Affidavit
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CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
1700 ConvenlIon Center Dr1ve
Miami BeaCh, A. 33139
cityclerk<illci.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 MODIACATlON OF ANY ORDINANCE, RESOlUTION, ACTION OR DECISION OF AI('( COMMISSIONER; ANY
ACTION, DECISION, RECOMMENDATION OF ANY CITY BOARD OR COMMffiEE; OR ANY ACTION, DECISION OR RECOMMENDATION
OF AI('( PERSONNEL DEANED IN AI('( MANNER IN THIS SECTION, DURING THE TIME PERIOD OF THE ENTIRE DEClSION-MAKING
PROCESS ON SUCH ACTION, DECISION OR RECOMMENDATION THAT FORESEEABLY WILL BE HEARD OR REVIEWED BY THE CITY
COMMISSION. OR A CITY BOARD OR COMMffiEE. THE TERM 5PECIACALL Y INCLUDES THE PRINCIPAl AS WELL AS AI('( AGENT,
ATTORNEY, OFACER OR EMPLOYEE OF A PRINCIPAl, REGARDlESS OF WHETHER SUCH LOBBYING ACT1VITIES FALL WITHIN THE
NORMAL SCOPE OF EMPLOYMENT OF SUCH AGENT, ATTORNEY, OffiCER OR EMPLOYEE. EACH PERSON WHO WITHDRAWS AS A
LOBBYIST IS REQUIRED TO AlE A "CERTIACATE OF WITHDRAWAl.'
1) LobbyistName: ~\.\\'..e_-,c. ~\L""<L\ \\ .
Last Name / . Rrst Name Middle Initial
Business Phone ~ ~t. \ - q \ \ "L Message Phone ~ <\ Cj "\.....-1.\:0:3. '"
Business Name~and Address: ~I ') ~.. \ \)~~......
\l.~ \ 1/.1 b C ''''l~ u'l. l-.. \ec~L N .ll........ J"'\\61-' ~ l.. ":.l-l \
No. puite Oty \ I 'Slate Zip Code
Email Address: Mc.....'lC...\.... . ~ ~ ~(~ \......\c . ",d
2) Principal ReJained by: ~...~_, ~~....J" ~}""'\ ~. O~ \....'-.L
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.
~Clo.---" ~~.....t
3)
Subject Matter (Desclibe in Detail):
~... \......~,.."- \- (" "'''~'''''''\ ......... R....~ ~
.
,
4. Identify each Individual (Commissioners, Board, Committee, Authority member or City staff)
tobe~:. 1\ n n fI
_to..\\ ~},L e~\.\'~)- ~ c........ \....-~..."'- c..s- ~.....r....,\:\..l(
~\.~,^- ~ \It.. CtDt"\"Ilt ..
5. The subject matter in number three (3) above is to be considered at the meeting a (Identify each entity or
individual):
cY The City Commission
i:I City Commission Subcommit:IEe
i:I City Staff
..rCity Board or Committee ~ \ ~ .\-.......
i:I Personnel
i:I Identify Others
on "'... a'~ 2001
on .2001
on .2001
on J...\ '\...0 . 2001
on .2001
on .2001
6. State the extent: a any business, financial, familial, professional or other relationship which exists with any
individual identified in number (4) above: ~ ''',.__
ON OCTOBER 1 Sf OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, LISnNG LOBBYING EXPENDITURES IN THE CITY OF MIAMI BEACH
FOR THE PRECEDING CALENDAR YEAR.
I do solemnly !oWeilr that all a the foregoing facts are true and correct and that I have read or am familiar
with the provisionS contained in Section 2-482 a the Miami Beach City Code as amended, and all reporting
requirements.
Signature a Lobbyist: \\l1 ~
~11y knc7tm \
IJ Produced 10
VDid take an oath, or
i:I Did not take an oath
Identify
State a Florida, County a Miami-Dade
Swom.1O.and subscri~ ~ me
This ;L.-(W) day _. ~ 2001.t
C/l ~
~~ DefXKy 0eK
If Notary, print, stamp or type as commi$iOned
Registration: [~ED
FOR CLERK"S USE ONLY
[ 1 REJECTED DATE: t?! 1..1:> / 0 r
If rejected, state reason: ____
Registration fee paid: r-fYes [ l.Ne ~ 1 Not-for-P~ ~zatj~ /')
[ 1 cash [j01eck MeR # f<'
DATA ENTRY DATE:
. 2001 ENTERED BY: