Micky Steinberg Form 9 MIAMI BEACH
OFFICE OF THE CITY CLERK
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, FL 33139
www.miamibeachfl.gov
Telephone: 305.673-741 1
September 26, 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 June 2019, for the following City of Miami Beach Personnel:
• Micky Steinberg —City of Miami Beach (Commissioner)
Should you have any questions or require any additional information, please contact me at
305.673.7411.
Respectfully,
17'a ael E. Granado,
City Clerk
Attachment
REG:cd
Sent Certified Return Receipt
Form 9 QUARTERLY GIFT DISCLOSURE
(GIFTS OVER $100)
LASTC11NAME--FIRST NAME--MIDDLE NAME: NAME AGENCY:
`�1C1116�t'� Ml ck l� ly 01 Warn; 5eacI
MAILING ADDRE (_ OFFICEbR POSITION HELD:
1700 e.onven�ov) Qc d-c Dovc � o :� MISSfo 7e
CITY: ZIP: COUNTY: FOR QUARTER ENDING(CHECK ONE): YEAR
•
Miami $CGC1 33r39 1,1,-am,. - Dad c._ .❑MARCH 'NE USEPTEMBER U DECEMBER 20 I y
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
/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 JtA-M( - �Ac-_
depose on oath or affirmation and say that the information disclosed Sworn)tQ(r affirmed)and subs`' efore�m�s 20 �i1,4131 day of
herein and on any attachments made by me constitutes a true accurate, �A '
by 1"L 1(,IL 4'4-l✓1 berm roes+.tio J,
and total listing of all gifts required to be reported by Section 112.3148, 1:14r.31,1
'
Florida Statutes. (Signature of Notary Public-State of Florida) „ '�
S
// rJ aso.)S6.f 40,E i
r./ (Print,Type,or Stamp Commissioned Name of Notary Public W M o 4-
SI(/
-
SIGN T E OF REPORTING OFFICIAL Personally Known]` OR Produced Identification 2 f`"n c
Type of Identificatidn Produced I . 62
a
2 it cl
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PART D—FILING INSTRUCTIONSR 0 o
2
This form,when duly signed and notarized,must be filed with the Commission on Ethics,P.O.Drawer 15709,Tallahassee,Florida 32317-5. ly
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 th �lencf r
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 Juib _/)
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)
Commissioner Micky Steinberg Quarterly Gift Disclosure (Quarter Ending June 2019)
DATE DESCRIPTION MONETARY NAME OF PERSON ADDRESS OF
RECEIVED OF GIFT VALUE MAKING THE GIFT PERSON
MAKING THE GIFT
04/13/2019 Pelican Harbor 2 Tickets City of Miami 1700 Convention
Seabird Station 40th Total $500 Beach Center Drive
Birthday Miami Beach, Florida
33139
05/04/2019 MDCLC Annual Gala 2 Tickets City of Miami 1700 Convention
Total$600 Beach Center Drive
Miami Beach, Florida
33139
05/09/2019 TCI Top Women 1 Ticket Margueritte 561 NE 79th Street
Award Luncheon Total $187.50 Ramos suite 300
Miami, FL 33138
05/25/2019 Air and Sea Show 2 Tickets National Salute to 10394 West Sample
Protocol VIP Total $1000 Heroes Road, Suite 200,
Coral Springs, FL
33065
06/01/2019 Miami Beach 2 Tickets City of Miami 1700 Convention
Chamber of Total $500 Beach Center Drive
Commerce Gala Miami Beach, Florida
33139
06/14/2019 SAVE Champions of 1 Ticket City of Miami 1700 Convention
Equality Gala Total$150 Beach Center Drive
Miami Beach, Florida
33139
City of Miami Beach USPS CERTIFIED MAIL
City Clerk
1700 Convention Center Dr
Miami Beach Fl 33139
9214 8901 9403 8391 0451 18
FLORIDA COMMISSION ON ETHICS
PO Box 15709
TALLAHASSEE FL 32317-5709
Return Reference#:
Username:Charles Dagostin
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Postage:$5.6000