City Commission Quarterly Gift Disclosure letter City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139,Vvww.miamibeachfl_gov
OFFICE OF THE CITY CLERK, Rafael Granado,City Clerk
Tel: (305)673-7411, Fax: (305)673-7254
June 27, 2013
CVOPY
Florida Commission on Ethics
P.O. Drawer 15709
3600 Maclay Boulevard South, Suite 201
Tallahassee, Fl 32317-5709
Per State requirements as defined in Fla. Stat. 1 12.3145(1) (a) (2010), attached please
find the original Quarterly Gift Disclosure, (December 2013) State Form (9), for the
Mayor, City Commissioners, and other City personnel of the City of Miami Beach.
Should you have any questions or require any additional information, please contact me
at 305-673-7411 .
Sincerely,
Rafae E. Granado
City Clerk
Attachments
REG:sp
We are committed to providing excellent public service and safety to all who live, work and play in our vibrant,tropical,historic community.
Form 9 QUARTERLY GIFT DISCLOSURE COPY
(GIFTS OVER $100)
LAST NAME—FIRST NAME—MIDDLE NAME: NAME OF AGENCY:
-ROMER MATIT CITY OF MT A MT RE A CT-1
MAILING ADDRESS- OFFICE OR POSITION HELD:
CITY: ZIP: COUNTY. FOR QUARTER ENDING(CHECK ONE : YEAR
MIAMI BEACH FL 33139 DADE ❑MARCH ❑JUNE ❑SEPTEMBER ECEMBER 20-L5
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
C� ry
cm
SEE ATTACHED --
❑ 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 w
N
N
Ina X
N
PART C-OATH = 5
LU
I,the erson whose name appears ppears at the beginning of this form,do STATE OF FLO ID f ' H �
COUNTY OF p
depose on oath or affirmation and say that the information disclosed Sworn to(or affir ed)and sur ribed be ode m this c a +�
day of 20 j z a E
herein and on any attachments made by me constitutes a true accurate, J ie 15
by a o cJ1
and total listing of all gifts required to be reported by Section 112.3148, _
Florida Statutes. (Signatur of Notary Pu ' -State of Florida)
:n
(Print,Type,or Stamp C missioned Name of Notary Public
IG A EPOR I G C5FFICIA1 Personally Known V 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:3600 Maclay Blvd.South,Suite 201,Tallahassee,Florida 32312.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.1/2007
(See reverse side for instructions)�°'
FORM 9 QUARTERLY GIFT DISCLOSURE ;
(ATTACHMENT)
rt
RE: Mayor Matti Bower r
Ticket Distribution for October— December 2013
City of Miami Beach Mayor and Commission Office
DATE EVENT VALUE-.
- o
10/17/13 Vampire Circus "Graveyard Clown"
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
2 tickets @ $50.00 ea. $100.00
10/25/13 Cristian Castro
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
2 tickets @ $63.50 ea. $127.00
10/25/13 Antique Show
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
6 tickets @ $20.00 ea. $120.00
10/26/13 Draco Rosa
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
2 tickets @ $63.50 ea. $127.00
11/2/13 Diego Amador
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
2 tickets @ $58.50 ea. $117.00
11/3/13 John Legend
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
2 tickets @ $61.50 ea. $123.00
FORM 9 QUARTERLY GIFT DISCLOSURE
(ATTACHMENT)
AJ
RE: Mayor Matti Bower
C f
Ticket Distribution for October— December 2013 f -c
City of Miami Beach Mayor and Commission Office r
DATE EVENT VALUE
11/8-17/13 Auto Show
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
10 tickets @ $12.00 ea. $120.00
11/9/13 National Gay & Lesbian Task Force Dinner
1 ticket @ $250.00 $250.00
11/10/13 Jon Anderson "Ex-Voice De Yes"
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
2 tickets @ $70.00 ea. $140.00
11/15/13 Jorge Ben Jorge
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
2 tickets @ $53.50 ea. $107.00
Form 9 QUARTERLY GIFT DISCLOSURE
(GIFTS OVER $100)
LAST NAME-FIRST NAME-MIDDLE NAME: NAME OF AGENCY:
EXPOSITO, JORGE I CITY OF MIAMI BEACH
MAILING ADDRESS: OFFICE OR POSITION HELD:
1700 CONVENTION CENTER DRIVE COMMISSIONER
CITY. ZIP. COUNTY- FOR QUARTER ENDING(CHECK ONE;: YEAR
MIAMI BEACH, FL 33139 DADE ❑MARCH ❑JUNE ❑SEPTEMBER P ECEMBER 20-0
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
C-; r-a
SEE ATTACH D �` a
if
ry
❑ CHECK HERE IF CONTINUED ON SEPARATE SHEET :' ..�
Q
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 r e t.
ce C*
❑ CHECK HERE IF A RECEIPT IS ATTACHED TO THIS FORM c N N
0
PARTC—OATH CC .
Uj
cc
a O
I,the erson whose name appears ppears at the beginning of this form,do STATE OF FLORI c
COUNTY OF — o a " y
depose on oath or affirmation and say that the information disclosed Swo o(or aff ed and s cribed bef re me this a CL E E
j day of 2D o E
herein and on any attachments made by me constitutes a true accurate, a c v
by Ll 6 A— �650(110&&IiD x z
and total listing of all gifts required to be reported by Section 112.3148, 1
e.,
Florida Statutes. (Signature f Notary Pu -State of Flori =; =
(Print,Type,or Stamp missioned Name of Notary Public)
SIGN A R OF PORTING' FFICIAL Personally Known V 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:3600 Maclay Blvd.South,Suite 201,Tallahassee,Florida 32312.The form must be filed no later than the last day of the calendar quarter
that follows the calendar quarterfor 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.1/2007
(See reverse side for instructions)17"
� N
FORM 9 QUARTERLY GIFT DISCLOSURE
r v
(ATTACHMENT)
= Q
RE: Commissioner Jorge Exposito
Ticket Distribution for October - December 2013
City of Miami Beach Mayor and Commission Office
DATE EVENT VALI.f.F c
10/25/13 Cristian Castro
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
2 tickets @ $63.50 ea. $127.00
10/25/13 Antique Show
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
6 tickets @ $20.00 ea. $120.00
10/26/13 Draco Rosa
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
2 tickets @ $63.50 ea. $127.00
11/2/13 Diego Amador
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
2 tickets @ $58.50 ea. $117.00
11/3/13 John Legend
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
2 tickets @ $61.50 ea. $123.00
11/8-17/13 Auto Show
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
10 tickets @ $12.00 ea. $120.00
Form 9 QUARTERLY GIFT DISCLOSURE
(GIFTS OVER $100)
LAST NAME—FIRST NAME—MIDDLE NAME: NAME OFAGENCY:
GONGORA,MICHAEL CITY OF MIAMI BEACH
MAILING ADDRESS: OFFICE OR POSITION HELD:
1700 CONVENTION CENTER DRIVE COMMISSIONER
CITY. ZIP: COUNTY. FOR QUARTER ENDING(CHECK ONE : YEA
MIAMI BEACH, FL 33139 DADE OMARCH ❑JUNE OSEPTEMBER t ECEMBER 20 j
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
J
SEE ATTACH"-_D
7.
❑ CHECK HERE IF CONTINUED ON SEPARATE SHEET .tr
:i s• 3
C.
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 1S ATTACHED TO THIS FORM
PART C—OATH
I,the person whose name appears at the beginning of this form,do STATE OF FLO D
COUNTY OF
depose on oath or affirmation and say that the information disclosed Swo to or If ed)and s %bed befor me this
day of �dt&M 20
herein and on any attachments made by me constitutes a true accurate,
by
and total listing of all gifts req ed to be reported by Section 112.3148,
FI r a Stat S. (Signature of Nchary Public ate of Florida)
(Print,Type,or Stamp Co missioned Name of Notary Public)
S NA 015,E OF REP5RTINff OFFICIAL Personally Known 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:3600 Maclay Blvd.South,Suite 201,Tallahassee,Florida 32312.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.1/2007 (See reverse side for instructions)17'
FORM 9 QUARTERLY GIFT DISCLOSURE
(ATTACHMENT)
RE: Commissioner Michael Gongora
Ri F
Ticket Distribution for October— December 2013
City of Miami Beach Mayor and Commission Office ry
DATE EVENT VALDt �^}�
10/17/13 Vampire Circus "Graveyard Clown"
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
2 tickets @ $50.00 ea. $100.00
10/25/13 Cristian Castro
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
2 tickets @ $63.50 ea. $127.00
10/25/13 Antique Show
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
6 tickets @ $20.00 ea. $120.00
10/26/13 Draco Rosa
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
2 tickets @ $63.50 ea. $127.00
11/2/13 Diego Amador
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
2 tickets @ $58.50 ea. $117.00
11/3/13 John Legend
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
2 tickets @ $61.50 ea. $123.00
Farm 9 QUARTERLY GIFT DISCLOSURE
(GIFTS OVER $100)
LAST NAME-FIRST NAME-MIDDLE NAME: NAME OF AGENCY:
LIBBIN, JERRY CITY OF MIAMI BEACH
MAILING ADDRESS- OFFICE OR POSITION HELD:
1700 CONVENTION CENTER DRIVE COMMISSIONER
CITY: ZIP: COUNTY- FOR QUARTER ENDING(CHECK ON : YEAR
MIAMI BEACH, FL 33139 DADE ❑MARCH ❑JUNE ❑SEPTEMBER �PECEMBER 20J3
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 ADD�1RESS F PERSON
i
RECEIVED OF GIFT VALUE MAKING THE GIFT 6iKINHE GIFT
3
SEE ATTACH D
r
-17 ..
N
*, CJ
❑ 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
cc Cn
PARTC—OATH c ANN
W6 %n
I,the person whose name appears at the beginning of this form,do STATE OF FL A azc m C"
COUNTY OF / °c
depose on oath or affirmation and say that the information disclosed Sworn to or a ed)and sus ibed before me th;,20 ' vs
day of o v c
herein and on any attachments made by me constitutes a true accurate,
CL
by by •�i / 1 a E
and total listing of all gifts required to be reported by Section 112.3148, _j c
d o U�
Florida Statutes. (Signature of Notary P is-State of Florid me
�```�"•,dpi'•
(Print,Type,or Stamp Co issioned Name of Notary Public)
SIGNAT P ING ICIAL Personally Known LOR Produced Identification ?;o*., ��.
�' 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:3600 Maclay Blvd.South,Suite 201,Tallahassee,Florida 32312.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.1/2007 (See reverse side for instructions)�"
FORM 9 QUARTERLY GIFT DISCLOSURE
(ATTACHMENT) _..
F1
cD g
RE: Commissioner Jerry Libbin r ` '
Ticket Distribution for October— December 2013 y
City of Miami Beach Mayor and Commission Office
DATE EVENT VALUE- ry
10/17/13 Vampire Circus "Graveyard Clown"
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
2 tickets @ $50.00 ea. $100.00
10/25/13 Cristian Castro
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
2 tickets @ $63.50 ea. $127.00
10/25/13 Antique Show
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
6 tickets @ $20.00 ea. $120.00
10/26/13 Draco Rosa
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
2 tickets @ $63.50 ea. $127.00
11/2/13 Diego Amador
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
2 tickets @ $58.50 ea. $117.00
11/3/13 John Legend
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
2 tickets @ $61.50 ea. $123.00