Affidavit Sunset Three 525 LLC
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CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
LOBBYIST REGISTRATION
AFFIDAVIT
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LOBBYIST SPECIFICALLY INCLUDES PRINCIPAL AS WELL AS ANY AGENT,
OFFICER OR EMPLOYEE OF A PRINCIPAL. EACH PERSON WHO WITHDRAWS
As A LOBBYIST IS REQUIRED TO FILE A "CERTIFICATE OF
WITHDRAWAL."
(1) Lobbyist Name Pardo Adrienn.. F.
3~T NAME, 579_068~IRST NAME HI.
Business phone (-)
Business Address 1221 Brickell Avenue, Miami, FL Zip 33131
(2)
Sunset Three- 525, LLC
Principal Retained By:
Principal's Address 1100 Brickell Ave., #504, Miami. FE;ip 33131
(IF DIFFERENT FROM ABOVE)
a. If a corporation, partnership, or trust, identify and provide the
address for the chief officer, partner, beneficiary, or interests.
Robert Thorne 25%
Bobbv Stecher 50%
Frank Amedia 25%
(3) Subject Matter (Describe in detail!) Lot split for property located
at 1525 W. 24th Street
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(4)
Identify each individual (Commissioners, Board, Committee, Authority
member, or City staff) to be lobbied. NOtte
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(5)
The subject matter in number (3) above is to be considered at the
meeting of: (Identify each entity or individual)
o The City Commission
o City Commission Subcommittee
o City Staff
o City Board or Committee
o Personnel
lit Identify Others Planning Board
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(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 1 OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE: CITY CLERK, A
SIGNED STATEMENT UNDER OATH, LISTING ALL 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 2-48 of the Miami Beach City Code as amended, and all reporting
requirements. ~ <~
Signature of Lobbyist: ~M P---.~ J ~
Adrienne F. Pardo
~ Personally known
o Produced ID
(lOENT I FY)
~ Did take an oath, or
o Did not take an oath
State of Florida, County of Dade
Sworn to and subscribed before me
this 2& day of ~2'e6 I
I ~~~LRGO S L
\NOTARY PU1!UC SfATEOF FLORIDA
COMMIS.~ION NO. CC771348
'"r' ,~." ", <0 EXP. SEPT 17,2002
Notary: Prf~t~~~1:amp:-or Type 89 commissioned
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Registration: ,rACCEPTED
If rejected, state reason:
o REJ ECTED
Registration fee paid:
tftes
o No
o Not For Profit Organization
o Documentary Proof Attached
MCR No.
o Cash
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ENTERED BY
DATA ENTRY DATE