Dominguez, Laura Form 9 Quarter I 2025M IAM I BEACH
OFFICE OF THE CITY CLERK
City of Miami Beach,1700 Convention Center Drive,Miami Beach,FL 33139
www.miamibeachfl.gov
Telephone:305.673.7411
June 13,2025
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 March 2025,for the following City of Miami Beach Personnel:
•Laura Dominguez -Commissioner
Should you have any questions or require any additional information,please contact me at
305.673.7411.
<(Rafael E.Granado
City Clerk
REGIS BARBOU
Attachments
REG:rq
Sent Certified Return Receipt
Form 9 QUARTERLY GIFT DISCLOSURE
(GIFTS OVER $100)
LA S T N A M E --F IR S T N A M E --M ID D LE N A M E :NA M E O F A G E N C Y :
Dominguez --Laura Ci tv of Miami Beach
M A ILI N G A D D R E S S :O F FIC E O R PO S IT IO N HE LD :
1700 Convention Center Drive Commissioner Group 2
C ITY :Z IP :C O U N TY :FO R Q U A R T E R EN D IN G (C H E C K O N E ):Y EA R
Miami Beach 33139 Miami-Dade 2 A RC H J U N E □S EPTEM BER O DECEM BER 2025
PART A-STATEMENT OF GIFTS
Please list below each gift ,the value of w hich you believe to exce ed $10 0,accepted by you during the ca lendar quarter fo r w hich this statem ent is
being filed.You are required to describe 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 these facts,other than the gift description,are unknow n or not applica ble,you should so state on the fo nn .As
explained m ore fu lly in the instructions on the reverse side of the fo rm ,you are not required to disclose gifts fro m 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.
D ATE D ESC R IPTIO N M O N ETARY NAM E O F PER SO N AD D R ESS O F PER SON
R E C E IV ED O F G IFT VALU E M A KIN G THE G IFT M A KING THE G IFT
1/3/2025 Oliver's Bistro Dinner $144.48 Michael Leake 1300 M onad Terra ce
M iam i beach FL 33139
1/23/2025 Bass Ball -MB Licket policy $1000+City of Miami Beach 1700 Convention Ct r D r
M iam i Beach FL 3313 9
1/25/2025 FOP Installation Dinner $100+City of Miami Beach 1700 Convention C tr D r
M iam i Beach FL 33139
2/2/2025 M ain Event Jew ish Federa tion $100+City of Miami Beach 1700 C onvention Ct r D r
D inner M iam i 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 w as provided to you by the person m aking the gift,you are required to attach a copy of that receipt to this
form .You m ay att ach an explanation of any differences betw een the info rm ation disclosed on this fo rm and the info rm ation on the receipt.
□CHECK HERE IF A RECEIPT IS ATTACHED TO THIS FORM
PARTC-OATH
I,the person w hose nam e appears at the beginning of this fo nn ,do
de pose on oath or affi rm ation and say that the info nn ation disclosed
herein and on any attachm ents m ade by m e co nstit utes a tru e acc urate,
and total listing of all gifts required to be reported by Section 112.3148,
FbOda~
S IG N AT U R E O F R EPO R TIN G O F F IC IA L
STATE O F FLO R IDA ,
cooNr or ±iaa-de
Sw orn to (or affi rm ed)and subscribed before m e by m eans ofLgphysicalpresenceor_online notarization,this .l>In"davof".2 025
(Print,Type,or Stam p Com m issi oned N an )ens
Personally Know n [_O R Produced]in]°
Type of Identifica tion Pro duced ''
blio4LICE S.LA
2560
6
urance
PART D FILING INSTRUCTIONS
T his form ,w hen duly signed and notarized,m ust be filed w ith the Com m ission on Ethics,P.O .D raw er 15709,Tallahassee,Florida 32317-5709;physi-
ca l address:325 John Knox R oad,Building E,Suite 200,Tallahassee,Florida 32303.The fo nn m ust be filed no later than the last day of the calendar
quarter that fo llow s the ca lendar quarter for w hich this form is filed (For exam ple,if a gift is received in M arch,it should be disclosed by June 30.)
C E FO R M 9 -EFF .1/2016 (R efer to R ule 34-7.010(1)(g)F.A.C .)(See reverse side fo r instru ct ions)"
Form 9 QUARTERLY GIFT DISCLOSURE
(GIFTS OVER $100)
LAST NAME --FIRST NAME --MIDDLE NAME:NAME OF AGENCY:
Dominguez --Laura Ci tv of Miami Beach
MAI LI NG ADDRESS:OFFICE OR POSITION HELD:
1700 Convention Center Drive Commissioner Group 2
CITY :ZIP:COUNTY :FOR QUARTER ENDING (CHECK ONE):YEAR
Miami Beach 33139 Miami-Dade 24 ARCH 0JUNE □SEPTEMBER □DECEMBER 2025
PART A-STATEMENT OF GIFTS
Please list below each gift,the value of which you believe to exce ed $100,accepted by you during the ca lendar 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 applica ble,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 sta tem ent 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
2/20/2025 South Beach W ine &Fo od Festival $1,500 City of Miami Beach 1700 Convention Ct r Dr
Tickets per city ticket policy Miami Beach FL 33139
3/14/2025 Power of the Purse Lunch $100+County Commissioner 111 NW 1st Street #2 20
Micky Steinberg Miam i FL 33128
3/18/2025 Irish Ambas sador Dinner at $100+W orld Affairs Council of 900 West Avenue #515
W olfsonian Miami 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 pro vided to you by the person making the gift,you are required to attach a copy of that receipt to this
fo rm .You may attach an explanation of any differences betw een the information disclosed on this form and the information on the receipt.
□CHECK HERE IF A RECEIPT 15 ATTACHED TO THIS FORM
PART 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 inform ation disclosed
herein and on any attachments made by me co nstitutes a true accurate,
and total listing of all gifts required to be reported by Section 112.3148,
3.SJGAfUREOF ~OFFI CIAL
STATE OF FLOR[DA .]couNnY or tu@nl La d
Sworn to (or affirm ed)and subscribed before me by means of
~physica l presence or Q_qouo e notarization,this133«roi Ione .o25
(Print,Type,or Sta~ommission
Personally Known OR Pr
Type of Identifica tion roduced
256
6
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-
ca l 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 ca lendar
quarter that follows the ca lendar quarter for which this form is filed (For example,if a gift is rece ived in March,it should be disclosed by June 30.)
CE FO RM 9-EFF.1/2016 (Refer to Rule 34-7.010(1)(g),FA.C.)(See reverse side for instructions)°
City of Miami Beach
City Clerk
1700 Convention Center Dr
Miami Beach Fl 33139
USPS CERTIFIED MAIL
1111111111111
9214 89019 4038318 936581
FLORIDA COMMISSION ON ETHICS
P.O.DRAWER 15709
TALLAHASSEE,FL 32317-5709
F old Here
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Usern am e:Regis Barbou
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