Stephen Zack 12/31/2012 r -
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City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov
OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk
Tel: (305) 673 -7411, Fax: (305) 673 -7254
7/13/2011
Stephen Zack
11 E. Dilido Dr
Miami Beach, Florida 33139
419 4; Debarment Committee
Congratulations! You have been reappointed by Mayor Matti Herrera Bower
to the above referenced agency, board or committee for a term ending: 12/31/2012.
If you are unable to accept this appointment, please notify the City Clerk's Office at
(305) 673 -7411.
Please read the enclosed material carefully. Again, congratulations and good luck.
Sincerely,
Robert Parcher
City Clerk
cc: Saul Frances, Parking Director
Gus Lopez
ATTACHMENTS:
Letter of Appointment
Oath
City Code Ordinance section, applicable to agency, board or committee
City Code Section 2 -22, 2 -23, 2 -24, 2 -25, 2 -26, 2 -2458, 2 -459
Ordinance 2006 -3543 - Amendment to City Code Section 2 -22
Miami -Dade County Code Section 2 -11.1 - Conflict of Interest and Code of Ethics Ordinance
City Wide Permit Application - (Parking Department Form)
Booklet - Guide to the Sunshine Amendment and Code of Ethics for Public Officers and
Employees
We are committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical, historic community.
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til MIAMI:BEACH
Cit of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov
OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk
Tel: (305) 673 -7411, Fax: (305) 673 -7254
TO Stephen N. Zack
RE: Debarment Committee
I do solemnly swear or affirm to bear true faith, loyalty and allegiance to the Government of the
United States, the State of Florida, and the City of Miami Beach, and to perform all the duties of
a member of the above - mentioned board or committee of the City of Miami Beach to which I have
been appointed for a term ending: 12/31/2012.
I have been issued a copy of Section 2 -11.1 of the Miami -Dade County Code (Conflict of Interest
and Code of Ethics Ordinance), as well as theF/orida Commission on Ethics Guide to the Sunshine
Amendment and Code of Ethics for Public Officers and Employees, and understand that as a member
of a City of Miami Beach Board and /or Committee, I must comply with the financial disclosure* require-
ments of Miami -Dade County or the State of Florida (depending on the board or committee on which
I serve) on July 1st, following the closing of the calendar year on which I have served.
A t ephen N. Zack
A `sf
Sworn to and subscribed before me thi day y of ; ivadiaz/ 2011.
• ' A -Li
Silvia Prieto
Deputy Clerk
*Please visit the City of Miami Beach website at www.miamibeachfl.gov under City Clerk/Board and Committees
for additional information regarding the Financial Disclosure Requirements.
We are committed to providing excellent public: service and safety to all who live, work and play in our vibrant, tropical, historic community.
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COUNTY �' SOURCE OF INCOME STATEMENT
ATEMENT
Please Print or Type First Name Middle Name /Initial Last Name •
Disclosure
For Tax Year
•
Name: Ending:0
Mailing Address:
City / State/ Zip:
•
Social Security Number:
Filing as a: ® County Employee:
Municipal Employee of:
Position held or sought:
Board where serving: Term or .Employment
.Began on. /
Department where employed:
Work Address:
If your home address is exempt from public records pursuant to
Fiorida Statutes § 119.07 please check here (read instructions): 0 Work Telephone:
Home Address:
Street Address
City State Zip Code
Please list below in descending order with the Largest source first, the name, address and
principal business activity of every source of your income including public salary you
received or any person received for your benefit or use during the disclosure period. The
income of your spouse or any business partner need not be disclosed. If continued on a
separate sheet, check here: ® J
Description of the Principal
Name of Source of .Income Address Business Activity
O p / , 5 6 • ) /e /0 t7 5 2J c / 414- s
7
i
I hereb wear (or affirm) that the aforesaid information is a true and correct statement.
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Signature of person disclosing Date signed
STEPHEN NEAL ZACK.
ATTACHMENT TO SOURCE OF INCOME STATEMENT
For tax year ending: 12/31/10
NAME OF SOURCE DESCRIPTION OF THE PRINCIPAL
OF INCOME ADDRESS BUSINESS ACTIVITY
13oies, Schiller & Flexner, LLP. 100 SE 2nd Street Suite 2800 Law Practice
Miami, FL 33131
Stephen N. Zack PA 2699 S. Bayshore Dr Law Practice
Miami FL, 33133
Kings Capital Partners LP 201 Alhambra Circle #601 Real Estate Investment
Coral Cables FL, 33133
Altamonte Investors, LLC 3250 Mary Street #500 Real Estate Investment
Miami, FL 33133
Pirlchur Club Developers, LLC 2665 S. Bayshore Drive Suite 100 Real Estate Investment
Miami FL, 33133
Kenrisington (The Enclave Royal) 3250 Mary Street Suite 500 Investment income
Miami, FL 33133
Armonl. Partners, LLC 333 Main Street Real Estate Investment
Armonk NY, 10504
Claire Point Developers, LLC 2665 South Bayshore Drive #M -102 Real Estate Investment
Miami, FL 33133
CST Technology, LLC 1420 Brickell Bay Drive #PH4 Real Estate Investment
Miami, FL 33I31
Grand Bay Grove, LLC 2665 South Bayshore Drive #M -102 Real Estate Investment
Miami, FL 33133
Hen -Lee, LLC 2665 South Bayshore Drive #M -102 Real Estate Investment
Miami, FL 33133
Reef Associates, Ltd 703 Waterford Way Suite 800 Real Estate Investment
Miami, FL 33126
Monterey Capital Partners, LLC 2665 South Bayshore Drive #1100 Real Estate Investment
Miami FL, 33133
MCI' Partners, LLP 9655 S. Dixie Highway Suite 200 Real Estate Investment
Miami, FL 33I56
Waterford Village Developers, LLC 2665 South Bayshore Drive #M -102 Real Estate Investment
Miami FL, 33133
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22 Lantern, LLC 2665 South Bayshore Drive #M -102 Rea] Estate Investment
Miami, FL 33133
Sunset Int'l Medical Center Partners, LLC 6705 Red Road, suite 604 Real Estate Investment
Coral Gables, FL 33143
Rarnsell Dining, LLC 350 McLaws Circle Suite 1 Investment
Willimasburg, VA 23185
Equity Capita[ Lending Partners 3125 W. Commercial Blvd #100
Investment
Ft. Lauderdale, FL 33309
Rascon Associates 9400 S. Dadeland Blvd Suite 600 Investment
Miami, FL 33156
Dolphin Plaza Investments 9655 S. Dixie Highway, Suite 200 Real Estate Investment
Miami, FL 33156
5901 South Miami, LLC 2665 S. Bayshore Drive Real Estate Investment
Coconut Grove, FL 33133
Morgan Keegan Fifty N. Front Street Interest Investment
Memphis, TN 38103
Colorer, Inc 9119 Milliken Avenue Investment
Rancho Cucamonga, CA 91.730
Wachovia Bank 200 S. Biscayne Blvd, 15th Floor Interest
Miami, FL 33131
Sun America Bank ffkla Beach Bank 555 Arthur Godfrey Road Interest
Miami Beach, FL 33140
Gibraltar Bank 220 Alhambra Circle, 5th Floor Interest
Coral Gables, Fl 33134
International Finance Bank 917 Brickell Avenue Interest
Miam, Fl 33131
Fidelity Investments P.O. Box 770001 Investment
Cincinnati, OH 45277 - 0003
Virtus Investments 100 Pearl Street, 9th Floor Investment
Hartford, CT 06103
Altamonte Investors I1, LLC 3250 Mary Street, Suite 500 Real Estate Investment
2
s ,
Miami, Fl 33133
Zack Kosnitzky, PA Liquidating Trust 100 SE Second Street, Suite 2800 Investment
Miami, F133131
Kae's Corner 100 SE Second Street, Suite 2800 Interest
Miami, F1 33131
The Refuge, LLC (Lazy Z Ranch) 2699 S. Baysliore Dr Real Estate Investment
MiamiFL,33133
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MIAM BEACH
City of Miami Beach,
1700 Convention Center Drive,
Miami Beach, Florida 33139,
www.miamibeachfl.gov
CITY CLERK Office CityClerk @m i amibeachfl.gov
Tel: 305.673.7411 , Fax: 305.673.7254
Acknowledgement of fines /suspension for Board Members for failure
to comply with Miami -Dade County Financial Disclosure Code Provision
Code Section 2- 11.1(i) (2)
Board Member name: e / I C L
I understand that no later than July 1, of each year all members of .Boards and
Committees of the City of Miami Beach, including those of a purely advisory nature, are
required to comply with Miami -Dade County Disclosure Requirements. This means that the
members of City Advisory Boards, whose sole or primary responsibility is to recommend
legislation or give advice to the City Commission, must file, even though you may have been
recently appointed.
You must file one of the following with the City Clerk of Miami Beach, 1700 Convention
Center Drive, Miami Beach, Florida, by July 1 each year.
1. A "Source of income Statement" (attached) or
2. A "Financial Statement" (attached( or] •
3. A Copy of the person's current Federal income Tax Return
Failure to file, according to the Miami -Dade County Code Chapter 1, General
Provision, Section 1 -5 may subject the person or firm to a fine not to exceed
$500.00 or by imprisonment in the county jail for a period not to exceed .sixty
days, or both.
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2C /2-
Sign - - e. Date:
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