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CI1Y OF MIAMI BEACH
OFFICE OF THE CI1Y CLERIC
1700 Convention Center DrIve
Miami Beach, FL 33139
citvclerktlllci .miami-beach.fl.us
" ',,; li'TlGE
AFFIDAYn'
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; Atff
ACTION, DECISION, RECOMMENDATION OF Atff CITY 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-MAKING
PROCESS ON SUCH ACTION, DECISION OR RECOMMENDATION THAT FORESEEABLY WILL BE HEARD OR REVIEWED BY THE CITY
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)~eO "e; y' ~~j I
last Name First Name Middle Initial
Business Phone~) 73 CJ - 2-2.3 '? Message Phone LJ s~
Business Name and Address; /G;" k1-hb,,J ./- 4~c.. h c...
S/oo AJw 33r-dA-- /5"7- Ff-LAvDV".f)k!-e. It-
No. Street Suite' City State
EmailAddress:~t./.5s(!:jI.3k";:;~;..kY.-.4r~ C"41
2) Principal Retained by: L'w, ~ ~_,J -~ ~"-
3,S309
Zip Code
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.
3) Subject Matter (Desl).be In D~""II):
OrO-:.r~
,
.f('
w/ ..~
~
OvL/"Vt~0 tJ..v(;,fN;';4.
4. Identlry ..cb Individual (Commissioners, Board, Committee, Authority member or CIty staff)
tobe~: . . :/
1'J'.J.M""/~/iNVer.s ,/-h/H,.>ul-r..h,,;- 5-&/
,
5. The subject matter in number three (3) above is to be considered at the meeting d (Identify each entity or
individual):
0 The City Commission on .2001
0 City Commission SUbcommittee on .2001
0 City Staff on .2001
0 City Board or Committee on ,2001
0 Personnel on .2001
0 Identify Others on ,2001
6. State the extent d any business, financial, f~ilial, professional or other relationship which exists with any
individual identified in number (4) above: A ~
ON OCTOBER 1 R OF EACH YEAR, EAOf LOBBYIST SHALL SUBMrr TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, LISnNG LOBBYlNG EXPENDITURES IN THE CITY OF MIAMI BEACH
FOR THE PRECEDING CALENDAR YEAR.
I do solemnly swear that all of the fo ing facts are true and correct and that I have read or am familiar
with the provisions contained in 'on - d the Miami Beach City Code as amended, and all reporting
requirements.
Signature d Lobbyist:
o Personally known -171ft.
\:I Produced 10 ( ,
~take an oath, or
o Did not take an oath
7JiZ ,Vo.e.'s i/'r .
Identify
/36'5;1, - )-;;6 - 6J: YGo-c)
State of Florida, County of Miami-Dade
SWO'M SUbsc~ beJ'~ me
This day _. ~ 2001.
~'f~~
Notary or Deputy Clerk.
If Notary, print, stamp or type as commissioned
FOR a.ERrS USI ONLY
Registratlon: [] ACCEPTED [] REJECTED DATE:
If rejected, state reason:
Reglstratlon fee paid: [ ] Yes [ ] No [] Not-far-Proftt Qrganlzatlon
[ ] Cash [ ] Check MCR #
DATA ENTRY DATE:
. 2001 ENTERED BY: