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Form 1 Statement of Financial Interests 2005 FORM 1 STATEMENT OF 2005 Please print or type your name, mailing I FINANCIAL INTERESTS I address, agency name, and position below: LAST NAME - FIRST NAME -- MIDDLE NAME: FOR OFFICE WEITHORN JERYL DEE USE ONLY: MAILING ADDRESS: 1130 STILLWATER DR. (:",? ,,-..r.... v LQ-.. . . 10 Code ~ 1, .,') 1, ,. '1, ~ \ CITY: ZIP: COUNTY : (>:~' MIAMI BEACH 33141 10 No. -~ ," . .~~ NAME OF AGENCY: - \,,0 CITY OF MIAMI BEACH Conf. Code .' 0 NAME OF OFFICE OR POSITION HELD OR SOUGHT: P. Req. Code ,-- <..f\ ..-.". GROUP V ",0" COMMISSIONER CHECK ONLY IF [K] CANDIDATE OR D NEW EMPLOYEE OR APPOINTEE PDF 2005 ."BOTH PARTS OF 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): [Xl DECEMBER 31, 2005 OR 0 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 instructions for further details). PLEASE STATE BELOW WHETHER THIS STATEMENT REFLECTS EITHER (check one): [i] COMPARATIVE (PERCENTAGE) THRESHOLDS OR 0 DOLLAR VALUE THRESHOLDS PART A - PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person] NAME OF SOURCE SOURCE'S DESCRIPTION OF THE SOURCE'S OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY ARTY, COHN, FEUER 1150 NW 72 AVE 11760 WAGES-PARTNERSHIP INTEREST MIAMI, FL 33126 REAL ESTATE VARIES CAPITAL GAIN 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 - PART C -- REAL PROPERTY [Land, buildings owned by the reporting person] I FILING INSTRUCTIONS for when and where to file this form are locat- ed at the bottom of page 2. 1130 STILLWATER DR. MIAMI BEACH INSTRUCTIONS on who must file this form and how to fill it out begin 400 S. SHORE DR. MIAMI BEACH on page 3. 17800 ATLANTIC WAY 1/504 SUNNY ISLES BEACH OTHER FORMS you may need to CORTEZ PARCEL BROOKSVILLE file are described on page 6. CE FORM 1 - Eft. 1/2006 (Continued on reverse side) PAGE 1 PART D - 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 WACHOVIA 4299 NW 36 ST MIAMI, FL 33161 - 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 ARTY, COHN, FEUER, CPl 'S BUSINESS ENTITY ADDRESS OF 1150 NW 72 AVE #760, t< IAMI, FL 33126 BUSINESS ENTITY PRINCIPAL BUSINESS CPA FIRM ACTIVITY POSITION HELD PARTNER WITH ENTITY I OWN MORE THAN A 5% Y INTEREST IN THE BUSINESS NATURE OF MY OWNERSHIP INTEREST PARTNERSHIP INTEREST IF ANY OF PARTS A THROUGH F ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE D SIGNATURE (required): ~~ ltll DATE SIGNED (required): q/7)OL ~~ 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/employee, state signing and dating it, send back only the first on Ethics or a County Supervisor of Elections for officer, and specified state employee must sheet (pages 1 and 2) for filing. your annual disclosure filing, retum the form to file within 30 days of the date of his or her that iocation. appointment or of the beginning of employ- If you have nothing to report in a particular Local officers/employees file with the Supervisor ment. Appointees who must be confirmed by section, you must write "none" or "n/a" in that of Elections of the county in which they perma- the Senate must file prior to confirmation, even section(s). nently reside. (If you do not permanently reside if that is less than 30 days from the date oftheir in Florida, file with the Supervisor of the county appointment. Facsimiles will not be accepted. where your agency has its headquarters.) Candidates for publicly-elected local office NOTE: State officers or specified state employees must file at the same time they file their MULTIPLE FlUNG UNNECESSARY: file with the Commission on Ethics, P.O. Drawer qualifying papers. Generally, a person who has filed Form 1 for a 15709, Tallahassee f-L 32317-5709; physical Thereafter, local officers/employees, state calendar or fiscai year is not required to file a address: 3600 Maclay Boulevard, South, Suite officers, and specified state employees are second Form 1 for the same year. However, a 201, Tallahassee, FL 32312. required to file by July 1 st following each candidate who previously filed Form 1 because Candidates file this form together with their calendar year in which they hold their posi- of another public position must at least file a copy qualifying papers. tions. of his or her original Form 1 when qualifying. To determine what category your position Finally, at the end of office or employment, falls under, see the "Who Must File" Instructions each local officer/employee, state officer, and on page 3, specified state empioyee is required to file a final disclosure form (Form 1 F) within 60 days of leaving office or employment. CE FORM 1 - Eft. 1/2006 PAGE 2