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Kristen Rosen Gonzalez Form 9MIAMI BEACH OFFICE OF THE CITY CLERK City of Miami Beach, 1700 Convention Center Drive, Miami Beach, FL 33139 www.miamibeachfl.aov Telephone: 305.673-741 1 June 21, 2018 Florida Commission on Ethics P.O. Drawer 15709 Tallahassee, FL 32317-5709 Pursuant to Sec. 112.3148, Florida Statutes, please find a Quarterly Gift Disclosure State Form (9), for the quarter ending December 2017, for the following City of Miami Beach Personnel: • John Elizabeth Aleman — Commissioner (City of Miami Beach) • Kristen Rosen Gonzalez — Commissioner (City of Miami Beach) Should you have any questions or require any additional information, please contact me at 305.673.7411. Respec fOly, Rafael E. Granado, City Clerk Attachment REG:cd Sent Certified Return Receipt 7017-1450-0002-2744-0334 Form 9 QUARTERLY GIFT DISCLOSURE (GIFTS OVER $100) NAME OF AGENCY: City of Miami Beach OFFICE OR POSITION HELD: Commissioner FOR QUARTER ENDING (CHECK ONE): ii(MARCH ❑JUNE JSEPTEMBER ❑ DECEMBER LAST NAME -- FIRST NAME-- MIDDLE NAME Gonzalez Rosen Kristen MAILING ADDRESS: 1700 Convention Center Drive CITY: ZIP: Miami Beach 33141 COUNTY: Miami -Dade RECE!YEO 2011JUN 21 AMII:2L C ITYI; FMIAMI REACH ,t". F TPA— rtY v r•1 cssa YEAR 20 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 01/06/2018 01/20/2018 01/22/2018 01/27/2018 DESCRIPTION OF GIFT Ahavas Torah Gala FOP Gala 34th Annual Federation Judicial Reception Cuban Cultural Installation Luncheon V CHECK HERE IF CONTINUED ON SEPARATE SHEET MONETARY NAME OF PERSON VALUE MAKING THE GIFT 136.00 300.00 100.00 100.00 Temple Moses MB Police Dept. GMJF Kristen Rosen Gonzalez PART B — RECEIPT PROVIDED BY PERSON MAKING THE GIFT ADDRESS OF PERSON MAKING THE GIFT 1200 Normandy Dr Miami Beach 1100 Washington Ave Miami Beach 4200 Biscayne Blvd. Miami, FL 5618 Alton Rd., Miami Beach. FL 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 depose on oath or affirmation and say that the information disclosed herein and on any attachments made by me constitutes a true accurate, and total listing Florida Statut s required to be reported by Section 112.3148, SIGNATURE 0 ' EPORTING OFFICI: L STATE OF FLORIDA" COUNTY OF M% t- Dfte. Sworn to (or affirmed) and sub .cribed before me this `C y•�� ,20 N. by Signature o otary Public -State of Flom (Print, Type, or Stamp Personally Known Type of Identification PART D — FILING INSTRUCTIONS GLORIASALOM d NAC0040 51441Ungss35 duced I PARfiti ihti 12, 2020 Bonded TMu Notary Public Underwriters 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. 6/2016) (See reverse side for instructions) Cont. Miami Dade County Quarterly Gift Disclosure Quarter Ending on March 31, 2018 Commissioner Kristen Rosen Gonzalez Date Description of Gift 02/12/2018 GMJF The Main Event 02/24/18 So. Beach Food & Wine Monetary Value 100.00 Name of Person Making Gift Carol Bric-Turin GMJF 300.00 Alex Tonarelli Lowes Hotel 03/10/2018 2018 Equality Florida Miami Gala 1,000.00 CMB Address of Person Making the Gift 4200 Biscayne Blvd. Miami, FL 1601 Collins Ave Miami Beach 1700 Convention Ctr.Dr 03/25/2018 Champion of the Arts Award Luncheon 175.00 CMB 1700 Convention Ctr. Dr.