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Micky Steinberg - June 2014 Form 9 r ,� a• ; + Form 9 QUARTERLY GIFT DISCLOSURE (GIFTS OVER $100) LAST NAME--FIRST NAME--MIDDLE NAME: NAME OF AGENCY: 5 'Ci r1 b e-q M,'cl(.I CA 1'1 o1 M ra,m,t::, MAILING ADDRESS' OFFICE OR POSITION HELD: 1700 eon ver ecr) Drive C.omm •S.S) o nr�- CITY: ZIP: COUNTY: FOR QUARTER ENDING(CHECK ONE): YEAR MARCH :t 1UNE SEPTEMBER ❑DECEMBER 20111 I1 `Deci 33 13 . 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 r'l .i 1 CHECK HERE IF CONTINUED ON SEPARATE SHEET = ' r 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 at the beginning of this form,do STATE OF FLO I A, COUNTY OF r--1,04-i\ depose on oath or affirmation and say that the information disclosed Sworn to(or affirmed)and subscribed before me this —60 day of v f 1• 20 �t herein and on any attachments made by me constitutes a true accurate, .. •.,•by MiC .7 ST ls i � �: and total listing of all gifts required to be reported by Section 112.3148, Florida Stat es. (Signature of Notary Public-State of Florida) . m / -13� 57, (Print,Type,or Stamp C missioned Name of Notary Public) - N RG SIGNAT RE OF REPORTING OFFICIAL Personally Known L OR Produced Identification : cn g rn •Type of Identification Produced !8, 2 m PART D—FILING INSTRUCTIONS c m .L g This form,when duly signed and notarized,must be filed with the Commission on Ethics,P.O.Drawer 15709,Tallahassee,Florida 32317-5709;phy 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 calend' _ _ 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(Refer to Rule 34-7.010(1)(g),F.A.C.)(Rev.9/2013) (See reverse side for instructions) 0 F April -June 2014 Total 4/4/2014 CHELSEA HANDLER-8PM FILLMORE $159 4/11-13/14 DINOSAURS COME ALIVE MBCC $30 4/12/2014 United Way Royal Media Partners $2,000 4/26/2014 CEDRIC ANDRIEUX * FILLMORE $52 4/26/2014 FORGIATOFEST CAR SHOW AND CONCERT MBCC $50 4/26/214 Polo on the Beach ACT Productions $240 5/2/2014 THE WAY HE LOOKS ** FILLMORE $40 5/3/2014 BFFS ** FILLMORE $24 5/3/2014 BURNING BLUE ** FILLMORE $24 5/3/2014 THE TEN YEAR PLAN ** FILLMORE $18 5/11/2014. JOHNNY HALLYDAY * FILLMORE $177 5/16/2014 MOZART& BACH * COLONY $60 5/17/2014 PRODOGIES AND MASTERS OF TOMORROW * COLONY $60 5/17/2014 ZLATA CHOCHIEVA CHOPIN, SCHUMAN * COLONY $60 5/18/2014 BILL MAHER FILLMORE $145 5/30/2014 SOUTH FLORIDA BOAT SHOW * MBCC $16 5/31/2014 SOUTH FLORIDA BOAT SHOW * MBCC $16 6/1/2014 SOUTH FLORIDA BOAT SHOW * MBCC $16 6/4/2014 TAHAWEEL-STANDUP COMEDY** FILLMORE $117 6/7/2014 MIAMI LOVE PARADE 3 ** FILLMORE $147 6/7/2014 WORLD VAPOR EXPO ** MBCC $60 6/8/2014 WORLD VAPOR EXPO** MBCC $60 ALL THE ABOVE ARE BASED ON QTY. 2 TICKETS. UNLESS SPECIFIED * Tickets donated to constituents ** Tickets not used nn► Olc 0( Form 9 QUARTERLY GIFT DISCLOSURE (GIFTS OVER $100) LAST NAME--FIRST NAME--MIDDLE NAME: NAME OF AGENCY: S+C(V1JGr( I GEC f 6-f WOO/ B cc j1 MAILING ADDRE S: r OFFICE O POSITION HELD: /-700 oin v-c'14 K) e nn 1...0+m I'Y1 r CITY: ZIP: COUNTY: FOR QUARTER (DING(CHECK ONE): YEAR DMARCH UdONE ❑SEPTEMBER ❑DECEMBER 20 11-1 VIj amc, `Bccci 3313q - 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 SCE ATToF/e_ 1> C';`. r"--1 CHECK HERE IF CONTINUED ON SEPARATE SHEET `s 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 at the beginning of this form,do STATE OF FLORIDA �y,� COUNTY OF 1 j(rIl j-- depose on oath or affirmation and say that the information disclosed Swor to ffirmed)and ubscribed before me this day of�r^�O,�m�o,�" ,20 1 herein and on any attachments made by me constitutes a c _te, 6111 Gjr 02A ..is O � E and total listing of all gifts required to be reported �l`P`1,�1 . � Florida Statutes. e0� �`'S�a�cr��Jc� • (Signature‘o€-Notary Public-Sof- Flora a) yCOQ\Po`a�Q� '-e7Cnnle_\C-C- • S\-etAx3.(4.-- , - ,,, . - fa !„ (Print,Type,or Stamp Commissioned Name of Notary Public) SIGN'TURF OF REPORTING e'-,17:111:0 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: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.1/2007(Refer to Rule 34-7.010(1)(g),F.A.C.)(Rev.9/2013) (See reverse side for instructions)" The following amendment is an addition to the quarterly gift disclosure ending in the period of June 2014: Date Event Entity Total 5/10/2014 Miami Beach Chamber of Commerce City of Miami Beach $325 x2 2014 Annual Gala 06/21/2014 Miami Beach Gay and Lesbian City of Miami Beach $200 x2 h m r C a be of Commerce Emerald Gala n) Fr �5 i