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Affidavit ~_. in - CITY OF MIAMI BEACH OFFICE OF THE CITY CLERK 1700 Convention Center Drive Miami Beach, FL33139 citvclerklOlci. miami-beach. fl. 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 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 COMMITTEE. THE TERM SPEOFICALLY INCLUDES THE PRINOPAL AS WELL AS ANY AGENT, ATTORNEY, OFFICER OR EMPLOYEE OF A PRINOPAL, 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: Schwartz, Frank Last Name Rrst Name Middle Initial Business Phone (30~ 379-7001 Message Phone (30~ 379-7001 Business Name and Address: Steele & Hanson, P. A. 1",nw P-l"gl"j- Street. 2850,- No. Street Suite :Miami, City F"fO:rilh\ State 33130 Zip Code Email Address: F~~~~~pplehanson.com 2) Principal Retained by: QUI!<. PARK City 444 Brickell Avenue Street Florida - State Suite 33131 Zip Code If different from above Miami (a) If a corporation, partnership, or trust, identify and provide the address for the chief officer, partner, beneficiary or interests. Hank Sopher Same as #2. 3) Subject Matter (Describe in Detail): SpPking conditional use permit for 24 hour surface parking lot. '4. Il'ientify each individual (Commissioners, Board, Committee, Authority member or City staff) . . to be lobbied: Planning Board 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 0 City Commission Subcommittee on ,2001 0 City Staff on ,2001 0 City Board or Committee on ,2001 0 Personnel on ,2001 0 Identify Others Planninq Board on June 26th,2001 6. State the extent of any business, financial, familial, professional or other relationship which exists with any individual identified in number (4) above: NONE 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. ~Lb- ...- --'> - Signature of Lobbyist: p/'Personally known o Produced ID ,v /1/ Identify o Did take an oath, or 0/ Did not take an oath State of Florida, County of Miami-Dade .... Sworn to a.Qf subscribed before me ~:' This t:J1- day of M d ,2~ NINA PARADElA MyComm Ellp.3I3W4 No. CC 811881 lI-..oy_lI_,.D. Notary or Deputy Clerk MfuL ilVClde/CL/ If Notary, print, stamp or type as commissioned FOR CLERK'S USE ONLY Registration: li...J.-AtCEPTED [] REJECTED , DATE: (" - ( ~ 0 r If rejected, state reason: Registration fee paid: [ !I-:teS"l ] No J ] Not-fer-Profit Q[ganiza~'. [ ] Cash [ q-d'ieck MeR # 'L ,2J a: DATA ENTRY DATE: (,. - ( ( " . 2001 ENTERED BY "L-/::J