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Caldwell 01/24/02 CITY OF MIAMI BEACH OFFICE OF THE CITY CLERK LOBBYIST REGISTRATION AFFIDAVIT 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 de la Fuente, Bob LAST NAME FIRST NAME MI Business phone ( 305 ) 536-1112 (Tew Cardenas Rebak Kellogg, et al.) Business Address 201 S. Biscayne Blvd.. Suite 2600. Miami FL 33131 (2) Principal Retained By: John ~a1dt.l uti ~01o(Olo.. Principal's Address 1 &Cj J..clPIr.td~ 0 { PQ/\€u ~ r bJd~kip 5€'>M~ (IF DIFFERENT FROM ABOVE) SLnrlAe-. R 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!) ~'l/lDrrf "kli::) ..lr. ,.o-D('\~ w~ <+k.L profarL6 V-fff'idt ....:k:> ~ .LU~t-"ff d-oo W~ Aa.Ja ~ ~/4 L(.AoJ~'-tI.Jl ~l-~ 1J ~~, ~ (4) Identify each individual (Commissioners, Board, Committee, Authority member, or City staff) to be lobbied. (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 o Identify Others ,19_ , 19_ ,19_ ,19_ ,19_ ,19_ on on on on 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. 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 c tained in Section 2-48 of the Miami Beach City Code as amended, and all reporting re Ir ts. /-z (IDENTIFY) Signature of Lobbyist: 6ersonally known o Produced ID o ~id take an oath, or 6 Did not take an oath State of Florida, County of Miami-Dade Sworn to and subscribl(d before me :a::cn.. this 2.'1./1... day of c.A:l.n1.olCU"~ ' ~. ~cq~ Po.r~8ft~ed Gominil8l.on /I ex: Sl91482 ~ Feb. u.:ms lloD4ed 'I'm AtJantle lIondIDI 00., IIle. ****************************************************************************** Registration: 0 ACCEPTED FOR CLERK'S USE ONLY o REJECTED DATE If rejected, state reason: o Cash DATA ENTRY DATE o Check , 1999 o Not For Profit Organization o Documentary Proof Attached MCR No. ENTERED BY Registration fee paid: 0 Yes o No 221998