Commissioner Fernandez Form 9 QTR IIOFFICE OF THE CITY CLERK
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, FL 33139
www. m i a m i beac h fl . Qov
Telephone: 305.673.741 1
September 30, 2022
Florida Commission on Ethics
P.O. Drawer 15709
Tallahassee, FL 32317-5709
Pursuant to Sec. 112.3148, Florida Statutes, please find Quarterly Gift Disclosure State Form
(9), for the quarter ending June 2022, for the following City of Miami Beach Personnel:
• Alex Fernandez — Vice -Mayor
• Steven J. Meiner — Commissioner
• Kristen Rosen Gonzalez — Commissioner
• David L. Richardson — Commissioner
Should you have any questions or require any additional information, please contact me at
305.673.7411.
Respectfull ,
Ra ael E. Granado
City Clerk
Attachment
Sent Certified Return Receipt
City Clerk USPS CERTIFIED MAIL
1700 Convention Center Drive
Miami Beach FL 33139
9214 8901 9403 8391 4193 60
FLORIDA COMMISSION ON ETHICS
PO BOX 15709
TALLAHASSEE FLORIDA 32317-5709
Fold lien
Return Reference Number:
Username: Patrick Camm
Code Violation #
Court Case #:
Property Address
Permit ID #:
Custom 5:
Postage: $6.8100
Form 9 QUARTERLY GIFT DISCLOSURE
(GIFTS OVER $100)
LAST NAME -- FIRST NAME -- MIDDLE NAME:
NAME OF AGENCY:
Fernandez, Alex
City of Miami Beach
MAILING ADDRESS:
OFFICE OR POSITION HELD:
Convention Center Drive
Commissioner
ZIP: COUNTY:
LMiami
FOR QUARTER ENDING (CHECK ONE): YEAR
Beach 33139 Miami -Dade
❑MARCH VJUNE ❑SEPTEMBER ❑ DECEMBER 20
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
RECEIVED
DESCRIPTION
OF GIFT
MONETARY
VALUE
NAME OF PERSON
MAKING THE GIFT
ADDRESS OF PERSON
MAKING THE GIFT
See Attached
See Attached
See Attached
See Attached
See Attached
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 STATE OF FLORIDA
COUNTY OF "I n,p'i"oa
depose on oath or affirmation and say that the information disclosed Swor o (or affirmed) and subscribed before me by means of
hysical presence or ❑ online notarization, this
herein and on any attachments made by me constitutes a true accurate, O j day of TAT 20 Z
and total listing of all gifts required to be reported by Section 112.3148, I by
Florida Statutes. 7 Ld
(Signatur of N Public -State of Florida)
SIGNA�, EP TING OFFI I
(Print, Type, or Stamp C missioned Name of Notary Public)
Personally Known V OR Produced Identification
Type of Identification Produced
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) '15'
o_ I
w 19
Date
Description of Gift
Monetary
Name of Person
Address of Person
Received
Value
Making the Gift
Making the Gift
04/06/2022
Bitcoin 2022
$2,399 x 2
BTC
contact@btcmedia.org
04/08/2022
Miami Beach Pride VIP
$145 x 2
Miami Beach Pride
1210 Washington Ave
Beach Affair
Suite 210
04/09/2022
2022 Kristi House's Annual
$500
Kristi House
Four Seasons, 1435
Gala - A Night in the
Brickell Avenue, Miami,
Tropics
FL 33131
04/10/2022
Miami Beach Pride
$250 x 2
Miami Beach Pride
1210 Washington Ave
Parade
Suite 210
04/14/2022
Better Beach Awards
Minimum of
Miami Beach
1920 Meridian Ave,
$100.00
Chamber of
Miami Beach, FL 33139
Commerce
05/05/2022
Carbone on the Beach
$3000.00 x 2
Major Food Group
�171 p��;��, e a
05/09/2022
Aspen Ideas Climate
$500 x 2
The Aspen Institute
2300 N Street, NW Suite
Conference
700, Washington, DC
20037
05/10/2022
Tour of the Alfred C.
Minimum of
UM Rosenthiel
The Rosenstiel School of
Glassell, Jr Sustain
$100.00
School, Alfred C.
Marine and
Laboratory Wind -Wave
Glassell Jr. Sustain
Atmospheric Science
Tank
Laboratory
4600 Rickenbacker
Causeway
Miami, FL 33149
05/10/2022
Aspen Conference:
$150 x 2
The Aspen Institute
2300 N Street, NW Suite
Aspen Ideas Climate
700, Washington, DC
Dinner at HaSalon
20037
06/12/2022
Michelin Star Launch
Minimum of
GMCVB
701 Brickell Ave #2700
Event
$100.00 x 2