Alina Hudak Form 9 QTR IIIMIAMIBEACH
OFFICE OF THE CITY CLERK
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, FL 33139
www.miamibeachfl.gov
Telephone: 305.673-7411
December 08, 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 September 2022, for the following City of Miami Beach Personnel:
• Alina T. Hudak — City Manager (City of Miami Beach)
Should you have any questions or require any additional information, please contact me at
305.673.7411.
Respectfully,
-/W
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:
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MAILING AD RESS:
OFFICE OR POSITION HELD:
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CITY: ZIP: COUNTY:
FOR QUARTER ENDI�NGSrHECK ONE): YEAR
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❑MARCH ❑JUNE 4; S PTEMBER ❑ DECEMBER 2o Z2 -
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
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by
(Signature of Notary Public -State of Florida)
r NAIMA DE PINEDO
olotary
(Print, Type, or 5
iar Public)
��rEation
all'
Personally KnowF,
❑ 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.
C`Y 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.
Si E OF REPORTING O I IAL
STATE OF FLORIDA_
11
��Ale-
COUNTY OF C11VI—
—
Sworn (or affirmed) and
subscribed before me by means of
ysical presence or
❑ nnline notarization, this
� day of
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r
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by
(Signature of Notary Public -State of Florida)
r NAIMA DE PINEDO
olotary
(Print, Type, or 5
iar Public)
��rEation
all'
Personally KnowF,
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ed 2
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) `0'
De Pinedo, Naima
From: OneCause <noreply@onecause.com>
Sent: Tuesday, September 6, 2022 11:30 AM
To: Hudak, Alina
Subject: Your Ticket Purchase Receipt from SAVE Foundation for 2022 SAVE Champions of
Equality Awards Gala
SAVE Foundation
2022 SAVE Champions of Equality Awards Gala ��E?
Alina Hudak
FL 33131
Thank you for purchasing tickets to SAVE's 2022 Champions of Equality gala benefitting the SAVE Foundation.
This event will take place on September 10, 2022 at the New World Center, 500 17th Street, Miami Beach, FL
33139.
Purchase Details
Description
General Admission (Ticket Qty: 1)
Subtotal:
Promo Codes Applied
GON22
Total:
Share this event with your friends! V3
Package Price Package Value Qty Amount
$200.00 $0.00 2 $400.00
$400.00
-$400.00
$0.00
Need to fill out ticket details later? Click here to log in and choose "Your Tickets" on the Menu!
Tax ID: 65-0836881
Tax Info: Please retain this receipt for your records. The amount of your contribution that is deductible for
federal income tax purposes is limited to the excess of money contributed over the fair market value of goods
or services provided by the organization.
If you have any questions regarding this receipt, please contact SAVE Foundation at orlando@save.lgbt.
I
City Clerk USPS CERTIFIED MAIL
9214 8901 9403 8398 0545 71
FLORIDA COMMISSION ON ETHICS
PO BOX 15709
TALLAHASSEE FL 32317-5709
Fold Here
Return Reference Number:
Username: Charles Dagostin
Code Violation #:
Court Case #:
Property Address
Permit ID #:
Custom 5:
Postage: $6.5700