Affidavit
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cnv OF MIAMI BEACH
OFFICE OF THE cnv CLERK
1700 Corwen1Ion Centl!r Drtve
Miami Beach, R. 33139
c~IerI<@d.miami-beach.f1.us
AFFIDAVIT
LOBBYIST MEANS AlL PERSONS EMPLOYED OR RErAINED, WHETHER PAID OR NOT, BY A PRINCIPAl WHO SEEKS TO ENCOURAGE
THE PASSAGE, DEFEAT OR MODIFICATION OF ANY ORDINANCE, RESOLUTION, ACTJON OR DECISION OF >>l'f COMMISSIONER; >>l'f
ACTION, DECISION, RECOMMENDATION OF ANY CIiY BOARD OR COMMITTEE; OR ANY ACTION, DECISION OR RECOMMENDATION
OF >>l'f PERSONNEL DEFINED IN >>l'f MANNER IN THIS SECTION, DURING THE TIME PERIOD OF THE ENTIRE DEClSION-MAKlNG
PROCESS ON SUCH ACTJON, DECISION OR RECOMMENDATION THAT FORESEEABLY WILL BE HEARD OR REVIEWED BY THE CITY
COMMISSION, OR A CITY BOARD OR COMMITTEE. THE TERM SPECIACALL Y INCLUDES THE PRINCIPAl AS WELL AS >>l'f AGEKT,
ATTORNEY, OFACER OR EMPLOYEE OF A PRINCIPAL, REGARDLESS OF WHETHER SUCH LOBBYING ACTIVmES FALL WITHIN THE
NORMAL SCOPE OF EMPLOYMENT OF SUCH AGEKT, ATTORNEY, OFFICER OR EMPLOYEE. EACH PERSON WHO WITHDRAWS AS A
lOBBYIST IS REQUIRED TO FILEA' "CEImFICATE OF ~WAL .
1) Lobbyist Name: ISo\Jt.hOl.. _~t> rZ
Last Name Fi Name Middle Initial
BusIness Phone (Yl~) q~> - n"l b Message Phone ~
Business Name and Address: l1o\lZ..h", ~^..~).",. (VI i~; ~ l L L
2Qq,\ '-IE ~th Co,,-t f\v,~..1..,~ FL
No. Street Suite City Slate
Emall Address: J~OtC.o B 11/ f!l.. flOL. toM
2) Principal Retained by: _(J,o~ho, a/lo tho.. (\'IiOi1ll: at.J, LLt..
~31<<io
Zip Code
If different from above
Street
Suite
Ow 9are ZipOOOe
(a) If a corporation, partnership, or bust, klentlfy and provide the address for the chief offtcer, partner,
beneficiary or inte ests. q . () t +~ 11 _ I
_ .liWI ()o\lU,..... 'lQO\q\ N'E ~o LOIlt..-\
Al4'kfw., F-l 5$1'1.0
3) Subject Matter (aeslaibe in Detail):
ft4;:1o CDhlM>'~l'\ RF:f'.
",~J;;-"."'<" ,.',~
.
\.
4. Identify each Individual (Commissioners, Board, Committee, Authority member or CIty starr)
to be lobbied: N\ j n"+ n " {\ 't A'"""
~i1On- (0,01 <.:, ., (0"'''''''4\'''' l..~~" .1\'I,~i.I~~1"\.y\
I c.;rt'q (jthl"~'l.~.
5. The subject matter In number three (3) above is to be considered at the meeting r:I (Identify each entity or
Individual):
0 The City Commission on .2001
0 City Commission 5ubcornrnitlEe on .2001
0 CIty Staff on .2001
0 City Board or Committee on ,2001
0 Personnel on .2001
0 Identify Others on ,2001
6. St5te the extent r:I any business, financial, familial, professional or other relatlonship which exists with art(
Individual identified in number (4) above: f)ol\l.,
ON OCTOBER 1 Sf OF EACH YEAR. EAOf LOBBYIST SHALL SUBMIT TO THE OTY a.ERK A SIGNED
STATEMENT UNDER OATH, LIST1NG LOBBYING EXPENDnuRES IN THE OTY OF MIAMI BEACH
FOR THE PRECEDING CALENDAR YEAR.
I do solemnly !>Wear that all r:I the foregoing facts are true and correct and that I have read or am familiar
with the provisions contained in SectIon 2-482 r:I the Miami Beach CIty Code as amended, and all reporting
requirements.
Signature r:I Lobbyist:
~1,:\~bLbU()-Lt~t,- "3-'+7- J
Identify
o DkI take an oath, or
o DkI not take an oath
State r:I Florida, County r:I Mlaml-Dade
Sworn ~.ilflIl su me
"This ~~ 2001.
(
{\~~~
If Notary, print, stamp or type as conmISSIoned
FOR CLERK'S USE ONLY
ReglstraUoo: [] ACCEPTED [] REJECTED DATE:
If rejected, state reason:
ReglstraUoo fee paid: [ ] Yes [ ] No [] Not-fur-Profit OrganIzaUoo
[ ] Cash [ ] Oleck MCR #
DATA ENTRY DATE:
. 2001 ENTERED BY: