Ed Tobin - December 2010 Form 9 •
Form 9 QUARTERLY GIFT DISCLOSURE
. .(GIFTS OVER $100)
• LAST NAME—FIRST NAME—fvIIDOLE NAME: NAME OF AGENCY: ••
TOBIN, ED • CITY OF MIAMI BEACH
MAILING ADDRESS: OFFICE OR POSITION HELD:
1700 CONVENTION CENTER DRIVE COMMISSIONER
CITY: ZIP: COUNTY: FOR QUARTER ENDING(CHECK
O : YEAR
MIAMI BEACH, FL 331 3 9 DADE Ofv1ARCH ❑JUNE ❑SEPTEMBER DECEMBER 2Q VO
—
i •
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
j being filed.You are required to describe the gift and stale 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 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
° P Y Y Pe 9 9 Y q PY P
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
PARTC—OATH �''
. i,the person whose name appears at the beginning of this form,do STATE OF FLORIDA '`"p,a K 'j
depose on oath or affirmation COUNTY OF Mlot�I— P ,;`1 u
p of irmation and say that the information disclosed Sworn to(or affirmed)and subscribed before me this .-.,� "
,.
c;�(D'r'' day of �oA�� 20 w` °
herein and on any attachments made by me constitutes a true accurate, -V._... 7,i
y '6rr '
by �i111 , : ,
and total listing of all gifts required to be reported by Section 112.3148, .;. r.
Florida Statutes.
AC �� ~- _ ht' i',::.,.
(Signature of Notary Public-:fate of Florida) f ,
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'e, vomit., t
r (Print,Type,or Stamp C missioned Name of Notary Public) ie_ , sue
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SIGNATURE OF REPO"; ING OFFICIAL Personally Known OR Produced Identification 1•,i� _,�;•�°�0:..
• Type of Identification Produced r. a,� ba �+
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PART D—FILING INSTRUCTIONS r' .-',-v,a
•
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)
1
FORM 9 QUARTERLY GIFT.DISCLOSURE
(ATTACHMENT) •
RE: Commissioner Ed Tobin
Ticket Distribution for October—December 2010
City of Miami Beach Mayor and Commission Office
DATE EVENT VALUE
Oct 2 Myrim.Hernandez
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
2 tickets @$83.25 ea. $166.50
Oct 15-16 9th Annual Gamd Tasting
Provided by City of Miami Beach
1700 Convention Center Di
Miami Beach, FL 33139
4 tickets @$75.00 ea. $300.00
Oct 16 Miami City.Ballet Program I
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
2 tickets @ $85.00 ea. $170:00
Oct 23 Taste of Peru
. . Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
2 tickets @ $75.00 ea. $150.00
Oct 29 .DJavan
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
2 tickets @ $68.00 ea. •$136.00
RE: Commissioner Ed.Tobin
Ticket Distribution for October- December 2010
City of Miami Beach Mayor and Commission Office
DATE •• • - EVENT VALUE
Nov 6 Lisa Lampanelli
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
2 tickets @ $58.35 ea. $116.70
. Nov 27 Gilberto Santa Rosa
Provided by City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
2 tickets @ $88.25 ea. $176.50
.Dec
4 Willy Clurino
Provided by City of Miami.Beach.
1700 Convention Center Dr.
Miami Beach, FL 33139
2 tickets a $88.25 ea. $176.50
Dec 31 Orange Bowl Committee (Jam on the Sand)
Provided by City of Miami Beach
1700-Convention Center Dr.
Miami Beach, FL 33139
2 tickets @$65.0.0 ea. $130.00
Dec. 31 New Years Eve Party
Provided by the Fontainebleau Hotel
4441 Collins Avenue
Miami Beach, FL 33140
2 tickets @ $250.00 each $500.00