David Richardson Form 9 QTR II,·"BE A CH //\ HA//\l tt
O FFIC E O F TH E C ITY C LERK
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, FL 33139
www.miamibeach!l.gov
Telephone: 305.673.7411
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. 7 411.
"} .~.-.a
City Clerk
Attachment
Sent Certified Return Receipt
City Clerk
1700 Convention Center Drive
Miami Beach FL 33139
USPS CERTIFIED MAIL
II 11111111 1111
9214 890194038391419360
FLORIDA COMMISSION ON ETHICS
PO BOX 15709
TALLAHASSEE FLORIDA 32317-5709
Fold Here
Return Reference Number:
Username: Patrick Camm
Code Violation # :
Court Case #:
Property Address : :
Permit ID#:
Custom 5:
Postage: $6.8100
F o rm 9 QUARTERLY GIFT DISCLOSURE
(GIFTS OVER $100)
LAST NAME -- FIRST NAME -- MIDDLE NAME NAME OF AGENCY:
Richardson-Lance-David Citv of Miami Beach
MAILING ADDRESS: OFFICE OR POSITION HELD:
1700 Convention Center Drive City Commissioner, Group 6
CITY: ZIP: COUNTY: FOR QUARTER ENDING (CHECK ONE): YEAR
Miami Beach 33139 Miami-Dade □MARCH JUNE SEPTEMBER O 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
04/09/2022 Ancient Spanish Monastery Foundation 8th Legacy $550.00 Greater Miami Convention 701 Brickell Avenue, Suite Gala (2 tickets total ; I ticket used for self, I tick et for
aide) and Visitor's Bureau 2700, Miami, FL. 33131
05/06/2022 Carbone Dinner (2 tickets total. I ticket used for $6,000.00 Carbone Major Food Group 49 Collins Avenue, Miami
self, I ticket used for food distribution volunteer) Beach, FL. 33139
05/09/2022 Informed Families (I tickets used $100.00+ Informed Families 12490 Coral Way, 3rd Floor
for self) Miami, FL 33145
05/12/2022 Opening Nigh t of "Th e Cuban Vote" (2 tickets $200.00 The Colony Theatre 1040 Lincoln Road, Miami total; I ticket used for self, I ticket for food
distribution volunteer) Beach, FL. 33139
~ 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
PARTC-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.
2,,%.9'0w4 ± Me
?yorn to (or affirmed) and subscribed before me by means of
IAtphy~ presence or Don!~ i:;ot~ization, this
1? .d yof T .202d ]pg
, D, as
(Print, Type, or Stamp C missioned Name of Notary Public)
Personally Known OR Produced Identification
Type of Identification Produced -'
PART D - FILING INSTRUCTIONS
(Signature of Notary Public-State of Florida)
Me o So
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.)
C E FO RM 9 - EF F. 1/2016 (Refer to R ul e 34-7.010(1)(g) F A.C .) (See revers e side for instructions) @#
FORM 9 - Richardson- Lance - David
April, May, June 2022
PA RT A - STATEM ENT OF G IFTS {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 $100.0 0+ 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 $120.0 0 Power Access/ 919 Washington
Festival Honors South Beach Jazz Avenue, Miami
and Awards Festival Beach, FL. 3313 9
Brunch (1 ticket
total)
05/28-29/20 22 Hyundai Air & Sea $100.00+ City of Miami 1700 Convention
Sho w (2 tickets, 1 Beach Center Drive,
for self, and 1 for Miami Beach, FL.
food distribution 3313 9
volunteer)
06/12/2022 MICHELIN: $100.0 0+ Greater Miami 701 Brickell
Greater Miami Convention and Avenue, Suite
Event 2022 (1 Visitor's Bureau 2700, Miami, FL.
ticket for self) 3313 1