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Affidavit - Howard Olin 11/29/1 m.::.. 10 .1.\- . ..., '., ..'~:", '-",.,- . -\' ,. - CITY OF MIAMI BEACH OFFICE OF THE CITY CLERK 1700 Convention Center Drive Miami Beach, FL 33139 citvclerk@ci.miami-beach.f1.us AFFIDAVIT LOBBYIST MEANS ALL PERSONS"EMPLOYED OR RETAINED, WHETHER.PAID OR NOT, BY'A PRlNOPAL WHO SEEKS TO ENCOURAGE THE PASSAGE, DEFEAT OR MODIFICATION OF ANY ORqINANCE, RESOLUUON, ACTION OR DECISION OF ANY COMMISSIONER; ANY ACTION, DECISION, RECOMMENDATION OF ANY criY BOARD OR'COMMmEE; OR ANY ACTION, DECISION OR RECOMMENDATION OF ANY PERSONNEL DEFINED IN ANY MANNER IN THIS SECTION, DURlNG THE TIME PERlOD 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 PRlNCIPAL AS WELL AS ANY AGENT, ATTORNEY, OFFICER OR EMPLOYEE OF A PRlNCIPAL, REGARDLESS 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 WITHDRAW." ,,~~ First Name Lobbyist Name: '0 Last ame Business Phone i2!1r. 0,,'1? .r7 Business Name and Address:~ "'07 Lor t::-L,.... No. Street Suite Middle Initial 1) Message Phone (_) ~/,'..eI~~ City,,'" ," Stc!te , . V:VP/" --- Zip Code Email Address: 2) Princ;ipal Retained by: , '''s 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 (Describe in Detail): , ~-,/ ~~"r;:.,;/"..Ai,,,...--t!{.~- 4. Identify each individual (Commissioners, Board, Committee, Authority member or City staff) to be lobbied: ~t:::~ ~~' __7; ~~~._.r-/::?~ 5. The subject matter in number three (3) above is to be considered at the meeting of (Identify each entity or individual): a The City Commission on. 2001 a City Commission Subcommittee on , 2001 Q City Staff on , 2001 a City Board or Committee on. 2001 a Personnel on ~ ., 2001 a Identify Othersvd4!!"d""", <!J.--- on /-//.J~ ,2001 6. State the extent of any business, ~anci{f,1rn,'mcf( pr~~~;;;':h~lationshiP which exists with any individual identified in number (4) above: ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIsT SHALL SUBMIT TO THE CITY CLERK A SIGNED STATEMENT UNDER OATH, LISTING 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 2-482 of the Miami Beach City Code as amended, and all reporting Z~=, ~_. .."... ..' a Produced 10 ',> ... IdentitY ..1' , '., a Did take an oath, or a Did not take an oath ,J &~~ If Notary, print, stamp or type as commissioned , FOR CLERK'S USE ONLY f Registration: ~~ []~~~;~~.V\'~ATE:j Fz'J/ Df I . If rejected, state reason: ______ ': . . . Registration fee paid: MYes [ ] N~] Not-for-Profit (Jrganization [ ] Cash KCheck MeR # ' DATA ENTRY DATE: .2001 ENTERED BY: