Affidavit
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CITY OF MIAMI BEACH
OFFICE OF THE eIlY CLERK
1700 Conventlon Center Drive
Miami Bea~>. FL 33139
citvclerk@lci.ml<:' .1j-beach.t1. us
AFFIDAVIT
LOBBYIST MEANS ALL PERSONS EMPLOYED OR RETAINED, WHETHER PAlO OR NOT. BY A PRlNOPAL WHO SEEKS
TO ENCOURAGE THE PASSAGE, DEFEAT OR MODlFlCATION Of ANY ORDINANCE, RESOLUTION, ACTION OR
DEOSlON OF ANY COMMISSIONER; ANY ACTION, DEOSION, RECOMMENDATION OF ANY CITY BOARD OR
COMMITTEE; OR ANY AcnON, DEOSION OR RECOMMENDATION OF ANY PERSONNEL DEFINED IN ANY MANNER
IN THIS SEOlON, DURING THE TIME PERIOD OF THE ENTIRE DECISION-MAKING PROCESS ON SUCH ACTION,
DEOSION OR RECOMMENDATION THAT FORESEEABLY WILL BE HEARD OR REVIEWED BY THE CITY COMMISSION,
OR A (TIy BOARD OR COMMmEE. THE TERM SPEOFlCALL Y INCLUDES THE PRINOPAL AS WELL AS ANY AGENT,
ATTORNEY, OfFICER OR EMPLOYEE Of A PRINQPAL, REGARDLESS OF WHETHER SUCH LOBBYING ACTIVrnES
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: YAFFAR
Last Name
SURIA
First Name
Middle Initial
Business Phone (305) 372-5222 ._ Message Phone (305) 372-5222 EXT. 107
Business Address: 100 N. BISCAYNE BLVD. #2700
MIAMI No. Street FL 33132 Suite
City State Zip Code
Email Address:mail@zyscov.ich.com
2)
Principal Retained by:
COOLIDGE-SOUTH MARKET EQUITIES
If different from above
SCARSDALE
670 WHITE PLAINS ROAD
Street
NY
State
#106
Suite
10583
Zip Code
City
(a) If a corporation, partnership, or trust, identify and provide the address for the chief
officer, partner, beneficiary or interests.
3) Subject Matter (Describe In Detail): MODIFICATIONS TO HISTORIC PRESERVATION BOARD
APPLICATION.
4. Identify each individual (Commissioners, Board, Committee, Authority member or City staff).
to be lobbied: HISTORIC PRESERVATION. BOARD, CITY STAfF ( THIS IS A
QUASI-JUDICIAL PROCEEDING, THEREFORE WE ARE NOT PERMITTED TO LOBBY
MEMBERS OF THE' H.P. BOARD.)
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 ____. on
a City Commission Subcommittee _. __ _. ___ ._~ on
a City Staff '_'_ on
~ City Board or Committee _H~QJ\R~
o Personnel
o Identify Others __.
.2000
.2000
.2000
AUGUST 14 .2001
.2000
.2000
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:
N/A
ON JULY 1ST OF EACH YEAR, EACH LOBBYST SHALL SUBMIT TO THE CITY CLERK A
SIGNED STATEMENT UNDER OATH, USTING A 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
""",d,d, "'" ,i1 ~'f'""""iZI'~' _
Signature of LObbYiS~h ..._
fI' Personally known
o Produced ID
a ...Did take an oath, or
IllI" Did not take an oath
Identify
..."UI~
m~'~..
! . '\
\.. ~;)
.~o%W
State of Florida, County of Miami-Dade
Sworn to and subscribed before me
This 28 day of JUNE 2001
lEJSS'\~
~J>.Jbic. SliIrJ"l:riII
Mr Ccxmt Elq:i"8I JiJ1 ~ ZXl4 ------ -
~'CC9SI073 If Notary, print, stamp or type as commissioned
Registration:
~Cl'?TED
[ ] REJECTED
DAlE:
'j/s1u I
~
FOR CLERK'S USE ONLY
If rejected, state reason: _. __.._ ..
Registration fee paid: [ ] Yes [ ) No [~rofit ,.. anization "'--
[ ] Cash [ ] Check ~ .3.Ad'-lp
DATA ENTR~ DATE: ~)21.. D I~ ENTERED BY: ~