HomeMy WebLinkAboutLori Lewellen - Form 12023 Form 1 - Statement of Financial Interests
Filed with COE: 08/16/2024
General Information
Ms Lori Brooke LewellenName:
County:
Address:4541 Sw 27th Ter, Dania Beach, FL 33312
Broward
AGENCY INFORMATION
Organization Suborganization Title
Dania Beach Community Redevelopment Agency Board Vice Chair
Dania Beach Mayor And City Commission
PID 265673
Name of Source of Income Source's Address Description of the Source's
Principal Business Activity
Billing Cochran Lyles Mauro & Ramsay 515 East Las Olas Blvd Fort Lauderdale FL
33301 Law Firm
LaCava Jacobson & Goodis 4901 NW 17th Way #606 Fort Lauderdale
FL 33309 Law Firm
City of Dania Beach 100 W. Dania Beach Blvd Dania Beach FL
33004 City Government
PRIMARY SOURCE OF INCOME (Over $2,500) (Major sources of income to the reporting person)
(If you have nothing to report, write “none” or “n/a”)
Primary Sources of Income
THIS STATEMENT REFLECTS YOUR FINANCIAL INTERESTS FOR CALENDAR YEAR ENDING DECEMBER 31, 2023.
Disclosure Period
Printed from the Florida EFDMS System Page 1 of 4
2023 Form 1 - Statement of Financial Interests
Filed with COE: 08/16/2024
Name of Business Entity Name of Major Sources of
Business' Income Address of Source Principal Business
Activity of Source
N/A
SECONDARY SOURCES OF INCOME (Major customers, clients, and other sources of income to businesses owned by the reporting
person) (If you have nothing to report, write “none” or “n/a”)
Secondary Sources of Income
REAL PROPERTY (Land, buildings owned by the reporting person)
(If you have nothing to report, write “none” or “n/a”)
Location/Description
N/A
Real Property
Intangible Personal Property
INTANGIBLE PERSONAL PROPERTY (Stocks, bonds, certificates of deposit, etc. over $10,000)
(If you have nothing to report, write “none” or “n/a”)
Type of Intangible Business Entity to Which the Property Relates
FRS Investment Plan City of Dania Beach
401 K LaCava Jacobson Goodis
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2023 Form 1 - Statement of Financial Interests
Filed with COE: 08/16/2024
Name of Creditor Address of Creditor
Bank of America PO BOX 31785 Tampa FL 33631-3785
LIABILITIES (Major debts valued over $10,000):
(If you have nothing to report, write “none” or “n/a”)
Liabilities
Interests in Specified Businesses
Business Entity # 1
Name of Business Entity JLW Concepts LLC dba Artesano Cafe
Address of Business Entity 6 South Federal Hwy Dania Beach FL 33004
Principal Business Activity Food and Beverage/Restaurant
Postion Held with Entity Managing Member
I own more than a 5%
Interest in the Business Yes
Nature of my Ownership
Interest
Managing Member
INTERESTS IN SPECIFIED BUSINESSES (Ownership or positions in certain types of businesses)
(If you have nothing to report, write “none” or “n/a”)
Printed from the Florida EFDMS System Page 3 of 4
2023 Form 1 - Statement of Financial Interests
Filed with COE: 08/16/2024
Digitally signed: 08/16/2024
Signature of Filer
Filed with COE: 08/16/2024
Lori Brooke Lewellen
þ I certify that I have completed the required training under Section 112.3142, F.S.
o Required training under Section 112.3142, F.S., not applicable to filer for this form year.
Training
This section applies only to an appointed school superintendent, an elected municipal officer, or a commissioner of a
community redevelopment agency created under Part III, Chapter 163, each of whom are required to complete annual ethics
training pursuant to Section 112.3142, F.S.
Printed from the Florida EFDMS System Page 4 of 4