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Matti Bower - September 2013 Form 9 t.. Form 9 QUARTERLY GIFT DISCLOSURE (GIFTS OVER $100) - LAST NAME—FIRST NAME—MIDDLE NAME: NAME OF AGENCY: ROWFB MATTT (TTTY OF MIAMI BEACH MAILING ADDRESS: OFFICE OR POSITION HELD: 1700 CONVENTION CENTER DRIVE MAYOR CITY: ZIP: COUNTY: FOR QUARTER ENDIN (CHECK ONE): YEAR ❑MARCH ❑JUNE EPTEMBER ❑DECEMBER 20 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 ,MAKINWHE GIFT SEE ATTACHED rT1 ry , , rzs• ❑ 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 AM- 4 110 d Nom '- PART C—OATH UJ °° Q I,the person whose name appears at the beginning of this form,do STATE OF FLORI vA c COUNTY OF .di '�: 1 y :: depose on oath or affirmation and say that the information disclosed Sworn t (or aft e•)and._ - .ibed before e his 4 o •_ c 011 day of �J - !.�!/ ! ,20 4:3 . .y herein and on any attachments made by me constitutes a true accurate, - ,Z - a E by _ = , • and total listing of all gifts required to be reported by Section 112.3148, _ • Florida Statutes. (Si nature o 4otary Public-State o .rida) 4 ,„,,, ,, )-Aet Air (Print,Type,or Stamp9lommissioned Name of Notary Public) W y1 : ►� I • 1— • P•r= ING •- IA Personally Known V OR Produced Identification 's ;•�' Type of Identification Produced ,,,""'o`� 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) • _ a • FORM 9 QUARTERLY GIFT DISCLOSURE (ATTACHMENT) RE: Mayor Matti Bower y r\' 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 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 • City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miamibeachfl.gov OFFICE OF THE CITY CLERK, Rafael Granado,City Clerk Tel: (305) 673-741 1, Fax: (305)673-7254 • June 27, 2013 .7.s 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. 112.3145(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, jl R.fael E. Granado City Clerk Attachments REG:sp %4.11x SCA • We are committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical, historic community.