David Richardson Form 9 QTR IMIAMI 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
June 29, 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:
• David Richardson — Commissioner (City of Miami Beach)
Should you have any questions or require any additional information, please contact me at
305.673.7411.
Respectfully,
RafaI E. Granado,
City Clerk
Attachment
REG:cd
Sent Certified Return Receipt
Form 9 QUARTERLY GIFT DISCLOSURE
(GIFTS OVER $100)
LAST NAME -- FIRST NAME -- MIDDLE NAME:
NAME OF AGENCY:
Richardson -Lance -David
City of Miami Beach
MAILING ADDRESS:
OFFICE OR POSITION HELD:
1700 Convention Center Drive
City Commissioner, Group 6
CITY: ZIP: COUNTY:
FOR QUARTER ENDING (CHECK ONE): YEAR
Miami Beach 33139 Miami -Dade
P$AARCH ❑JUNE ❑SEPTEMBER LlDECEMBER 20-22
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
02/11/2022
Opening Night of "Swan Lake" (2 tickets total: 1
ticket used for self, l ticket to food distribution
p
$380.00
Miami City Ballet
2200 Liberty Avenue,
given
volunteer)
Miami Beach, FL. 33139
02/24/2022
South Beach Food & Wine Festival (4 tickets received
I for 3
$/7 00.00
City of Miami Beach
1700 Convention Center Dr.,
per city contract: ticket used self, tickets given
to food distribution volunteers, per city contract)
Miami Beach, FL. 33139
02�25�2022
South Beach Food & Wine Festival (2 tickets
received city contract; I tickets for self. l
$350.00
City of Miami Beach
1700 Convention Center Dr.,
per used
ticket given to food distribution volunteer)
Miami Beach, FL. 33139
02/2 6�2022
South Beach Food & Wine Festival (2 tickets
both food
$350.00
City of Miami Beach
1700 Convention Center Dr.,
received per city contract; given to
Miami Beach, FL. 33139
distribution volunteers)
C� 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
PART C — 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 Stat es.
SIGNATU REPOR`fIN OFFICIAL
STATE OF FLORIDA
COUNTY OF
@yprn to (or affirmed) and subscribed before me by means of
y ica resence or Q on a notarization, this /Z�
day of _ I � 20
by /)K V0 X1'
(Print, Type, or Stam C 1
Personally Known
Type of Identification Produced
PART D — FILING INSTRUCTIONS
MY COMMISSION # HH 165705
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)
FORM 9 — Richardson — Lance — David
PART A — STATEMENT OF GIFTS (Continued)
DATE
DESCRIPTION
MONETARY
NAME OF PERSON
ADDRESS OF
RECEIVED
OF GIFT
VALUE
MAKING THE GIFT
PERSON
MAKING THE GIFT
03/18/2022
(2 tickets at $65
$130.00
Miami New
1040 Lincoln
each; 1 ticket
Drama/Colony
Road, Miami
used for self, 1
Theatre
Beach, FL. 33193
ticket given to
food distribution
volunteers)
City
Clerk
1111111IIII11111IIII1
111111111111111111NIIIIIIIN
9214 8901 9403 8381 0199 76
FLORIDA COMMISSION ON ETHICS
PO BOX 15709
TALLAHASSEE FL 32317-5709
Return Reference Number:David Richardson Gift Disclosure
Username: Charles Dagostin
Code Violation #
Court Case #:
Property Address
Permit ID #:
Custom 5:
Postage: $6.1300