Dan Gelber Amended Form 9MIAMI BEACH
OFFICE OF THE CITY CLERK
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, FL 33139
www.miamibeachtl.gov
Telephone: 305.673-7 411
March 31, 2022
Florida Commission on Ethics
P.O. Drawer 15709
Tallahassee, FL 32317-5709
Pursuant to Sec. 112.3148, Florida Statutes, please find an (AMENDED) Quarterly Gift
Disclosure State Form (9) for the quarter ending December 2021, for the following City of Miami
Beach Personnel:
• Daniel Gelber - City of Miami Beach Commissioner
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
#n d e
Form 9 QUARTERLY GIFT DISCLOSURE
(GIFTS OVER $100)
LAST NAME -- FIRST NAME -- MIDDLE NAME: NAME OF AGENCY:
G elb er, D an iel , Saul C itv of M iam i B each
MAILING ADDRESS: OFFICE OR POSITION HELD:
17 00 C o nven tio n C en ter D rive M ayor
CITY: ZIP: COUNTY: FOR QUARTER ENDING (CHECK ONE): YEAR
M ia m i B each 33 13 9 M iam i-D ade □MARCH □JUNE ISEPTE MB ER ?DECE MBER 2024
d
PART A STATEMENT OF GIFTS
Please list below each gift, the value of which you believe to exceed $100, accep ted 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 statem ent fo r any calendar quarter during w hich 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
CH ECK 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.
O CH ECK 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,
SIGNATU RE OF REPORTING OFFICIAL
swre or no94:· p,-M,
couNTY or IlLt'_Jay-
Sworn to (or affirmed) and subscribed before me by means of klon r os en o o ep9; epanon.w 2,Q é' dayot [lorh ,2o ho
(Pri nt, Type, or Stamp 2om
Person ally Known _
Type of Identification Produ e
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 Joh n 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 FO RM 9 - EFF. 1/2016 (Refer to Rule 34-7.0 10(1)(g), F.A.C.) (See reverse side for instruction s) @
r
,
DATE GIFT ESTIMATED VALUE DONOR/GOVERNMENT
11/20/2021 Hasalon Restaurant Opening Private Dinner Event $200 Kyra Burner
11/29-12/4/21 2 Art Basel ($60 each) $120 Bob Goodman
12/1/2021 Cultured Magazine: Dinner in Canopy Park $100 Cultured Magazine
12/4/2021 3 Tickets - Lizzo Concert ($100 each) $300 American Express
12/17/2021 Olive & Cocoa Sweets Box $100 Aspen Team
City Clerk USPS CERTIFIED MAIL
I 111111111 I
9214 8901 9403 8371 4092 44
FLORIDA COMMISSION ON ETHICS
PO BOX 15709
TALLAHASSEE FL 32317-5709
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Username: Charles Dagostin
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