Alex Fernandez Form 9 QTR IM IAMI 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 30, 2023
Florida Commission on Ethics
P.O. Drawer 15709
Tallahassee, FL 32317-5709
Pursuant to Sec. 112.3148, Florida Statutes, please find Quarterly Gift Disclosure State Form
(9), for the quarter ending March 31, 2023 , for the following City of Miami Beach Personnel:
• Alex Fernandez - Commissioner
Should you have any questions or require any additional information, please contact me at
305.673. 7 411.
Assistant City Clerk
Attachment
Sent Certified Return Receipt
Form 9 QUARTERLY GIFT DISCLOSURE
(GIFTS OVER $100)
LAST NAME -- FIRST NAME -- MIDDLE NAME: NAME OF AGENCY:
Fernandez. Alex J. Citv of Miami Beach
MAILING ADDRESS: OFFICE OR POSITION HELD:
1700 Convention Center Dr Commissioner
CITY: ZIP: COUNTY: ~UARTER ENDING (CHECK ONE): YEAR
Miami Beach 33139 Miami-Dade CH JUNE OSEPTEMBER 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
RECEIVED
DESCRIPTION
OF GIFT
MONETARY
VALUE
A
ADDRESS OF PERSON
MAKING THE GIFT
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
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,
; =
%3, 3, EXPIRES:Apr 19,
STATE OF FLORIDA
couNTy or Ma- ad
Swor~o (or amre) and subscribed before me by means of
[]physical presence or [] online notarization, this 2, dayof 5-a 2oZ
A, ad
(Print, Type, or Stamp C missioned Name of Notary Public)
Personally Known OR Produc~ntification
Type of Identification Produced /vf
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 FOR M 9 - EF F, 1/2016 (Re fer to Rule 34-7.010(1)(g), F.A.C.) (See reverse side for instructions) r::;r
D a t e R e c e iv e d D e s c r ip t io n o f G ift M o n e t a ry V a lu e N a m e o f P e r s o n M a k in g A d d re ss o f P e rso n
t h e G ift M a k in g th e G ift
1 /2 6 /2 3 T h e B a s s B a ll $2 ,5 0 0 x 2 = S il v ia C u b in a 2 1 0 0 C o lli n s A v e
$5 ,0 0 0 M ia m i B e a c h , FL
3 3 1 3 9
1 /2 7 /2 3 F O P A w a r d B a n q u e t $1 2 0 x 2 = $240 City of Miami Beach 1700 Convention
Center Dr
Miami Beach, FL
33139
1/29/23 The Israel Allies $300 x 2 = $600 Robin Jacobs 400 Arthur Godfrey
Foundation Gala Award Rd #305
Dinner Miami Beach, FL
33140
2/2/2023 GayOcho Gala $150x2 = $300 City of Miami Beach 1700 Convention
Center Dr
Miami Beach, FL
33139
2/15/2023 Beauty and the Beast $100 X 2 = $200 Harvey Burnstein 1775 Washington Ave
Performance at the Ziff Miami Beach, FL
Ballet 33139
2/15/2023 Boat Show Tickets $300 x 2 = $600 City of Miami Beach 1700 Convention
Center Dr
Miami Beach, FL
33139
2/20/2023 Great Miami Jewish $118x2=$236 City of Miami Beach 1700 Convention
Federation Gala Center Dr
Miami Beach, FL
33139
2/23/2023 South Beach Food & $1700x2= City of Miami Beach 1700 Convention
Wine Festival $3400 Center Dr
Miami Beach, FL
33139
3/4/2023 Little Lighthouse $250 x 2 = $500 Jonathan Babicka 799 Brickell Plaza
Foundation's Hearts and #801, Miami, FL
Stars Gala - Casino 33131
Royale
3/6-3/8 Aspen Institute $500 x 2 = $1000 City of Miami Beach 1700 Convention
Conference Center Dr
Miami Beach, FL
33139
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FLO R IDA C O M M ISS IO N O N ETHIC S
P O B O X 15709
TA LLA H A S SE E FLO R ID A 32317-5709
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