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Affidavit ;\D~ ~D lQ - - CITY OF MIAMI BEACH OFFICE OF THE CITY CLERK 1700 Convention Center Drive Miami Beach, FL 33139 citvclerklOlci. miami-beach. fl. 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, ACT10N OR DEOSION OF ANY COMMISSIONER; ANY ACT10N, DEOSION, RECOMMENDATION OF ANY CITY BOARD OR COMMmEE; OR ANY ACT10N, DEOSION OR RECOMMENDATION OF ANY PERSONNEL DEFINED IN ANY MANNER IN THIS SECT10N, DURING THE TIME PERIOD OF THE ENTIRE DEOSION-MAKING PROCESS ON SUCH ACT10N, DEOSION OR RECOMMENDATION THAT FORESEEABL Y WILL BE HEARD OR REVIEWED BY THE CITY COMMISSION, OR A CITY BOARD OR COMMmEE. THE TERM SPEOFICAlLY INCLUDES THE PRINCIPAL AS WELL AS ANY AGENT, ATTORNEY, OFFICER OR EMPLOYEE OF A PRINOPAL, REGARDLESS OF WHETHER SUCH LOBBYING ACT1VITIES 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." Hilliard Randall 1) Lobbyist Name: tast Name First Name Middle Initial Business Phone ~ Business Address: Miami 673-3353 Message Phone ~05 ) 573-8090 600 NE 16th Street IDbby C9 No. Street Florida 33137 Suite City State Zip Code E "' Add rhiUiard@aol.can mal ress: 2) Principal Retained by: Comnerstone/Constructa Joint Venture Oty 2121"Ponce de Ieon Boulevard, Street FL State Penthouse II Suite 3333134 Zip Code c/o 'lhe Comerstone Group, If different from above Coral Gables (a) If a corporation, partnership, or trust, identify and provide the address for the chief officer, partner, beneficiary or interests. Jorge IDpez 3) Subject Matter (Describe In Detail): . RFQ5-00/01 4. Identify each individual (Commissioners, Board, Committee, Authority member or City staff) to be lobbied: Ccmnission and Mayor S. The subject matter in number three (3) above is to be considered at the meeting of (Identify each entity or individual): tJ The City Commission .'Ib be announced on . 2001 tJ City Commission Subcommittee Unknown on . 2001 tJ City Staff Cannot be lobbied under "COne ot SHence" 8fidmance . 2001 tJ City Board or Committee ~.ll I:lb'erl .d "eo fOIl].'l e J.' .Wl Q Personnel LcUlllU U.1. W CL llt::: v o~ c,uvc :.L. ..L.I.~'O~l tJ Identify Others N/A 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 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CItY CLERK A SIGNED STATEMENT UNDER OATH, USTING LOBBYING EXPENDnuRES 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 req~irements. .). . Sig,9Pture of Lobbyist: V \A.../- r;/ Personally known tJ Produced ID ~ take an oath, or tJ Old not take an oath .~], Identify State of Florida, County of Miami-Dade SwoP'lJ tp.,JlJt Sl ibicri~ore me Th~~dayof ..-"""'}2001. ( If Notary, print, stamp or type as comm~ione~ Registration: [ FOR CLERK'S USE ONLY [ ] REJECTED DATE: ;+-~r-6l ] Not-fer-Profit Organization eck MCR # . DATA ENTRY DATE: .2001 ENTERED BY: