Kristen Rosen Gonzalez Form 9 QTR IOFFICE OF THE CITY CLERK
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, FL 33139
www.miamibegchfl,gov
Telephone 305.673-7411
June 26, 2023
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 March 2023, for the following City of Miami Beach Personnel:
• Kristen Rosen Gonzalez - Commissioner (City of Miami Beach)
Should you have any questions or require any additional information, please contact me at
305.673.7411.
Respectfully,
Ra~Granado,
City Clerk
Attachment
REG:cd
Sent Certified Return Receipt
Form 9 QUARTERLY GIFT DISCLOSURE
(GIFTS OVER $100)
LA ST NAM E -- FIRS T NAM E -- MI DDL E NAME: NAME OF AGENCY:
Rosen Gonzalez Kristen Citv of Miami Beach
MAILING ADDRESS: OFFICE OR POSITI ON HELD:
1700 Convention Center Dr. Commissioner
CITY. ZIP: COUNTY : FOR QUARTER ENDING (CHECK ONE): YEAR
Miami Beach 33139 Miami-Dade MARCH □JUNE □SEPTEMBER O DECEMBER 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 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 fonm , 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
01/26/23 2 Tickets to the annual $5000 The Bass Museum 2100 Collins Ave. Miami
Bass Ball Gala of Art Beach, FL 33139
03/28/23 2 Tickets to perfromance $270 Adrienne Arsht Center 1300 Biscayne Blvd.
My Fair Lady for the Performin g Art s Miami. FL 33130
03/04/23 2 Tickets to the annual $500 The Little Lighthouse 100 Biscayne Blvd.
Little Lighthouse Gala Foundation Suite 1607
Miami FL 33132
03/06/23 2 Tickets to Aspen $1,000 Aspen Institute 2300 N Street, NW
Suite 700
Conference Washington, DC 20037
D CHE CK 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 . Yo u m a y att ac h an exp la na tio n of an y diff e re n ces be tw e e n the info rm a tio n disclo se d o n th is fo rm an d th e information on the receipt.
~f CHE C K HE RE IF A RE CEI PT IS ATTACHED TO TH IS FO RM
PART C OATH
I, th e pe rso n w ho se na m e a p p e a rs at the beg in n in g of this fo rm , do
de p o se on oath or affi rm a tio n a nd sa y tha t the info rm atio n discl o se d
he re in and on any.,a tta chm e nts m ad e by m e co nstitutes a true accu ra te ,
an d total lisv\g 1'-4 '"~u ired to be rep o rt ed by S ectio n 112 .3 14 8 ,
Flo rid a S tatute{ y
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swr eor 0 %/aa- £+0y
c o u N T Y OF /UL rT ee t 'ld ?W9r to (or affi rm e d ) an d su b scribe d before m e by m e an s of p9teem=saeyr . 23 'z o1 da y of )Lu e 2 o_d
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Type of Id e ntifi catio n P ro
TIN
165705
,"PE}#is?pocember 14, 2025
Bonded -Thru Notary Public Undeniters
PART D - FILI NG 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 fonm must be filed no later than the last day of the calendar
q u a rt e r th a t fo llows 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 FO RM 9- E FF. 1/2016 (Refer to Rule 34-7.010(1)(g), FA.C.) (See reverse side for instructions) @°
If y o u h a v e a n y q u e s tio n s re g a rd in g y o u r o rd e r o r u p c o m in g v is it, p le a s e c a ll 3 0 5 .9 4 9 .6 7 2 2 fo r im m e d ia te
a s s is ta n c e . Y o u m a y a ls o re p ly to th is e m a il a n d a c u s to m e r se rv ic e re p re s e n ta tiv e w ill b e in to u c h w ith y o u
w ith in 2 4 -4 8 h o u rs .
Order Number:
Date:
5699749
11/3/2022
Email address:
Delivery Method:
Billing address:
kristen@miamibeachflgoy
Digital-True Ticket
4618 Alton Road Miami Beach,
FL 33140 USA
Order Details
Ticket Purchase
Performance: My Fair Lady
Performance Date/Time: Tuesday, March 28, 2023 8:00 PM
ZIFF BALLET OPERA HOUSE
Tier 1 Box Left: Box 15, Seat 3; Box 15, Seat 4
2 Group-Bundle @ $130.00
$260.00
ORDER TOTAL
Subtotal: $260.00
2223 BWY Group Fee >$32.99: $10.00
Total: $270.00
Please Arrive Early
Late seating is not guaranteed and will only be allowed at the discretion of the House Managers with
permission of artist management.
All guests entering the premises will be asked to pass through a metal detector and will be subject to bag
checks. Please allow extra time for this new process in your plans. Click here for a list of prohibited items.
Your safety is our top priority, and your patience is appreciated. Please visit our Center Policies page for
more information.
Getting to the Arsht Center
2
Please visit our Getting Here section of the website for directions, parking, public transportation and traffic
advisories for the day of your performance.
More helpful links:
Plan Your Visit
Frequently Asked Questions
General Theater Policies
Adrienne Arsht Center for the Performing Arts of Miami-Dade County
1300 Biscayne Blvd.
Miami, FL 33130
Box Office: 305.949.6722
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