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MB Redev. Inc. 2/8/02 .. .- ; '';''':, \ " ~ \4! .- CITY OF MIAMI BEACH OFFICE OF THE CITY CLERK LOBBYIST REGISTRATION AFFIDAVIT :~ ."'"" 1:-." i \.! F n .~ -:', ._ 4.) ,...,..", " p' i" t.. j; i'J 2: 03 1 '{ <.,...il;WS GFFIGE LOBBYIST SPECIFICALLY INCLUDES PRINCIPAL AS WELL AS ANY I AGENT, OFFICER OR EMPLOYEE OF A PRINCIPAL. EACH PERSON WHO WITHDP.WS AS A LOBBYIST IS REQUIRED TO FILE A "CERTIFICATE OF WITHDRAWAL." (1) Lobbyist Name Echemendia. Santia~o D. LAST NAME FIRST NAME MI. Business phone ( 305 ) 536-1112 (Tew Cardenas Rebak Kellogg. et a!.) Business Address 201 S. Biscayne Blvd.. Suite 2600. Miami FL 33131 (2) PrincipaIRetainedBY:~' ~ ~tt[v€l1)p~f"'''''' ...9tJe 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. Subject Matter (Describe in detail!) \~lIld~~~ f-'lY ~ f-PN:luJ Wdl- Pt~-l nC\I\)S ~ tl)~ r'n-f e~ ni~ ~~WS L1~"ftl At' J~QI ~\hrJ~ \1.J~~\lE. (3) (4) Identify each individual (Comwissioners B.oar<\. Committee, Authority member, r City staft) to be lobbied. k4C ~ 1\l ~ ~ CW 0 I (5) The subject matter in number (3) above is to be considered at the meeting of: (Identify each entity or individual ,19_ ,19_ ,19_ ,19_ ,19_ ,19_ o The City Commission o City Commission Subcommittee o City Staff o City Board or Committee o Personnel o Identify Others on on on on on on , . . 111 ~ , (6) State the extent of any business, financial, familial, professional or other relationship which exists with any individual identified in number (4) above. f 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 requirements. Signature of Lobbyist: ~ ~ Santiago D. Echemendia za1>ersonal1y known o Produced ID (IDENTIFY) o pid take an oath, or I;fDid not take an oath State of Florida, County of Miami-Dade S~omJ9L...and SUbSCribl:t~efore me thIS Ov- dayof _ ~ , If a Notary: Print, Stamp or Type as Commissioned ANA M JIMENEZ NOl'ARY PVBUC IJI'ATIl OF FLORIDA COMMISSION NO, ~17 MY COMMISSION EXP. Y 28 ****************************************************************************** Registration: FOR CLERK'S USE ONLY D REJECTED DATE If rejected, state reason: Registration fee paid: ~ DCa h DATA ENTRY DATE D No. Zeck ,~ D Not For Profit Organization D Documentary Proof Attached MCR No. ENTERED BY 221998