Affidavit (Edaw, Inc.)
.
,
CnY OF MIAMI BEACH
OFFICE OF THE CnY CLERK
1700 Convention Center Drive
Miami Beach, FL 33139
cit,yclerklOlci, miami-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 CITY 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 FORESEEABLY WILL BE HEARD OR REVIEWED BY THE CITY COMMISSION,
OR A CITY BOARD OR COMMITTEE, THE TERM SPECIFICALLY INCLUDES THE PRINCIPAL 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."
1) Lobbyist Name: 1JGEM.,) Lnj1,: I)
last Name First Name Mitldle Initial
Business Phone (..,3Q5) .37 l.{ - 8.r:.nD
Business Address: 10 \ ~p,; c.KeU
"-II. No,
\:'.1' MI\.-
City
Email Address: l \l..\~Ew{' \\-~LA1"'l.c.o\'Y\
2) Principal Retained by: ---..EO A W \ n c '
31.\ -1'<:' u.n'J)( lZot. <;-\( . 100
If different from above Street
_11t\G~l~ (''')1 A
City State
Message Phone (~
AlIF:NvE
St~
State
. "'a:> 0
Suite
. ~-"1.3 ,
Zip Code
Suite
30 2, .:J lc7
Zip Code
(a) If a corporation, partnership, or trust, identify and provide the address for the chief
officer, pa rtner, beneficia ry or interests.
3)
4. Identify each individual (C<;>mmissloners, Board, Committee, Authority me[1ber or City staff)
to be lobbied: C) ,1',nl \ <;<, I O~)f'". (no... \ 1 0 r/ .J ('''j 1'1(.1O.~ e.r
5. The subject matter in number three (3) above is to be considered at the meeting of
(Identify each entity or individual):
y^, The City Commission
o City Commission Subcommittee
o City Staff
o City Board or Committee
o Personnel
o Identify Others
on (ft." .J'i::
on
on
on
on
on
.2000
,2000
,2000
.2000
,2000
,2000
6. State the extent of any business, financial, familial, professional or other relationship which
exists with any individual identified in number (4) above: N()Y'l-t' "
ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMn TO THE cnv
CLERK A SIGNED STATEMENT UNDER OATH, LISTlNG LOBBYING EXPENDnURES IN
THE cnv 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~ent;s, ,r, '.. '
Signature of Lobbyist: ,', 1 ,\ q~ JL.o '1'J~----
X Personally known
o Produced 10
Identify
o Did take an oath, or
Y Did not take an oath
State of Florida, County of Miami-Dade
Sworn to and subscribed before me
This .9-8" day of '" arch, 2001.
'2 {J~
.'.,.." NotalY~lerk
,~ MY cOMMISSION' CC789567 EX~RES
,:"4 January 27. 2003
'~:~~. BONDf'DTHIllITRO't'FAlNIN.~IRANCE.1NC.
If Notary, print, stamp or type as commissioned
FOR CLERK'S USE ONLY
Registration: [~ [] REJECTED
If rejected, state reason:
Registration fee paid: [ ]
[ C
DATA ENTRY DATE: .3
MCR#
{
2001 ENTERED BY: