Loading...
David Richardson Form 9 QTR IM IA M I BEACH OFFICE OF THE CITY CLERK City of Miami Beach, 1700 Convention Center Drive, Miami Beach, FL 33139 www.miamibeachfl.gov Telephone: 305 .673-7 411 June 29, 2023 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 March 2023, for the following City of Miami Beach Personnel: • David Richardson - Commissioner (City of Miami Beach) Should you have any questions or require any additional information, please contact me at 305.673. 7 411. Rerl, 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: Richardson-Lance-David City of Miami Beach MAILING ADDRESS: OFFICE OR POSITION HELD: 1700 Convention Center Drive City Commissioner, Group 6 CITY: ZIP: COUNTY: FOR QUARTER ENDING (CHECK ONE): YEAR Miami Beach 33139 Miami-Dade MARCH OJUNE ISEPTEM BER O DECEMBER 2023 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 DESCRIPTION MONETARY NAME OF PERSON ADDRESS OF PERSON RECEIVED OF GIFT VALUE MAKING THE GIFT MAKING THE GIFT 0 I /06/2023 - South Beach Jazz Festival (2 $324.42 Power Access, Inc. I616 Michigan Avenue, Suite I 01/08/2023 tickets 0 l /06 & 2 tickets 0 I /07) Miami Beach, FL. 33139 01/16/2023 Dr. Martin Luther King Jr., $100.00 City of Miami 1700 Convention Center Drive, Scholarship Breakfast ( I ticket) Beacht Miami Beach, FL. 33I 39 01/26/2023 THE BASS BALL (2 tickets; I ticket $5,000.00 The Bass Museum 2100 Collins Ave., used for self, I ticket for food Miami Beach, FL. 33139 distribution volunteer) 02/10/2023 Miami City Ballet "Modem Masters" (2 $378.00 Miami City Ballet 2200 Liberty Ave., tickets total; I ticket used for self, I Miami Beach, FL. 33139 ticket fr f6A 0 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. D 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 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, sTATE or F0BJ/)4, COUNTY or/l{y - rmed) and subscribed before me by means of ---'-.C.---1--J'--"'+--"'" o, oolioe oota~;;~ Florida Statutes. • SI (Print, Type, or Sta Personally Known z> Type of Identification Produce 5:zu 1dentinGlARL.E S J. AGOSTIN 705 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 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) @@" FO RM 9- Rich ardson - Lance - David January, February, March 2023 PART A- STATEMENT OF GIFTS (Continued) DATE DESCRIPTION MONETARY NAME OF PERSON ADDRESS OF RECEIVED OF GIFT VALUE MAKING THE GIFT PERSON MAKING THE GIFT 02/20/2023 Greater Miami $236.00 City of Miami 1700 Convention Jewish Federation Beach Center Drive, "The Main Event" Miami Beach, FL. Dinner (2 tickets, 33139 1 for self, and 1 for food distribution volunteer) 02/23/2023 South Beach Wine $650.00 South Beach Wine 2105 N Miami and Food Festival and Food Festival Ave., Miami, FL. (2 tickets, 1 for 33127 self, and 1 for food distribution volunteer) 02/24/2023 South Beach Wine $650.00 South Beach Wine 2105 N Miami and Food Festival and Food Festival Ave., Miami, FL. (2 tickets, 1 for 33127 self, and 1 for food distribution volunteer) 02/25/2023 South Beach Wine $650.00 City of Miami 1700 Convention and Food Festival Beach Center Drive, (2 tickets, 1 for Miami Beach, FL. self, and 1 for 33139 food distribution volunteer) 02/25/2023 South Beach Wine $700.00 Lennox Hotel 1900 Collins Ave., and Food Festival Miami Beach, FL. (2 tickets, 1 for 33139 self, and 1 for food distribution volunteer) 02/26/2025 South Beach Wine $600.00 City of Miami 1700 Convention and Food Festival Beach Center Drive, (2 tickets, 1 for Miami Beach, FL. self, and 1 for 33139 food distribution volunteer) City Clerk USPS CERTIFIED MAIL 1111 I 1111 1111 9214 8901 9403 8320 9074 32 FLORIDA COMMISSION ON ETHICS PO BOX 15709 TALLAHASSEE FL 32317-5709 Fold Here Return Reference Number: Username: Charles Dagostin Code Violation # : Court Case #: Property Address :: Permit ID#: Custom 5: Postage: $6.8500