The Kabbalah Centre
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CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
1700 Convention Center Drive
Miami Beach, FL 33139
cityclerk(1ilci,miami-beach.f1.us
AFFIDAVIT
LOBBYIST MEANS ALL PERSONS EMPLOYED OR RETAINED, WHETHER PAID OR NOT, BY A PRINCIPAL WHO SEEKS TO ENCOURAGE
THE PASSAGE, DEFEAT OR MODIFICATION OF ANY ORDINANCE, RESOLUTION, ACTION OR DECISION OF ANY COMMISSIONER; ANY
ACTION, DECISION, RECOMMENDATION OF ANY CITY BOARD OR COMMmEE; OR ANY ACTION, DEOSION OR RECOMMENDATION
OF ANY PERSONNEL DEFINED IN ANY MANNER IN THIS SECTION, DURING THE TIME PERIOD OF THE ENTIRE DECISION-MAKING
PROCESS ON SUCH ACTION, DECISION OR RECOMMENDATION THAT FORESEEABLY WILL BE HEARD OR REVIEWED BY THE CITY
COMMISSION, OR A CITY BOARD OR COMMmEE. THE TERM SPECIFICALLY INCLUDES THE PRINOPAL AS WELL AS ANY AGENT,
ATIORNEY, OFFICER OR EMPLOYEE OF A PRINCIPAL, REGARDLESS OF WHETHER SUCH LOBBYING ACTIVrnES FALL WITHIN THE
NORMAL SCOPE OF EMPLOYMENT OF SUCH AGENT, ATIORNEY, OFFICER OR EMPLOYEE. EACH PERSON WHO WITHDRAWS AS A
LOBBYIST IS REQUIRED TO FILE A "CERTIFICATE OF WITHDRAWAL."
Llorente Jezabel
1)
lobbyist Name:
la~ Name
'-
First Name
Middle Initial
Business Phone (305) 358-6300 Message Phone (305) 347-7399
Business Name and Address: Shutts & Bowen LLP
1500 Miami Center, 201 South Biscayne Boulevard Miami FL 33131
No.
Street
Suite
Oty
State
Zip Code
Email Address: jllorente'ilShutts _law. can
The I<"hh>llah Centre,
Principal Retained by:
5401 Collins Avenue,
If different from above
Miami Beach
a not-for-profit Florida Corporation
2)
Units CO
llA&B
Street
FL
State
Suite
33140
Zip Code
City
(a) If a corporation, partnership, or trust, identify and provide the address for the chief officer, partner,
beneficiary or interests.
See Exhibit "A" Mt-+-rt~hPrl.
3)
Subject Matter (Describe in Detail):
Application :tor Conditional Use Approval to operate a religious institution in an
J<M.j cU.SUl.ct; Appll.cation fOr \..eI.U!i<.:ate of l1Se; ~uLlcltlumii WiU, 0-.1<1", CUuplicul"t:
~~'t
4.' Identify each individual (Commissioners, Bard, Committee, Authority member or City staff)
to be lobbied: / 'C
5. The subject matter in number three (3) above is to be considered at the meeting of (Identify each entity or
individual):
\J The City Commission on .2001
\J City Commission Subcommittee on ,2001
\J City Staff on .2001
\J City Board or Committee on 10/30 ,2001
\J Personnel on .2001
\J Identify Others on ,2001
6. State the extent of any business, financial, f~ilial, professional or other relationship which exists with any
individual identified in number (4) above: N A
ON OCTOBER 1ST OF EACH YEAR, EACH lOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, LISTING LOBB'IING EXPENDITURES IN THE CITY OF MIAMI BEACH
FOR THE PRECEDING CALENDAR YEAR.
I do solemnly swear that-all of the foregoing facts are true and correct and that I have read or am familiar
with the provisions contained in Section 2-482 of the Miami Beach City Code as amended, and all reporting
requirements.
Sig~ure of Lobbyist:
rf Personally known
\J Produced ID
~OIo r.y:sq u.CW
Identify
\J Did take an oath, or
\J Did not take an oath
State of Florida, County of Miami-Dade
Sworn to and subscribed bpfpre me
This flit day of Oe.wbW' , 2001.
Clerk
If Notary, prin
ed
Registration:
[ ~CCEPTED
FOR CLERK'S USE ONLY
[ ] REJECTED DATE: I U J <1 J tJ j
I /
If rejected, state reason:
Registration fee paid: [vfYes [ ] No [] Not-for-Profit Organization
[ ] Cash [ "rCheck MCR # 2- '-fCJ 1- 2- L-
DATA ENTRY DATE: I' , 2001 ENTERED BY:
p'ivision of CorporatioT''' .
Page 1 of3
Exhibit "A"
~
"'-""'''""'
Florida Non Profit
\.
THE KABBALAH CENTRE OF FLORIDA, INC.
...,..-........-...-.............".-...,-- ............."
PRINCIPAL ADDRESS
8411 PALMETTO PARK RD.
BOCA RATON FL 33433
Changed 04/20/1999
MAILING ADDRESS
8411 PALMETTO PARK RD.
BOCA RATON FL 33433
Changed 04/20/1999
-.-----...-.
Document Number FEI Number Date Filed
N95000002712 650638140 06/12/1995
State Status Effective Date
FL ACTIVE NONE
Last Event Event Effective
AMENDMENT Event Date Filed
AND NAME 11/09/1999 Date
NONE
CHANGE
......----.--.,
Registered Agent
.../cordetexe?al=DETFIL&n1 . N95000002712&n2 NAMFWD&n3=II0/5/01
Division of Corporations
Page 2 of3
I Name & Address I
THE KABBALAAH CENTER
8411 W,PALMETTOPARKRD.
BOCA RATON FL 33433
I Name Changed: 03/02/2001 I
I Address Changed: 04/20/1999 I
".m__,.......,
Officer/Director Detail
I Name & Address II Title I
BERG, KAREN 8
7411 WEST PALMETTO PKRD
BOCA RATON FL 33433
SARFATI, SHIMON 8
8411 WEST PALMETTO PK RD
BOCA RATON FL 33433
SOLOMON, BETTY 8
1062 S ROBERTSON BLVD
LOS ANGELES CA 90035
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Report Year Filed Date Intangible
Tax
I 1999 II 04/20/1999 II I
I 2000 II 07/12/2000 II I
I 2001 II 03/02/2001 II I
Annual Reports
"'. "---,
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