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Ricky Arriola Form 9M IAM I 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 26, 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: • Ricky Arriola - City of Miami Beach (Commissioner) Should you have any questions or require any additional information, please contact me at 305.673. 7 411. Resp~ Rafael E. Granado, City Clerk Attachment REG:cd Sent Certified Return Receipt y. - hi,# it th Form 9 QUARTERLY GIFT DISCLOSURE MMAR 26 2020 (GIFTS OVER $100) LA ST NAM E -- FIRST NAME -- MIDDLE NAME: NAME OF AGEN CY. CITY OF MIAMI BEACH Arriola, Jose Ricardo City of Miami Beach r CITY CLERK MAILING ADDRESS: OFFICE OR POSITION HELD: 1 700 Convention Center Drive Commissioner CITY : ZIP: COUNTY : FOR QUARTER ENDING (CHECK ONE): YEAR Miami Beach 33139 Miami-Dade □MARCH JJUNE OSEPTEM BER ?DECE M BER 2049 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 10/28/19 Miami International Auto $150 South Florida Automobile 625 NE 124th St • Show Tickets Dealers Association North Miami, FL 33161 11/27/19 Art Basel Tickets $500 Garber Goodman 301 W 41st St, Miami Advertising Beach FL 33140 11/27/19 Design Miami Tickets $225 Design Miami/ 3841 NE 2nd Avenue, Suite 400 Miami, FL 33137 12/1/19 SCOPE Art Show Tickets $150 Scope Art Show 452 Baltic St. Brooklvn NYl 1217 CH ECK 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. O CHECK HERE IF A RECEIPT 15 ATTACHED TO THIS FORM PARTC-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 of all gifts required to be reported by Section 112.3148, Florida Statutes. == » STATE OF FLORI~ •11 ~ 11 , \....Il ""- ,e couNTY or DL/ittL Dftb>t- Sworn to (or affirmed) and _subscribed before me by means of lphysical presence or L} op9lpe, notarizatjon, this 2/9 ätt dayoí AH&CH 2o e' on pa kN @C ao (Print, Type, or Stamp Commis Personally Known _ OR 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) @° DATE RECEIV ED DESCR IPTIO N OF G IFT M ONETA RY NA M E O F PER SON ADD RESS O F PER SO N VALUE M AKI NG TH E GIFT M AKI NG TH E G IFT 12/2/19 Untitled Art Show Tickets $35 Untitled Art Fairs 481 Wythe Ave, Suite 103, Brooklyn NY 11249 12/12/19 Nutcracker Tickets $200 Miami City Ballet 2200 Liberty A ve, Miami Beach, FL 33139 City of Miami Beach City Clerk 1700 Convention Center Dr Miami Beach Fl 33139 USPS CERTIFIED MAIL 1111111111 11 9214 8901 9403 8310 0347 97 FLORIDA COMMISSION ON ETHICS PO Box 15709 TALLAHASSEE FL 32317-5709 Fold Here Return Reference#: Username: Charles Dagostin Code Violation # : Court Case#: Property Address : : Permit ID#: Custom 5: Postage: $5.7500