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Ronald E. Bloom 2/8/02 (, .. ~ "" CITY OF MIAMI BEACH "r::-'V OFFICE OF THE CITY CLERK . ,.- j . EO LOBBYIST REGISTRATION AFFIDAVIT i i PM 2:03 LOBBYIST SPECIFICALLY INCLUDES PRINCIPAL AS WEL~l~&L~'filfl~ OFFICER OR EMPLOYEE OF A PRINCIPAL. EACH PERSON WHO WITHD~WS AS A LOBBYIST IS REQUIRED TO FILE A "CERTIFICATE OF WITHDRAWAL." (1) Lobbyist Name Echemendia. Santiago D. LAST NAME FIRST NAME MI Business phone ( 305 )536-1112 (Tew Cardenas Rebak Kellogg. et a1.) Business Address 201 S. Biscayne Blvd.. Suite 2600. Miami FL 33131 (2) Principal Retained By: ~o~AI b [. & f 190 H 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!) ~ F IL.... i .,,.; IV? ot b DCK.. (4) Identify each individual (Commissioners, Board, Committee. Authority member, or City staff) to be lobbied. ~I~til~? \~(j~It'~N~"'" (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 ~ , . -. ii, (6) State the extenj'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 repo~ments. Signature of Lobbyist: Santiago D. Echemendia ~ersonallY known o Produced ID (IDENTIFY) o Did take an oath, or O"Did not take an oath State of Florida, County of Miami-Dade S~o~l~d SUbSCrib~):ore me thiS L- day of iA1 If a Notary: Print, Stamp or Type as Commissioned Io.NA toe mclNl!Z NorAIn' PUlLlC WATI QlllLORJDA COMMl'iSION NO. ~11 MY COMMISSION EXP. L Y 28 ****************************************************************************** Registration: FOR CLERK'S USE ONLY o REJECTED Ifrejected, state reason: / Registration fee paid: ~s o Not For Profit Organization o Documentary Proof Attached MCR No. ENTERED B 0,- gl'Check dQ~~ o Cash DATA ENTRY DATE 221998