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Rafael Granado 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: 305.673-7411 March 2, 2020 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 2019, for the following City of Miami Beach Personnel: • Rafael Granado— City of Miami Beach (City Clerk) Should you have any questions or require any additional information, please contact me at 305.673.7411. Respectfully, Rafa721i . Ganado, City Clerk Attachment REG:cd Sent Certified Return Receipt Form 9 QUARTERLY GIFT DISCLOSURE (GIFTS OVER $100) LAST NAME--FIRST NAME--MIDDLE NAME: NAME OF AGENCY: Granado, Rafael Eduardo City of Miami Beach MAILING ADDRESS: OFFICE OR POSITION HELD: 1700 Convention Center Drive City Clerk CITY: ZIP: COUNTY: FOR QUARTER ENDING(CHECK ONE): YEAR ❑MARCH ❑JUNE ❑SEPTEMBER 'DECEMBER 204_9Miami Beach 33139 Miami-Dade 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 October 27, 2019 Big Brothers Big Sister $350 Miami Beach Commissioner 1700 Convention Cntr Dr. Jazz and Joe's I Ticket Micky Steinberg Miami Beach,FL 33139 City y 1700 Convention Cntr Dr. National LGBTQ Task Force Gala I Ticket Miami Beach Attorney October 19, 2019 $450 Raul J.Aguila Miami Beach,FL 33139 December 3, 2019 Art Basel Tickets 2 Tickets $150 Office of the Mayor 1700 Convention Cntr Dr. City of Miami Beach 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 FLORIDI !/'"1 /, J _ 6 `_ COUNTY OF FLORID,v! '1 J/ depose on oath or affirmation and say that the information disclosed w n to(or affirmed)and subscribed before me by means of physical pence or f onlirxe z(- ion,this 20e9 0 herein and on any attachments made by me constitutes a true accurate, �ll day of and total listing of all gifts required to be reported by Section 112.3148, by 11°1 4 4e (",4A/,¢6 0 Florida Statute #4 :t arles J. DA•ostin �('gna 6e.", •,;•iroardi�20f PIds1c1C Y2_1 Z wC1 c y o STATE OF FLORIDA SIGNATU E OF REPORTING OFFICIAL?g, �' (Print,Type,or Stamp C .x'"":711 N e o No - I Personally Known Ol7-roduce 30�# . x 4/11) 1 Type of Identification Produced 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.1/2016(Refer to Rule 34-7.010(1)(g),F.A.C.) (See reverse side for instructions) City of Miami Beach USPS CERTIFIED MAIL City Clerk 1700 Convention Center Dr Miami Beach Fl 33139 1111 I 11111111 I I 11 111 9214 8901 9403 8307 8550 84 FLORIDA COMMISSION ON ETHICS PO Box 15709 TALLAHASSEE FL 32317-5709 Ford Here Return Reference#: Username:Charles Dagostin Code Violation# Court Case#: Property Address:: Permit ID#: Custom 5: Postage:$5.7500