Statement of Financial Interest
FORM 1 STATEMENT OF 2002
Please print or type your name, mailing I FINANCLALINTERESTS I
address, agency name, and posllion below:
LAST NAME -FIRST NAME -- MIDDLE NAME: FOR OFFICE
Sopher Jacob 1. USE ONLY:
MAILING ADDRESS:
-
1500 Bay Foad #514 .
ID Code -
CITY: ZIP: COUNTY :
M;.::lm; ..... -'- Miami -Dade IDNo. e> <3 ~
33139 ~
NAME OF AGENCY: ../... ~
Conf. Code Cl "*0 (')
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NAME OF OFFICE OR POSITION HELD OR SOUGHT: P. Req. Code cJ' L
Miami Beach Conmissioner Group IV ~ -()
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CHECK IF ~ CANDIDATE OR D NEW EMPLOYEE OR APPOINTEE ~ s:-
.,
~ e9F 2002
~ -
"*THIS SECTION MUST BE COMPLETED"
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 (check one):
[i] DECEMBER 31, 2002 QB D SPECIFY TAX YEAR IF OTHER THAN THE CALENDAR YEAR:
MANNER OF CALCULATING REPORTABLE INTERESTS:
THE LEGISLATURE ALLOWS FILERS THE OPTION OF USING REPORTING THRESHOLDS THAT ARE ABSOLUTE DOLLAR VALUES, WHICH
REQUIRES FEWER CALCULATIONS, OR USING COMPARATIVE THRESHOLDS, WHICH ARE USUALLY BASED ON PERCENTAGE VALUES (see
instruclions for rurther details). PLEASE STATE BELOW WHETHER THIS STATEMENT REFLECTS EITHER (check one):
88I COMPARATIVE (PERCENTAGE) THRESHOLDS QB U DOLLAR VALUE THRESHOLDS
PART A -- PRIMARY SOURCES OF INCOME [Major sources or income to the reporting person]
NAME OF SOURCE SOURCE'S DESCRIPTION OF THE SOURCE'S
,..... 'M"OME \ ADDRESS PRINCIPAL BUSINESS ACTIVITY
--- -- -----------
~see kcrw .}-T~ ..~
------ -
--
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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' INCOME OF SOURCE ACTIVITY OF SOURCE
to.... .
-- -
-~ jJ ~rt A-cti-P b --_.
- '
---- .- -----
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PART C - REAL PROPERTY [Land, buildings owned by the reporting person] FILING INSTRUCTIONS for when
-""" and where to file this form are locat-
'----- ~ ed at the bottom of page 2.
;>' .---- ^.----:- ~ ~ INSTRUCTIONS on who must file
- - this form and how to fill it out begin
~ t::it:: /1LI !1Lf ( , I. .J "'- on page 3.
,
~ "-- OTHER FORMS you may need to
/" file are described on page 6.
\
CE FORM 1 - Eff. 112003 (Continued on reverse side)
PAGE 1 i
{~
. --
" ... ,
PART 0 - INTANGIBLE PERSONAL PROPERTY [Stocks, bonds, certificates of deposit, etc.]
TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES
PART E - LIABILITIES [Major debts]
NAME OF CREDITOR
ADDRESS OF CREDITOR
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
SIGNATURE (required):
WHAT TO FILE:
After completing all parts of this fonn, including
signing and dating it. send back only the first
sheet (pages 1 and 2) for filing.
NOTE:
MULTIPLE FILING UNNECESSARY:
Generally, a person who has filed Fonn 1 for a
calendar or fiscal year Is not required to file a
second Fonn 1 for the same year. However. a
candidate who previously filed Fonn 1 because
of another public position must at least file a copy
of his or her original Fonn 1 when qualifying.
CE FORM 1 - Eff. 112003
TINUEO ON A SEPARATE SHEET, PLEASE CHECK HERE
DATE SIGNED (required): 9/5/2003
CTIONS:
WHERE TO FILE:
If you were mailed the fonn by the Commission
on Ethics or a County Supervisor of Elections
for your annual disclosure filing, retum the tonn
to that location.
Local offlcwslemployees file with the Supervisor
of Elections of the county in which they perma-
nently reside. (If you do not pennanently reside
in Florida, file with the Supervisor of the county
where your agency has its headquarters.)
State officers or specified state employees
file with the Commission on Ethics, P.O. Drawer
15709, Tallahassee, FL 32317-5709.
Candidates file this fonn together with their
qualifying papers.
To detennine what category your position
falls under, see the "Who Must File- Instructions
on page 3.
WHEN TO FILE:
Initially, each local officer/employee, stale
officer, and specified state employee must file
within 3D days of the date of his or her
appointment or of the beginning of employ-
ment. Appointees who must be confirmed by
the Senate must file prior 10 confinnalion, even
if that is less than 30 days from the date of
their appointment.
Candidates for pubHcly-elected local office
must file at the same time they file their
qualifying papers.
Thereafter, local officers/employees, slate
officers, and specified slate employees are
required to file by July 1st following each
calendar year in which they hold their posi-
lions.
Finally, at the end of office or employment,
each local officer/employee, state officer, and
specified state employee is required to file a
final disclosure fonn (Form 1F) within 60 days
of leaving office or employment.
PAG:4 ~
09/05/2003 14:51 FAX 212 223 0072
BECKER & CO. LLC.
Part A - Primary Sources of Income:
Source
Quik Park Garage Corp.
and Affiliates
J acco Realty u..c
Address
425 East 61'1 Street
New York, NY 10021
425 East 6111 Street
New York, NY 10021
Business Activity
Parking Garages
Apartment rentals and
cooperative apartment sales
~ 002/007
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09/05/2003 14:51 FAX 212 223 0072
, ,
Part B - Secondaly Sources of Income:
None
BECKER & CO. LLC.
~ 003/007
qtb
09/05/2003 14:51 FAX 212 223 0072
Part C - Real Property;
CommeIcial Properties (15)
Located in Miami. Florida
and Miami Beach. Florida
(Details to be provided by
amendment to this Form 1)
Condominium Apartment #141
125 Jefferson Ave.
Miami Beach, Florida
Condominium Apartment
42201 Fisher Island Drive
Fisher Island. Florida
BECKER & CO. LLC.
~ 004/007
s~~
09/05/2003 14:51 FAX 212 223 0072
Part D - Intanpble Personal Pro,perty:
Type of Intan~ble
Stock., LLC Membership
Interests and Partnership
Interests
LoanlNotes Receivable
BECKER & CO. LLC.
Business Entity to Which the Property Relates
Quik Park Garage Corp. and Affiliates
Quik Park Garage Corp. and Affiliates
~ 005/007
~ ~ t
09/05/2003 14:51 FAX 212 223 0072
BECKER & CO. LLC.
~ 006/007
Part E - Liabilities:
None
j.,q
09/05/2003 14:51 FAX 212 223 0072
Part F: Interests in Specified Businesses:
None
.bI1JSDJS<1OStnm9503
BECKER & CO. LLC.
III 007/007
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