Ronald E. Bloom 2/8/02
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CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
LOBBYIST REGISTRATION
AFFIDAVIT
LOBBYIST SPECIFICALLY INCLUDES PRINCIPAL AS WELL AS AJiY AGENT,
OFFICER OR EMPLOYEE OF A PRINCIPAL. EACH PERSON WHO WI~HDRAWS 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:
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RloflM
Principal's Address
Zip
(IF DIFFERENT FROM ABOVE)
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!)
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(4) Identify each individual (Commissioners, Board, Committee, Authority member, or
City staff) to be lobbied,
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(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
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(6) State the extent of any business, financial, familial, professional or other relationship
which exists with any individual identified in number (4) above.
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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 contained in Section 2-48 of the Miami Beach City Code
as amended, and all reporting [ i en
Signature of Lobbyist:
~rsonally known
o Produced ill
(IDENTIFY)
o Did take an oath, or
~ Did not take an oath
State of Florida, County of Miami-Dade
Sworn t~d SUbscrib~fore me
this g day of Ulu;j
If a Notary: Print, Stamp or Type as Commissioned
ANA M JIMENEZ
NOTARY PUBLIC srATE OP JlLaUDA
COMMISSlON NO. CC8S9111
MY COMMJ!lSlON EXP. Y 28
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Registration:
FOR CLERK'S USE ONLY
o REJECTED
DATE&.-- ~
\
Ifrejected, state reason:
Registration fee paid: ~
o
DATA ENTRY DATE
o Not For Profit Organization
o Documentary Proof Attached
MCR No.
ENTERED BY
...
221998
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