Affidavit (06/18/2001)
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CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
1700 Convention Center Drive
Miami Beach, FL 33139
citvclerklOlci .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 OTY BOARD OR COMMmEE; OR ANY ACTION, DECISION OR RECOMMENDATION
OF ANY PERSONNEL DEFINED IN ANY MANNER IN THIS SECTION, DURING THE TIME PERIOD OF THE ENTIRE DECISION-MAKlNG
PROCESS ON SUCH ACTION, DECISION OR RECOMMENDATION THAT FORESEEABLY WlLL BE HEARD OR REVIEWED BY THE OTY
COMMISSION, OR A CITY BOARD OR COMMmEE, THE TERM SPECIFICALLY INCLUDES THE PRINCIPAL AS WELL AS ANY AGENT,
ATTORNEY, OFFICER OR EMPLOYEE OF A PRINCIPAL, REGARDLESS OF WHETHER SUCH LOBBYING ACTIvmES FALL WITHIN THE
NORMAL SCOPE OF EMPLOYMENT OF SUCH AGENT, ATTORNEY, OFFICER OR EMPLOYEE, EACH PERSON WHO WITHDRAWS AS A
LOBBYIST IS REQUIRED TO FILE A "CERTIFICATE OF WITHDRAWAL."
1) Lobbyist Name: J,or11/V) fY)/chu21
Last Name First Name
Business Phone (..iJ!D o,7-(;} 31 Message Phone L)
tj'1"f(6W t G,<1c/.Q((, p~,
,
J~joj (\1!l"..h.l A- /Y)/CdI1i, (L 3y13/
Suite City
tV
Middle Initial
Business Name and Address:
8(/\)
6dV]
15),f((J..,'r-t
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'fA)} ,<)4 &5'0
No.
Street
State
Zip Code
Email Address:
2)
Principal Retained by:
V01,}q),,\, <s-r-k/1t1/"l"""J t-GC
f
If different from above
Street
Suite
City
State
Zip Code
(a) If a corporation, partnership, or trust, identify and provide the address for the chief officer, partner,
beneficiary or interests. y ~ ' \
noli II. , .J/.,JilJ /(~, /VVl., ()rf\'1l-11\)
/
3)
Subject Matter (Describe in Detail):
Gw), 1, W1 / (j I'r:, A(lf7rf.M Iii (
Ik,1Y7/\, /lw(1/1' (1<< ),4, {.J. (/ll
.J
h7r7
4. Identify each individual (Commissioners, Board, Committee, Authority rnember or City staff)
to be lobbied: ' J.f} ,) 11.i
1\,1 lobl)..!/) q/JuiJ"elf -A ((tS (Y'{J1(l6.JI)) (JVl~ ~-1lf\
5. The subject matter in number three (3) above is to be considered at the meeting of (Identify each entity or
individual):
o The City Commission
o City Commission Subcommittee
..)if City Staff 1.
V City Board or Committee p (If/I) 6>t1
o Personnel
o Identify Others
.2001
.2001
2001
8-J. f"" : 2001
, , 2001
, 2001
on
on
on
on ,~
on
on
6. State the extent of any business, financial, familial, professional or other relationship which exists with any
individual identified in number (4) above:
Il d V'f.
,
ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, LISTING 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 2-482iJ1f th Miami Beach City Code as amended, and all reporting
requirements. n 7 ~
Signature of Lobbyist: p/ - /'"
, I
0 Personally known
0 Produced ID
Identify
0 Did take an oath, or
0 Did not take an oath
State of Florida, County of Miami-Dade
Sworn to and sUbscrir:;,o;e m,e
This ,If day of 2001.
ctP~.A~
Notary or puty CI k
If Notary, print, stamp or type as commissioned
Registration:
~PTED
FOR CLERK'S USE ONLY
[ ] REJECTED DATE:
If rejected, state reason:
Registration fee paid: [ ] Yes [ ] No [] Not-for-Profit Organization
~Cash [ ] Check MCR # .0 '3 n.YV>
DATA ENTRY DATE: .2001 ENTERED BY: