Commissioner Richardson Form 9 QTR IIOFFICE OF THE CITY CLERK
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, FL 33139
www.miamibeachfl.gov
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.
Respectful) ,
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
H-
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:
Richardson -Lance -David
City of Miami Beach
MAILING ADDRESS:
OFFICE OR POSITION HELD:
1700 Convention Center Drive
Citv Commissioner, Group 6
CITY: ZIP: COUNTY:
FOR QUARTER ENDING (CHECK ONE): YEAR
Miami Beach 33139 Miami -Dade
❑MARCH VJUNE ❑SEPTEMBER ❑ DECEMBER 20_Q
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
04/09/2022
Ancient Spanish Monastery Foundation 8th Legacy
Gala I for 1 for
$550.00
Greater Miami Convention
701 Brickell Avenue, Suite
(2 tickets total; ticket used self, ticket
aide)
and Visitor's Bureau
2700, Miami, FL. 33131
OS/06/2022
Carbone Dinner (2 tickets total. I ticket used for
for food
$6 000 00
Carbone Major Food Group
49 Collins Avenue, Miami
self, I ticket used distribution volunteer)
Beach. FL. 33139
05/09/2022
Informed Families (1 tickets used
$ 100.00+
Informed Families
12490 Coral Way, 3rd Floor
for self)
Miami, FL 33145
05/ 12/2022
Opening Night of "The Cuban Vote" (2 tickets
I for I for food
$200.00
The Colony Theatre
1040 Lincoln Road, Miami
total; ticket used self, ticket
Beach, FL. 33139
distribution volunteer)
I
I
I
Cy 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
Jel3Irsimi7A9:
I, the person whose name appears at the beginning of this form, do
STATE OF FLORI D 1 � _ ^
COUNTY OF �'�GJjI''I \�(1
4
depose on oath or affirmation and say that the information disclosed
orn to (or affirmed) subscribed before me by means of
herein and on any attachments made by me constitutes a true accurate,
phy 'cal presence or Q onl' notarization, this
day of {f 20
u.t
and total listing of all gifts required to be reported by Section 112.3148,
by
DAVAll
Florida Statutes.
(Signature of Notary Public -State of Florida)
C,
Q
L
ISIh
v
•h'3otJ ;�
SIGNAT OF REPO TING OFFICIAL
(Print, Type, or Stamp missioned Name of Notary Public)
Personally Known 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)
FORM 9 — Richardson — Lance — David
April, May, June 2022
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
05/19/2022
Association of
$100.00+
Miami -Dade
P.O. Box 531045,
Chief's of Police
County
Miami Shores, FL
Dinner (1 ticket
Association of
33153
total)
Chiefs of Police
05/22/2022
South Beach Jazz
$120.00
Power Access/
919 Washington
Festival Honors
South Beach Jazz
Avenue, Miami
and Awards
Festival
Beach, FL. 33139
Brunch (1 ticket
total)
05/28-29/2022
Hyundai Air & Sea
$100.00+
City of Miami
1700 Convention
Show (2 tickets, 1
Beach
Center Drive,
for self, and 1 for
Miami Beach, FL.
food distribution
33139
volunteer)
06/12/2022
MICHELIN:
$100.00+
Greater Miami
701 Brickell
Greater Miami
Convention and
Avenue, Suite
Event 2022 (1
Visitor's Bureau
2700, Miami, FL.
ticket for self)
33131