Affidavit
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CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
1700 Convention Center Drive
Miami Beach, FL 33139
cityclerk@lci.miami-beach.f1.us
AFFIDAVIT
LOBBYIST MEANS ALL PERSONS EMPLOYED OR RETAINED, WHETHER PAID OR NOT, BY A PRINOPAL 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 COMMITTEE; OR ANY ACTION, DEOSION OR RECOMMENDATION
OF ANY PERSONNEL DEFINED IN ANY MANNER IN THIS SECTION, DURING THE TIME PERIOD OF THE ENTIRE DE,ClSION-MAKING
PROCESS ON SUCH ACTION, DECISION OR RECOMMENDATION THAT FORESEEABLY WILL BE HEARD OR REVIEWED BY THE CITY
COMMISSION, OR A OTY BOARD OR COMMmEE. THE TERM SPECIFICALLY INCLUDES THE PRINCIPAL AS WELL AS ANY AGENT,
ATTORNEY, OFFICER OR EMPLOYEE OF A PRINOPAL, 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: GLAAI .:z;,.."t"
Last Name First Name
.5
Middle Initial
Business Phone ~f) I.JI(,~ S95'r
Business Name and Address: CII",. IIJ,~
3lQS' Q~..J. t-, ~ I SUrf. 200
No. Street Suite
Message Phone k)&.f"t~$I4'c.
::rAN..
CMAL ~.'U'
City
nolllPlt
State
;J"J'f
Zip Code
2)
Email Address:(ja-J.II/.._..~l....~...ltl.ClIlIuu-_.CDItfI
.
Principal Retained by: C/II;L WM~~ :r~_
.3"5'" ~~c. d. Lou"", '&vD.
If different from above Street
r,.,~ GoA-s f'uut.IM
City State
5"l7e ~O
Suite
.3!>'3"f
Zip Code
(a) If a corporation, partnership, or trust, identify and provide the address for the chief officer, partner,
beneficiary or interests.
L.WDA ~ Po Ii. 3lClS QNu 6. \.c.". -:It')..OO CDltAoI. G:a....~... ft... 50s I'!'f
3) Subject Matter (Describe in Detail):
os
'I. Identify each individual (Commissioners, Board, Committee, Authority member or City staff)
to be lobbied: . " PI'
t)L.L C6".;';AI~-Maf1r.; c.rry MA-~"'.L I ~'1lA.TIO'" ~"'I"'''~.c ~ Ci-ry StAtt.
5. The subject matter in number three (3) above is to be considered at the meeting of (Identify each entity or
individual):
on {"I',
on
on 71lA
on 7'61t
on
on -r8A
.2001
.2001
.2001
.2001
.2001
.2001
K The City Commission
o City Commission Subcommittee
" City Staff
_ City Board or Committee
o Personnel
" Identify Others
6. State the extent of any business, financial, familial, prof~ssional or other relationship which exists with any
individual identified in number (4) above: _No 1.e&.,",IO"S'~I})
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:
)f. Personally known
o Produced ID
fkr~U.
~
Identify
~
o Did take an oath, or
'JI. Did not take an oath
State of Florida, County of Miami-Dade
Sworn to and subscribed b\lfore me
This 14 day of 1J!J!t'l . 2001.
V~"!='k
Fa
VAllCHNSOAIlIiS
NOlARY PIlBLlCsrATIlOF I'LOllIDA
COMMISSION NO. C1:J'15aJ11
MY COMMISSION EXP. SEPI' 14
If Notary, print, stamp or type as commissioned
FOR CLERK'S USE ONLY
Registration: r;Q ACCEPTED [l REJECTED DATE: H UJ l~;> ;;2..01> I
If rejected, state reason:
Registration fee paid: [\A'Yes [ 1 No [l Not-for-Profit9rganization
[ lCash t(<lCheck MCR# ~5 qB 0
DATA ENTRY DATE: . 2001 ENTERED BY: