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Ricky Arriola Form 9 QTR IOFFICE OF THE CITY CLERK City of Miami Beach, 1700 Convention Center Drive, Miami Beach, FL 33139 www .miamibeach[l,gov Telephone: 305.673-7 411 June 02, 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: • Ricky Arriola - Commissioner (City of Miami Beach) Should you have any questions or require any additional information, please contact me at 305.673. 7 411. Respectfully, 2! Rafael E. Granado, City Clerk Attachment REG:cd Sent Certified Return Receipt Form 9 QUARTERLY GIFT DISCLOSURE (GIFTS OVER $100) LA ST NAME -- FIRST NAM E -- MIDDLE NAME: NAME OF AGENCY: ARR IO L A , JO S E (R IC K Y ) C IT Y O F M IA M I B E A C H MAILING ADDRESS: OFFICE OR POSITION HELD: 1700 C O N V E N T IO N C E N T E R D R IV E C O M M ISSIO N E R CITY : ZIP: COUNTY : FOR QUARTER ENDING (CHECK ONE): YEAR M IAM I B E A C H 33139 M IA M I-D A D E 2MARCH □JU N E □SEPTEM BER O DEC EM BER 203 PART A- STATEMENT OF GIFTS P le ase list be low eac h gift, the value of w hich you believe to exceed $100, accepted by you during the ca lendar quarter fo r w hich this statem ent is being file d . Y ou are requ ired to describ e the gift and state the m onetary value of the gift, the nam e and address of the person m aking the gift, and the date (s) the gift w as received . If any of the se facts, other than the gift description, are unknow n or not applicable, you should so state on the fo rm . As expla ine d m o re fully in the instru ctions on the revers e side of the fo rm , you are not required to discl ose gifts from relatives or certain other gifts. You are not required to file this statem ent fo r any calendar quarter during which you did not receive a reportable gift. D AT E D E S C R IP T IO N M O N ETARY N AM E O F PER SO N AD D R ESS O F PER SO N R E C E IV E D O F G IFT VALU E M A KIN G TH E G IFT M AKING TH E G IFT 2/15/23 DISCOVER BOATING MIAMI INT. BOAT $240 INFORMA MARKETS I 650 SE 17th Street SHOW Suite 412, Fort Lauderdale, FL 33316 BOAT SHOW TICKETS 2/13/2023 SOUTH BEACH FOOD AND $650 LEE SCHRAGER 1600 NW 163rd St. WINE TICKETS Miami, FL 33169 2/18/2023 BEAUTY AND THE BEAST $330 AREA STAGE 5701 SUNSET DRIVE TICKETS MIAMI FL.33143 SUITE 286 □CHECK HERE IF CONTINUED ON SEPARATE SHEET PART B - RECEIPT PROVIDED BY PERSON MAKING THE GIFT If any re c eip t fo r a gift listed abo ve w a s pro vide d to you by the person m aking the gift , you are required to att ach a copy of that receipt to this fo rm . Y ou m a y att a ch an exp la n atio n of any differences betw een the info rm ation discl osed on this fo rm and the info rm ation on the receipt. □CHECK HERE IF A RECEIPT 15 ATTACHED TO THIS FORM PARTC-OATH I, the pe rson w h ose na m e ap p ea rs at the be g inning of this form , do de p ose on oath or affi rm a tio n and say that the info rm ation discl osed he rein an d on any attachm e nts m ade by m e constitutes a true accurate, and total listin g of all gifts re qu ired to be rep o rt ed by Section 112.3148, "ea- s1G NWruREe Or REPORTING OFFICIAL STATE OF FO R8 JD )), \4\ cou or /dL//l / DA Som t o (or air&G) a~ s s cribe d befor e m e by m ean s of l phy sical pre senc e or l] online notarization, this lb dayof Noy 2 0-> » ,gos Rieg Ch id Ka.o ) (Si gn at ur e 6f Not ary 94b lic 8)ate of Flor ida) 0MM#UP ' KA .g3%jg., GUAD AL UPE C. RAM OS ? : MY COMMISSION # GG 9858 73 %j, .s; EXPIRES: September 8, 2024 $jg Bonded Thru Notary Public Underwrit ers '(P rint, Type, or Stamp Com missi oned Nam e of Notary Public) 0~. Personally Known _X_OR Produced Identifica tion / ) _ Typ e of Identification Pro duce d f y " PART D FILING INSTRUCTIONS T his fo rm , w h e n duly sig n e d and notarized , m ust be filed w ith the C om m ission on Ethics , P.O . Dr a w er 15709, Tallah assee, Florida 32317-5709; ph ysi- cal add ress: 325 Jo h n K no x R oad , B uild ing E, S uite 200, Tallahassee, Florida 32303. The fo rm m ust be fil ed no later than the last day of the calendar qu a rt er that fo llow s the cale nd ar qu arte r fo r w hich this fo rm is filed (For exam ple, if a gift is received in M arch, it should be discl osed 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) @ City Clerk USPS CERTIFIED MAIL I 11111111 9214 8901 9403 8317 7794 79 FLORIDA COMMISSION ON ETHICS PO BOX 15709 TALLAHASSEE FL 32317-5709 Fold Here Return Reference Number:Ricky Arriola Gift Disclosure Username: Charles Dagostin Code Violation # : Court Case #: Property Address :: Permit ID#: Custom 5: Postage: $6.8500