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Affidavit (03/08/2001) m -. CITY OF MIAMI BEACH OFFICE OF THE CITY CLERK 1700 Convention Center Drive Miami Beach, FL 33139 cityclerk(ii)ci.miami-beach.f1.U5 AFFIDAVIT LOBBYIST MEANS ALL PERSONS EMPLOYED OR RETAINED, VI, .:THER PAID OR NOT, BY A PRINQPAL WHO SEEKS TO ENCOURAGE THE PASSAGE, DEFEAT OR MODIACATIOil OF ANY ORDINANCE, RESOLUTION, ACTION OR DECISION OF ANY COMMiSSIONER; ANY ACTlON, DEQSION, RECOMMENDATION OF ANY CITY BOARD OR COMMITTEE; OR ANY ACTlON, DEOSION OR RECOMMENDATION OF ANY PERSONNEL DEANED IN ANY MANNER IN THIS SECTlON, DURING THE TIME PERIOD OF Tl1E ENTIRE DECISION-MAKING PROCESS ON SUCH ACTION, DECISION OR RECOMMENDATION THAT FORESEEABLY WILL BE HEARD OR REVIEWED BY THE CITY COMMISSION, OR A CITY BOARD OR COMMmEE. THE TERM SPEOFICALL Y INCLUDES THE PRINCIPAL AS WELL AS ANY AGENT, ATTORNEY, OFFICER OR EMPLOYEE OF A PRINQPAL, REC-:ARDLESS OF WHETHER SUCH LOBBYING ACTIVITIES FALL WITHIN THE NORMAL SCOPE OF EMPLOYMENT OF SUCH AGENT, ATTORNEY, OFACER OR EMPLOYEE. EACH PERSON WHO WITHDRAWS AS A LOBBYIST IS REQUIRED TO FILE A "CERTIFICATE OF WITHDRAWAL." Lobbyist Name: Larkin Last Name Business Phone Cl.a.5.) 3 7 7 - 6 2 3 1 1) Michael First Name r,essage Phone L) w. Middle Initial Business Address: 200 s. Biscayne Boulevard No. . Street Florlda State 33131 Zip Code 850 Suite Miami City Email Address: 2) Prindpal Retained by: Just Around the Corner, L.L.C. If different from above 370 Lexington Avenue Strzet 801 Suite 1'0017 Zip Code New York City New York SMe (a), If a corporation, partnership, or trust, identify and provide the address for the chief officer, partner, beneficiary or interests. 3) Subject Matter (Describe in Detail): Planning Board Application - Modification to prior Conditional Use Approval 4. Identify each individual (Corn missioners, Board, Committee, Authority member or City staff) to be lobbied: City Staff, Board 1"11 5. The subject matter in number three (3) above is to be considered at the meeting of (Identify each entity or individual): on . 2000 on . 2000 on . 2000 on April 24. 200~ . on . 2000 on , 2000" o The City Commission o City Commission Subcommittee o City Staff 1fI City Board or Committee planning Eloard o Personnel o Identify Others 6. State the extent of any business, financial, familial, professional or other relationship which exists with any individual identified In number (4) above: ON JULY 1sT 01= EACH YEAR, EACH LOBBYST SHALL SUBMIT TO THE CITY CLERK A SIGNED STATEMENT UNDER OATH, USTING 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 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 requirements. A AA ' " , Signature of Lobbyist: ,L.J:.!.J... ~r X Personally known o Produced ID <~~, < ''I Identify ""'~'~~" LISA C. BROOKS 9" t, l~&' "'~~' MY COMMISSION i CC 85€8~, i I \'\ ,~j EXPIRES: July 20, 2003 \1 ~~ .....~.i aondedThruMotarypublic:Underwr~ers If '/l"./lfo,f.'. .' ' o Did take an oath, or o Did not take an oath State of Florida, County of Miami-Dade Sworn e and subscribed before me__~ j This day o.fr\J1 VI rot-- , ~O. 1);~J)~1iNlik .. . Notary or Deputy Clerlu~..1 , If Notary, print, stamp or type as commissioned FOR CLERK'S USE ONLY I Ii [ ] REJECTED DATE: -3 ~ () / ( If rejected, state reason: __ _.- Registration fee paid: tl-r'i'es [ ] No ~()t-ior-Profjt Organization [ ] Cash [jCfieck MeR # Registration: ,--' [ ~EPTED ,~ ~. -.:i DATA ENTRY DATE: .2000 ENTERED BY: