Alex Fernandez Form 9 QTR IVM 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
March 25, 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 December 2023, for the following City of Miami Beach Personnel:
• Alex Fernandez - Commissioner (City of Miami Beach)
Should you have any questions or require any additional information, please contact me at
305.673. 7 411.
Resp~
Rafael E. Granado,
City Clerk
Attachment
REG:cd
Sent Certified Return Receipt
Form 9 QUARTERLY GIFT DISCLOSURE
(GIFTS OVER $100)
LAST NAM E -- FIRST NAM E -- MID DLE NAME: NAME OF AGENCY:
Fern andez Aleiandro Jesus Citv of Miami Beach
MAILING ADDRESS: OFFICE OR POSITION HELD:
1700 Convention Center Dr Comm issioner
CITY: ZIP: COUNTY: FOR QUARTER ENDING (CHECK ONE): YEAR
M iam i Beach FL 33139 JMARCH JUNE 0SEPTEMBER ?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
NAME OF PERSON
MAKING THE GIFT
ADDRESS OF PERSON
MAKING THE GIFT
1 1.
CH ECK 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,
Florida Statutes.
STATE OF FLORI E
COUNTY OF ' 't I'
d) and subsc · efore me by means of
· tion, this
-',U
SIGNATURE
(Sign
CHARLES D'AGOSTIN
(Print, Type, or Stam om missioned Name of Notary Public)
Personally Known --6...__ OR Produced Identification
Type of Identification Produced
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) c:,r
o
Date Received Description of Gift Monetary Name of Person Making Address of Person
Value the Gift Making the Gift
Oct 5 Hall of Fame Recognition $60 x2 Carla Probus 2017 North Bay Rd
Luncheon
Oct 13 Orgullo Gala $100x2 City of Miami Beach 1700 Convention
Center Dr
Oct 14 National LGBTQ Task Force $400x2 City of Miami Beach 1700 Convention
Gala Center Dr
Oct 24" C-Note Dinner $100x2 City of Miami Beach 1700 Convention
Center Dr
Oct30 Gift of Life Gala $500x2 City of Miami Beach 1700 Convention
Center Dr
Nov2 Rhythm Foundation Gala $425 x2 City of Miami Beach 1700 Convention
Center Dr
Dec 5" Untitled Art Opening Exceeds $100 City of Miami Beach 1700 Convention
Center Dr
Dec 5 SAVE Nicole Henry Concert $125x2 Normandy Arts, LLC 1255 Marseille Dr
MIAMI BEACH, FL
33141
Ci t y Clerk U S P S C E R T IF IE D M A IL
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F L O R ID A COMMISSION ON ET H IC S
P O B O X 15 7 0 9
T A L L A H A S S E E F L 32 317 -5 7 0 9
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ostage: $7.3600