301 Ocean (10/05/2001)
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CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
1700 Convention Center Drive
Miami Beach, FL 33139
citvclerk(q)ci ,miami-beach, fI, us
AFFIDAVIT
LOBBY!ST MEANS ALL PERSONS EMPLOYED OR RETAINED, WHETHER PAID OR,NO'r. BY ,A PRINOPAL WHO SEEKS TO ENCOURAGE
THE,PASSAGE, DEFEAT OR MODIFICATION OF ANY ORDINANCE, RESOLUTION, ACTION OR DECISION OF ANY COMMISSIONER; ANY
ACTION, DECISION, RECOMMENDATION OF ANY cm BOARD OR COMMmEE; OR ANY ACTION, DEOSION 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 CTIY
COMMISSION, OR A cm BOARD OR COMMITTEE. THE TERM SPECIFlCALL Y INCLUDES THE PRlNOPAL 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 F~ "CERTIFICATE OF WITHDRAWAL,"
1) Lobbyist Name: J'{Obbfl\~ - lL.t",t---..HQI'f't.>d'l
Last Name ~rst Name Middle Initial
Business Phone ~
Business Nam; ?np Address: ,
2- Wee ,,~
No. Street So'" ~ City .f-
Email Address: k.h ('0 ~ a be 0 . r'le
2) ,"od,,1 ""'0'" ",,:301 0,; ~ ~~I2""ll1ld'"
30( C)c..CDVl pro
AA If differentYfm above
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. City
A~.sC1C. IHG-.
Street
Suite
3~/gr
State
Zip Code
(a) If a corporation, partnership, or trust, identify and provide the address for the chief officer, partner,
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:.( -"., f) , ,:) t.. ~"" r,
3) Su 1ect Matter (Describe in
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4, Identify each individual (Commissioners, Board, Committee, Authority member or City staff)
toJz4lobbied: '" ~ /I,. A J 1. __ _ J
~ eN\'^c;--~tJl'"(;X II r::: crcllJ Vs.:r:~L
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. 2001
o City Commission Subcommittee on. 2001
o City Staff on . 2001
o City Board or Committee on. 2001
o jlersonnel on , , 2001
......Identify Others ' & dA on fO/OS( ,2001...J-S,"?
6. State the extent of any business, financial, familial, professional or other relationship which exists with any
individual identEified i numb~er (4) above:
L__Of\e.
,
Personally known
D. ,~~uced ID.
,. ~id ta'ke an oat~, or
o Did not take an oath
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Identify
State of Florida, County of Miami-Dade.
Sworn ~ subscribe#l)~f~J11e ,
This ~day of ~01.
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.Registratip-n :~
If Notary, print, stamp or type as commissioned
, . " .,' '.,' '..
.F()R CLERK'S USE ONLY,
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, QATE:
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DATA ENTRY DATE:
.2001
ENTERED BY: