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Micky Ross Steinberg - December 2013 Form 9 COPY Form 9 QUARTERLY GIFT DISCLOSURE (GIFTS OVER $100) LAST NAME—FIRST NAME—MIDDLE NAME: NAME OF AGENCY: Steinberg,Micky Ross City of Miami Beach MAILING ADDRESS: OFFICE OR POSITION HELD: 1700 Convention Center Dr Commission CITY: ZIP: COUNTY: FOR QUARTER ENDING(CHECK ONE): YEAR Miami Beach 33139 Miami-Dade ❑MARCH ❑JUNE ❑SEPTEMBER m DECEMBER 2013 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 4 �7 q 1 ® CHECK HERE IF CONTINUED ON SEPARATE SHEET = l CD 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 ai the beginning of this forrn,do STATE OF FLOLRIDA COUNTY OF �'Yli — G depose on oath or affirmation and say that the inforrric,tion disc"' ed Sworn to(or affirmed)and subscribed before me this ;:�1 ` day of 120 t herein and on any attachments made by me constitu ue ac ate, {'� V1, 5511 by I ' 1' 2 and total listing of all gifts required to be re � Ya Florida/States. ��� tSa�c�b`Q (Signature o Notary Public- ate of Florida) (Print,Type,or Stamp Commissioned Name of Notary Public) SIGNf URE OF REPORTI I Personally Known R Produced Identification 1 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) Quarterly Gift Disclosure for Commissioner Micky Steinberg(Reporting Period 10/1/13 through 12/31/13) Date Event Location Cost Received By 11/26/2013 Bright Minds Film Fest* Fillmore $40.00 City of Miami Beach 12/3/2013 ART BASEL 5-DAY VIP PACKAGE Convention Center $585.00 City of Miami Beach 12/4/2013 Alabama Shakes * Fillmore $73.00 City of Miami Beach 12/7/2013 Starship* Colony $107.00 City of Miami Beach 12/812013 The Nutcracker* Fillmore $107.00 City of Miami Beach 12/13/2013 Dave Chapell 8:00 p.m. Fillmore $110.00 City of Miami Beach 12/13/2013 Dave Chapell 10:30 p.m. Fillmore $110.00 City of Miami Beach 12/13/2013 Miami Waiter Byron Carlyle $110.00 City of Miami Beach 12/14/2013 Dave Chapell 9:30 p.m. Fillmore $110.00 City of Miami Beach 12/14/2013 Dave Chapell 11:30 pm Fillmore $110.00 City of Miami Beach 12/14/2013 A Joyful Sound (Nicole Henry)* Colony $90.00 City of Miami Beach 12/14/2013 The Fresh Beat Band 4 pm * Fillmore $91.00 City of Miami Beach 12/14/2013 The Fresh Beat Band 12 pm * Fillmore $91.00 City of Miami Beach 12/15/2013 Holiday In Motion Fillmore $40.00 City of Miami Beach 12/20/2013 1 Miami Gay's Chorus Fillmore 1$60.00 City of Miami Beach *Tickets returned to Office Manager prior to event. Remain listed here in full disclosure as City did not redistribute tickets.