Arden Savoy, LLC 3/22/02
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CITY Of MIAMI BEACH
OfFICE Of THE CITY CLERK
1700 Convenlion Center Drive
Miami Beach, R. 33139
cityclerk.@d.miami-beach.f1.us
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02 MAR 22 PM 2= 33
CiTY CLERK'S 0FPtet
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 AfN ORDINANCE, RESOlUTION, ACTION OR DECISION OF AfN COMMISSIONER; ANY
ACTION, DECISION, RECOMMENDATION OF AfN CITY BOARD OR COMMITTEE; OR ANY ACTION, DECISION OR RECOMMENDATION
OF AfN PERSONNa. DEFINED IN AfN MANNER IN THIS SECTION, DURING THE TIME PERIOD OF THE ENTIRE DECISION-MAKING
PROCESS ON SUCH ACTION, DECISION OR RECOMMENDATION THAT FORESEEABLY WILL BE HEARD OR REVIEWED BY THE CITY
COMMISSION, OR A cm BOARD OR COMMITTEE. THE TERM SPECIFICAllY INCLUDES THE PRINCIPAl AS WEll AS ANY AGENT,
ATTORNEY, OFFICER OR EMPLOYEE OF A PRINQPAL, 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.n
1) Lobbyist Name: ~,'-~ ~ JJ.. \ Co... ~"'i= ~
last Name First Name
f)
Middle Initial
BuSiness Phone ~ < <.-l - '\ \ t 'L Message Phone &{) C{ ct "L - ~O ~<<i
Business Name and Address: ~ \. Co. t\ OG \ 14~r.. "
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lc..~ \ ~ C-.. 'V- ~ t"L ~ .~, 0~U",",,-- I CL J'- r4. (
No. Street: SOOe aty State Zip Oxfe
Email Address: ""~b.... ~ '-.I~l.....u. ^.&
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2) Principal Retained by: --AJ:l..t...o.. s.-.l_ ~a.(1-",,~.... , l.l r
(../ c ~&.S"~1J, 0..9-,.1 Lao 40... ~ ..~\__ ~uJL. fi(~
I If different above Street Suite
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City State Zip Code
(a) If a corporation, partnership, or trust, identify and provide the address for the chief officer, partner,
benefICiary or interests.
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3) Subject Matter (Desaibe in Delail):
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4. Identify each Individual (Commissioners, Board, Committee, Authority member or aty staff)
to be lobbied'
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5. The subject matter in number three (3) above is to be considered at the meeting d (Identify each entity or
individual):
tY'The Oty Commission on ~ . 2001
Iij,...-' City Commission Subcommittee on ? . 2001
liV'City Staff on ? .2001
tY City Board or Committee r>\~ on it 4- I 200L
[J Personnel on .2001
c Identify Others on. 2001
6. State the extent d any business, financial, familial, prctessional or other relationship which exists with any
individual identified in number (4) above:
ON OCTOBER 1 Sf OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE aTY a.ERK A SIGNED
STATEMENT UNDER OATH, US11NG LOBBYING EXPENDITURES IN THE CITY OF MIAMI BEAOI
FOR THE PRECEDING CALENDAR YEAR.
I do solemnly swear that all d the foregoing fads are true and oorrect and that I have read or am familiar
with the provisions containm in Section 2-482 c:J the Miami Beach City Code as ameOOed, and all reporting
reqw_ ~ ~
Signature d Lobbyist:
i Personally known \.
[J Produced 10
State d Rorida, County d M'Bmi-Dade
Sworn to and subscribed before me
This ;2-2r.tA.... day d H ~CA-- I 2001.
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\l.0id take an oath, or
/~ Did not take an oath
Identify
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" Notary or Deputy Clerk
If Nctary, print, stamp a type as commiSsioned
FOR CLERK'S USE ONLY
Registration: rv'l ACCEPTED [] REJECTED DATE: i..3) 2--z/ () ;z-
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If rejected, state ~~
Registration fee paid: ~ Yes [ ] No [] Not-for-~r1:>" 1""\ l
[ ] Cash [ ] Check MCR # oJ- "-\ a~
DATA ENTRY DATE:
. 2001 ENTERED BY:
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Miscellaneous Cash Receipt c=:
CITY OF MIAMI BEACH ~
N~ 24322 1
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Address
For
(THIS INFORMATION MUST BE COMPLETED)
Director
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Dept:
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