David Richardson QTR IV Form 9O FF IC E O F T H E C ITY C L E R K
C ity o f M ia m i B e a ch , 17 0 0 C on v en t i on C e n te r D riv e , M ia m i B e a c h , F L 3 3 1 3 9
www .m ia m ib e a c h fl .g o v
T e le p h o n e : 3 0 5 .6 7 3 -7 4 1 1
December 04, 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 December 2023, for the following City of Miami Beach Personnel:
• David Richardson - Commissioner (City of Miami Beach)
Should you have any questions or require any additional information, please contact me at
305.673. 7411.
Respectfully,
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 -- MI DDLE NAME: NAME OF AGENCY
Richardson-Lance-David City of Miami Beach
MAILING ADDRESS: OFFICE OR POSITION HELD:
1700 C o n v en tion C enter Drive City Comm issioner, Group 6
CITY : ZIP: COUNTY : FOR QUARTER ENDING (CHECK ONE): YEAR
M iam i B each 3313 9 M iam i-D ad e □MARCH JUNE □SEPTEMBER 0ECEMBER 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 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
10/01/2023 "Golden Anniversary Gala" (I $150.00 The Animal Welfare 2601 SW 27th Avenue,
ticket used for self) Society of Florida Miami, FL 33133
10/07/2023 Cuban Association of Civil Engineers $250.00 CES Consultants, Inc. 880 SW 145th Avenue,
"Engineer's Day" Gala (! ticket used for self) Pembroke Pines, FL 33027
10/13/2023 "Cherry Blossom Sky Gala"(! $1,000.00 Dr. Doug Hornsby and 2412 County Club Prado
ticket used for self) Sissy Shute Coral Gables, FL 33134
10/14/2023 National LGBTQ Task Force Gala $1,000.00 City of Miami Beach 1700 Convention Center Drive,
(2 tickets total) Miami Beach, FL 33139
~ CHECK HERE IF CONTINUED ON SEPARATE SHEET
PART B RECEIPT PROVIDED BY PERSON MAKING THE GIFT
If any receipt for a gift listed above was provided to you by the person making the gift, you are required to attach a copy of that receipt to this
form. You may attach an explanation of any differences between the information disclosed on this form and the information on the receipt.
□CHECK HERE IF A RECEIPT 15 ATTACHED TO THIS FORM
PARTC-OATH
I, the person whose name appears at the beginning of this form, do
depose on oath or affirmation and say that the information disclosed
herein and on any attachments made by me constitutes a true accurate,
and total listing of all gifts required to be reported by Section 112.3148,
sore oroso,- [)AD)~ couNror 1 y/M p- , )JI
or affirmed) and subscribed before me by means of
ence or nline notariz tion, this ~3
1/ll _ _,20do
1
, _C· atur0_ f Notary Public-State of Florida)
f$AC [aT] seeper=pee = n3
) , .i' 2Ex».. CHARLES J. DAGOST
(Print, Type, or Stamp Commissi s¥ '~j ot#y COMMISSION # HH 1$5705
Personally Known _ OR Pr4 zfJica/PIRES: December 14, t025
Type of Identification Produced :;%°' jrwriters
PART D FILING 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 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.)
CE FORM 9-EFF 1/2016 (Refer to Rule 34-7.010(1)g), FA.C.) (See reverse side for instructions) 9"
FO R M 9- Rich ardso n - Lanc e - D avi d
O cto b e r, N o ve m ber, D e ce m b e r 2023
PA R T A -S T A T EM EN T O F G IFT S (C o ntin ue d )
D A T E D ESCR IPT IO N M O N ETA RY N A M E O F PER SO N A D DRESS O F
R EC EIV ED O F G IFT V A LU E M A KIN G TH E GIFT PER SO N
M A K ING TH E G IFT
10/20/2023 M ia m i City Balle t $468.00 M iam i City Ballet 2200 Libert y
Se ason O p en ing A venue, M iam i
Perf orm ance (2 Beach, FL 3313 9
tic kets to tal, 1 fo r
se lf, an d 1 fo r
fo o d distributio n
vo lun teer)
10/24/2023 3" An nu al C -N o te $200.00 City of M iam i 1700 Co nvention
D inn er in su ppo rt Beach Center D rive,
of the City's M iam i Beach, FL
Breast C an ce r 33139
A w areness M o nth
(2 ti ckets, 1 fo r
se lf, an d 1 fo r
fo o d distribu tio n
vo lun teer)
10/30/2023 G ift of Life $1000.00 City of M iam i 1700 Co nvention
Fo u n d atio n "O n e Beach Center D rive,
H ug e N ig h t M iam i M iam i Beach, FL
G al a" (1 tick e t fo r 33139
se lf)
11/02/2023 T he Rh ythm $425.00 C ity of M iam i 1700 Conventio n
Fo und atio n G ala Beach Center Drive,
(1 tic ket fo r se lf) M iam i Beach, FL
33139
City Clerk USPS CERTIFIED MAIL
11111111 I
9214 8901 9403 8340 7047 76
FLORIDA COMMISSION ON ETHICS
PO BOX 15709
TALLAHASSEE FL 32317-5709
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Username: Charles Dagostin
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