The Kabbalah Centre
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City of Miami Beach Office of the City Clerk
1700 Convention Center Drive, Miami Beach, Fl33139
Email: cityderk@d.miami-beach.fl.us
LOBBYIST REGISTRAnON FORM
OCT 0 t' au
By
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.JL .'111
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(City of Miami Beach, City Code Chapter 2, Division 3, Section 2-481)
65 Check Box if an Amendment
Ser
NAME OF LOBBYIST:
(Last)
Lillian
(RISt)
A. 10/01
(M.I) DATE QUAliFIED AS LOBBYIST
201 S. Biscavne Blvd._ 15th Floor. Mi;:lmi FT.
BUSINESS ADDRESS: (Number and Street) (City) (State)
11111
(Zip Code)
(305) 347-7375
TELEPHONE NUMBER:
(305\ 347-7R7r:;
FAX NUMBER:
l~Arca!=;hntt~-l~w f"nm
EMAIL:
L LOBBYIST RETAINED BY:
The Kabbalah Centre, a not-for-profit Florida Corporation
NAME OF PRINOPALJOlENT:
1:1401 r'nll; n~ aUen1le nni ts en 11 A " B
BUSINESS ADDRESS: (Number arid Street) (City)
Miami Beach, FT. 11140
(State) (Zip Code)
(101:1) i\q? q??i
TELEPHONE NUMBER:
(inEi.} ~Q?_Q??Ei.
FAX NUMBER: (Optional)
EMAIL: (Optional)
Fill out this section If principal is a Corporation, Partnership or Trust [Section 2-482 (e)]
? NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY:
See Exhibit "A" attached
? UST ALL PERSONS HOLDING, DIRECTLY OR INDIREr:TLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
See Exhibit "A" attached.
Do SPEaFlC LOBBY ISSUE:
Modification of Conditional Use Permit
Issue to be lobbied (Describe in detail):
m. CITY AGENaES/INDMDUALS TO BE LOBBIED:
A) Full Name of Indivldualrntie 8) Relationship
Mercy Lamazares, Sr. Planner
City Staff
il
~ ..,
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSAll0N (DISCLOSE WHETHER HOURL Y,
FLA T RATE OR OTHER):
A) LOBBYIST DISClOSURE:
$205.00 hourly
B) PRINOPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION):
$205.00 hourly
V. SIGNATURE UNDER OATH:
ON OCTOBER 1ST OF EACH YEAR,. EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, USTlNG LOBBYING 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.
Signature of Lobbyist:
I'~ignature of Principal/Client:
(f-!.,j,' S...;~ ~~
VI. LOBBYIST IDENTlFlCAll0N:
.IS Produced ID
Form of Identification
.IS
/ VII.
Personally Known
SIGNATURE AND STAMP OF NOTARY OR DEPUTY CLERK:
State of Florida, County of Miami-Dade
Sworn to and~ubscribed 'f: me
This ~1)7t'clay of';: . ' 2002.
YVEITE PEREZ
MY COMMISSION 1/ DD 067170
EXPIRES: October 23, 2005
Ilonded ThnJ NotaJy POOIjc UndelwrIlers
Sign ture of Public Notary - State of Rorida
Print, stamp or type name of Notary Public
FOR CLERK'S USE ONLY
Registration: [] ACCEPTED [] REJECTED
DATE:
o
a
If rejected, state reason:
Registration fee paid: [ ] Yes [ ] No
[ ] Cash [ ] Check MCR #
DATA ENTRY DATE:
1
2002
ENTERED BY:
I First Revision - 05/17/02
-
IIStOn ot corporatIons
rag~ k U1 .J
III. 4 . I
I Name & Address I
THE KABBALAAH CENTER
, 8411 W.P ALMETTO PARK RD.
BOCA RATON FL 33433
I . Name Changed: 03/02/2001 I
I Address Changed: 04/20/1999 I
-,
Officer/Director Detail
-',
I Name & Address II Title I
BERG, KAREN D
7411 WEST PALMETTO PK RD
BOCA RATON FL 33433
SARFATI, SHIMON D
8411 WEST PALMETTO PK RD
.--- . BOCA RATON FL 33433
SOLOMON, BETTY D
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 03/0212001 II I
Annual Reports
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