Qualifying Docs J. Malakoff MIAMI BEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139,
www.miamibeachfl.gov
CITY CLERK'S OFFICE
Tel: 305-673-7411. Fax: 305-673-7254
Email: RafaelGranado @miamibeachfl.gov
STATE OF FLORIDA
COUNTY OF MIAMI-DADE
Before me, an officer authorized to administer oaths, personally appeared to me well
known who, being sworn, , says that he/she is a candidate for the office of City
Commissioner (Group No. .3 (or Mayor) for the City of Miami Beach, Florida;
that he/she is a qualified elector of said City residing within the City at least one year
before qualifying for City of Miami Beach elected office; that his/her legal residence is:
6VIS )01411_ IM156- /DoVh , Miami Beach, Miami-Dade County,
Florida; that he/she is qualified under the ordinances (including Miami Beach City Code
Chapter 38 governing "Elections") and Charter of said City to hold such office; and that
he/she has paid the required qualification fee.
Joy Malakoff
Candidate
ign ure of Candidate
1Z MISK. ft ^e'er
Sworn to and subscribed before me this 3� day of , 2013.
i
Authorized Officer
/ p3 Signature o Notary
CO
9 �
TARY SEAL
c t;- ,•r""""�y UILIAM R.HATFIELD 3 ��
MY COMMISSION#EE 844865
18,2017
EXPIRES:February Date
_ `°•' Bonded Thru Nay Public Underwriters
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F:\CLER\CLER\000_ELECTION\0000_2013 General Election\MISCELLANEOS WORD
DOCS\CANDIDATE'S OATH.Docx
CANDIDATE OATH - 213 SEA' -3 AM I l: 28
NONPARTISAN OFFICE _
UL
(Not for use by Judicial or
School Board Candidates)
OFFICE USE ONLY
OATH OF CANDIDATE
(Section 99.021,Florida Statutes)
I, Joy Malakoff
(PLEASE PRINT NAME AS YOU WISH IT TO APPEAR ON THE BALLOT*-- NAME MAY NOT BE CHANGED AFTER THE END OF QUALIFYING)
am a candidate for the nonpartisan office of Miami Beach City Commission ,
(office) (district#)
Group 3 ; 1 am a qualified elector of Miami-Dade County, Florida;
(circuit#) (group or seat#)
I am qualified 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; and I will support the Constitution of the United States and the Constitution of the
State of Florida.
x (305)778-7549 beachjoy @gmail.com
nature of Candid Telephone Number Email Address
6415 Pinetree Drive Miami Beach Florida 33141
Address City State ZIP Code
Candidate's Florida Voter Registration Number(located on your voter information card): 109054077
* Please print name phonetically on the line below as you wish it to be pronounced on the audio ballot for persons
with disabilities(see instructions on page 2 of this form):
JOI MAL-uh-KAWF
STATE OF FLORIDA , B
COUNTY OF
Sworn to(or affirmed)and subscribed before me this �day of , 20 l 3.
Personally Known: or
ig ure of Notary Public
Produced Identification: Print,Type,or Stamp Commissioned Name of Notary Public
.�/� ~�"',,••,� LILIAM R.HATFIELD
Type of Identification Produced: MY COMMISSION#EE 84486:
EXPIRES:February 18,20-;,c Bonded Thru Notary Public underm .:
DS-DE 25(Rev.5/11) Rule 1S-2.0001,F.A.C.
I
FORM 1X AMENDMENT TO FORM 1
STATEMENT OF FINANCIAL INTERESTS
LAST NAME-FIRST NAME-MIDDLE NAME(same as on original Form 1): ♦ THIS FORM 1X AMENDS THE FORM 1 (Statement of Financial
Malakoff,Joy Interests)I FILED FOR THE YEAR: 2012
MAILING ADDRESS:
6415 Pinetree Drive ♦ DURING THAT YEAR,I HELD,OR WAS A CANDIDATE FOR,THE
POSITION OF. Board of Adjustment Member
♦ WITH THIS GOVERNMENTAL AGENCY: City of Miami Beach
CITY: ZIP: COUNTY:
2013 Candidate for City Commission of Miami Beach
Miami Beach 33141 Miami-Dade
MANNER OF CALCULATING REPORTABLE INTERESTS: CTS rU
PRIOR TO 2001,THE THRESHOLDS FOR REPORTING FINANCIAL INTERESTS WERE COMPARATIVE,USUALLY BASED ON;f,ER�NTAGB
VALUES. BEGINNING IN 2001,THE LEGISLATURE ALLOWED FILERS THE OPTION OF USING REPORTING THRESHOLDSTHATME AB$QLUTE
DOLLAR VALUES(see instructions for further details). PLEASE STATE BELOW WHETHER THIS STATEMENT REFLECTS EITHER(ffiRt_check one):
® COMPARATIVE(PERCENTAGE)THRESHOLDS W ��
f�
OR va y
❑ DOLLAR VALUE THRESHOLDS r .�
PART A--PRIMARY SOURCES OF INCOME [Major sources of income to the reporting person-See instructions] ; ; co
(If you have nothing to report,you must write"none"or"n/a")
NAME OF SOURCE SOURCE'S DESCRIPTION OF THE SOURCE'S
OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY
n/a-retired
PART B--SECONDARY SOURCES OF INCOME
[Major customers,clients,and other sources of income to businesses owned by the reporting person-See instructions]
(If you have nothing to ri port,you must write"none"or"n/a")
NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS
BUSINESS ENTITY OF BUSINESS'S INCOME OF SOURCE ACTIVITY OF SOURCE
n/a
PART C–REAL PROPERTY [Land,buildings owned by the reporting person-See instructions]
(If you have nothing to report,you must write"none"or"n/a")
Home at 6415 Pinetree Drive, Miami Beach, Florida 33141
PART D—INTANGIBLE PERSONAL PROPERTY[Stocks,bonds,certificates of deposit,etc.-See instructions]
(If you have nothing to report,you must write"none"or"n/a")
TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES
Savings and IRA retirement Raymond James Financial, 1691 Michigan Avenue, MB, FL
401K Retirement Savings Ingham Retirement Group,9155 S. Dadeland Blvd.,#512, Miami, FL
CE FORM 1X-Effective:January 1,2013.Refer to Rule 34-8.209(1),F.A.C. (Continued on reverse side) PAGE 1
PART E—LIABILITIES [Major debts-See instructions]
(If you have nothing to report,you must write"none"or"n/a")
NAME OF CREDITOR ADDRESS OF CREDITOR
None
PART F—INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses-See instructions]
(If you have nothing to report,you must write"none"or"n/a"
BUSINESS ENTITY#1 BUSINESS ENTITY#2 BUSINESS ENTITY#3
NAME OF n/a
ADDRESS OF _
BUSINESS ENTITY
PRINCIPAL BUSINESS _
ACTIVITY
POSITION HELD _
WITH ENTITY
1 OWN MORE THAN A 5%
INTEREST IN THE Bus,
NATURE OF MY
OWNERSHIP INTEREST
PART G—EXPLANATION OF CHANGES
Although not required by law,as a candidate for City Commission, I believe it is important to list my home.
Additionally, in my original Form 1, 1 listed my husbands pension although it is only in his name and I listed my intangible
property as income rather than in part D. I am correcting that in this form that will also be used in my qualifying for the City
Commission election.
IF ANY OF PARTS A THROUGH G ARE CONTINUED ON A SEPARATE SHEET, PLEASE CHECK HERE ❑
SIGNATURE: DATE SIGNS :
FILING INSTRUCTIONS:
WHERE TO FILE: State officers'or specified state employees' QUESTIONS:
Return the form to the location where you filed forms should be filed with the Commission on About this form or the ethics laws may be
the Form 1 that you are seeking to amend. Ethics, P.O. Drawer 15709, Tallahassee, FL addressed to the Commission on Ethics, Post
Local officers should have filed with the 32317-5709. Office Drawer 15709, Tallahassee, Florida
Supervisor of Elections of the county in which Candidates should have filed their Form 1 32317-5709;telephone(850)488-7864.
they permanently resided. (If you did not together with their qualifying papers.
permanently reside in Florida, then with the
Supervisor of the county where your agency had
its headquarters.)
INSTRUCTIONS FOR COMPLETING FORM 1 X:
INTRODUCTORY INFORMATION (At Top of Form): PARTS A through F:
NAME,DISCLOSURE PERIOD,NAME OF POSITION,and NAME Use these sections of the form to report the new information you
OF AGENCY' the same information as on the original Form 1 believe should have been reported on your original Form 1;
you are seeking to amend. continuing on a separate sheet if necessary.Additional instructions
MAILING ADDRESS:Use your current mailing address. are found on pages 3-5,attached.
MANNER OF CALCULATING REPORTABLE INTERESTS:Check
the box that corresponds to the type of thresholds you used for the PART G:
original Form 1 you are seeking to amend. Use this section of the form to explain the changes you are making
in your original Form 1.
CE FORM 1X-Effective:January 1,2013.Refer to Rule 34-8.209(1),F.A.C. PAGE 2
FDO04178
'FORM 1 STATEMENT OF 2012
Please print or type your name,mailing FINANCIAL INTERESTS
address,agency name,and position below: ^y FOR OFFICE-USE ONLY:
LAST NAME--FIRST NAME—MIDDLE NAME::
MALAKOFF,JOY J ti t
MAILING ADDRESS
6415 PINETREE DR
CITY: ZIP: COUNTY
MIAMI BEACH,FL 33141 MIAMI-DADE
NAME OF AGENCY:
MIAMI BEACH,ZONING BOARD OF ADJUSTMENT
NAME OF OFFICE OR POSITION HELD OR SOUGHT:
You are.not limited to the space on the lines on this form.Attach addidonaf sheets,if necessatK
CHECK ONLY IF ❑ CANDIDATE OR ❑ NEW EMPLOYEE OR APPOINTEE *FD004178*
BOTH PARTS OF THIS SECTION MUST BE COMPLETED
DISCLOSURE PERIOD:
THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR THE PRECEDING TAX YEAR,WHETHER BASED ON ACALENDAR
YEAR OR ON A FISCAL YEAR: PLEASE STATE BELOW WHETHER THIS STATEMENT IS FOR THE PRECEDING TAX YEAR ENDING
EITHER(must check one):
0 DECEMBER 31, 2012 OR ❑ SPECIFY TAX YEAR IF OTHER THAN THE CALENDAR YEAR
MANNER OF CALCULATING REPORTABLE INTERESTS:
THE LEGISLATURE ALLOWS FILERSTHE 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). CHECK THE ONE YOU ARE USING:
UR COMPARATIVE(PERCENTAGE)THRESHOLDS OR. ❑ DOLLAR.'VALVE THRESHOLDS
PART A--PRIMARY SOURCES OF INCOME [Major.sources of income to the reporting-person-See instructions]
(If you have nothing to report,you must write°none"or"Na")
NAME OF SOURCE SOURCE'S DESCRIPTION OF THE SOURCE'S
OF INCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY
\ �itlP� � � .'v � � l1���17 �6��5�Yl�'h� j�n�.G'fi/� RG7%'•�
H&;S 44 r
I tiY�1 f�Z rY-Z � r � �` �S'5 It r.r'��/Z A 1`4
PART B-- SECONDARY SOURCES OF INCOME
[Major customers,clients,and other sources of income to businesses owned by the reporting person-See instructions]
(If you have nothing to report,write"none"or'Wa")
NAME OF NAME OF MAJOR SOURCES ADDRESS PRINCIPAL BUSINESS
BUSINESS ENTITY OF BUSINESS'INCOME OF SOURCE ACTIVITY OF SOURCE
&/
Y
PART C--REAL PROPERTY [Land,buildings owned by the reporting person-See instructions] FILING INSTRUCTIONS for
(If you have nothing to report,you must write"none"or.'nia")
when and where to file this
form are located at the bottom
of page 2.
INSTRUCTIONS on who must
file this form and how to fill it
out begin on page 3.
=o-W,- y+.20 1Z gererL-Buie� ;,-202 j_FAC. (Continued on reverse side) PAGE 1
MALAKOFF,JOY FDO04178
PARTO–•INTANGIBLE PERSONAL PROPERTY[Stocks,bonds,certificates of deposit,etc.-See instructions]
'�(If you have nothing to report,you must write"none"or"nhe)
TYPE OF INTANGIBLE BUSINESS ENTITY TO WHICH THE PROPERTY RELATES
el
PART E—LIABILITIES [Major debts-See:instructions]
(If you have nothing to report,you must write-"none"or"nla')
NAME OF CREDITOR ADDRESS OF CREDITOR
A
PART F—INTERESTS IN SPECIFIED BUSINESSES [Ownership or positions in certain types of businesses-See instructions]
(If you have nothing to report,you must.write"none"or'Wa")
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 A5%
INTEREST IN THE BUSINESS •'//
NATURE OF MY �
OWNERSHIP INTEREST o*,f
IF ANY OF PARTS A THROUGH FARE CONTINUED ON A SEPARATE'SHEET:PLEASE CHECK HERE ❑
SIGNATURE (r_@gui=)_ DATE SIGNED I=egui=):
2013
HUNG INSTRUCTIONS:
WHAT TO FILE: WHERE TO FILE: WHEN TO FILE:
After completing all parts of this form, If you were mailed the form by the Commission Initially, each local officer/employee,
including signing and dating it.send back on Ethics or a County Supervisor of Elections state officer, and specified state employee
only the first sheet(pages 1 and 2)for filing. for your annual .disclosure filing, return the must file within 30 days of the date of
form to.that location. his.or her appointment or of the beginning
If you have nothing to report in a particular Local officers/employees file with the of employment. .Appointees who must be
section, you must write"none"or"n/a"in that Supervisor of Elections of the county in confirmed by the Senate must file prior to
section(s). which the confirmation, even if that is less than 30
y permanently reside. {If you do not days from the date of their appointment
permanently reside in Florida, file wfth the
NOTE: Supervisor of the county where-your agency Candidates for publicly-elected local office
MULTIPLE FILING UNNECESSARY: has its headquarters) must file at the same time they file their
Generally, a person who has filed Form 1 State officers or specified state employees qualifying papers.
for a calendar or fiscal year is not required file with the Commission on Ethics, P.O. Thereafter, local =officers/employees; state
to file a second Form 1 for the same year. Drawer 1-5709,Tallahassee, FL 32317-5709. officers, and specified state employees
However, a candidate who previously filed are required to file by July 1st fiollowing
Form 1 because of another public position Candidates file-this form together with their each calendar year in which the hold their
must at least file a copy of his'or her original qualifying papers. positions. y y
Form 1 when qualifying. 'To determine what category your position falls
under,-seethe"Who Must File'Instructions on Finally, at the end of office or employment,
page 3. each-local officedemployee, state officer,and
specified state employee is required to file a
final disclosure form(Form 1 F)within 60 days
Facsimiles will not be acce tied of leaving. office or employment. However,
filing a CE Form IF (Final Statement of
Financial Interests)does not relieve the-filer
of filing a CE Form 1 if he-or she was in their
position on December 31, 20.12
CE FORM 1-=Le,YJa,.tanuanr 1.2013.Pr fsr to,ss;3-a 202(t;,F Ac. PAGE 2
Form 9 QUARTERLY GIFT DISCLOSURE
(GIFTS OVER $100)
LAST NAME—FIRST NAME—MIDDLE NAME: NAME OF AGENCY:
M L = CfnZ of JMIAMJ
MAILING ADDRESS: OFFICE OR POSITION HELD:
�q.S )kE v (f AAJ D 1 ?),,t 1 L 6-'7RPP P 3
CITY. ZIP: COUNTY: FOR QUARTER ENDING(CHECK ONE): YEAR
M 0 cac 331.4 A(� I a ❑MARCH (JUNE ❑SEPTEMBER ❑DECEMBER 20J
PART A—STATEMENT OF GIFTS
Please list below each gift,the value of which you believe to exceed$100,accepted by you during the calendar quarter for which this statement is
being filed.You are required to describe the gift and state the monetary value of the gift,the name and address of the person making the gift,and the
date(s)the gift was received.If any of these fads,other than the gift description,are unknown or not applicable,you should so state on the form.As
explained more fully in the instructions on the reverse side of the form,you are not required to disclose gifts from relatives or certain other gifts.You
are not required to file this statement for any calendar quarter during which you did not receive a reportable gift.
DATE DESCRIPTION MONETARY NAME OF PERSON ADDRESS OF PERSON
RECEIVED OF GIFT VALUE MAKING THE GIFT MAKING THE GIFT
X C=
�
U' 3:m
C
te
r
_-, .. �
❑ CHECK HERE IF CONTINUED ON SEPARATE SHEET `—ri
PART B—RECEIPT PROVIDED BY PERSON MAKING THE GIFT
If any receipt for a gift listed above was provided to you by the person making the gift,you are required to attach a copy of that receipt to this
form.You may attach an explanation of any differences between the information disclosed on this form and the information on the receipt.
❑ CHECK HERE IF A RECEIPT IS ATTACHED TO THIS FORM
PART C—OATH
I,the person whose name appears at the beginning of this form,do STATE OF FLORIDA `
COUNTY O
depose on oath or affirmation and say that the information disclosed Sworn to(or affirmed)and subs c'bed be ore me his
day of On ,20
herein and on any attachments made by me constitutes a true accurate,
by ' G
and total listing of all gifts required to be reported by Section 112.3148,
Florida Statutes. (Signature of Notary ,ublic-Sta of Florida)
(Print,Type,or Stamp Commissioned Name of Notary Public)
SMATOPE OF REPORTING O Personally Known OR —
Type of Identification Produced `•'':'•"•Y°y'•; WN R.HATFlELD
•,, f EXPIRES:February 18 2017 I
PART D—FILING INSTRUCTIONS ` ' p,'f; ' BorMedThrutJot�yPublicUnderwriters
T,L t•T'.,'ii
This form,when duly signed and notarized,must be filed with the Commission on Ethics,P.O.Drawer 15709,Tallahassee,Florida 32317-5709;physi-
cal address:3600 Maclay Blvd.South,Suite 201,Tallahassee,Florida 32312.The form must be filed no later than the last day of the calendar quarter
that follows the calendar quarter for which this form is filed(For example,if a gift is received in March,it should be disclosed by June 30.)
CE FORM 9-EFF.1/2007 (See reverse side for instructions)