Michael Gongora Form 1F QTR IVFORM 1F FINAL STATEMENT OF 2021
FINANCIAL INTERESTS
(TO BE FILED WITHIN 60 DAYS OF LEAVING PUBLIC OFFICE OR EMPLOYMENT)
LAST NAME — FIRST NAME — MIDDLE NAME:
NAME OF REPORTING PERSON'S AGENCY:
Gongora Michael
City of Miami Beach
MAILING ADDRESS:
CHECK ONE OF THE FOLLOWING (see "Who Must File" on page 3):
5838 Collins Avenue
❑ LOCAL OFFICER ❑ STATE OFFICER
❑ SPECIFIED STATE EMPLOYEE
LIST OFFICE OR POSITION HELD: Miami Beach
Commissioner
CITY: ZIP: COUNTY:
Miami Beach 33140 Miami Dade
`BOTH PARTS OF THIS SECTION MUST BE COMPLETED`
DISCLOSURE PERIOD:
THIS STATEMENT REFLECTS MY FINANCIAL INTERESTS FOR THE PERIOD BETWEEN JANUARY 1, 2021 AND THE LAST DATE I HELD THE PUBLIC
OFFICE OR EMPLOYMENT DESCRIBED ABOVE, WHICH DATE WAS November 22, 2021 2021. (Date must be prior to 12/31/21)
MANNER OF CALCULATING REPORTABLE INTERESTS:
FILERS HAVE THE OPTION OF USING REPORTING THRESHOLDS THAT ARE ABSOLUTE DOLLAR VALUES, WHICH REQUIRES FEWER
CALCULATIONS, OR USING COMPARATIVE THRESHOLDS, WHICH ARE USUALLY BASED ON PERCENTAGE VALUES (see instructions for further
details). PLEASE STATE BELOW WHETHER THIS STATEMENT REFLECTS EITHER (must check one):
❑ COMPARATIVE (PERCENTAGE) THRESHOLDS OR ✓❑ DOLLAR VALUE THRESHOLDS
PART A -- PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person - See instructions]
(If you have nothing to report, write "none" or "n/a")
NAME OF SOURCE SOURCE'S DESCRIPTION OF THE SOURCE'S
OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY
Becker
Alhambra Towers 121 Alhambra Plaza
Condo Law
10th Floor Coral Gables, FL 33134
PART B -- SECONDARY SOURCES OF INCOME
[Major customers, clients, and other sources of income to businesses owned by reporting person - See instructions]
(If you have nothing to report, write "none" or "n/a")
NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS
BUSINESS ENTITY OF BUSINESS' INCOME OF SOURCE ACTIVITY OF SOURCE
N/A
PART C -- REAL PROPERTY [Land, buildings owned by the reporting person - See instructions]FILING INSTRUCTIONS for when
(If you have nothing to report, write "none" or "n/a") and where to file this form are
located at the bottom of page 2.
5838 Collins Ave #3A Miami Beach, FL 33140 INSTRUCTIONS on who must file
600 NE 36th Street Apt 1902 Miami, FL 33137 this form and how to fill it out
begin on page 3 of this packet.
Vacant Land in Sebring, FL See attachment for additional property
CE Forth 1F Effective: January 1, 2021 (Continued on reverse side) PAGE 1
Incorporated by reference in Rule 34-8.208(2), FA.C.
PART D — INTANGIBLE PERSONAL PROPERTY [Stocks, bonds, certificates of deposit, etc. - See instructions]
(If you have nothing to report, write "none" or "nia")
TYPE OF INTANGIBLE
See attachment
BUSINESS ENTITY TO WHICH THE PROPERTY RELATES
PART E — LIABILITIES [Major debts - See instructions]
(If you have nothing to report., write "none" or "nla")
NAME OF CREDITOR ADDRESS OF CREDITOR
Wells Fargo- Mortgage 1420 Montgomery St. San Francisco, CA 94104
Bank of America 16000 Feldwood Road College Park, GA 30349
PART F — INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses - See instructions]
(If you have nothing to report, write "none" or "n/a")
BUSINESS ENTITY # 1
(NAME OF BUSINESS ENTITY I N/A
OF BUSINESS ENTITY
PRINCIPAL BUSINESS ACTIVITY
POSITION HELD WITH ENTITY
I OWN MORE THAN A 5% INTEREST IN THE BUSINESS
NATURE OF MY OWNERSHIP INTEREST
BUSINESS ENTITY # 2
IF ANY OF PARTS A THROUGH F ARE CONTINUED ON A SEPARATE SHEET. PLEASE CHECK HERE 1-1
SIGNATURE OF FILER:
Signature:
ate Signed:
WHEN TO FILE:
At the end of office or employment each
local officer, state officer, and specified
state employee is required to file a final
disclosure form (Form 1F) within 60 days
of leaving office or employment, unless he
or she takes another position within the
60 -day period that requires filing financial
disclosure on Form 1 or Form 6.
WHERE TO FILE:
Local officers file with the Supervisor of
Elections of the county in which they permanently
reside. (If you do not permanently reside in
Florida, file with the Supervisor of the county
where your agency has its headquarters.) Form
1 filers who file with the Supervisor of Elections
CPA or ATTORNEY SIGNATURE ONLY
If a certified public accountant licensed under Chapter 473, or
attorney in good standing with the Florida Bar prepared this form
for you, he or she must complete the following statement:
I, , prepared
the CE Form 1 in accordance with Section 112.3145, Florida
Statutes, and the instructions to the form. Upon my reasonable
knowledge and belief, the disclosure herein is true and correct.
CPA/Attorney Signature
Date Signed
FILING INSTRUCTIONS:
may file by mail or email. Contact your Supervisor
of Elections for the mailing address or email
address to use. Do not email your form to the
Commission on Ethics, it will be returned.
State officers or specified state
employees who file with the Commission on
Ethics may file by mail or email. To file by mail,
send the completed form to P.O. Drawer 15709,
Tallahassee, FL 32317-5709; physical address:
325 John Knox Rd, Bldg E, Ste 200, Tallahassee,
FL 32303. To file with the Commission by email,
scan your completed form and any attachments
as a pdf (do not use any other format), send it to
CEForml@leg.state.fl.us and retain a copy for
your records. Do not file by both mail and email.
Choose only one filing method.
To determine what category your position
falls under, see the "Who Must File" Instructions
on page 3.
NOTE:
If you are leaving office or employment
during the first half of 2021, you may not
have filed Form 1 for 2020. In that case,
this is not the last form you will file. Form
1F covers January 1, 2021, through your
last day of office or employment. You
will be required to file Form 1 for 2020 by
July 1, 2021, and risk being fined if you
do not file Form 1 by the filing deadline,
even if you have already filed the CE
Form 1 F.
CE Form 1F Effective: January 1, 2021 HAUL 2
Incorporated by reference in Rule 34-8.208(2), F.A.C.
Table 1
PART C -REAL PROPERTY
1285 Sharrow Way Carson City, NV 89703
PART D INTANGIBLE PERSONAL PROPERTY
Saving Account (Suntrust)
401 K Retirement Account (Mass Mutual
IRA- Retirement Account (Fidelity)
Money Market Account (Sabadell Bank)
Bank Account (Marquis Bank)
IRA- Retirement Account (Raymond James)
0000001