Kristen Rosen Gonzalez Form 9 QTR ICity of Miami Beach
City Clerk
1700 Convention Center Dr
Miami Beach Fl 33139
USPS CERTIFIED MAIL
I 111111 1111
9214 8901 9403 8367 8985 02
FLORIDA COMMISSION ON ETHICS
PO BOX 15709
TALLAHASSEE FL 32317-5709
Fold Here
Return Reference Number:
Usern ame: Keila Mena Caceres
Code Violation # :
Court Case #:
Property Address ::
Permit ID#:
Custom 5:
Postage: $7.6000
F o rm 9 QUARTERLY GIFT DISCLOSURE
(GIFTS OVER $100)
LA S T N A M E -- F IR S T NAM E -- MI D DL E NA M E : NA M E O F A G E N C Y :
Rosen Gonzalez Kri sten Citv of M iami Beach
M A ILI N G A D D R E S S : OF F IC E O R PO SI TI ON HELD:
1700 Convention Center Drive Comm issioner
C ITY : Z IP : C O U N TY : FO R Q UA R TE R EN D IN G (CHECK ON E): YEAR
Miam i Beach 33139 FL MARCH JUNE □SEPTEMBER □DECEMBER 2024
PA R T A - STATE M E NT 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 fil e this statem ent fo r 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
01/04/2024 2 Tickets to South Beach exceeds $100 Lori Bakkum 1755 Meridian Ave, 5th Floor,
Jazz Festival Miami Beach FL 33139
01/25/2024 2 Tickets to The Bass Ball $7,500 Silvia Karman 2100 Collins Ave, Miami
Cubina Beach FL 33139
02/11/2024 3- Night Stay at Cozumel $725.14 Lucy Delgado Cantera Costera Sur KM 1.7,
CP77600 San Miguel de Hotel & Cozumel 0.R
02/22/2024 2 VIP Tickets to SOBE exceeds $100 Lee Brian Schrager 5802 Benjamin Center Dr.
Wine & Food Festival Ste 110, Tamp a FL 33634
□CHECK HERE IF CONTINUED ON SEPARATE SHEET
PA R T B -- R E C EI P T PR O V ID E D B Y P E RS O N M A K ING 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
PAR T C - O ATH
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 I(·sting of all gifts required to be reported by Section 112.3148,
' tor«a sat.\ My
, 1--a
SIG
srArE or FoRIDA· T} -IQ
couNTY or A±aS MOX,
syomn to (or affirmed) and subscribed before me by means of
J::::t•qil gresence or online notarization, this
--"-~-=""'-~---day of..:::,,,'-=""-"""...:.----· 2~--~N-'=1-----
(Print, Type, or Stamp Commissioned Name
Personally Known _k OR Produced Id
Type of Identification Produced l i
ALI CE 8.
g 0MM ISSIOI "72 56 0
EXPIRES: JUI !026
nded through 1st Insurance
PA R T D - FILI N G INS TR UCTIO NS
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 FOR M 9 - EFF. 1/2016 (R efer to Rule 34-7.010(1)(9), F.A.C.) (See reverse side for instructions) @