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Affidavit Arden Svoy Investors m CITY OF MIAMI BEACH OFFICE OF THE CITY CLERK 1700 Convention C~nter Drive Mi~mi Beach, FL 33139 citvclerk(Cilci. m ia m i-beach. fl. us AFFIDAVIT . LOBBYIST MEANS ALL PERSONS EMPLOYED OR RETAINED, WHETHER PAID OR NOT, BY A PRlNCIPAL WHO SEEKS TO ENCOURAGE THE PASSAGE, DEFEAT OR MODlACATION OF ANY ORDINANCE, RESOLUTION, ACTION OR DECISION OF ANY COMMISSIONER; ANY ACTION, DECISION, RECOMMENDATION OF ANY CITY BOARD OR COMMmEE; OR ANY ACTION, DECISION OR RECOMMENDATION OF ANY PERSONNEL DEFINED IN ANY MANNER IN THIS SECTION, DURING THE TIME PERlOD OF THE ENTIRE DECISION-MAKING PROCESS ON SUCH ACTION, DECISION OR RECOMMENDATION THAT FORESEEABL Y 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, REC'ARDLESS OF WHETHER SUCH LOBBYING ACTlvrnES 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: Bercow Jeffrey Last Name First Name Middle Initial Business Phone C3..0.s) ,77-hnn Message Phone (_) Business Address: 200 S. Biscayne Boulevard No. Street Florida Miami City Email Address: State 33131 Zip Code 850 Suite 2) Principal Retained by: Arden Savoy Investors, If different from above Miami Beach L.L.C. 425 & Street Florida 455 Ocean Driw' City State Suite 331~9 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 (Describe in Detail): Development Approvals from the Historic Preservation Board. 4. Identify each individual (Commissioners, Board, Committee, Authority member or City staff) to be lobbied: Since this is a quasi-j udicial proceeding, members of the board will not be contacted prior to the hearinq. S. The subject matter in number three (3) above is to be considered at the meeting of (Identify each entity or individual): Q The City Commission a City Commission Subcommittee Q City Staff Ii:! City Board or Committee Historic a Personnel Q Identify Others Oct. 9 .2000 .2000 .2000 .2001 .2000 .2000 on on on Preservation Boar~n 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: None. ON JULY 1sT OF EACH YEAR, EACH LOBBYST SHALL SUBMIT TO THE CITY CLERK A SIGNED STATEMENT UNDER OATH, LISTING 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 contai in Se . n 2- of the Miami B City Code as amended, and all reporting require ents Signature of Lobbyist: )1{ Personally known Q Produced 10 Identify Q Did take an oath, or >r Did not take an oath State of Florida, County of Miami-Dade S~orryl:Q ~p..d sUbscri~efore me :J,oO I This CJ I day of t. , ~. "........ L1S~ c, BROOKS l~':&.....' 'Iiiif~ MY COMMISSION t DC 856829 h ; ; EXPIRES: J~ 20, 2003 . ,~~....flj Bonded Thru NOllry PublIC UnderWrite1S 'lJ'I1h.~' ()~ Notary or Deputy Clerk' .' LiSa.. C. BrookS If Notary, print, stamp or type as commissioned FOR CLERK':> USE ONLY Registration: ] ACCEPTED [] REJECTED If rejected, state reason: ~ Registration fee paid: [q--ves [ ] No [] Not-for-P [ ] Cash [ ] Check MeR # DATA ENTRY DATE:~ 2000 DATE: g 1'2-( / d J ENTERED BY: