Loading...
Alina Hudak Form 9 QTR IICity of Miami Beach City Manager Office 1700 Convention Center Dr Miami Beach Fl 33139 USPS CERTIFIED MAIL I 1111111 I 9214 8901 9403 8328 9834 21 COMMISION ON ETHICS PO BOX 15709 TALLAHASSEE FL 32317-5709 Fold Here Return Reference Number: Username: Mae Soriano Code Violation # : Court Case #: Property Address :: Permit ID#: Custom 5: Postage: $7.1800 Form 9 QUARTERLY GIFT DISCLOSURE (GIFTS OVER $100) LAST NAME -- FIRST NAME -- MIDDLE NAME --T. MAILING ADDRESS ) CU D CIT. M-( t R NAME OF AGENCY Mt+At B? ( OFFICE OR POSITION HELD CATV RI4M ZIP: COUNTY. M-(e FOR QUARTER ENDING (CHECK ONE) JMARCH SQUNE SEPTEMBER O DECEMBER YEAR 2023 PART A- STATEMENT OF GIFTS Please list below each gift, the value of which you believe to exceed $100, accepted by you during the ca lendar 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 m ore fully in the instructions on the reverse side of the fo rm , 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 DESCRIPTIO N MONETARY NAME OF PERSON ADDRESS OF PERSON REC EIVED OF GIFT VALUE MAKING TH E GIFT MAKING TH E GIFT Ng KnouM- re«le Ma ani i $ 2el/Ave. ¢-¢-23 Din er v lg 'kanor o- C on 54e IO <-u&nu 333i r Ae "1 ·to@ h, eh [t o,o r Gil iv@ / n\4 co t ....... tee'zh) to d+ A, p« J &t o h □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 fo rm . You m ay attach an explanation of any differences between the info rmation disclosed on this form and the info rmation on the receipt. □CHECK HERE IF A RECEIPT IS ATTACHED TO THIS FORM PARTC-OATH I, the person w hose nam e appears at the beginning of this form , do depose on oath or affi rm ation and say that the info rm ation disclosed herein and on any attachm ents m ade by m e constitutes a true accurate, and total listing of all gifts required to be reported by Section 112.3148, Florida Statutes. r. t SIGNATU REPOR TI N G OFFICIAL STATE OF FLORIDA couNrv or 1IBAiL- 2j\OE >w op to (or affirm ed) and subs cribed before me by means of 06vggere·g<,"mess s 5 r' aa»yon Splenber2..> » Paa T,_Hi dak lace e fad, (Signature of Notary Public-State of Florida) o! NAIMA DE PINEDO of Notary Public) ication PART D FILING INSTRUCTIONS This fo rm , when duly signed and notarized, m ust be filed with the Com m ission on Ethics, P.O. Drawer 15709, Tallahassee, Florida 32317-5709; physi- cal address: 325 John Knox Road, Building E, Suite 200, Tallah assee, Florida 32303. The form must be filed no later than the last day of the calendar quarter that fo llow s the calendar quarter fo r which this fo rm is filed (For exam ple, if a gift is received in March, it should be disclosed by June 30.) CE FORM 9- EFF 1/2016 (Ref er to Rule 34-7.010(1)(g). FA.C.) (See reverse side for instructions) GEATER MIAMI CHAMBER OF COMMERCE MILITARY AFFAIRS COUNCIL Please join us in honoring Adm. Brendan McPherson, Commander, 7 Coast Guard District, on his departure and welcoming his successor, Adm. Douglas Schofield Tuesday, June 6, 2023 (D-Day) 6:30 pm Reception 7:00 pm Dinner Coral Reef Yacht Club 2484 South Bayshore Drive Coconut Grove (This inviation is intended for the addressee and is non-transferable) This is made possible by the generosity of the Carricarte Family RSVP by May 31° to donslesnick@scllp.com 2