Affidavit
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CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
1700 Convention Center Drive
Miami Beach, FL 33139
citvclerklOlci.m iam i-beach. fl. 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 OTY BOARD OR
COMMmEE; 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 FORESEEABL Y WILL BE HEARD OR REVIEWED BY THE OTY COMMISSION,
OR A CITY BOARD OR cOMMmEE. THE TERM SPECIFICALLY INCLUDES THE PRINO?AL AS WELL AS ANY AGENT,
ATTORNEY, OFFICER OR EMPLOYEE OF A PRINCIPAL, REGARDLESS OF WHETHER SUCH LOBBYING ACTIVITIES
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..
Lobbyist Name: GELLER
Last Name
Business Phone (2.51J Q20-2300
1)
l-
JOSEPH
First Name
s_
Middle Initial
Message Phone W) 949-6600
Business Address: 2411 Hollvwood Boulevard
No, Street
Hollywood
City
Email Address:
"
isg@ggbsf-law.com
The Cornerstone Group; Cornerstone!Constrncta
2)
Principal Retained by:
Joint Venture
If different from above
Coral Gables,
Oty
FL
State
Suite
l107n
Zip Code
2121 Ponce de Leon Blvd.
Street
FL
State
Pent:ho1J!=;p 11
Suite
3l1l4-~71Q
Zip Code
(a) If a corporation, partnership, or trust, identify and provide the ac;fdress for the chief
officer, partner, beneficiary or interests.
Same as above.
Subject Matter (Describe in Detail):
72nd Street RFQ
3)
4. Identify each individual (Commissioners, Board, Committee, Authority member or Oty staff)
to be lobbied: Ci tv Commissioners -
I
5. The subject matter in number three (3) above is to be considered at the meeting of
(Identify each entity or individual): Unknown
0 The Oty Commission on .2001
0 City Commission Subcommittee on .2001
0 City Staff on .2001
0 City Board or Committee on .2001
0 Personnel on .2001
0 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: NONE
ON OCTOBER 1 Sf OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY
CLERK A SIGNED STATEMENT UNDER OATH, USTING 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 I have read or
am familiar with the provisions contained in Sect' n 2-4 2 of the Miami Beach City Code as
amended, and all reporting requirements.
Sign~ of Lobbyist:
tiV"Personally known
o Produced ID
'.
dentify
Q Did take an oath, or
o Did not take an oath
State of Florida, County of Miami-Dade
Sworn to and subscribed before me
This t:;'-/'h. day of ::t:<..hr J4J 2001.
Q))
Qtary or ~~~rk
"', :.\ MY COMMISSION I ca71/l17 EXPIlES
, : . j Novembot' 8, 2004
~ '.,. 1ll)ld'l'nfl.lDlI'lDnVl<A..........u......oawo
If Notary, prin't, stamp or type as commissioned
Registration:
[~PTED
[ ] REJECTED
FOR CLERK'S USE ONLY
DATE::Pj /3/ D (
If rejected, state reason: _/
Registration fee paid: [<<pres [ ] No......t ] Not-for-Profit Organization
, [ ] Cash ~heck MCR #
DATA ENTRY DATE: ~ .2001 ENTERED BY: