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Micky Steinberg Form 9MIAMI BEACH OFFICE OF THE CITY CLERK City of Miami Beach, 1700 Convention Center Drive, Miami Beach, FL 33139 www.miamibeacht],gov Telephone: 305 .673 .7 411 December 30, 2021 Florida Commission on Ethics P.O. Drawer 15709 Tallahassee, FL 32317-5709 ECEIVED JAN 3 2022 AMI BEACH om OF MW,2 iv ciiii OF FICE OF T Pursuant to Sec. 112.3148, Florida tatutes, please find Quarterly Gift Disclosure State Form (9), for the quarter ending May ,, )2 , for the following City of Miami Beach Personnel: Lusa OO [ • Michael Góngora - Former Commissioner • Micky Steinberg - Former Commissioner Should you have any questions or require any additional information, please contact me at 305.673.7411. ; •• •• City Clerk Attachment Sent Certified Return Receipt F:\CLER\$ALL\GIFT DISCLOSURES\Template 2020\MASTER FOR THE STATE - REG1 .docx Form 9 QUARTERLY GIFT DISCLOSURE (GIFTS OVER $100) LAST NAME -- FIRST NAME -- MIDDLE NAME: NAME OF AGENCY: Steinberg, Micky City of Miami Beach MAILING ADDRESS: OFFICE OR POSITION HELD: 900 Bay Drive Commissioner CITY: ZIP: COUNTY: FOR QUARTER ENDING (CHECK ONE): YEAR Miami Beach 33139 Miami-Dade 2 ARCH □JUNE □SEPTEMBER □DECEMBER 2022 PART A- STATEM ENT OF GIFT S 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 10/20/2021 See the Light Luncheon $50 Commissioner Sally 111 NW Ist Street, Suite 220 Heyman Miami, FL 33128 10/29/2021 LBA October Luncheon $95 Commissioner Sally 111 NW Ist Street, Suite 220 Heyman Miami, FL 33128 11/01/2021 Design Miami VIP $150 City of Miami Beach 1700 Convention Center Drive Miami Beach, FL 33139 10/23/2021 Task Force Gala $500 City of Miami Beach 1700 Convention Center Drive Miami Beach, FL 33139 9 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 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, REPORTING OFFICIAL STATE OF FLORIDA couNT or EALNL_-0Ao? or -to (or affirm ed) and subscribed before me by means of Llhysal presen ce or (} online notarzaon., this ?ò day or Drcpr_ 2o_-! Public-State of Florida) N 2. G.Gr A o \th1«@2 $ (Print, Type, or Stamp Comm issioned Name of Notary Public) Personally Known __jL__ OR Produced Identification Type of Identification Produced ll PART O - 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) Micky Steinberg - Gift Disclosure - Period Ending March 2022 Continued Date Description of Gift Monetary Value Name of Person Address of Person Received Making the Gift Making the Gift 10/15/2021 Miami International 8x$15=120 City of Miami 1700 Convention Auto Show 2 tickets given to Beach Center Drive constituents Miami Beach, FL 33139