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Raul Aguila Form 9 MIAMI BEACH City of Miami Beach, 1700 Convention Center Drive,Miami Beach,Florida 33139,www.miamibeachfl.gov RAUL J. AGUILA, CITY ATTORNEY Office of the City Attorney Tel:305-673-7470,Fax:305-673-7002 March 29, 2019 Florida Commission on Ethics P.O. Drawer 15709 Tallahassee, Florida 32317-5709 Re: Gift Disclosure—Form 9 Dear Sir/Madam: Enclosed please find quarterly gift disclosures(Form 9)for the period ending December 31, 2018 for Raul Aguila, City Attorney and Aleksandr Boksner, Chief Deputy City Attorney. Very truly yours, iriam . rino, Assist t to Raul J. Aguila, City Attorney c: Rafael Grando, MB City Clerk We are commuted to providing excellent public service and safety to ail who live, work, and ploy in our vibrant, tropical,historic community Form 9 QUARTERLY GIFT DISCLOSURE (GIFTS OVER $100) LAST NAME--FIRST NAME--MIDDLE NAME: NAME OF AGENCY: Aguila, Raul J. City of Miami Beach, Office of the City Attorney MAILING ADDRESS: OFFICE OR POSITION HELD: 1700 Convention Center Drive City Attorney CITY: ZIP: COUNTY: FOR QUARTER ENDING(CHECK ONE); YEAR Miami Beach 33139 Miami-Dade MARCH JUNE SEPTEMBER DECEMBER 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 orf the reverse side of the form,you are not required to disclose gifts from relative's 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 10/05/2018- 10 Tickets for the 43rd $150.00 City of Miami Beach 1700 Convention Center Drive 10/13/2018 Miami International Auto Show Miami Beach,FL 33139 ❑ 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 FLORIDA COUNTY OF Miami-Dade depose on oath or affirmation and say that the information disclosed Sworn4offirmed)and subscribed before me this 4.- day of March ,2019 herein and on any attachments made by me constitutes a true accurate, b R.f A; a • ��\1��11ttf y /. and total listing of all gifts required to be reported by Section 112.3148, Rn G a hi�i�/ Flori Statutes. Signat e of N_ Pu i.. - .ri F`J,;it Miriam M.Merino •%• y= t (Print,Type,or Stamp Commissioned 1gAr11e of Nota c) GN TURE OF REPORTING OFFICIAL Personally Known X OR Producf�4dgttificn 'R��` Type of Identification Produced osti,••.�•r� �;•��St ?� y Vt. 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) Form 9 QUARTERLY GIFT DISCLOSURE (GIFTS OVER $100) LAST NAME--FIRST NAME--MIDDLE NAME: NAME OF AGENCY: Boksner, Aleksandr City of Miami Beach, Office of the City Attorney MAILING ADDRESS: OFFICE OR POSITION HELD: 1700 Convention Center Drive City Attorney CITY: ZIP: COUNTY: FOR QUARTER ENDING (CHECK ONE1: YEAR Miami Beach 33139 Miami-Dade ❑MARCH ❑JUNE ❑SEPTEMBER 0 DECEMBER 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 gifti 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 10/05/2018- 10 Tickets for the 43rd 1700 Convention Center Drive $150.00 City of Miami Beach 10/13/2018 Miami International Auto Show Miami Beach,FL 33139 U 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 FLORIDA COUNTY OF Miami-Dade depose on oath or affirmation and say that the information disclosed Sworn ,(orffirmed)and subscribed before me this ``11 day of March ,20 19 herein and on any attachments •-•- • e constitutes a true accurate, by Ale/ ndritoksner and total lis • al •.ftsr• • o be sorted by Section 112.3148, (.j,( • id. s atute (Signature of %.' � • •- • Jl rida) N �` _ Miriam M.Merino •.41/100h.•ar i� (Print,Type,or Stamp Coenispame e��h gI ry�blic) SIGNATURE OF REPORTING OFFICIAL` Personally Known X s�a Produwif�ienlflirirc Type of Identification Pro eei • E. �s: 9luiso �bc` PART D—FILING INSTRUCTIONS � ••'%�?; ��.� '7/0.I STAttt��.� This form,when duly signed and notarized,must be filed with the Commission on Ethics,P.O.Drawer 15709,Tallan��8.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)