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Ricky Arriola Form 9 QTR 4 MIAMIBEACH OFFICE OF THE CITY CLERK City of Miami Beach, 1700 Convention Center Drive, Miami Beach, FL 33139 www.miamibeachfl.gov Telephone: 305.673-7411 March 28, 2019 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 2018, for the following City of Miami Beach Personnel: • Dan Gelber— City of Miami Beach (Mayor) • John Elizabeth Aleman — City of Miami Beach (Commissioner) • Ricky Arriola — City Of Miami Beach (Commissioner) Should you have any questions or require any additional information, please contact me at 305.673.7411. Respectful) , Rafael E. Granado, City Clerk Attachment REG:cd Sent Certified Return Receipt 9214-8901-9403-8380-6077-85 City of Miami Beach USPS CERTIFIED MAIL City Clerk 1700 Convention Center Dr Miami Beach FI 33139 9214 8901 9403 8380 6077 85 FLORIDA COMMISSION ON ETHICS PO Box 15709 TALLAHASSEE FL 32317-5709 Fold Here Return Reference#:State Gift Disclosure Username:Charles Dagostin Code Violation#: Court Case#: Property Address:: Permit ID#: Custom 5: Postage:$5.7500 Form 9 QUARTERLY GIFT DISCLOSURE (GIFTS OVER $100) LAST NAME--FIRST NAME--MIDDLE NAME: NAME OF AGENCY: Arriola, Ricky City of Miami Beach MAILING ADDRESS: OFFICE OR POSITION HELD: 1700 Convention Center Drive Commissioner CITY: ZIP: COUNTY: FOR QUARTER ENDING (CHECK ONE): YEAR Miami Beach 33139 Miami-Dade LIMARCH ❑JUNE ❑SEPTEMBER idDECEMBER 2018 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 10/02/18 Miami International Auto $100 South Florida Automobile 625 N.E. 124 Street Show Tickets(10) Dealers Association North Miami,Florida 33161 10/23/18 One Night in Miami Ticket $100 Miami New Drama 1040 Lincoln Rd,Miami Beach, FL 33139 11/29/2018 Art Week Show Tickets $200 The Bass Museum 2100 Collins Ave, Miami Beach, FL 33139 12/5/2018 Art Basel Welcome Reception $100 Bob Goodman 300 41st Street,Suite 214 & Special Project Preview Miami Beach,FL 33140 M 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 ev O I,the person whose name appears at the beginning of this form,do STATE OF FLORIDA '„ • N COUNTY OF //�itrf J"' m ao eil ev depose on oath or affirmation and say that the information disclosed Sworn to(or affirmed)and sub c ibed befor me this Q " v, $ 49%,Y411 day of /�� ,20 f9 ? ac .. 44_ `r' A H herein and on any attachments made by me constitutes a true accurate, _ . 0 le by r L/<Y /Al t'.LA a. o x and total listing of all gifts required to be reported by Section 112.3148, D o : . t. y E 'e- liti'd Q E .c E Florida Statutes. (Signatu of Notary `ublic-State of Florida) o 0 fe.. 101.:""-"`" , /*--"tilib/9-1.06, _, e 14,eti (Print,Type,or Stamp C mmissioned Name of Notary Public) ,.��;c��•���''�., SIGMA URE OF REPORTING OFFICIAL Personally Known OR Produced Id tification / , Type of r i(cation Produced /4-'' 1),-,r14-0-08,.: ''':e„,;,,P‘ 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: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)' Date Received Description of Monetary Name of Person Address of Person Gift Value Making Gift Making Gift 12/5/18 Art Basel $150 Bob Goodman 300 41st Street, VIP Tickets Suite 214 Miami Beach, FL 33140 12/5/18 Design Miami $95 DesignMiami/ 3 841 NE 2nd VIP Avenue, Suite 400 Miami, FL 33137