Registration Affidavit 02/25/00
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MTAMI BEACH CITY CLERK
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CITY OF KIAMI BtACK
OFFICI or TR. CITY CLaRX
LOBBYIST RlaI8T~TION
u:rmAV'I'r
LOBBYIST SPECInC....LLy INCLUDES PRINCIPAL AS WELL ....S Al<Y AGENT. .
OFFICER DR E:.'{PLOYEE OF A PRINCIPAL. EACH PERSDtllIHO IIITHDRAWS
AS A LOBBYIST IS REQUIRED TO FILE A "CERTIFICATE OF
IIITHORAII....L..
<ll Lobbyhe H.... Goodman,
Robert
S.
L~ST IlAfolIE, nut lIAJIE
8~dn... phon. Gil5..l 67" - 'i 177
8u'ln... Add.... 301 41st St. ,Miami
'<(nclp,1 ~otdn.d 'y: The Int '1. . Art
P.O. Box 4021
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(1)
Beach Zlp 33140
Fair - Art 31 Basel
'<<ndpd's Add.... Basel, Switzerland tip
u,,,tH'llwr fICllAIQY'E)
ii, If. cO!:'po:aclCln. parcnenhip, or tru.:c, idencify and. provlde the
addres= for che eh~cf offic~r. partner. beneficiary. or lnCe~e.t$.
Samuel Keller. Director
(3) $~Dj.ce Mateer (O.,cribe Lft 4et~Lll)
World's major art fair held in Basel,
Switzerland every June for the past
'10 '1eal?s.
(4) Id.cndfy each I.ndlvid.ual (Collllb.slon.r~. Bo.ard. CouLette, ...uthori.ty
member. or City scaff) to b. lobbied.
City Administration, City Commission,
Convention Center Management
(S) The ~ubJect ~~tte~ In number (3) above Is to be cort.!:ldered ~e the
1IlI~"t:Ln, "t"~ CIdCl::tclfy uch ..nc:lcy U' tnd.1vldu;I.\) DO NOT KNOW AT THIS TIME.
C Th~ C1ty COmQLss1on
o C1ty CommlssLon Sub~omft1c'ee
a CLey Seaff
a CLey Board oC' C'olUllc'l:u
a Personnel
Q Idcnctfy Othc(~
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M{AM! BERCH CITY CLERK
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(~) State che .xt.nc of .ny bu~Ln.ss. fLnanel.l, fa.L11a4. proCessionAl or
aChe( ret~tia~hlp vhl~h exlsc. vlch any lndlvldual identifLed [n nuabe~
(~) .bo.....
None
011 JULY 1 ot EACH YEAA. EACH LOBBYIST SHALL SUBKIT TO ni! CItY CLEIL<. ^
SICNtg S1'^TEK~T UNDER. OAnt. LISTINC ALL LOS,YING EXPENCUtlllES IN tHE
crn at KIAlII BEACH t01\ nit P!l.ECEDING CALEIIDAl!. YEAR.
I do solem~ly .ve~r eha.c &11 of ene fo~e~oln
and thac 1 hAve re~d or ~ f~L11~r vlch eh
Section 2-48 of th. Kl&lllL a ~C:h Cicy C04.
r.quirc'IJIlncs. M/l,(l
.Sl&nacurc of Lobbtl~c: f I I ~
~.r'o~llY knovn
a Pr..ad.l.lc:@d tD
f..ecs .r:c cru. .and l:orreec
ov1~lons conc~lnc4 Ln
n~~~m.g
(I11fMnH,
C Dld c.z~. .an oach, or
C Dtd noc t&k.e an oat.h
SCate or F10t1d&. Councy of ~ade
Svo~i8 and sUb~1;4 b.for. m.
ch1..1A1 day of . ~
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6 NDtaI)>Public.Staleo . "
~'l ; Conuni"iOD.No.CC~~ ): If a Met.rl":
..... My CclInmi"ion Exp. O$I211/:lJ : :
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Print, St.... or rn- "t_f,.l.-..d
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Rer;1scrac1on:
ACC~PTED
FOR. CLERK'S USE ONLY
o IU:.I !CTED
OAT!: 2-2
[f reJecced. sc~ec re~son:
h.s:1.IH::-.al:Lon fl!e p.aLd: ~_.
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C No C ~ac For ProfL~ Or,~nL:~cLon
o DocW'lenl::.lI.r:y P"C'oae" Ac:::aehcd.
o Cheek HCR ~o.
gATA EHTllY O....T!:
19 ______ ENiE~ED BY