Dan Gelber Form 9 QTR IIIM IA M I B E A C H
O FFIC E O F TH E C ITY C LERK
C ity of M iam i Beach, 17 0 0 C onvention C enter Drive, M iam i Beach, FL 33 13 9
www .miam ibe achtl ,_g ov
Telephone: 30 5.6 7 3.7 4 11
January 05, 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 September 2023, for the following City of Miami Beach Personnel:
• Dan Gelber- Mayor (City of Miami Beach)
Should you have any questions or require any additional information, please contact me at
305.673.7411.
R especn
Rafael l,anado,
City Clerk
Attachment
REG:cd
Sent Certified Return Receipt
F o rm 9 QUARTERLY GIFT DISCLOSURE
(GIFTS OVER $100)
LAST NAME -- FIRST NAME -- MIDDLE NAME NAME OF AGENCY:
Gelber Dan Mayor & Commission Office
MAILING ADDRESS: OFFICE OR POSITION HELD:
1700 Convention Center Dr.
CITY: ZIP: COUNTY: FOR QUARTER ENDING (CHECK ONE): YEAR
M iami Beach 33139 Fl. □MARCH JUNE SEPTEMBER O DECEMBER 20 -
PA R T A STATEM E N T O F G IFT S
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
See Attached Document
□CHECK HERE IF CONTINUED ON SEPARATE SHEET
P A R T B R E C E IP T P R O V ID E D BY PE R S O N M A K IN G TH E G IFT
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 IS ATTACHED TO THIS FORM
PA R T C O A TH
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. w,t-.
STATE OF FLOR I D) »,a '
COUNTY OE /}t vl A €
rmed) and subscribed before me by means of
es ens _a2
---~~--=----
rida)
SIGNATURE OF REPORTING OFFICIAL (Print, Type, or Stars mfmi
Personaly Known _fN o
L J_'.T~y~pe~of~l~de~n~t~ifi_:ca~t~io:n~P:r~od~u~ce~~~~~~~~~;;;:~:~~~ ilers
5
PA R T D - FILING IN S T R U C TI O N S
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). F.A.C.) (See reverse side for instructions) @
DATE
7/4/2023
8/23/2023
9/26/2023
GIFT
Miami Beach Classical Music Festival 10th Anniversary Celebration
Miami Jewish Film Festival//Opening of GOLDA (4) tickets
US conference of Mayors
ESTIMATED VALUE
$71.20
$182.59
City Clerk USPS CERTIFIED MAIL
1 1 1 1 111 1 1 I
9214 8901 9403 8344 0412 28
FLORIDA COMMISSION ON ETHICS
PO BOX 15709
TALLAHASSEE FL 32317-5709
Fold Here
Return Reference Number:
Usern ame: Charles Dagostin
Code Violation # :
Court Case #:
Pro perty Address : :
Permit ID#:
Custom 5:
Postage: $7 .1800