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Alex Fernandez Form 9 QTR IO FFIC E O F TH E CI TY C LE R K Ci ty o f M ia m i B e a c h , 17 0 0 C o n v e n tio n C e n te r D riv e , M ia m i B e a c h , FL 3 3 13 9 w ww .m ia m ib e a c h fl .g o v Te le p h o n e : 30 5.6 7 3.7 4 11 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 305.673.7411. Assistant City Clerk Attachment Sent Certified Return Receipt Form 9 QUARTERLY GIFT DISCLOSURE (GIFTS OVER $100) LAST NAM E -- FIRS T NAM E -- MI DDLE NAME: NAME OF AGENCY: Fernandez, Alex J. Citv of Miami Beach MAILING ADDRESS: OFFICE OR POSITION HELD: 1700 Convention Center Dr Comm issioner CITY: ZIP: COUNTY: ~UARTER ENDING (CHECK ONE): YEAR Miami Beach 33139 Miami-Dade CH □JUNE □SEPTEMBER O DECEMBER 2023 PART A- STATEMENT OF GIFTS Please list below each gift, the value of which you believe to exceed S100, 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 AL NAME OF PERSON IFT 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. O 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, ; a 34,, 2,Si EXPI RES:Ap 19,2 « • 0° iii STATE OF FLORIDA couNTy or a- ad Swor~o (or amrd) and subscribed before me by means of ]hystcal presence or [ ontine notarization, this ,, 2 dayof 300 ao7 Al, a,A (Print, Type, or Stamp C missioned Name of Notary Public) Personally Known OR Produc~ntification Type of Identification Produced /v 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) # D ate Received Description of G ift M o n etary V alu e N a m e of Pe rso n M aking A dd ress of Perso n the G ift M aking the G ift 1/26/23 The Bass Ball $2,500 X 2 = Silvia Cubina 2100 Collins Ave $5,000 Miami Beach, FL 33139 1/27/23 FOP Award Banquet $120 x2 =$240 City of Miami Beach 1700 Convention Center Dr Miami Beach, FL 33139 1/29/23 The Israel Allies $300x 2 = $600 Robin Jacobs 400 Arthur Godfrey Foundation Gala Award Rd #305 Dinner Miami Beach, FL 33140 2/2/2023 GayOcho Gala $150x 2 = $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 $500x 2 = $1000 City of Miami Beach 1700 Convention Conference Center Dr Miami Beach, FL 33139 I City Clerk 1700 Convention Center Drive iami B each FL 33139 USPS CERTIFIED MAIL I 111111 11111 9 2 14 8 901 9403 8321 1597 24 FLORIDA COMMISSION ON ETHICS PO BOX 15709 TALLAHASSEE FLORIDA 32317-5709 Here eturn Reference Number: sername: Patrick Camm ode Violation # : ourt Case#: roperty Address :: ermit ID#: ustom 5: ostage: $6.8500