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Rafael E. Granado - March 2015 Form 9 • Form 9 QUARTERLY GIFT DISCLOSURE (GIFTS OVER $100) LAST NAME--FIRST NAME--MIDDLE NAME: NAME OF AGENCY: • GRANADO, RAFAEL E. CITY OF MIAMI BEACH MAILING ADDRESS: OFFICE OR POSITION HELD: 1700 CONVENTION CENTER DRIVE, 1ST FLOOR CITY CLERK CITY: ZIP: COUNTY: FOR QUARTER ENDING(CHECK ONE): YEAR OMARCH ❑JUNE ❑SEPTEMBER ❑DECEMBER 2015 MIAMI BEACH, FL 33139 MIAMI-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 MAKING THE GIFT MARCH 2015 2 TKTS - HARD ROCK $179.00 Each CITY OF 1700 Convention RISING MIAMI BEACH Total $358.00 MIAMI BEACH Center Drive, MB, FL 2 TKTS -HARD ROCK FOOD CITY OF MIAMI 1700 Convention MARCH 2015 TENT UNKNOWN BEACH Center Drive, MB, FL ❑ 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 •' • .a. .111. •- '• • •1- 'III •• • -7. i f LIUA CARDILLO ❑ CHECK HERE IF A RECEIPT IS ATTACHED TO THIS FORM :q1 "" i :*: qif :+. MY COMMISSION#FF 155322 r. " ,'V EXPIRES August 27.2018 ',4 Oi F,,Q,, Bonded Thru Notary Public Underwriters 1 PARTC—OATH I,the person whose name appears at the beginning of this form,do STATE OF FLORIDA COUNTY OF DCQ' - depose on oath or affirmation and say that the information disclosed Sworn to(or affirmed)and subscribed before me this a 3 day of g-lint ,20 1 _ herein and on any attachments made by me constitutes a true accurate, R� C /� / by. !�t ' G E. tfvc n G Cr v and total listing of all gifts required to be reported by Section 112.3148, /// /1- Florida Statutes. (Signature of Notary Public-State of Florida) - i 1 , (Print,Type,or Stamp C m missioned Name of Notary Public) q SIGNAT 'E OF R' ',' INC OF:/ICIAL; 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.9/2014) (See reverse side for instructions) C ' , Hard Rock Rising Miami Beach Global Music Festival 2015 - Tickets -Miami Beach Ce... Page 2 of 2 $55 q$129 1. ..$540 ` a ---- ---- °E cLUBsulTES w P Y (Individual r-y._,-_.._::1 k } BFACH ?,MIAMI BEACH., , i- R-i x, � � iie to3 MAIN) $79 r.;$179 $ nn V1EtWING RESIDENT; 3 7,-,--K >© 1 4 ' ' STAGE AREA 1 AREA 13 : f;,%-,,f,-:,.'0::;7.:,,,..„:,-6,,, a.,. <� _����v ,"4-_11- ®, re 10' �- $ $365 Call: (305) 341-7899 �- ' r" 1 O5 CLUB SUITES „1 A r (obstrua:ea) (Individual Seating)r■ .PRIVATE SUi s''I Copyright©2015 Ticketfly,Inc. fly -4 i- � z! `� 4 1 12 z .4 .�� _-- .� _ - Sec t 1 z r.4 0 « Row..F Seat `` °�. :. COMP-: o Hard Rock Rising Miami Beach 2015 �=; 1:.3). ° ;- GLobaL Music Fest_ ivaL, Miami Beach Centennial 2015 1'?s ni o 0, `� 8th Street at Ocean Drive Miami Beach, FL ;, N °o 1 ' 2015 5:00 PM " '° = 1 Thu Mar 26, N N a ` Price:$0.00 No Re-Entry.No Coolers.GA Areas Beach Chairs Allowed 1 Per R Person . cl, Or der: .v,.-: -"'per ,,-T! � �,- .--R-.. - . _f 'MIL '''' RYe"y+l� - :, Sec. 1 12 t1y�= Row:F Seat K3_ ® .:� $� COMP ° - .. N° Hard Rock Rising Miami —Beach;Beach -M GLobaL Music Fes_tiVaL -2015 3 .. ° oin Miami Beach Centennial 2015 ° 4 8th Street at Ocean Drive Miami .Beach, FL -j 7- o =o Thu Mar 26, 2015 5:00 PM ;: -- IP No Re-Entry.No Coolers.GA Areas Beach` Chairs Allowed 1 Per Person g Order:096899584464 Purchased By:Order Comp - 3474 1 _ Y_K