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City Commissioners Quarterly Gift Disclosure Sept 2013 City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.micimibeachfl.gov OFFICE OF THE CITY CLERK, Rafael Granada, City Clerk Tel: (305) 673-7411, Fax: (305)673-7254 June 27, 2013 C;0 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, (September 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, R fael 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 (GIFTS OVER $100) LAST NAME-FIRST NAME-MIDDLE NAME: NAME OF AGENCY: MAILING ADDRESS: OFFICE OR POSITION HELD: YOR CITY: ZIP: COUNTY: FOR QUARTER ENDIN (CHECK ONE): YEAR OMARCH ❑JUNE EPTEMBER ❑DECEMBER 20J_3 MIAMI BEACH, FL 33139 DADE 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 MA,KIl`slGTHE GIFT SEE ATTAC ED ` .. CD ❑ 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 N .� p 1` PARTC—OATH os` N z � W,n a •- Q I,the person whose name appears at the beginning of this form,do STATE OF FLORI A COUNTY OF LU depose on oath or affirmation and say that the information disclosed Sworn t (or affi ed)and ibed before a his N r day of ,20 5 cc `-' °_ herein and on any attachments made by me constitutes a true accurate, z H CL by - a, E and total listing of all gifts required to be reported by Section 112.3148, a c Florida Statutes. i nature o otary Public-State o orida) ICY0 (Print,Type,or Stamp�ommissioned Name of Notary Public) # IG P ING IA nown °Personally K OR Produced Identification '•oN*° P�` 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) r 1 C-41 FORM 9 QUARTERLY GIFT DISCLOSURE ' (ATTACHMENT) _ RE: Mayor Matti Bower �` �- Ticket Distribution for July— September 2013 --0 r City f Miami Beach Mayor and Commission Office CD 7'1 Y Y DATE EVENT VALUE `D 7/13/13 Air Suppy Provided by City of Miami Beach 1700 Convention Center Dr. Miami Beach, FL 33139 2 tickets @ $83.50 ea. $177.00 7/27/13 Julio Sabala Provided by City of Miami Beach 1700 Convention Center Dr. Miami Beach, FL 33139 2 tickets @ $63.50 ea. $127.00 8/16/13 Priceless Miami Justin Timberlake Provided by City of Miami Beach 1700 Convention Center Dr. Miami Beach, FL 33139 2 tickets @ $99.50 ea. $199.00 8/30/13 Bellydance Evolution Provided by City of Miami Beach 1700 Convention Center Dr. Miami Beach, FL 33139 2 tickets @ $50.00 ea. $100.00 9/07/13 International Ballet Festival of Miami Provided by City of Miami Beach 1700 Convention Center Dr. Miami Beach, FL 33139 2 tickets @ $68.50 ea. $137.00 9/08/13 International Ballet Festival of Miami Provided by City of Miami Beach 1700 Convention Center Dr. Miami Beach, FL 33139 2 tickets 68.50 @ $ ea. $137.00 9/20/13 Tumi Awards Gian Marco Provided by City of Miami Beach 1700 Convention Center Dr. Miami Beach, FL 33139 2 tickets @ $60.00 ea. $120.00 9/28/13 Alejandra Ascarate Provided by City of Miami Beach 1700 Convention Center Dr. Miami Beach, FL 33139 2 tickets @ $50.00 ea. $100.00 9/28/13 Gad Elmaleh Provided by City of Miami Beach 1700 Convention Center Dr. Miami Beach, FL 33139 2 tickets @ $88.50 ea. $177.00 r Fora 9 QUARTERLY GIFT DISCLOSURE (GIFTS OVER $100) LAST NAME—FIRST NAME—MIDDLE NAME.- NAME OFAGENCY- EXPOSITO, JORGE 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 OMARCH OJUNE SEPTEMBER O DECEMBER 201,3 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 SEE ATTACH D rr CD ❑ 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 ceipt 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 y~j � O ti PARTC—OATH —° `M N o� I,the person whose name appears at the beginning of this form,do STATE OF FLO A Cr. c COUNTY OF N depose on oath or affirmation and say that the information disclosed Swom (or a rmed)and s bscribe. before me this —' day of ^./ 20 " y herein and on any attachments made by me constitutes a true accurate, a a' by 1'1 61 A? E and total listing of all gifts required to be reported by Section 112.3148, a to Z Florida Statutes. (Signaturl of Not ublic-State of Florida (Print,Type,or Stamp mmissioned Name of Notary Pu °' SIGN R OF R POP.TING OFFICIAL Personally Known V OR Produced Identification °a�f�� P;•�� 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,Flori da 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) RE: Commissioner Jorge Exposito Ticket Distribution for July— September 2013 City of Miami Beach Mayor and Commission Office DATE EVENT VALUE 7/13/13 Air Suppy Provided by City of Miami Beach 1700 Convention Center Dr. Miami Beach, FL 33139 2 tickets @ $83.50 ea. $177.00 7/27/13 Julio Sabala Provided by City of Miami Beach 1700 Convention Center Dr. Miami Beach, FL 33139 2 tickets @ $63.50 ea. $127.00 8/16/13 Priceless Miami Justin Timberlake Provided by City of Miami Beach 1700 Convention Center Dr. Miami Beach, FL 33139 2 tickets @ $99.50 ea. $199.00 9/07/13 International Ballet Festival of Miami Provided by City of Miami Beach 1700 Convention Center Dr. Miami Beach, FL 33139 2 tickets @ $68.50 ea. $137.00 9/08/13 International Ballet Festival of Miami Provided by City of Miami Beach 1700 Convention Center Dr. Miami Beach, FL 33139 2 tickets @ $68.50 ea. $137.00 d Aim 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): YEAR MIAMI BEACH, FL 33139 DADS ❑MARCH ❑JUNE EPTEMBER 13 DECEMBER 20A3 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 fads,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 ALDRE9P;PF PERSON RECEIVED OF GIFT VALUE MAKING THE GIFT -AhAKIN6-THE GIFT _ 71 a J SEE ATTACH D •• �"d ❑ 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 reae ❑ CHECK HERE IF A RECEIPT IS ATTACHED TO THIS FORM W o `� .N tf) PART C—OATH o CU I,the person whose name appears at the beginning of this form,do STATE OF FLO D o c, x c CC _ W •- COUNTY OF o a y depose on oath or affirmation and say that the information disclosed Sworn to(or affi ed)and ibed befor a this ¢ a E E day of 20 w o Eo herein and on any attachments made by me constitutes a true accurate, a o cL) b Z Y and total listing of all gifts required to be reported by Section 112.3148, Florida St a es. (Signature of otary Publi tate of Florida) =a L= a ad p' •11 (Print,Type,or Stamp issioned Name of Notary Public) OGNAITURE OF REPOP,TI OFFICIA Personally Known Co VOR 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) RE: Commissioner Michael Gongora Ticket Distribution for July— September 2013 City of Miami Beach Mayor and Commission Office DATE EVENT VALUE 7/13/13 Air Suppy Provided by City of Miami Beach 1700 Convention Center Dr. Miami Beach, FL 33139 2 tickets @ $83.50 ea. $177.00 7/27/13 Julio Sabala Provided by City of Miami Beach 1700 Convention Center Dr. Miami Beach, FL 33139 2 tickets @ $63.50 ea. $127.00 8/16/13 Priceless Miami Justin Timberlake Provided by City of Miami Beach 1700 Convention Center Dr. Miami Beach, FL 33139 2 tickets @ $99.50 ea. $199.00 8/30/13 Bellydance Evolution Provided by City of Miami Beach 1700 Convention Center Dr. Miami Beach, FL 33139 �. 2 tickets @ $50.00 ea. $100.00 r- 9/7/13 International Ballet Festival of Miami Table Provided by City of Miami Beach 1700 Convention Center Dr. Miami Beach, FL 33139 1 tickets @ $125.00 ea $125-00 9/07/13 International Ballet Festival of Miami Provided by City of Miami Beach .1700 Convention Center Dr. Miami Beach, FL 33139 2 tickets @ $68:50 ea. $137.00 9/08/13 International Ballet Festival of Miami Provided by City of Miami Beach 1700 Convention Center Dr. Miami Beach, FL 33139 2 tickets @ $68.50 ea. $137.00 9/20/13 Tumi Awards Gian Marco Provided by City of Miami Beach 1700 Convention Center Dr. Miami Beach, FL 33139. 2 tickets @ $60.00 ea. $120.00 9/28/13 Alejandra Ascarate Provided by City of Miami Beach 1700 Convention Center Dr. Miami Beach, FL 33139 2 tickets @ $50.00 ea. $100.00 Form 9 QUARTERLY GIFT DISCLOSURE (GIFTS OVER $100) LAST NAME-FIRST NAME-MIDDLE NAME: NAME OFAGENCY: LIBBIN, JERRY CITY OF MIAMI BEACH MAILING ADDRESS: OFFICE OR POSITION HELD: 1700 CONVENTION CENTER DRIVE COMMISSIONER CITY: ZIP: COUNTY: FOR QUARTER ENDIN (CHECK ONE): YEAR MIAMI BEACH, FL 33139 DADS ❑MARCH ❑JUNE SEPTEMBER ❑DECEMBER 20 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 SEE ATTACH D n CZ) ❑ 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 r e � ❑ CHECK HERE IF A RECEIPT IS ATTACHED TO THIS FORM c` o �!N z '� co Ln Q z G mar PART C—OATH W " U_ - y ° CO I,the person whose name appears at the beginning of this form,do STATE OF FLO I o U x c COUNTY OF f o a W depose on oath,or affirmation and say that the information disclosed Sworn to(or aff ed)and n ed bef re me this a a E E cP f day of 2 L4 e v o herein and on any attachments made by me constitutes a true accurate, a o v b Z2 y 11, and total listing of all gifts required to be reported by Section 112.3148, �.•�� Florida Statutes. (Signaturi of Notary lPu -State of Florida) o (Print,Type,or Stamp C missioned Name of Notary Public) SIGN P.E OF PO ING 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)r' FORM 9 QUARTERLY GIFT DISCLOSURE (ATTACHMENT) RE: Commissioner Jerry Libbin Ticket Distribution for July— September 2013 g � City of Miami Beach Mayor and Commission Office r DATE EVENT VALUE,-" 7/13/13 Air Suppy Provided by City of Miami Beach , Y 1700 Convention Center Dr. F Miami Beach, FL 33139 2 tickets @ $83.50 ea. $177.00 7/27/13 Julio Sabala Provided by City of Miami Beach 1700 Convention Center Dr. Miami Beach, FL 33139 2 tickets @ $63.50 ea. $127.00 8/16/13 Priceless Miami Justin Timberlake Provided by City of Miami Beach 1700 Convention Center Dr. Miami Beach, FL 33139 2 tickets @ $99.50 ea. $199.00 8/30/13- Bellydance Evolution Provided by City of Miami Beach 1700 Convention Center Dr. Miami Beach, FL 33139 2 tickets @ $50.00 ea. $100.00 9/07/13 International Ballet Festival of Miami Table Provided by City of Miami Beach 1700 Convention Center Dr. Miami Beach, FL 33139 1 tickets $125 @ .00 ea $125.00 9/07/13 International Ballet Festival of Miami Provided by City of Miami Beach 1700 Convention Center Dr. Miami Beach, FL 33139 2 tickets @ $68.50 ea. $137.00 9/08/13 International Ballet Festival of Miami Provided by City of Miami Beach 1700 Convention Center Dr. Miami Beach, FL 33139 2 tickets @ $68.50 ea. $137.00 9/20/13 Tumi Awards Gian Marco Provided by City of Miami Beach - 1700 Convention Center Dr. Miami Beach, FL 33139 2 tickets @ $60.00 ea. $120.00 9/28/13 Alejandra Ascarate Provided by City of Miami Beach 1700 Convention Center Dr. Miami Beach, FL 33139 2 tickets @ $50.00 ea. $100.00 9/28/13 Gad Elmaleh Provided by City of Miami Beach 1700 Convention Center Dr. Miami Beach, FL 33139 2 tickets @ $88.50 ea. $177.00 �F e e• F • Imo_