Affidavit (04/02/2001)
m
CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
1700 Convention Center Drive
Miami Beach, FL 33139
cityclerk(Ci)ci.m iam i-beach. f\. 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, RESOLlffiON, 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 1 HE 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 SPECIFICALLY INCLUDES THE PRINCIPAL AS WELL AS ANY AGENT,
ATTORNEY, OFFICER OR EMPLOYEE OF A PRINCIPAL, REC',\RDLESS OF WHETHER SUCH LOBBYING ACTIvrnES
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: Bercow Jeffrey
Last Name First Name Middle Initial
Business Phone U1l..5) 177 /;7.20
Message Phone (_)
Business Address:
200 s. Biscayne Boulevard
No. Street
Florida
Miami
City
Email Address:
State
33131
Zip Code
850
Suite
2) Principal Retained by:
Just Around the Corner, L.L.C"
If different from above
370 Lexington Avenue
Street
suite 801
Suite
New York
New York
10017
City
State
Zip Code
(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 for
~l1h~tMnt-;;;I', Modificatinh to ~onditional TJ~~ ~t>nrovMl
4. Identify each individual (Commissioners, Board, Committee, Authority member or City staff)
to be lobbied: BChard, C1i.ty staff
5. The subject matter in number three (3) above is to be considered at the meeting of
(Identify each entity or individual):
o The City Commission
o City Commission Subcommittee
o City Staff
~ City Board or Committee Planning Board
o Personnel
o Identify Others
.2000
.2000
.2000
.200'
,2000
.2000
on
on
on
on April 24
on
on
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 OF 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.
Signature of Lobbyist:
~erSOnallY known
o Produced ID
true and correct and that I have read or
- 82 of the Mi . each Oty Code as
Identify
o 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 ;l."l~ day of ')y\.~ , 2001.
~ti'y P(J~ CRISTINA D. GONZALEZ
~&'f, COMMISION * CC 727273
~ ~PIR!S MAR 23, 2002
BONDED THRU
~OF ATlANTIC BONDING co" INC.
~~'~/
Notary or Depu Cle '
If Nntary, print, stamp or type as commissioned
FOR CLERK':; USE ONLY
Registration:
0ACCEPTED
[ ] REJECTED
DATE:
{/ .)./ () /
If rejected, state reason:
Registration fee paid: [ ] Yes [ ] No [] Not-for-Profit Organization
[ ] Cash [ ] Check MeR #
DATA ENTRY DATE: l(f:u () I . 200~ ENTERED BY: