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OBR Ltd, LP v.... ...... CITY OF MIAMI BEACH OFFICE OF THE CITY CLERK 1700 Convention Center Drive Miami Beach, FL 33139 cityclerk@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 DECISION OF ANY COMMISSIONER; ANY ACTION, DECISION, RECOMMENDATION OF ANY CITY BOARD OR COMMITTEE; OR ANY ACTION, DECISION OR RECOMMENDATION OF ANY PERSONNEL DEFINED IN ANY 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 CITY BOARD OR COMMITTEE. THE TERM SPECIFICALLY INCLUDES THE PRINCIPAL AS WELL AS ANY AGENT, ATTORNEY, OFFICER OR EMPLOYEE OF A PRINCIPAL, REGARDLESS OF WHETHER SUOI LOBBYING ACTNmES 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: DOUGHERTY LUCIA A. last Name First Name Middle Initial Business Phone ~ 579-0500 Message Phone L) Business Name and Address: Greenberg Traurig, P.A. 1221 Brickell Avenue No. Street Suite Miami FL 33131 Zip Code Oty State Email Address:doughertyl@gtlaw.com 2) Principal Retained by: OBR Limited, LP 4833 Collins Avenue If different from above Street Oty State 1714 Suite 33140 Zip Code Miami FL (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): Development permits & extensions of time 'l"" ~ '-" 4. Identify each individual (Commissioners, Board, Committee, Authority member or City sIafr) "-'~~~Rf) ell foh?rn/~SI~1<2- (3Qf'l. lff?tI3, .o,e~1 f./I.6 5. The subject matter in number three (3) above is to be considered at the meeting of (Identify each entity or individual): a The Oty Commission on .2001 a Oty Commission Subcommittee on .2001 a Oty Staff on , 2001 a Oty Board or Committee on ,2001 a Personnel on .2001 a Identify Others on ,2001 6. State the extent of any business, financial, f?milial, 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, USIlNG LOBBYING EXPENDDURES 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: ~, LUCIA A. DOUGHERTY~ a Personally known a Producecl ID Identify a Did take an oath, or a Did not take an oath State of Rorida, County of Miami-Dade Sworn nd subscribed before me This da of l&&1I. 2002 LEYLA M sALAS NOTARY PUBUC STATE OF FLORIDA COMMISSION NO. DD060084 MY COMMISSION EXP. SEPT 24,2005 ~/~~ , N ry or ~puty e If Notary, print, stamp or type as commissioned Registration: [l ACCEPTED [l REJECTED DATE: If rejected, state reason: /' Registration fee paid: [9"fes [ l NO........-ll Not-for-Profi [ ~sh [~Check MCR # DATA ENTRY DAlE: #16/0;;r-. lI801" ENTERED BY: I'