OATH 9/4/01
01 SP .- L, F'C\ \2: I.; 2 LOYAL TY OATH
," '.'. ,> " ,,;~CANDIDATES WlTH NO PARTY AFFILIATION
'"', ,.' '.1 1 \ l, I: (Sectioos 876.05-876.10, F1aida Statutes)
STATE OF FLORlDA
Miami-Dade
COUNTY
(Pl..EASE PRJHT)
I,
DAVID
DERMER
First Name
Middle _nltlal
Last Name
a citizen of the State of Florida and of the United States of America, . .. and a candidate for public office. .. do
hereby solemnly swear or affirm that I will support the Constitution of the United States and of the State of Florida.
OATH OF CANDIDATE
(Sedicn 99.1l21, F1aida S1alutes)
I, DAVID DERMER.
IPI..EASE PRINT NAME AS YOO 'MSH IT TO APPEAR ON TME BALLOT _ NAME MAY NOT BE ~D AFTER Tl1E END a QUAUF'nNGI
am a candidate for the office of
MAYOR OF
THE CITY OF MIAMI
(office)
Miami-Dade
BEACH N1A NJA
(district) (circuit)
County, Florida.
. I am a qualified elector of
(group) . .
I am a qualified elector of the City of Miami Beach, Florida. I am qualified under the ordinances and Charter
of said City and under the Constitution and the Laws of Florida to hold the office to which I desire to be
nominated or elected. I have qualified for no other public office in the state, the term of which office or any
part thereof runs concurrent with the office I seek; and I have resigned from any office from which I am
required to resign pursuant to Section 99.012, Florida Statutes.
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING LOYALTY OATH AND OATH OF
CANDIDATE AND THAT THE FACTS STATED IN EACH ARE TRUE.
SIGN
:H:ER.E
Signstuf'8 of Candidate
2525 FLAMINGO PLACE, .
f 305) 532-0034
Cay Phone
(305 ) 674-859..2
Fax Number
Mailing Address
MIAMI BEACH
City
FLORIDA
Stal8
33140
Zip Code
09/04/01
Dote Signed
os-oe 246 (Rev.llI'J9)
/
F.ORM 1 STATEMENT OF 2000
.
FINANCIAL INTERESTC'
LAST NAME FIRST NAME MIDDLE NAME: NAME OF REPORTINC 1111I~lIrnll\lIllllllllllll1ll~111111
1 . . ' 1 , 1 I
DERMER DAVID David Dermer
MAILING ADDRESS: City of Miami Beach 20012727
1700 Convention Center Dnfve 1/1 CHECK Q.tl.E OF THE F . " .,
20012
Dtl\'IJ Dl~",lCr laI LOCAL OFFICER 0 STATE OFFICER
Miami Beach J 700 Convenlion Center Drive FL 33139 0 CANDIDATE 0 SPECIFIED STATE EMPLOYEE
CITY: -ITh Floor LIST OFFICE OR POSITION HELD OR SOUGHT:
,\iiow; LJeach . FL JJ139-{)OO Mayor of Miami Beach
DISCLOSURE PERIOD:
THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR THE PRECEDING TAX YEAR, WHETHER BASED ON A CALENDAR YEAR OR ON
A FISCAL YEAR. PLEASE STATE BELOW WHETHER ,HIS STATEMENT IS FOR THE PRECEDING TAX YEAR ENDING EITHER (check one):
n DECEMBER 31, 2000 QB 0 SPECIFY TAX YEAR IF OTHER THAN THE CALENDAR YEAR:
MANNER OF CALCULATING REPORTABLE INTERESTS:
PRIOR TO 2001, THE THRESHOLDS FOR REPORTING FINANCIAL INTERESTS WERE COMPARATIVE, USUALLY BASED ON PERCENTAGE VAL-
UES. BEGINNING IN 2001, THE LEGISLATURE HAS ALLOWED FILERS THE OPTION OF USING REPORTING THRESHOLDS THAT ARE ABSOLUTE
DOLLAR VALUES, WHICH REQUIRES FEWER CALCULATIONS (see instructions for further details). PLEASE STATE BELOW WHETHER THIS STATE.
MENT REFLECTS EITHER (check one):
fi COMPARATIVE (PERCENTAGE) THRESHOLDS (old method) QB 0 DOLLAR VALUE THRESHOLDS (new method)
PART A - PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person] Percentage of total Income
NAME OF SOURCE SOURCE'S DESCRIPTION OF THE SOURCE'S
OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY
ROSE DERMER IV TRUST 2525 Flamingo Place, M.B. FL 33140 N.Y.C RENTAL PROPERTY
DERMER RESIDUARY TRUST 2525 Flamingo Place, M.B.FL 33140 N.Y.C RENTAL PROPERTY
~--
PRUDENCE INVESTMENTS, INC. 2525 Flamingo Place, M.B.FL 33140 IiglJ:tX~t~J:1!l SharesMi"~i
PRUDENCE DEVELOPMENT INC. 2525 Flamino:o Place .M.B. FL 33140 ~~~:~~1:1~~P~~~~~ Miami
DIVIDENTS NEW YORK STOCK EXCHANGE NEW YORK
336 LEXINGTON AVE. NEW YORK, NEW YORK RENTAL PROPERTY
DAVID DERMER LAW OFFICES 1111 LI LN ROAn. l-L H. l'T.
PART B - SECONDARY SOURCES OF INCOME [Major customers, clients. and other sources of income to businesses owned by the reporting person]
NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS
BUSINESS ENTITY OF BUSINESS'S INCOME OF SOURCE ACTIVITY OF SOURCE
. (:)
0.." ;'.;J
IN/A ...' (/)
~ .:...,' :.;
:.~.
C. .;:- ;Ii
. - CJ -......::
-
PART C - REAL PROPERTY (Land. buildings owned by the reporting person] FILING INSTRUCT!ONS:Iar
when and where tq fiI$".lt1is form are
6700-6762 NW 72 Avenue, Miami,FL (OWNED BY PRUDENCE INVESTMENTS located at the botlbm of page 2.
INC) NONE VOTING SHARES LISTED ABOVE INSTRUCTIONS on who must file
this form and how to fill it out begin
on page 3 of this packet. ..
OTHER FORMS you may need to
file are described on page 6.
CE FORM 1 . Eft. 1/2001
(Continued on reverse side)
. PAGE 1
PART 0 - INTANGIBLE PERSONAL PROPERTY {Stocks, bonds. certificates of deposit, eIC.) I Tt-o~ PR"'P~PTY R~I A,T~"
TYP~;:;;; INTANC,IP' -~ D' , ~"TiTY T
~_._..
.. ~ -'
.
"In
~
;;::, ,
,,., ,
I
'3 ,,1 ,
'j i
..'
PARTE - LIABILITIES [Major debts] ,-~
~ -
NAME OF CREDITOR ADDRESS OF CREDITOR ./. - . :::::
2525 Flamingo Place, M.B. FL " i-,oJ C1 !
YAFFA DERMER -,
~ ~
~-j N
.,'.'
PART F - INTERESTS IN SPECIFIED BUSINESSES [ONnership or positions in certain types of businesses]
BUSINESS ENTITY # 1 BUSINESS ENTITY # 2 BUSINESS ENTITY # 3
NAME OF
BUSINESS ENTITY
ADDRESS OF
BUSINESS ENTITY
PRINCIPAL BUSINESS N/A
ACTIVITY
POSITION HELD
WITH ENTITY
I OWN MORE THAN A 5%
INTEREST IN THE BUSINESS
NATURE OF MY
OWNERSHIP INTEREST
IF A{yloF/P~RTS A THROUGH F ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE 1:1
SIGNATU~: ~- DATE SIGNED: ~/Of
I
'=7
FILING INSTRUCTIONS:
.
WHAT TO FILE: WHERE TO FILE: WHEN TO FILE:
, After completing all parts of this form, including If you were mailed the form by the Commission Initially. each local officer, state officer, and
signing an~ dating it, send back only the first on Ethics or a County Supervisor of Eledions for specified state employee must file within 30
sheet (pages 1 and 2) for filing. your annual disdosure filing, return the form to days ofthe date of his or her appointment or of
that location: the beginning of employment. Appointeesowho
Local officers file with the Supervisor of must be confirmed by the Senate must file prior
Eledions of the county in which you permanently to confirmation, even if that is less than 30
reside. (If you do not permanently reside in days from the date of their appointment.
NOTE: MULTIPLE FILING UNNECES- Florida, file with the Supervisor of the county Candidates for publicly-eleded local office
SARY: where your agency has its headquarters.) must file at the same time they file their quali.
Generally, a person who has filed Form 1 for a State offlcers or specified state employees file tying papers.
calendar or fiscal year is not required to file a sec- with the Commission on Ethics, P.O. Drawer Thereafter, local officers, state officers, and
ond Form 1 for the same year. However, a candi- 15709, Tallahassee, FL 32317-5709. specified state employees are required to file
date who previously filed Form 1 because of Candidates tile this form together with your qual- by July 15t following each calendar year in"
another publiC position must at least file a copy of which they hold their positions.
his or her original Form 1 when Qualifying. ifying papers.
Finally, at the end of office or employment
To determine what category your position each local officer, state officer. and specified
falls under, See the 'Who Must File" Instructions state employee is required to file a final disclo-
on page 3. sur. form (Form 1 F) within 60 days of leaving
office or employment.
DAVID DERMER
,
CE FORM 1 . Eft. 1/2001
PAGE 2
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