Affidavit (03/30/2001)
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CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
1700 Convention Center Drive
Miami Beach, FL 33139
cityclerklOlci .miami-beach. f1.us
AFFIDAVIT
3)
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 FORESEEABL Y WILL BE HEARD OR REVIEWED BY THE OTY
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, REGARDLESS OF WHETHER SUCH LOBBYING ACTIVmES 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: ~Ac:t+M8S' AUlrA~W.tl .::r- .
Last Name First Name Middle Initial
Business Phone ~D sL{~'L '3 ~j Messaqe Phone ( )
f<<-' 1t\..j~::C .-rAcH-~l';7'. A.
Business Name and Address: I () 0 ~ ct:- ~ IV J) .s". ,g uriE' 3. q ~ c-..
'J'v{ llA jiV1 I R "3~ i ~ {
No. Street Suite City State Zip Code
Email Address: ~+t{ 0.- ""-e,S @ a...D (. ~
2) Principal Retained by: r~tr~...e..~.l\sk Lll\)~ Y\)...,.~~ 'fJv,"'....' ~
, I \.(jA :r"", . .
L\ f <.l I loR .~-k l.iJ 0 7 ~./1..fr.
If different from above { Street Suite
\V-->~~ R 33\3<=]
City State Zip Code
(a) If a corporation, partnership, or trust, identify and provide the address for the chief officer, partner,
beneficiary or interests. / ~ ~
--f\ru9.g. 2 v~:. p~ /. ~ ~
Subject Matter (De!i.cribe in De~-F0 ,jJ /) 11 (J n ..,
crfJ ~ <::h> ~~~ ~ "-Ij ~, <-Lc:..
v ~'tuj Jo 'f0l.3 - /t,J-L. '-If: ~<l! (l..n" .
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4. Identify each individual (Commissioners, Board, Committee, Authority member or City staff)
to be lobbied: ~ 1'1., G4 ( L'
~ + ~,u,t~ ' _ ~;.u'S~"~ d..~
O~'.s oWe..( {
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 on. 2001
o City Commission Subcommittee on , 2001
o City Staff on : 2001
~ity Board or Committee ~ ~ a..s'~ on 'f ,I (p ,2001
o Personnel 'tif; on . 2001
o Identify Others d- ~ ~. on . 2001
r------- - ~ ~
6. State the extent of any business, financial, famili'1-kpro!essional or other relationship which exists with any
individual identified in number (4) above: ~
ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, LISTING 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.
Signature of Lobbyist:
~,~'fJ7--
o P~nally known
0roduced ID -r co2 r;2 -tJV 7-1..5'
Identify
~~-o
o Did take an oath, or
o Did not take an oath
State of Florida, County of Miami-Dade
Sworn to and sUbscrib~~e
This "0 ~ day of . 2001.
d~~
~1WtiJWtr!'I!l~ Clerk
. y,.j My CommiAlon DOOO21l20
~",,"'J Expires February 18, 2005
If Notary, print, stamp or type as commissioned
FOR CLERK'S USE ONLY
Registration: ~CEPTED [l REJECTED DATE: .:3./~/tfJ/
If rejected, state reason: /""
Registration fee paid: ~s [ ] No [l Not-for-Profit Organizati912 / ('~
[]Cash [lCheck MCR# ..:J3~_6
DATA ENTRY DATE:
.2001