Kristen Rosen Gonzalez - Form 9 Quarter IICity Clerk
II
FLORIDA COMMISSION ON ETHICS
PO BOX 15709
TALLAHASSEE FL 32317-5709
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USPS CERTIFIED MAIL
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9214 8901 9403 8378 7996 38
MIAMIBEACH
OFFICE OF THE CITY CLERK
City of Miami Beach,1700 Convention Center Drive,Miami Beach,FL 33139
www.miamibegchf].goy
Telephone:305.673.7411
September 19,2024
Florida Commission on Ethics
P.O.Drawer 15709
Tallahassee,FL 32317-5709
Pursuant to Sec.112.3148,Florida Statutes,please find Quarterly Gift Disclosure State Form (9),
for the quarter ending June 2024,for the following City of Miami Beach Personnel:
•Kristen Rosen Gonzalez -Commissioner
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:DM
Sent Certified Return Receipt
Form 9 QUARTERLY GIFT DISCLOSURE
(GIFTS OVER $100)
LAST NAME --FIRST NAME --MIDDLE NAME:NAME OFAGENCY:Rosen Gonzalez,Kristen Citv of Miami Beach
MAILING ADDRESS:OFFICE OR POSITION HELD:1700 Convention Center Drive Commissioner
CITY:ZIP:COUNTY:FOR QUARTER ENDING (CHECK ONE):YEAR
Miami Beach 33139 FL IMARCH JUNE □SEPTEMBER □DECEMBER 202
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
04/25/24 2 Tickets to the Bass:$250.00 Silvia Kannan 2100 Collins Avenue
Night of the Museum Cubina Miami Beach,FL 33139
05/10/2024 2 Tickets to the Faena Art exceeds $100 Nicole Comotti 3201 Collins Avenue,
Gala Miami Beach FL 33140
a 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 IS ATTACHED TO THIS FORM
PART C -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,
quired to be reported by Section 112.3148,
STATE OF FLORIDA .couNTY or Moy_-Dde
Sworn to (or affinmed)and subscribed before me by means of6lo9elresenseorepoyggy,"is1Adayof_rplo 2oZd
»krisln Ros fnzalz
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PART D-FILING INSTRUCTIONS
This form,when duly signed and notarized,must befiled 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 quarterfor 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)(9),F.A.C.)(Seo reverse side for instructions)@°