The Tower Group 01/28/2002
m
CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
1700 Convention Center Drive
Miami Beach, FL 33139
cityclerk(Cilci. miami-beach. fl. us
AFFIDAVIT
LOBBYIST MEANS ALL PERSONS EMPLOYED OR RETAINED, WHETHER PAID OR NOT, BY A PRINOPAL WHO SEEKS TO ENCOURAGE
THE PASSAGE, DEFEAT OR MODIFICATION OF ANY ORDINANCE, RESOLUTION, ACTION OR DEOSION OF ANY COMMISSIONER; ANY
ACTION, DECISION, RECOMMENDATION OF ANY OTY 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 DEOSION-MAKING
PROCESS ON SUCH ACTION, DEOSION OR RECOMMENDATION THAT FORESEEABLY WILL BE HEARD OR REVIEWED BY THE OTY
COMMISSION, OR A CITY BOARD OR COMMmEE. THE TERM SPECIFICALLY INCLUDES THE PRINOPAL AS WELL AS ANY AGENT,
ATTORNEY, OFFICER OR EMPLOYEE OF A PRINOPAL, REGARDLESS OF WHETHER SUCH LOBBYING ACTIVITIES 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 uCERTIFICATE OF WITHDRAWAL."
1) Lobbyist Name: fS. 4L t; It; ttA1, f.h htc>> v
Last Name First Name
Business Phone Eor) Lff..{{ -I z. 7 z.. Message Phone L)
Business Name and Address: L v~'5 t Itlft'"rt 4, L. ( - C .
'3~ro3 5W g S'7 u'1lJ h'4f1(
I
No. Street Suite City
1
Middle Initial
r'L
??Isj
State
Zip Code
Email Address:
1M
( '1
IOt..A:1<
:;7
Street
~
State
G"uo ///.7
2)
Principal Retained by:
10 I'f (' NG
If different from above
1-11(1111
City
Suite
J:?/I'L
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):
/2.EGI'O fl/~
L I <f vf4h.t '1
4. Identify each individual (Commissioners, Board, Committee, Authority member or City staff)
to be lobbied:
{'("77 ~ hn I $5('I),J +- If<:;r. '1V,~7tL.4'7(.. rJ
5. The subject matter in number three (3) above is to be considered at the meeting of (Identify each entity or
individual):
if The City Commission ( 120(11'1.. on .2001
CJ City Commission Subcommittee on .2001
CJ City Staff on .2001
CJ City Board or Committee on .2001
CJ Personnel on .2001
CJ Id~ntify Others on ,2001
6. State the extent of any business, financial, familial, professional or other relationship which exists with any
individual identified in number (4) above:
jJ/ k
,
ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, USTING 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.
CQ~ 9. ({~
Personally known
CJ Produced ID
~ake an oath, or
CJ Did not take an oath
Identify
State of Florida, Coun of Miami-Dade
~7s~~~a'be before m~~ ~ 9J.Jt-
or Der:5uty Clerk
If Notary, print, stamp or type as commissioned
Registration: ~[ ]
FOR CLERK'S USE ONLY
REJECTED OAT" I/? 1<;>:)---
If rejected, state reason: ,____
Registration fee paid: ~s.j...-l-NO [] Not-for-Profit Organization
~ []Check MCR#
DATA ENTRY DATE:
.2001
ENTERED BY: