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Steven Meiner Form 9 QTR IVMI AM I BE A CH OFFICE OF THE CITY CLERK City of Miami Beach, 1700 Convention Center Drive, Miami Beach, FL 33139 www.miamibeachfl.gov Telephone: 305.673.7411 March 31, 2023 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 Forms (9), for the quarter ending December 2022, for the following City of Miami Beach Personnel: • Steven Jay Meiner - Commissioner • Alejandro (Alex) Jesus Fernandez - Commissioner Should you have any questions or require any additional information, please contact me at 305.673.7411. Respe,y, Rat E. Granado City Clerk Attachment Sent Certified Return Receipt f \ City Clerk 1700 Convention Center Drive iami Beach FL 33139 USPS CER TIFIED M A IL I I 111111 9214 8901 9403 8309 3969 67 FLORIDA COMMISSION ON ETHICS PO BOX 15709 TALLAHASSEE FL 32317-5709 } Here eturn Reference Number: sername: Patrick Camm ode Violation # : ourt Case#: roperty Address :: ermit ID#: ustom 5: ostage: $6.8500 Form 9 QUARTERLY GIFT DISCLOSURE (GIFTS OVER $100) LAST NAME -- FIRST NAME -- MIDDLE NAME: NAME OF AGENCY: Meiner, Steven Jay Citv of Miami Beach MAILING ADDRESS: OFFICE OR POSITION HELD: 1700 Convention Center Drive Citv Commissioner CITY: ZIP: COUNTY: FOR QUARTER ENDING (CHECK ONE): YEAR Miami Beach 33139 Miami Dade □MARCH O,JUNE ISEPTEMBER ?'DECEMBER 2022 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 11/29/2022 Art Basel Tickets Over$100 City of Miami Beach 1700 Convention Center Drive, (exact amount Miami Beach, FL 33139 unknown) per city policy 12/13/2022 Gift of Life Dinner Over $100 City of Miami Beach 1700 Convention Center Drive, (exact amount Miami Beach, FL 33139 unknown) per citv policv □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 snore or Fog COUNTY OF .AA» fl-DNE depose on oath or affirmation and say that the information disclosed aJZ (or affirmed) and subscribed before me by means of {eones 9,9%8pg "on.we herein and on any attachments made by me constitutes a true accurate, day of r ) ,2o2-3 =#j aod total "'ZZ°' all gms rnq~,ortad :' SacUoo 112.3148. by SB J lpse c gs ! v G (S;go~~ P,blic-Stat, of Florida) T:5 Florida $atyfes. - =Tgg A- // 22 4? &R / 3 8 SIGNATURE OF REPORTING OFFICIAL gl5a? (Print, Typo, or Stamp Cop~fissioned Namo of Notary Public) 3jg2 Personally Known _t __ OR Produced Identification 0 5,g Type of Identification Produced s 5";'%2, PART D FILING INSTRUCTIONS % ia: «d: hi. Ii This form, when duly signed and notarized, must be filed with the Commission on Ethics, P.O. Drawer 15709, Tallahassee, Florida 32317-5709; phy -#%:..4i% 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 calen 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) "@ .:,