Affidavit
S[NT BV: B[RCOW & RAD[LL, PAj
3053776222;
F[B.2-01 10:4BAM;
PAG[ 3/4
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CITY OF MIAMI BEACH
OFFICE OF THE cnY CU!RK
1700 0llMnlI0n c.nter 0rMl
MiamlII9ctt, FL 33139
citvclerk@cl.miami"beach.f1.us
AFFIDAVIT
lOBBYIST MEANS AlL PERSONS EMPLOYED OR. RETAINED, WHETHER PAID OR. NOT, BY A PRINCIPAL WHO SEEKS
TO ENCOURAGE THE PASSAGE. DEftAT OR MODIFlCATlON OF ANY ORDINANCE, RESOLUTION, ACTION OR
DECSION OF ANY COMMlSSIONER; ANY ACTlON, DECSION, RECOMMENDATION OF ANY an IlOARD OR
COMMITTEE; OR ANY ACTlON. OEOSION OR. RECOMMENDATION OF ANY PERSONNEL DEFINED IN AllY MANNER
IN THIS SECI10N. DURING THE TlME PERIOO OF THE ENTIRE DECSION-MAKlNG PRocess ON SUCH ACTlON.
DECSION OR RECOMMENDATION THAT FORESEEABLY W1U. BE HEARD OR REVIEWED BY THE cnv COMMISSION,
OR A em' BOARD OR COMMmEE. lliE TERM SPEOFICALL Y INCLUDES THE PRINCIPAL AS WELL AS ANY AGENT,
ATTORNEY. OFFICER OR EMPlOYEE OF A PRlNClPAl, REC'oARDLESS OF WHETHER SUCH LOBBYING AClwmfS
FALL WITHIN THE NORMAL SCOPE OF EMPLOYMENT OF SUCH AGENT. ATTORNEY, OFFICER OR EMPlOYEE. EACH
PERSON WHO WITHDRAWS AS A LOBBYIST IS REQUIRED TO FlLE A 'CERTIFICATE OF WITHDRAWAL."
lobbyist Name: Luft
last Name
BusinessPhone ~ II. ""_n nil.
I)
.lae.k
First Name
Middle Initial
Message Phone L-)
Business Address:
1900 TiQertail Av@nue
No. ~
Florida
SuIte
Miami
Oty
Emilll Address:
2) Prlndpal Retained by:
State
33133
Zip Code
Leahl~sHouse, Inc" 420 Lincoln Road Suite 240
If different from above Street Suite
Miami 'Beach Florida 33139
City Stute Zip Code
(a) It a corporation, partnership, or trust iJentify and provide the address for the chief
officer, partner, beneficiary or Interests.
3) Subject Matter (Descr1be In Detail): Variance to permi t the sale of beer
and wine at the House R@staurant
4. Identify each indiVIdual (Commissioners, Board, Committee, Authority member or City staff)
to be lobbied: Rn;::arcl nf" llA:)n_tm.on+-, (at Dublic hearino\: ri toy !::....af=f"
SENT BY: BERCOW & RAOELL, PAj
3053776222j
FEB-2-01 10:49AMj
PAGE 4/4
S. 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
c City Commission Subcommittee
o City staff
II Oty Board or Committee Board of Ad; ustment
o Personnel
o Identify Others
.2000
.2000
.2000
.2000
.2000
,2000 '
on
on
on
on March 2
on
on
,
6. Sblte the extent of any business, financial, familial, professional or other relationship which
exists with any individual identified In number (4) above:
ON JULY 1ST OF EACH YEAR. EACH LOBBYST SHALL SUBMIT TO THE CITY CLERK A
SIGNED STATEMENT UNDER OATH, LISTING A LOBBYING EXPENDITURES 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 1 have read or
am familiar with the provisions I In 2-482 of the Miami Beach Oty Code as
amended, and all reporting . ..
Signature of Lobbyist:
e/Personally known
Q Produced 10
."
o Old take an oath, or
I4/6Id not take an oath
"
-,.' .
State of Rorida, COunty of Miami-Dade
Sworn to and SUbscri~~ore "7
This to~day of rv4,. 2004t.
or Deputy Cler1l.,' . ,1
.l"Zi' Janice B Pruett
~iI ~My CCIml11iIIion CC75~17 ., ..
If Notary, prlnt,'Saslfip""&~U~lssIOned
FOR CLER' .,' USE ONLY
Registration: ~ ACCI'PTED [] REJECTED DATE:
If rejeaed, state reason:
Registration fee paid: [ } Yes [ ) No [ , J Net-tar.ProfIt
[ ) Cash f)<! Check MCR #I
DATA ENTRY DATE: ..::l //..::1.. iJ /.J0Q9- ENTERED BY:
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