HomeMy WebLinkAboutMeunier, Jean Marc
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CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
1700 Convention Center Drive
Miami Beach, FL33139
citvclerk@ci.miami-beach.f1.us
AFFIDAVIT
LOBBYIST MEANS ALL PERSONS EMPLOYED OR RETAINED, WHETHER PAID OR NOT, B'( A PRINOPAL WHO SEEKS TO ENCOURAGE
THE PASSAGE, DEFEAT OR MODIFICATION OF ANY ORDINANCE, RESOLUTION, ActION OR DECISION OF ANY COMMISSIONER; ANY
ACTION, DEOSION, RECOMMENDATION OF ANY CITY 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 CITY
COMMISSION, OR A CITY BOARD OR COMMmEE. THE TERM SPEOFICALL Y INCLUDES THE PRINCIPAL 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 "CERTIFICATE OF WITHDRAWAL..
1) Lobbyist Name: ~ ~~tJ r\A~1
Last Name First Name Middle Initial
Business Phone ~ 5 ~R
Business Name and Address:
i?ot
o.
(J)u./ tJ S ~v
Street
o ,~, Message Phone (~
"dE--F-FEt. S O\J ~~7~ Cl t>
11 :&o:r 1\ ,P61 , R:.f2 It L.~ -PL
Suite City State
g~13~
Zip Co e
Email Address:
2) Principal Retained by:
If different from above
Street
Suite
City
State
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):
2f 0 D I-F I r..A.~, () tV 1'0 ,-ij-P FJ<.i $ T I JJ (yo
s ~iJ;~ a;?r5> ~ W:t/~61t~~(t .{~
W IJ"JJ rT-
(}~JJ ~ rV1=
~A
4. Identify each individual (Commissioners, Board, Committee, Authority member or City staff)
to be lobbied:
~ S-I~\L
~ S.f.~ V1\l \ ()~
lYD-A.t. D .
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
o City Board or Committee
o Personnel
~Identify Others t\-l~'l rIl. I (
on
on
on
on
on
.p6tEq::~\JA\1 a..r on
.2001
.2001
.2001
.2001
.2001
f) -:S/ .,( 2 . 2001
6. State the extent of any business, financial, famili~ professional or other relationship which exists with any
individual identified in number (4) above: WOtv:t:::-
ON OCTOBER 1ST OF EACH YEA~, EAcH, lOBBYIST SHALL SUBMrT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, LISTING 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 contai ed in Section 2-482. of the Miami Beach City Code as amended, and all reporting
requirements.
Signature of Lobbyist:
...
I( Personally known
o Produced ID
Identify
o Did take an oath, or
o Did not take an oath
State of Florida, County of Miami-Dade
Sworn to and subscribed before me
This ~'? day of ...j~v~. 2001..0
.. ..~L
MARIA T LOPEZ
NorMY PUBUC STATE OF FLORIDA
COMMISSION NO. DDOI0418
MYCOM~'~S'.Q~~E~~. APR. 10,2005
~ 'C0.~
~r Deputy C1lr-k ~
,11') IIf!" It r: (A) fJE 6'
If Notary, print, stamp or type as commissioned
. . FOR. CL~R.K'SUSE o~~ .' /
[ ] REJ,ECTED DATE: I Y" _ G ~
If rejected, state reason: .~.
Registration fee paid: ~s [ ] Ng"...-tj Not-for-Profjt.OJ~52!ioo.. .,....--
[ ] Cash f-"1'""Check MCR #e;/ ~'-l.J--
.2001 ENTERED BY:
Registration: ~D
DATA ENTRY DATE: