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Philip Levine - June 2015 Form 9 Form 9 QUARTERLY GIFT DISCLOSURE (GIFTS OVER $100) LAST NAME--FIRST NAME--MIDDLE NAME: NAME OF AGENCY: LEVINE, PHILIP CITY OF MIAMI BEACH MAILING ADDRESS: OFFICE OR POSITION HELD: 1700 CONVENTION CENTER DRIVE MAYOR CITY: ZIP: COUNTY: FOR QUARTER ENDING(CHECK ONE): YEAR UMARCH Ii1JUNE USEPTEMBER ❑DECEMBER 20j MIAMI BECH 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 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 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 FLORI A COUNTY OF iii-Mi �,f depose on oath or affirmation and say that the information disclosed Sworn to.( affirmed)ands cribed before m this day of P e ,205 herein and on any attachments made.. me constitutes a true accurate, / by / /I •io%i11 E, and total listing of all gifts r-• to,4-,reported by Section 112.3148, / / P,4llidl6/// ...—/. ..1.-d. ..__ ," (4-olvi■_!:-■14 • '14', Florida Statutes. ��' (Signature• Notary Public-State of FloriCj�'J' ••°•••°• :�q:'.=;� ' i ../1" ' 1/' / (Print,Type,or Stamp Commissioned Name of Notarlkil3lic) SIGNATURE of ., �R,TIN /OFFICIAL Personally Known OR Produ Identificatitf�iz; •. Vol' j Type of Identification Produced--� ' .• #EE 196706 r O /' PART D—FILING INSTRUCTIONS '.:,,, 9 •°'•°''•,x-,: 41.,,,..,`,/,c,,STATE 0.1 . /!li2tttN.4 This form,when•!`l y 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.92014) (See reverse side for instructions)'-z' 1 . APRIL-JUNE 2015 4/4/2015 DR.ALAN NGIM, PIANO $50 FILLMORE 4/8/2015 SHAWN MENDES $65 FILLMORE 4/9/2015 PATTON OSWALT-2015 SOBE COMEDY $70 FILLMORE 4/9/2015 DAVE CHAPPELLE $117.50 FILLMORE 4/10/2015 BILL BURR @ 8:00 PM $75 FILLMORE 4/10/2015 BILL BURR @ 10:00 PM $75 FILLMORE 4/10/2015 ANNA KARENINA $70 COLONY 4/11/2015 HANNIBAL BURESS $73 FILLMORE 4/11/2015 DAVE CHAPPELLE $117.50 FILLMORE 4/12/2015 DAVE CHAPPELLE $117.50 FILLMORE 4/14/2015 JAZMINE SULLIVAN $55 FILLMORE 4/18/2015 YOUNG PATRONESSES OF THE OPERA NATIONAL $50 FILLMORE 4/18/2015 ANDERSON COOPER&ANDY COHEN $258 FILLMORE 4/24/2015 MGLFF- BOULEVARD $50 COLONY 4/25/2015 LIZ IN SEPTEMBER $30 COLONY 4/25/2015 I AM MICHAEL $30 COLONY 4/26/2015 TYLER,THE CREATOR $59 FILLMORE 5/1/2015 CABARET FOLLIES $70 COLONY 5/2/2015 XENIA $26 COLONY 5/2/2015 DEALTH IN BUENOS AIRES $44 COLONY 5/3/2015 ANNIE JR. $24 COLONY 5/3/2015 DISNEY'S ARISTOCATS $24 COLONY 5/7/2015 RYAN ADAMS AND JENNY LEWIS $81 FILLMORE 5/8/2015 LA SYLPHIDE $72 COLONY 5/9/2015 JARMAN $40 COLONY 5/9/2015 LOVE BIRDS $40 COLONY 5/12/2015 MAISON-OBJET AMERICAS qty. 12 $180 CC 5/14/2015 RACHEL CHEUNG $30 COLONY 5/15/2015 CIARA $59 FILLMORE 5/15/2015 RALUCA STIRLAT $30 COLONY 5/16/2015 SARINA ZHANG $30 COLONY 5/16/2015 LEONID EGOROV $30 COLONY 5/17/2015 MAGIC OF OPERA $30 COLONY 5/22/2015 ROSARIO $137 FILLMORE 5/23/2015 ANDRES CEPEDA $97 FILLMORE 5/29-31/20 SF BOAT SHOW $14 CC 5/29-31/20 WORLD VAPOR EXPO $50 CC 5/30/2015 MIAMI CONTEMPORARY DANCE COMPANY 8PM $88 FILLMORE 5/30/2015 MIAMI CONTEMPORARY DANCE COMPANY 11PM $88 FILLMORE 5/30/2015 OPERA GALA $74 COLONY 6/2/2015 EARTH, WIND & FIRE $161 FILLMORE 6/5/2015 HAPPY HOUR AT THE BALLET $70 COLONY 6/6/2015 FITO PAEZ $137 FILLMORE 6/9/2015 AN EVENING WITH DAVID CROSBY $91 FILLMORE 6/16/2015 THE WAR ON DRUGS $55 COLONY 6/20/2015 CHRONIXX&THE ZINCFENCE REDEMPTION $61 FILLMORE 6/20/2015 CUBAN CLASSICAL BALLET $92 COLONY 6/25-28/20 FLORIDA SUPER CON qty. 8$280 CC ***ALL THE ABOVE ARE BASED ON QTY. 2 TICKETS, UNLESS SPECIFIED. DISCLOSURE: MAYOR PHILIP LEVINE DID NOT USE ANY OF THE ABOVE TICKETS. TICKETS ARE DISTRIBUTED TO CONSTITUENTS. ***CONTINUED ON NEXT PAGE ADDITIONAL GIFTS RECEIVED: FROM: 4/3/2015 VIP MIAMI OPEN 2015 (4)TICKETS JON ROSEN 4/5/2015 VIP MIAMI OPEN 2015 (3)TICKETS JON ROSEN 4/7/2015 JERSEY BRIAN KEELEY 4/7/2015 PAINTING ERROL WETANSON 4/10/2015 POOCH PERK BOX TINA VIDAL 4/22/2015 PEN MATTEO DE LISE 4/22/2015 LEATHER BAG &SWEATSHIRTS JACK SULLIVAN 4/28/2015 CIGARS ANTONIO ACEA 5/12/2015 CIGARS C.G WARREN NEWFIELD 5/13/2015 CAKE MICHAEL- DILCI DI SUCIL 5/28/2015 GIFT BOX WITH MUG, COASTER, PEN & NOTEBOOK ZACH MULLER 5/28/2015 GLASS ART WORK DEBBIE MULLER 6/3/2015 CELIA CRUZ BOOK DONATION FOR SENIORS HILDA MIROS