David Richardson Form 9 QTR IMIAMIBEACH
OFFICE OF THE CITY CL ERK
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, FL 33139
www.migmibeach!l, gov
Telephone: 305.673-7411
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 Rich ardson - Comm ission er (City of Miami Beach)
Should you have any questions or require any additional information, please contact me at
305.673. 7 411.
Rafael E. Granado,
City Clerk
Attachment
REG:cd
Sent Certified Return Receipt
F o rm 9 QUARTERLY GIFT DISCLOSURE
(GIFTS OVER $100)
LAST NAME -- FIRST NAME -- MIDDLE NAME: NAME OF AGENCY:
R ichardson-Lance-D avid Citv of M iam i B each
MAILING ADDRESS: OFFICE OR POSITION HELD:
1700 Convention Center D rive City Com m issioner, Group 6
CITY: ZIP: COUNTY: FOR QUARTER ENDING (CHECK ONE): YEAR
M iam i Beach 3313 9 M iam i-D ade MARCH 0JUNE □SEPTEMBER □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
01/06/2023 - South Beach Jazz Festival (2 $324.42 Power Access, Inc. 1616 Michigan Avenue, Suite I
01/08/2023 tickets 0 1 /06 & 2 tickets 0 1 /07) Miami Beach, FL. 33 139
01/16/2023 Dr. Martin Luther King Jr., $100.00 City of Miami 1700 Convention Center Drive,
Scholarship Breakfast (1 ticket) Beacht Miami Beach, FL. 33139
01/26/2023 TH E 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 fo r self. I Miami Beach, FL. 33139 ti·let fr f ] qierib1tin volunteer)
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.
□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,
Florida Statutes.
SI
STATE OF FLORID» 'A.A
COUNTY Or /l[e t -
rmed) and subscribed before me by means of
_.§....c.--1-~'-+-"" oc oolm.,,ra,~;;~
(Print, Type, or Sta
Personally Known z>
Type of Identification Produce
enu nGkARLE S J. AGOSTIN
65705
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 (R efer to Rule 34-7.010(1)g), F.A.C.) (S ee revers e si de for in stru ction s) %"
FORM 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)
C ity C le rk USPS CERTIFIED MAIL
11111 11111 1111 I
9214 8901 9403 8320 9074 32
FLORIDA COMMISSION ON ETHICS
PO BOX 15709
TALLAHASSEE FL 32317-5709
Fold Here
Return Reference Num ber:
Usern am e: Charles Dagostin
Code Violation # :
Court Case #:
Pro perty Address : :
Perm it ID #:
Custom 5:
Postage: $6.8500