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Steven Meiner Gift DisclosureCity of Miami Beach City Clerk 1700 Convention Center Dr Miami Beach Fl 33139 USPS CERTIFIED MAIL 11 11 1111111 11111 9214 8901 9403 8322 1280 88 FLORIDA COMMISSION ON ETHICS PO Box 15709 TALLAHASSEE FL 32317-5709 F old Here Return Reference#: Usemame: Charles Oagostin Code Violation # : Court Case #: Property Address : · Permit ID#: Custom 5: Postage: $5.7500 MIAMI BEACH OFFICE OF THE CITY CLERK City of Miami Beach, 1700 Convention Center Drive, Miami Beach, FL 33139 www.miamibeachfl.gov Telephone: 305 .673-7 4 l l September 30, 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 June 2020, for the following City of Miami Beach Personnel: •Steven Meiner -City of Miami Beach (Commissioner) Should you have any questions or require any additional information, please contact me at 305.673. 7 411. Resp;l:£ Rafael E. Granado, City Clerk Attachment REG:cd Sent Certified Return Receipt Form 9 QUARTERLY GIFT DISCLOSURE (GIFTS OVER $100) LA S T NAM E -- FI R S T NA M E -- MI D DL E NA M E : NA M E O F A G E N C Y: Meiner, Steven Jay City of Miami Beach M A ILI N G A D D R E S S O FFIC E O R PO S ITIO N HE LD : 1700 Convention Center Drive City Commission, Group 4 C ITY : ZIP : C O U N TY : FO R Q UA RT E R EN D IN G (C H EC K O N E): Y EA R Miami Beach 33139 Miami-Dade JM ARCH ?JUNE □SEPTEMBER □DECEMBER 2020 PART A- STATEMENT OF GIFTS Please list below each gift, the value of which you believe to exceed $100, acce pted by you during the ca lendar 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 m ore fully in the instru ctions on the revers e side of the fo rm , you are not required to disclose gifts from relatives or certain other gifts. You are not required to file this statem ent fo r any calendar quarter during w hich you did not receive a reportable gift. DATE DESCRIPTIO N MONETARY NAME OF PERSON ADDRESS OF PERSON RECEIVED OF GIFT VALUE MAKING TH E GIFT MAKING THE GIFT 6/23/2020 Virtual Summer Camp $100.00 The Bass Museum 2100 Collins Ave, Scholarship Miami Beach □CHECK HERE IF CONTINUED ON SEPARATE SHEET PART B RECEIPT PROVIDED BY PERSON MAKING THE GIFT If any receipt fo r a gift listed above was pro vided to you by the person making the gift, you are required to attach a copy of that receipt to this fo rm . You m ay attach an explanation of any differences between the info rmation disclosed on this form and the info rmation on the receipt. □CHECK HERE IF A RECEIPT IS ATTACHED TO THIS FORM PARTC-OATH I, the person w hose nam e appears at the beginning of this fo rm , do sate o FO P? CO UNTY OF ,LP y - Do& depose on oath or affi rm ation and say that the info rm ation disclosed Sworn to (or affirmed) an~cribed before me by means of O physical presence or online notarization, this herein and on any attachm ents m ade by m e constitutes a true accurate, 3 y dayof Soie ao0 and total listing of all gifts required to be reported by Section 112.3148, by Sre ver J, hr he- h- (Signature of Notary Public-State of Florida) . 3 £ SIG NATUR E OF REPO RTIN G OFFICIAL · (Print, Type, or Sta¿missioned Name of Notary Public) io o?:e Personally Known OR Produced Identification ' 5 e 3 <'sé2 Type of Identification Pro duce d I gg& s é&:è? ai' g~2 PART D FILING INSTRUCTIONS I e4g5 ?ès? s5 e s g 0o This fo rm , w hen duly signed and notarized, m ust be filed with the Com m ission on Ethics , P.O. Drawer 15709, Tallahassee, Florida 32317-5709; physi- 1 £ zé ca l address: 325 John Knox Road, Building E, Suite 200, Tallahassee, Florida 32303. The for m must be filed no later than the last day of the calendar 1 E3 3. quarter that fo llows the calendar quarter fo r which this fo rm is filed (For exam ple, if a gift is received in March, it should be disclosed by June 30.) I #£%# CE FORM 9 - EFF, 1/2016 (Re fer to Rule 34-7.010(1)(g), FA.C.) (See reverse side for instructions) e' ' li.. $4% I %%%1%3%° , e e