Elizabeth Wheaton Form 9 Gift Disclosure March 2017Form 9 QUARTERLY GIFT DISCLOSURE
(GIFTS OVER $100)
LAST NAME -- FIRST NAME -- MIDDLE NAME: NAME OF AGENCY:
Wheaton Elizabeth Sarah City of Miami Beach
MAILING ADDRESS: OFFICE OR POSITION HELD:
1700 Convention Center Drive Chief of Staff to the Mayor & City Commission
CITY: ZIP: COUNTY: WR QUARTI❑R ENDING (CHECK ONE): YEAR
Miami Beach 33139 Miami -Dade
ARCH JUNE SEPTEMBER ❑ DECEMBER 2017
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
RECEIVED
DESCRIPTION
OF GIFT
MONETARY
VALUE
NAME OF PERSON
MAKING THE GIFT
ADDRESS OF PERSON
MAKING THE GIFT
3/12/17
Travel expenses to SWSW
Conference to speak.
$1,508
Nordic Council
Stensberggata 25
NO -0170 Oslo, Norway
❑ 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.
2( 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
COUNTY OF !'A Chan I '"j)P1'Z)6
depose on oath or affirmation and say that the information disclosed Sworn toC(or affirmed) and subs ibed before me this
day of 1�iV
herein and on any attachments made by me constitutes a true accurate,
by ik)HC4TalN1
and total listing of all gifts required to be reported by Section 112.3148,
ZFIra S tutes.
GNA REPORTING OFFICIAL
of Notary Public -State of
(Print, Type, or Stamp C mmissioned Name of Notary
Personally Known V OR Produced Identificatio
Type of Identification Produced
PART D — FILING INSTRUCTIONS
A0
A �
. e
This form, when duly signed and notarized, must be filed with the Commission on Ethics, P.O. Drawer 15709, Tallahassee, Florida 31P7-5769; p
cal address: 325 John Knox Road, Building E, Suite 200, Tallahassee, Florida 32303. The form must be filed no later than the last d
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)
Nordic
Innovation
Template for travel expenses (external)
For your information
• Original receipts of payment must be attached (please make a copy for your own account).
• For reimbursement for more than one person, please list the names below:
Travel expenses for SXSW — EU Pavilion — Nordic Climate Innovation
event:
Session
Personal Information
Recipient name
Elizabeth Wheaton
Address
1700 Convention Center Drive
Zip code
33139
City and country
Miami Beach, Florida, U.S.A
E-mail
elizabethwheaton(a)miamibeachfl.gov
Bank account
Bank account holder Elizabeth Wheaton
International Bank Account Number
(IBAN) (ROUTING #)
Swift (BIC) (ACCT #)
Cost for reimbursement
Nordic Innovation will reimburse travel costs up to i.5oo USD.
Travel expenses
Type of cost
(travel by flight, train, bus, boat, taxi, and/or accommodation)
Amount
(In the currency used on the
receipt)
Lodging
$849.85
Airfare (Miami to Austin to Miami)
$658.40
Total 3.,5o8.25
Stensberggata 251 NO -0170 Oslo I Norge — Norway I Telefon (+47) 47 6144 00 1 Org.nr.: NO 9725'6577
info@nordicinnovation.org I www.nordicinnovation.org
4)
DOUBLETREE
aY NILTON
DOUBLETREE SUITES BY HILTON AUSTIN
303 WEST 15TH
AUSTIN, TX 78701
United States of America
TELEPHONE 512-478-7000 • FAX 512-478-3562
Reservations
www.doubletree.com or 1 -800 -222 -TREE
WHEATON, ELIZABETH
Room No:
1514/NK1KB
CHARGES
Arrival Date:
3/12/2017 1:43:00 PM
JINSUIMANSION10E-H
Departure Date:
3/13/2017 12:03:00 PM
3916506
Adult/Child:
2/0
200120
Cashier ID:
DHARDE
UNITED STATES OF AMERICA
Room Rate:
739.00
AX *6006
AL:
HH #
$0.00
VAT #
Folio No/Che
722696 A
Confirmation Number: 82274686
DOUBLETREE SUITES BY HILTON AUSTIN 3/17/2017 10:35:00 AM
DATE
REF NO
DESCRIPTION
CHARGES
3/12/2017
3916506
GUEST ROOM
$739.00
3/12/2017
3916506
STATE TAX
$44.34
3/12/2017
3916506
CITY TAX
$66.51
3/13/2017
3916849
AX *6006
($849.85)
"BALANCE"
$0.00
Page:1
Refund I Receipt Page 1 of I
Search aa.com p
American Airlines ; G�
Refunds - Start Over Help
WHEATON, ELIZABETH
Thank you for choosing American Airlines, a member of the oneworlde Alliance. We are happy to provide a copy of your ticket receipt.
Itinerary Information
Origin City Destination City Airline Flight
Booking Flight Date
Flight Status Fare Base
Number
Class
Time
MIA AUS AA 4595
M 03/12/2017
09:30 USED M3AJZNNI
AUS MIA AA 4597
M 03/13/2017
05:00 USED M3AJZNNI
Receipt
Passenger Tlcket # Fare
Taxes and Carrier
Ticket Total
WHEATON, ELIZABETH 0012117939098 586.04 USD
63.36 USD
658.40 USD
Sale Form of Payment Credit Card Type Number
Credit Card MASTER CARD xpc00000000c5375
Print
https://prefunds.aa.com/refunds/requestedReceipt
3/23/2017