Loading...
Alex Fernandez Form 9MAIMIBEACH OFFICE OF THE CITY CLERK City of Miami Beach, 1700 Convention Center Drive, Miami Beach, FL 33139 www._miamibeachfl,gov Telephone: 305 673-7411 July 1, 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: • Steven Meine r - Commissioner (City of Miami Beach) • Alejandro Fernand ez - Commissioner (City of Miami Beach) Should you have any questions or require any additional information, please contact me at 305.673.7411. Respectfully, 7 Rafael E. Granado, City Clerk Attachment REG:cd Sent Certified Return Receipt Form 9 QUARTERLY GIFT DISCLOSURE (GIFTS OVER $100) LAST NAM E -- FIRST NAM E -- MIDDL E NAME: NAME OF AGENCY: F emandez, Alei andro J. Citv of Miami Beach MAILING ADDRESS: OFF ICE OR POSITION HELD: 1700 Convention Center Drive Citv Commissioner CITY: ZIP: COUNTY: FOR QUARTER ENDING (CHECK ON E): YEAR Miami Beach 33139 Miami-Dade MARCH J UNE □SEPTEMBER O DECEMBER 7022 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 TH E GIFT PLEASE SEE SEPARATE SHEET (ATTACHMENT I) 3 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. O 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 Statutes. stare or roRt „[ O JNTY F ' l" 'l ' te w to (or affirmed) and subscribed before me by means of bysic il resence or} " " this ) • ! dayofJd l 207--7 DE2 J. DAGOSTIN ION # HH 1657 (Print, Type, or St Personally Known Type of Identification Produ mber 14, 20 Public U PART D - 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) Cê"' ATTACHMENT 1 FORM 9 – QUARTERLY GIFT DISCLOSOURE STATEMENT OF GIFTS DATE RECEIVED DESCRIPTION OF GIFT MONETARY VALUE NAME OF PERSON MAKING THE GIFT ADDRESS OF PERSON MAKING THE GIFT 02-08-22 Boat Show 2 – VIP Tickets $750 South Florida Ventures Garber and Goodman, Inc. 300 41st Street, Suite 214 Miami Beach FL 33140 02-11-22 Swann Lake 2 – Tickets $199/Ticket Miami City Ballet 2200 Liberty Avenue Miami Beach, FL 33139 02-22-22 South Beach Food & Wine Entrances 2 tickets to Diners, Drive- ins, and Dives Live w/ Guy Fieri $175/Ticket 2 tickets to Tacos and Tequila $175/Ticket 2 tickets to Bacardi Carnival $135/Ticket 2 tickets to Burger Bash $275/Ticket City of Miami Beach 1700 Convention Center Drive Miami Beach, FL 33139 03-08-22 The Little Light House Foundation 12th Annual Heats & Stars Gala 2 tickets $700/Ticket Jonathan Babicka Executive Director The Little Lighthouse Foundation 799 Brickell Plaza Suite 801 Miami, FL 33131 03-10-22 Superfine Art Fair 10 passes Total value $1,200 Superfine Art Fair director@superfine.world (no mailing address available) City Clerk USPS CERTIFIED MAIL I 11 1 111111 9214 8901 9403 8381 2897 82 FLORIDA COMMISSION ON ETHICS PO BOX 15709 TALLAHASSEE FL 32317-5709 Fold Here Return Reference Num ber:Fern andez & M einer FO RM 9 Usern am e: Charles Dagostin Code Violation # : Court Case #: Pro perty Address :: Perm it ID #: Custom 5: Postage: $6.3300