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GMCVB .... ~ CITY OF MIAMI BEACH OmCE OF THE CITY CLERK 1700 Convention Center Drive Miami Beach, FL 33139 cityclerk(Qlci.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, RESOLUTION, AmON OR DEOSION OF ANY COMMISSIONER; ANY AmON, DECISION, RECOMMENDATION OF ANY CITY BOARD OR COMMITIEE; OR ANY AmON, DEOSION OR RECOMMENDATION OF ANY PERSONNEL DEFINED IN ANY MANNER IN THIS SEmON, DURING THE TIME PERIOD OF THE FNTIRE DEOSION-MAKING PROCESS ON SUCH AmON, DECISION OR RECOMMENDATION THAT FORESEEABL Y WILL BE HEARD OR REVIEWED BY THE CITY COMMISSION, OR A CITY BOARD OR COMMITIEE. THE TERM SPECIFICALLY INCLUDES THE PRINCIPAL AS WELL AS ANY AGENT, ATTORNEY, OFFICER OR EMPLOYEE OF A PRINCIPAL, REGARDLESS OF WHETHER SUCH LOBBYING AcnvrnES 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 Last Name First Name A. Middle Initial Business Phone (305) 579-0500 Message Phone <-> Business Name and Address: Greenberg Traurig,P.A. 1221 Brickell Avenue No. Street Suite Miami Oty FL State 33131 Zip Code Email Address: doughertyl@gtlaw.com 2) Principal Retained by: Greater Miami Convention & Visitors Bureau 701 Brickell Avenue Suite 2700 Miami 1<'T. 11111 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 (Desaibe in Detail): Contract negotiations - ./. 4. 4. Identify each individual (Comm~lS, Board, Committee, AuItIorIty member or CIty staff) lDt"~~ f) "0-1ilon7mISSlv,J, 80/9, /ft'.6; f},e~ 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 on .2001 Q Oty Commission Subcommittee on .2001 Q City Staff on .2001 Q Oty Board or Committee on .2001 Q Personnel on .2001 Q Identify Others on .2001 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 aTY CLERK A SIGNED STATEMENT UNDER OATH, USllNG LOBBYING EXPENDnuRES IN THE aTY 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 . mi Beach City Code as amended, and all reporting requirements. Signature of Lobbyist: Q Personally known Q Produced ID Identify Q Did take an oath, or Q Did not take an oath State of Rorida, County of Miami-Dade Sworn and subscribed before me i9&k 2002 LEYLA M SALAS NorARY PVBUC STATE OF FLORIDA COMMISSION NO. DD060084 MY COMMISSION EXP. SEPJ' 24,2005 Registration: /' ~D If Notary, print, stamp or type as commissioned FOR a.ERK'S USE ON~Y I _/ [ ] REJECTED DATE: 'f; / Jj c) 0- If rejected, state reason: Registration fee paid:. Yes [ ] N [] Nol-fo~~ cf"' [~[ am MaU~~:0. DATA EN1RY DATE: 1f'- ~ I~.-r- ENTEREDB --