OATH 9/6/2001
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C i SC'J -':J
f'l\ \2: \ l; LOYALTY OATH
_.,CANDIDATES WlTH NO PARTY AFFILIATION
,',; "r i' i~" i~ (Sec:ions 876.05-<176.10, F'a'<la SlaMes)
STATE OF FLORIDA
Miami-Dade
COUNTY
I, I
(~SE Pi'UHTJ
SCl.U\
K..
GRoss
Finrt Name Middle Name/1nttial 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 Cons'Jtution of the United States and of the State of Fiorida,
OATH OF CANDIDATE
(Sec:ia1 99,021, F'a'<la Stautes)
I, 5o..\l \ (,. ('0$$
(Pt..E.ASl! PRINT N.AME AS YOU 'MSH IT TO APPUR ON THE 8ALl..OT _ N.IMe MAY HOT BE 04AHGE.D AFTER Tl-lI! END OF QUAUfY1NG1
am a candidate for the office of l i-\"~ Lo k1 ~ LS)[9<1
(oflIce)
. I am a qualified elector of Miami-Oade
2-
NlA N1A
(dlslr1ct) (clf1:utt)
County. Florida,
(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
:HER.E
Sa.JZ K. if~
SlglUllUf'O al C."dl~
?-~oo
Mailing Address
f2IUWlI 10 t(l~
('30.>) 5)1-T}bt
Cay Phone
(7\))) S)2-D~17
Fu Humber
iI1\~ ~
City
FloV"lL.
Sl3tII
'33/'10
Zip COde
~~Ol
Dote SI
OS-OE 24B (Rev. 8/99)
FORM 1
STATEMENT OF
FINANCIAL INTERESTS
2000
:" ~:: ;'. -: ~ \
",~
LAST NAME FiRST NAME MIDDLE NAME:
Gross - Saul - K
NAME OF REPORTING P~RSON'S AGENCY: ".
Ci ty of MiamF Beach <: c""
-' I ; ,'.:: !!~
M~UNG ADDRESS:
2900 Flamingo Drive
CITY:
Miami Beach
ZIP:
33140
COUNTY:
Dade
CHECK ~ OF THE FOLLOWING (see'Who Must Fil~' on page 3):
o LOCAL OFFICER 0 STATE OFFICER
fj; CANDIDATE 0 SPECIFIED STATE EMPLOYEE
LIST OFFICE OR POSITION HELD OR SOUGH'!:
City Commissioner Group 2
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 THIS STATEMENT IS FOR THE PRECEDING TAX YEAR ENDING EITHER (cheel< one):
:J(. 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 (cheel< one):
~ 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]
NAME OF SOURCE SOURCE'S
OF INCOME ADDRESS
Streamline Pro erties
I"ashinaton Center Limit
Partnership
1125 Washington Avenue
d 1121-1151 Washington Ave
t ree
DESCRIPTION OF THE SOURCE'S
PRINCIPAL BUSINESS ACTIVITY
Real Estate
Owner of retail stores
Owner of retail stores
r,rand Trine Limited
Partnership
915-943 Washington Avenue
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
Streamline Properties emni South Beach, L.P. e O\'Ii1er of Office Buildi
'as g n n e I Retail store
Neno, nc.
Retail store
Restaurant
Retail store
PART C - REAL PROPERTY [Land, buildings owned by the reporting person]
FILING INSTRUCTIONS for
when and where to file this form are
located at the bottom of page 2.
stores
1121-1151 ,'lashington Avenue, 226-234 12th Street, Miami Beach
915-943 Washington Avenue, Miami Beach, Florida - stores
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 D - INTANGIBLE PERSONAL PROPERTY [Sloel<s, bonds, certificates of deposit, etc.]
TYPE OF INTANGIBLE B'~'~;N"~~~ ENTITY TO WHIr.H TH~ PROPERTY RELATES
InvestIrent Account Paine-~\lebber , Inc.
Invest:rrent Account National Financial Services, LIJ:
Invest:rrent Account E-Trade Se=ities, Inc.
Partnership Interest Washington Center Limited Partnership
Partnership Interest Grand Trine Limited Partnership
Stock Streamline Properties, Inc.
PART E - LIABILITIES [Major debts]
NAME OF CREDITOR ADDRESS OF CREDITOR
Colonial Bank 901 Arthur Godfrey Ibad, Miami Beach, FL 33140
PART F -INTERESTS IN SPECIFIED BUSINESSES [Ownership 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
ACTIVITY
POSITION HELD
WITH ENTITY
I OWN MORE THAN A 5%
INTEREST IN THE BUSINESS
NATURE OF MY
OWNERSHIP INTEREST
IF ANY OF PARTS A THROUGH F ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE Cl
SIGNATURE: 5Lt~ K. ~/ DATE SIGNED: q/S-;O[
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 and dating it, send back only the first on Ethics or a County Supervisor of Elections for specified state employee must file 'within 30
sheet (pages 1 and 2) for filing. your annual disclosure filing, return the form to days of the date of his or her appointment or of
that location. the beginning of employment. Appointees who
Local officers file with the Supervisor of must be confirmed by the Senate must file prior
to confirmation, even if that is less than 30
Elections of the county in which you permanently days from the date of their appointment.
reside. (If you do not permanently reside in
NOTE: MULTIPLE FILING UNNECES- Florida, file with the Supervisor of the county Candidates for publicty-elected 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 officers or specified state employees file lying 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 file this form together with your qual- by July 1 st 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.
To determine what category your position Finally, at the end of office or employment
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. sure form (Form 1 F) within 60 days of leaving
office or employment
CE FORM 1 - Elf. 1/2001
PAGE 2