Loading...
David Richardson QTR III Form 9OFFICE OF THE CITY CLERK City of M iami Beach, 1700 Convention Center Drive, M iami Beach, FL 33139 www._miamibe achtl .gov Telephone: 305.6 73-741 1 December 04, 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 September 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 305.673.7411. Respectfully, 7 Rafael E. Granado, City Clerk Attachment REG:cd Sent Certified Return Receipt Form 9 QUARTERLY GIFT DISCLOSURE (GIFTS OVER $100) LA ST NAME -- FIRST NAME -- MIDDLE NAME: NAME OF AGENCY: Richardson-Lance-David City of Miami Beach MAILING ADDRESS: OFFICE OR POSITION HELD: 1 700 Convention Center Drive City Commissioner, Group 6 CITY: ZIP: COUNTY: FOR QUARTER ENDING (CHECK ONE): YEAR Miami Beach 33139 Miami-Dade □MARCH 0JUNE SEPTEMBER 0 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 07/08/2023 "Leadership Blue 2023" Gala (I $300.00 United Teachers of Dade 5553 NW 36th Street, ticket used for self) Miami Springs, FL 33166 09/18/2023 White Glove Concierge Awards $150.00 Greater Miami Convention 70 I Brickell A venue, Luncheon (I ticket used for self) & Visitors Bureau Miami, FL 33131 09/22/2023 South Florida Hispanic Chamber or Commerce $150.00 City of Miami Beach I 700 Convention Center Drive, "Viva Miami" Lunch Celebrating Hispanic Heritage Miami Beach, FL 33139 Month ( l ticket used for self) □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, Sw to (or affirme and subscribed b ans of oar«or. ~3 (Print, Type, or Stamx9mmissio 5 Personally Known OR P Type of Identification Produced iters 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), FA.C.) (See reverse side for instructions) o' C it y C le r k USPS CERTIFIED MAIL I I 11 111 I 9214 8901 9403 8340 7047 76 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: $7.4200