Affidavit (04/18/2001)
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CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
1700 Convention Center Drive
Miami Beach, FL 33139
citvclerk\aici.miami-beach.f1.us
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AFFIDAVIT
lOBBYiST MEANS ALL PERSONS EMPLOYED OR RETAINED, WHETHER PAlD OR NOT, BY A PPJNCIPAL WHO SEEKS
TO ENCOURAGE THE PASSAGE, DEFEAT OR MODIFiCATION OF ANY ORDiNANCE, RESOLUTION, ACTiON OR
DECISION OF ANY COMMISSIONER' ANY ACi10N DECISION RECOMMENDATION OF ANY cm 50~.RD Or!
COMMmE~, OR ANY ACi10N, DECISION OR RECOMMENDATiON OF ANY PERSONNEL DEFiNED IN ANY MANN~R
IN THIS SECi10N, DURING THE TiME PERIOD OF THE ENTIRE DECISION-M,',KING PROC~S5 ON Sl1CH ACTION,
DECISION OR RECOMMENDATION THAT FORESEEA8LY WILL BE HEARD OR REVIEWED BY THE ciTY COMMISSION,
OR A CITY BOARD OR COMMITTE~, THE TERM 5PECIFiC~LLY INCLUDES THE PRINCIPAL AS WELL AS ANY AGENT,
ATTORN~Y, OFFICER OR EMPLOYEE OF A PRINCIPAL, REGARDLESS OF WHETHER SUCH LOBBYING ACITlITiES
FALL WITHIN THE NORM,',L SCOPE OF EMPLOYMENT OF SUCH AGENT, ,~TTORNEY, OFFIC~R OR E~1PLO,(EE, EACH
PERSON WHO WITHDR.AWS AS A LOBBYIST IS REQUIRED TO FILE A "CERTIFICATE OF WJTHDRAW~L,'
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LobbyIst Name: fr1 EV,v1 Et-
last N"ame
Business Phone ~~ 6' 3,f' ~O / 3,s-
Business Address: (-.1'0 / .~ U...-' J)~
No.
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1)
First Name
Middle Initial
,)d,J,il.1.!:(L _~
City
Message Phone C. _.3J- _
-~
Street'
F't-
State
&~~ E!:t,.,. ,
Cljr,~
Z b I ~:-t:-___
Zip Code
Email Address:
2) Principal Retained by: _ &j)S n0~ i/.f/ ~J)'A7~ -ffll~__
If different from above
Streer
Suite
City
State
Zip Code
(a) If a corporation, partnership, or trust, identify and provide the address for the chie'
officer, partner, beneficiary or interests.
3)
Subject Matter (Describe in Detail):
?-~), ..Rr.
~F4
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4. Identify each indIvidual (Commissioners, Board, Committee, Authority member or Oty staff)
to be lobbied: Ir /-f-;, _ _ ,_, . _ .
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5, The subject matter in number three (3) above is to be considered at the meeting of
(Identify each entity or individual):
)0 The City Commission on --'-....--.- 2001
Xl City Commission Subcommittee on _________...___-.f 2DOl
Xi City Staff on -----.--------, 2001
]0 City Board or Committee on -----.., 2001
0 Personnel on ,_..__.1 2001
----
0 Identify Others on c 2001
6. State the extent of any business, financial, familial, professional or other re!ationsclip which
exists with any individual identified in number (4) above: ~.one...,,_,_,____..__,_,,__
ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY
CLERK A SIGNED STATEMENT UNDER OATH, LI?~OBBYING EXPENDITURES IN
THE CITY OF MIAMI BEACH FOR THE PRECEDiNG CALEilIDAR YEAR.
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I do solemnly swear tr,at all of the fOI cyul"y 'dL11S are true ene correct and that I have read or
am familiar with the provisions cOl"}tained i~ Sedon 2-482 of/the Miami Beach City Code as
amended, and all reporting requirements.
Signature of Lobbyist.
y-
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~-- Q ~
dentlfy
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JaX Personally known
o Produced TO
~x Did take an oath, or
:J Did not take an o2th
State of Flonda, County of Miami-Dade
Sworn to and subscribed Gefore me
ThiS I? d?" ')f ItfJA I L., 2001
MARI4 T I.,OPU
NOTARY PIJIlJC IT 4Ti OF FLORIDA
COMMISSION NO, 00010418
MY COMMISSION EXP, APR. 10
Registration:
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FOR CLERK'S USE ONLY LL / , /
[ 1 REJECTEO DATE:' -.t/iP ,LQ/
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DATA ENTRY DATE:
] Not.for-Profit Organization
ed< MCR# ~ ~
2001 ENTERED BY:
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