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Roger Int'l 04/09/2002 ...-f.... "- t":'.... -- .. CITY OF MIAMI BEACH OFFlCE.OF THE CITY CLERK 1700 Convention Center Drive Miami Beach, FL 33139 cityclerk@ci.miami-beach.f1.us AFFIDAVIT LOBBYIST MEANS ALL PERSONS EMPLOYED OR RETAINED, WHETHER PAID OR NOT, BY A PRINOPAL WHO SEEKS TO ENCOURAGE THE PASSAGE, DEFEAT OR MODIFICATION OF ANY ORDINANCE, RESOLlmON, ACTION OR DECISION OF ANY COMMISSIONER; ANY ACTION, DEOSION, RECOMMENDATION OF ANY CITY BOARD OR COMMITTEE; 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 OTY COMMISSION, OR A OTY BOARD OR COMMITTEE. THE TERM SPEOFICALL Y INCLUDES THE PRINOPAL AS WELL AS ANY AGENT, ATTORNEY, OFFICER OR EMPLOYEE OF A PRINCIPAL, REGARDLESS OF WHETHER SUOl LOBBYING ACTIVrnES 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) tObbyist Name: Dougherty Lucia Last Name First Name A Middle Initial Business Phone ~ 579-0500 Message Phone L-) Business Name and Address: Greenberg Trauri~, P .A. 1221 Brickell Avenue, Miami, Florida 33131 Street Suite City No. State Zip Code Email Address:dou~hertyl@2tlaw.com k 2) Principal Retained by: Ro~er International 626 Coral Way, Miami. Florida 33134 If different from above Street Suite State 33134 Zip Code Miami Oty Flnric!S1 (a) If a corporation, partnership, or trust, identify and provide the address for the chief officer, partner, beneficiary or interests. N/A 3) Subject Matter (Desaibe in Detail): 311 Meridian, Miami Beach, Florida- zonrng Rnn permitting issues wi~l} H.P eJ3.-.i, f--"'-ro-- - f./h...,,.., '. ',~ l,i. :J :" 1t ~~' 'Ill',"'''' .,.. ',1 \ ... i.., .. 4. Identify each individual (Commissioners, Board, Committee, Authorily member or City staff) to be lobbied: 5. The subject matter in number three (3) above is to be considered at the meeting of (Identify each entity or individual): Q The Oty Commission Q City Commission Subcommittee Q Oty Staff Q City Board or Committee Q Personnel t1- rp Q Identify others !j on . 2001 on ,2001 on . 2001 on ,2001 on r2001 . on 1Jf>~ q ;~:;lD 0 Q..-- 6. State the extent of any business, financial, familial, professional or other relationship which exists with any individual identified in number (4) above: N / A ON OCTOBER 1 sr OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED STATEMENT UNDER OATH, U5nNG LOBBYING EXPENDnuRES 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 ch City Code as amended, and all reporting requirements. Signature of Lobbyist: LUCIA A. DOUGHERTY Q Personally known Q Produced ID Identify Q Did take an oath, or Q Did not take an oath ~re ~a, CDun:qa-~ Sworn d subscri r. me This day of 20~ or. LIYtA MSALAs ~y PlIBLrc STATE My OMMlSSION NO. =,IDA MMlSSlON EXP. sePT 24 If Notary, print, stamp or type as commissioned fQlaan USE ~ It Regl_: AlX:EPTED [] RElEcrED DATE: tJ~ O~ If rejectecl, state reason: / / . Registration fee paid: tf~~[ L{{~ ] N~~~r:~~~~3 V DATA ENTRY DATE: . 2001 ENTERED BY: