Alex Fernandez County FormM IA M I BEACH
O FFIC E O F TH E C ITY C LERK
C ity of M iam i Beach, 17 00 C onvention C enter Drive, M iam i Beach, FL 33139
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Telephone: 305 .6 7 3-74 11
March 31, 2022
Miami-Dade Clerk of the
Board of County Commissioners
111NW 1Street, # 17-10
Miami, FL 33128
Pursuant to Section 2-11.1(e) 4) of the Code of Miami-Dade County, attached please find a copy
of the Miami-Dade County Quarterly Gift Disclosure Form, for the quarter ending December
2021, for the following City of Miami Beach Personnel:
Alejandro J. Fernandez - City of Miami Beach Commissioner
The original has been filed with the Miami Beach Office of the City Clerk.
Should you have any questions or require any additional information, please contact me at
305.673. 7 411.
Respectfully,
7
Rafael E. Granado,
City Clerk
Attachments
REG:cd
Sent Certified Return Receipt
R E C EI V ED
0722 111R 3l MIAMI-DADE COUNTY
PH G: Oh QUARTERLY GIFT DISCLOSURE
CI Y 0F MIAMI BEA CH
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LAST NAM E-FIRST NAME-MIDDLE NAME:
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STREE ADDRESS:
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coUNTY: M t «- d¢
NAME OF AGENCY:
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OFFICE OR POSITION HELD:
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ARTER ENDING (Check One):
MARCH
□SEPT. J DEC.
□JUNE
YEAR: 20
PART A: STATEMENT OF GIFTS. List below each gift, or series of gifts, from one person or entity in
excess of$ I 00, accepted by you during the calendar quarter for which this statement is being filed. Describe the gift
and state the monetary value of the gift, the name and address of the person making the gift, and the dates the gifts
were received. If any of these facts are unknown or not applicable, state this on the form. You are not required to
file this statement for any calendar quarter during which you did not receive a reportable gift.
DATE
RECEIVED
DESCRIPTION
OF GIFT
MONETARY
VALUE
NAME OF PERSON ADDRESS OF PERSON
MAKING THE GIFT MAKING THE GIFT
CH ECK H ERE IF CO NTINUED O N SEPARATE SHEET. 0
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: FILING INSTRUCTIONS. The signed and notarized form must be filed no later than the last day
of the calendar quarter that follows the quarter for which this form applies. For example, if a gift is received in March,
it should be disclosed by the end of the next quarter, i.e., June 30. County personnel file with the Clerk of the Board
of County Commissioners, III NW I" St., Suite I7-10, Miami, FL 33128. Municipal personnel file with the ir
respective municipal clerks.
PART D: 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 2-l l.l (e)(4) of the Code of Miami-Dade
County.
STATE OF FLORIDA
COUNTY or My@uy_Dake
Sworn to (or affirmed) and subscribed before me this 1° aay or Ke@h ,20.22 .
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ATTA C H M EN T 1
FORM 9- QUARTERLY GIFT DISCLOSOURE
DATE DESCRIPTION MONETARY NAME OF ADDRESS OF
RECEIVED OF GIFT VALUE PERSON PERSON MAKING
MAKING THE THE GIFT
GIFT
11-24-21 First Choice VIP AT LEAST $100 Art I Basel in Garber and Goodman,
Card for two Miami Beach Inc.
300 41 Street, Suite 214
Miami Beach FL 33140
11-26-21 Complimentary 1- AT LEAST $100 CONTEXT Art 305.517.7977
day pass for two Miami info@artmiami.com
11-29-21 VIP ADMISSION AT LEAST $100 UNTITLED ART 646 405 6942
Admits 2 info@untitledartfairs.com
11-30-21 TICKET A TLEAST $100 SCOPE Art Show 452 Baltic Street
Brooklyn, NY
11217
STATEMENT OF GIFTS
CONTEXT art miami
Customer: Commissioner Alex Fernandez
Attendee: Commissioner Alex Fernandez
Transaction date: 11/26/2021
Host: Art Miami + CONTEXT
Payment Method:
Art M iam i + C on t ext - C om plim entary O ne Day Pass for Two - Wednesday. December 1 at 11 :OO AM
NOT VALID tor VIP Preview Day. Nov. 30
Item Type Item Name Delivery Method Price Quantity Total
Ticket Complimentary 1-D ay E-Ticket $1.00 1 $1.00
Pass for Two
Subtotal: $0.00
Fees: $0.00
Total Paid: $0.00
Amount Due: $0.00
---·-: C O N T E X T miam roi
NOV 30 - DEC 5, 2021 I VIP PREVIEW NOV 30
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Ticket 1 of 1
05937337
Complimentary I-Day Pass for Two
Ticket holder: Commissioner Alex Fernandez
Purchased on Nov 26, 2021, 12:43pm
Payment Method:
Value: $1.00
W ed D ec 1, 2021, 11:00A M - Sun De c 5, 2021. 6:0 0PM
Art Miami + Context - Complimentary One Day
Pass for Two
NOT VAUD for VIP Preview Day, Nov. 30
Art Miami + CONTEXT Pavilions
1 Herald Plaza, Miami, FL 33132, USA
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Valid for:
· Art Miami + CONTEXT for 2 any one public fair day
Access to Art Miami l CONTEXT +ONLINE
(Not valid for VIP Previews)
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IMPORTANT INFORMATION:
Please present a printed copy of this ticket or present on
your mobile device. No exchanges or refunds of the tickets
and no refunds on service fees or delivery fees. Tickets are
non-transferable.
As a part of the Al/Secure program, all attendees of Art
Miami are required to show proof that they have taken a
rapid antigen test (or equivalent) with a negative result
within 72 hours prior to attending the Fair. Attendees may
choose, in their discretion, to opt out of this testing
requirement by showing proof of having received full
vaccination more than 2 weeks prior to attendance. Please
be advised that these protocols are subject to change.
Untitled Art
Ticket 1 of 1
05892546
VIP Admission
Purchased on Nov 22, 2021, 1:49pm
Payment Method:
Value: $0.00
Ticket holder: Commissioner Alex Fernandez
Mon Nov 29, 2021, 1:00PM - Sat Dec 4, 2021, 7:00PM
V IP A d m is sio n
VI P Pass: Monday, 11/29 - Saturday, 12/4
Untitled Art Miami Beach
Ocean Dr & 12th St. Miami Beach, FL 33139, USA
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conversation
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Covid Protocol
Please note all attendees must provide
either proof of vaccination against
Covid-19, or a negative Covid-19 test
result. All attendees will be asked to
wear a mask inside the fair regardless
of vaccination status.
www. untitledartfairs.com
This Ticket is Non-Transferable.
IM P O RTA N T IN FO RM A TION
Treat this E-Ticket as you would any
other valuable or cash
This pass admits two (2) to the VIP Preview with
re-entry throughout the fair.
City Clerk USPS CERTIFIED MAIL
I I 1111111 II
9214890194038371490433
MIAMI-DADE CLERK OF THE BOARD OF COUNTY COMMISSIONERS
111NW 1ST ST UNIT 17-10
MIAMI FL 33128-1902
Fold Here
R eturn R eferen ce N u m be r:
U se rn a m e : C ha rle s D a go sti n
C o de V io la tio n # :
C o urt C ase #:
P ro pert y A dd ress ::
P e rm it ID #:
C ustom 5:
P o stage : $6 .3 3 0 0