Rafael Granado Form 9 QTR IMIAMI BEACH
OFFICE OF THE CITY CLERK
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, FL 33139
www.miamibeachll,gov
Telephone: 305.673-741 1
June 8, 2022
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 March 2022, for the following City of Miami Beach Personnel:
• Rafael E. Granado - City Clerk (City of Miami Beach)
Should you have any questions or require any additional information, please contact me at
305.673. 7 411.
Res¡;!
Rafael E. Granado,
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 E. Citv of Miami Beach
MAILING ADDRESS: OFFICE OR POSITION HELD:
1700 Convention Center Drive Citv Clerk
CITY: ZIP: COUNTY: FOR QUARTER ENDING (CHECK ONE): YEAR
M iami Beach 33139 M iam i-Dade MARCH J UNE OSEPTEMBER O DECEMBER 2022
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
be in g file d . You are re q u ire d to de scrib e the gift an d state the m onetary value of the gift, the name and address of the person making the gift, and the
da te (s) th e gift w as re ce iv ed . If any of th e se fa cts, oth e r tha n the gift de scrip tio n , are un kn o w n or no t ap p lica b le , yo u sho u ld so state on the fo rm . A s
exp la in e d m o re fu lly in th e in structio ns on th e reve rse sid e of the fo rm , yo u are no t req u ire d to discl o se gift s fr o m re la tive s or ce rt a in oth e r g ift s. You
are not required to file this statement for any calendar quarter during which you did not receive a reportable gift.
D AT E D E S C R IP T IO N M O N E TA R Y N A M E O F P E R S O N A D D R E S S O F P E R S O N
R E C E IV E D O F G IF T VA L U E M A K IN G T H E G IF T M A K IN G T H E G IF T
02/10/2022 2 Passes Boat Show $350 each City of Miami Beach per 1700 Covention Ctr. Dr.
ticket policy Miami Beach, FL 33139
a CHECK HERE IF CONTINUED ON SEPARATE SHEET
PART B RECEIPT PROVIDED BY PERSON MAKING THE GIFT
If an y re ce ip t fo r a gift lis te d ab o v e w a s p ro v id e d to yo u by th e pe rso n m a k in g th e gift, yo u are re q u ire d to att a ch a co p y of th a t re c e ip t to th is
fo rm . Y o u m a y att a c h an ex p la n a tio n of an y diff e re n c e s be tw e e n th e in fo rm a tio n dis c lo se d on th is fo rm an d th e in fo rm a tio n o n th e re ce ip t.
O CHECK HERE IF A RECEIPT IS ATTACHED TO THIS FORM
PART C- OATH
I, th e pe rso n w ho se na m e ap p e a rs at the be g in n in g of th is fo rm , do
de p o se on oa th or affi rm a tio n an d sa y tha t the in fo rm a tio n disc lo se d
he re in and on a n y att a c h m e nts m a d e by m e co n stitute s a tru e ac cu ra te ,
an d to ta l listin g of all gifts req u ire d to be re p o rte d by S e ctio n 112 .3 14 8 ,
F lo rid a S ta tute s . • .=. or itOrTING oFriclL
S TAT E O F F L OR I DA} /A A -
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}worn to (or affi rm e d ) an d sub s cri b e d be for e m e by m e an s of
ldph y "ca) re sen ce or [_l on l in e notar i z ation , this o
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PART D FILING INSTRUCTIONS
T h is fo rm , w he n du ly sig n e d an d no ta riz e d , m u st be fil e d w ith the C o m m issio n on E th ic s, P .O . D raw e r 15 7 0 9 , Talla h a sse e , Fl or i d a 32 3 17 -5 7 0 9; ph y si-
ca l ad d re ss : 32 5 Jo h n K n o x R o a d , B u ild in g E , S u ite 2 0 0 , Talla h a sse e , F lo rid a 32 3 0 3 . T h e fo rm m u st be file d no late r tha n th e la st da y of th e ca le nd a r
qu a rt e r th a t fo llo w s th e ca le n d a r qu a rt e r fo r w h ic h th is fo rm is fi le d (F o r exa m p le , if a gift is re ce iv e d in M a rch , it sh o u ld be discl o se d by Ju n e 30 .)
CE FORM 9 · EFF. 1/2016 (Refer to Rule 34-7.010(1)g) FA.C.) (See reverse side for instructions) e"
City Clerk USPS CERTIFIED MAIL
II 11 11 111 111
9214 8901 9403 8378 9995 95
FLORIDA COMMISSION ON ETHICS
PO BOX 15709
TALLAHASSEE FL 32317-5709
Fold Here
Return Refere nce Num ber:R afael G ranado Gift Disclosure
Usern am e: Charles Dagostin
Code Violation # :
Court Case #:
Pro perty Address : :
Perm it ID #:
Custom 5:
Postage: $6.1300