, Suite 200, Tallahassee, Florida 32303. The form m t fi d o t t n the last day of the cale
quarter that follows the calendar quarter for wh i ch this form is filed (For exa] !}Ê:"l, {Rs shoul] ¡be disclosed by Jun e 30.
CE FORM 9 - EFF. 1/2016 (Re fer to Rule 34-7.010(1)(g), F.A.C.) Commission ± GG 13172 (Seel[everse side for instruction s)
My Comm. Expires Sep 16,202
Bo 3e trrcuçr Matiarai Mtary 5n.
City Clerk
1700 Convention Center Drive
Miami Beach FL 33139
USPS CERTIFIED MAIL
I 11111 II
9214 8901 9403 8343 7239 41
FLORIDA COMMISSION ON ETHICS
PO BOX 15709
TALLAHASSEE FLORIDA 32317-5709
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Username: Patrick Camm
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