Shulman, Allan 03/07/2002
....
m
~
CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
1700 Convention Center Drive
Miami Beach, FL 33139
cityclerk((i)ci .miami-beach .fI. us
AFFIDAVIT
LOBBYIST MEANS ALL PERSONS EMPLOYED OR RETAINED, WHETHER PAID OR NOT, BY A PRINCIPAL 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 aTY BOARD OR COMMmEE; OR ANY ACTION, DEOSION OR RECOMMENDATION
OF ANY PERSONNEL DEANED IN ANY MANNER IN THIS SECTION, DURING THE TIME PERIOD OF THE ENTIRE DEOSION-MAKING
PROCESS ON SUCH ACTION, DEOSION OR RECOMMENDATION THAT FORESEEABL Y WILL BE HEARD OR REVIEWED BY THE OTY
COMMISSION, OR A aTY BOARD OR COMMmEE. THE TERM SPECIFICALLY INCLUDES THE PRINOPAL AS WELL AS ANY AGENT,
ATTORNEY, OFACER OR EMPLOYEE OF A PRINCIPAL, 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 ALE A "CERTIACATE OF WITHDRAWAL."
1) Lobbyist Name: She--IJ-..~ AI-(~
Last Name First Name
Business Phone ~ 1-3&. cx;"cry Message Phone L)
Business Name and Address: AI ~ T b~ (rv,crn (7-I-c-~~'fcc7; ?; f7....
434- N$ Z8 -#:z ~* H/On,/
No. Street Suite City
Email Address: ~Yc;:J
T
Middle Initial
FL
State
3s/s=r-
Zip Code
2)
City
~6
State
?ft
ite
L~/39
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):
ch~ ~f- ~':!~V=::/ 17::: ~7-fG-r'~ L
,YJ ve::>~d A-~ IJ?~.- _ _.
,"t
~
4. Identify each individual (Commissioners, Board, Committee, Authority member or City staff)
to be lobbied: D z::>
H,.sf.....,..,c {-~~~~-v; PC>d-v'<::/
5. The subject matter in number three (3) above is to be considered at the meeting of (Identify each entity or
individual):
H,'~-r~"<:.. ?v~~~t~
[J The City Commission
[J City Commission Subcommittee
[J City Staff
[J City Board or Committee
[J Personnel
[J Identify Others
~~I ~/2J~
on . . 2001
on . 2001
on .2001
on .2001
on .2001
on .2001
I~~
,
6. State the extent of any business, financial, familial, professional or other relationship which exists with any
indMdual identified In number (4) above: H'B
I ~ 'Bh ~,'-fc--=+ ~L!2~ ~6 ~~ C>~.
ON OCTOBER 151' 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.
Signature of Lobbyist: ~ ~_/~
~~Personally knowy
[J Producea ID
Identify
[J Did take an oath, or
~ Oid not take an oatn ~
State of Florida, County of Miami-Dade ~
Sworn to and SUbscr1~~ . /.
This t?=r day of 2001. ~
Y N ry or Deputy Clerk
IU\ UtIlI....
If Notary, print, _ ~~~:SSiOned
Registration:
FOR CLERK'S USE ONLY
[~CCEPTED [] REJECfED DATE: ~/-::rf., 2-
If rejected, state reason:
Registration fee paid: Yes [ ] No ] Not-for-Profit Organiz~pn
[ ] Cash [ Check MCR # & t.td~ 7ctJ
DATA ENTRY DATE:
. 2001
ENTERED BY: