Affidavit
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CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
1700 Convention Center Drive
Miami Beach, Fl33139
citvclerkCOlci. miami-beach. fl. us
AFFIDAVIT
LOBBYIST MEANS ALL PERSONS EMPLOYED OR RETAINED, WHETHER PAID OR NOT, BY A PRlNOPAL WHO SEEKS TO ENCOURAGE
THE PASSAGE, DEFEAT OR MODIFICATION OF ANY ORDINANCE, RESOLUTION, ACTION OR DEOSION OF ANY COMMISSIONER; ANY
ACTION, DEOSION, RECOMMENDATION OF ANY OTY BOARD OR COMMITTEE; OR ANY ACTION, DEOSION OR RECOMMENDATION
OF ANY PERSONNEL DEFINED IN ANY MANNER IN THIS SECTION, DURING THE TIME PERIOD OF THE ENTIRE DEOSION-MAKING
PROCESS ON SUCH ACTION, DEOSION OR RECOMMENDATION THAT FORESEEABLY WILL BE HEARD OR REVIEWED BY THE OTY
COMMISSION, OR A OTY BOARD OR COMMmEE. THE TERM SPEOFICALLY INClUDES THE PRlNOPAL AS WELL AS ANY AGENT,
ATTORNEY, OFFICER OR EMPLOYEE OF A PRlNOPAL, 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: 6A.RO/(~ J I<Ef.I)/1![1I EJ{Jc..
,
Last Name Rrst Name
Business Phone~) Z:317 --7'310 Message Phone @S) "2.5&:; - &;3/0
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Business Name and Address: . j<(')S~ ~cSl.l ~df>
lZ1C1/ SW ,I ^ II(: MlMl.t) f1 ':?3 ,s.<
No. Street Suite City
Email Address: ~\..A.NDAl<t.- Q AO\" -<V.N\
2) Principal Retained by: c.""L WoRJ:s :t:NC.
:3lS!LRr"'(E 'Df; ~ lV"D
If different from above Street
.C~1..- GA.BLE:.S ) f"L '33~4-
Oty Stare
Middle Initial
State
Zip Code
s'O nb ;2..O<l
Suite
Zip Code
(a) If a corporation, partnership, or trust, identify and provide the address for the chief officer, partner,
beneficiary or interests.
~M\ K'os:~~ \2~il .<;0\ ,I AIJl:t N1/AfIU \ F.L 3B-1~
3) Subject Matter (Describe in Detail):
RFO 10-00/01 Urban Desiqn. Landscaoe Archit..ctnre "no F.n9'in......rinq
services for planning, design and constrctuion administration
for North Shore and Biscayne Point Neighborhoods.
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4. Identify each individual (Commissioners, Board, Committee, Authority member or City staff)
to be lobbied:
~11 Commigsinnp-r~r M~ynrf r;~y M~n~gQr. M~~~r;~r;nn ~~mm;r~OQ
and City Staff
S. The subject matter in number three (3) above is to be considered at the meeting of (Identify each entity or
individual):
1!JX The Oty Commission on 5/16 .2001
CJ City Commission Subcommittee on .2001
XlQ City Staff on tba .2001
~ City Board or Committee on rOil .2001
CJ Personnel on .2001
XIx Identify Others on rh:::a .2001
6. State the extent of any business, financial, familial, professional or other relationship which exists with any
individual identified in number (4) above: No Relationship
ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, USTING 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:
~ :7-~AA ~
CJ Personally known
.,: Produced ID ~ n \I Lr-S
'1- Did take an oath, or
CJ Did not take an oath
}....o, L<-h:i c:....
Identify
State of Florida, County of Miami-Dade
Sworn to and subscribed before me
This \5-tt:.. day of ~. 2001.
.
,~ uJdA
Notary or Deputy Clerk
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If Notary, print, stamp or type as commissioned
FOR CLERK'S USE ONLY
Registration: ['/J. ACCEPTED [J REJECTED DATE: 1-1~ 16) "2.-00!
If rejected, state reason:
Registration fee paid: M Yes [ ] No [J Not-for-Profit .Qrqa.!!iW!on.
{ ] Cash [ ] Check MCR # ~ \:5 2-
DATA ENTRY DATE:
,2001
ENTERED BY: