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Sunset Three-525 LLC 12/5/01 m CITY OF MIAMI BEACH OFFICE OF THE CITY CLERK 1700 Convention Center Drive Miami Beach, FL 33139 cityclerkt6lci .miami-beach, f),us '-"..;.." AFFIDAVIT LOBBYIST MEANS ALL PERSONS EMPLOYED OR RETAINED, WHETHER PAID OR NOT, BY A PRINOPAL WHO SEEKS TO ENCOURAGE THE PASSAGE, DEFEAT OR MODIACATION OF ANY ORDINANCE, RESOLUTION, ACTION OR DEOSION OF ANY COMMISSIONER; ANY ACTION, DEOSION, RECOMMENDATION OF ANY CITY BOARD OR COMMmEE; OR ANY ACTION, DEOSIOIll'OR RECOMMENDATION OF ANY PERSONNEL DEANED IN ANY MANNER IN THIS SECTION, DURING THE TIME PERIOD OF THE ENTIRE DEOSION-MAKING PROCESS ON SUCH ACTION, DEOSION OR RECOMMENDATION THAT FORESEEABLY WILL BE HEARD OR REVIEWED BY THE CITY COMMISSION, OR A CITY BOARD OR COMMmEE. THE TERM SPEOACALLY INCLUDES THE PRINCIPAL AS WELL AS ANY AGENT, ATTORNEY, OFACER OR EMPLOYEE OF A PRINOPAL, REGARDLESS OF WHETHER SUCH LOBBYING ACT1VIl1ES FALL WITHIN THE NORMAL SCOPE OF EMPLOYMENT OF SUCH AGENT, ATTORNEY, OFACER OR EMPLOYEE. EACH PERSON WHO WITHDRAWS AS A LOBBYIST IS REQUIRED TO ALE A ~CERTIACATE OF WITHDRAWAL." Business Phone C3.a.s) 377-6231 Business Address: 200 S. Biscayne No,' Michael First Name Message Phone (-> W. 1) Lobbyist Name: Larkin Last Name Middle Initial Miami City Email Address: 2) Principal Retained by: Sunset Three-525~L.L.C. 1800 Suns~t Harbor Drive If different from above Street Boulevard Street Flottida Stat~ 850 Suite 33131 Zip Code Suite Miami City Florida State 33139 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): .' Modification to prior Lot Split Approval ----~, 4. Identify each individual (Commissioners, Board, Committee, Authority member or City staff) to be lobbied: City Staff. We will not communicate with members of Planning Board prior to the public hearing since they will review application while acting in their quasi-judicial capacity. the this '.. ./ r1/0~ 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 o City Commission Subcommittee o City Staff a- City Board or Committee Planninq Board o Personnel o Identify Others ,2000 .2000 .2000 Jan~22 .2001 .2000 ,2000 on on on on on on 6. State the extent of any business, financial, familial, prof,,"onal or other relationship which exists with any individual identified in number (4) above: 'tIf\/ ON JULY 1ST OF EACH YEAR, EACH LOBBYST SHALL SUBMIT TO THE CITY CLERK A SIGNED STATEMENT UNDER OATH, USTING 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 contained in Section 2-482 of the Miami Beach City Code as amended, and all reporting requirements, A AA..{ Signature of Lobbyist: ~ ~ .~ , ...", Personally known o Produced ID Identify o Did take an oath, or .A Did not take an oath State of Florida, County of Miami-Dade Sworn to and subscribed before me ."" This t?--t'h day of [)ecetnkr:-)OOO. e?'-0tJ1 ~.~ USA C, BROOKS MY COMMISSION # CC 856829 EXPIRES: July 20, 2003 Bondod Thru Notary Puble Underwriters Notary or Deputy Clerk 1 if~ C ,(3/'VtJkS If Notary, print, stamp or type as commissioned Registration: ~PTED FOR CLERK'S USE ONLY Lj3 / [ ] REJECTED DATE: . ~ If rejected, state reason: ____ Registration fee paid: 'f"'fYes [ ] No ~ot-for-Profit Organization [ ] Cash [-tClieck MeR # ~ DATA ENTRY DATE:. ~ ENTERED B :