Ricky Arriola Form 9MIAMI BEACH
OFFICE OF THE CITY CLERK
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, FL 33139
www.miamibeachfl.gov
Telephone: 305.673-7411
September 29, 2021
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 June 2021, for the following City of Miami Beach Personnel:
• Ricardo Arriola — City of Miami Beach (Commissioner)
Should you have any questions or require any additional information, please contact me at
305.673.7411.
Resile tfully
//
Rafael E. Granado,
City Clerk
Attachment
REG:cd
Sent Certified Return Receipt
Form 9 QUARTERLY GIFT DISCLOSURE
(GIFTS OVER $100)
LAST NAME -- FIRST NAME -- MIDDLE NAME:
NAME OF AGENCY:
ARRIOLA JOSE RICARDO
CITY OF MIAMI BEACH
MAILING ADDRESS:
OFFICE OR POSITION HELD:
1700 CONVENTION CENTER DR
COMMISSIONER GROUP 5
CITY: ZIP: COUNTY:
FOR QUARTER ENDING (CHECK ONE): YEAR
MIAMI BEACH 33139 MIAMI-DADE
❑MARCH WJUNE ❑SEPTEMBER ❑ DECEMBER 2024
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
RECEIVED
DESCRIPTION
OF GIFT
MONETARY
VALUE
NAME OF PERSON
MAKING THE GIFT
ADDRESS OF PERSON
MAKING THE GIFT
5/19/21
TICKETS FOR NATIONAL SALUTE
TO AMERICA'S HEROES
$200
National Salute to
America's Heroes, LLC
10394 W Sample Road, Coral
Springs, Florida 33065
❑ 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 STATE OF FLORID, /► , r ^ _ Z)��
COUNTY OFy/ f�
depose on oath or affirmation and say that the information disclosed Siworwto (or affirmed) and subscribed before me by means of
S
al presence or Q online not rizatiof� this
herein and on any attachments made by me constitutes a true accurate, 4 % , _ day of , �4e 20 c7?-- 1
and total listing of all gifts required to be reported by Section 112.3148, I by j< �AXOJO 6kX_( a
Florida Statutes.
SIGNA;�^ OF REPORTING OFFICIAL
otary Public -State of Florida)
(Print, Type, or Stamp Commissioned Name of Notary Public)
Personally Known OR Produced Ide i f n
Type of Identification Produced �p`P��Aps J DAgostin
PART D — FILING INSTRUCTIONS
STATE OF FLORIDA
ry�� 1e ode �- .
This form, when duly signed and notarized, must be filed with the Commission on Ethics, P.O. Drawer 15709, Talla assee, o i a 2 5 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) "3
City Clerk USPS CERFIED MAIL
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FLORIDA COMMISSION ON ETHICS
PO BOX 15709
TALLAHASSEE FL 32317-5709
Return Reference Number:
Username: Charles Dagostin
Code Violation #
Court Case #:
Property Address
Permit ID #:
Custom 5:
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