Affidavit (07/09/2001)
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CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
1700 Convention Cel1ter Drive
Miami Beach, FL 33139
cityclerktlilci.miam::i ,each.f1.us
AFFIDAVIT
LOBBYIST MEANS ALL PERSONS EMPLOYED OR RETAINED, WHETHER PAID OR NOT, BY A PRINCIPAL WHO SEEKS
TO ENCOURAGE THE PASSAGE, DEFEAT OR MODIACATlON OF ANY ORDINANCE. RESOLUTION, ACTION OR
DECISION OF ANY COMMiSSIONER; ANY ACTION, DECISION, RECOMMENDATION OF ANY CITY BOARD OR
COMMI1TEE; 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 FORESEEABLY WILL BE HEARD OR REVIEWED BY THE OTY COMMISSION,
OR A CITY BOARD OR COMMI1TEE, THE TERM SPECIFICALLY INCLUDES THE PRINCIPAL AS WELL AS ANY AGENT,
ATTORNEY, OFFICER OR EMPLOYEE OF A PRINCIPAL, REv.ARDLESS 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: Larkin Michael W.
Last Name First Name Middle Initial
Business Phone ClJl5.) 377 - 6 2 31
f,.essage Phone <-)
Business Address: 200
S. Biscayne Boulevard
No. Street
Florida
State
33131
Zip Code
850
Suite
Miami
City
Email Address:
2) Principal Retained by: Coohdge S th M k
. - ou ar ets Equities, L"P"
'.'. 670 Wl}ite P19in" Road
If different from above Street
Scarsdale ' New York
City
Sti:Jte Zip Code
(a), If a corporation, partnership, or trust, identify and provide the address for the chief
officer, partner, beneficiary or interests.
30S
Suite
10583
:3)
Subject Matter (Describe in Detail): Modi'fication to Historic Preservati on
Board Application -----------
4. Identify each individual (Commissioners B Ct C .
to be lobbied: Historic Preser~a ~~~~ Bommldttee, ~uthority member or City staff)
oar , C1.ty Staff
"
5. The subject matter in number three (3) above is to be considered at the meeting of
(Identify each entity or individual):
on
on
on
BoardnAugust
on
on
.2000
.2000
,2000
14 ,200t,
,2000
,2000'
o The City Commission
o City Commission Subcommittee
o City Staff
~ City Board or Committee Historic Preservation
o Personnel
Q Identify Others
6. State the extent of any business, financial, familial, professional or other relationship which
exists with any individual identified in number (4) above:
ON JULY 15T OF EACH YEAR, EACH LOBBYST SHALL SUBMIT TO THE CITY CLERK A
SIGNED STATEMENT UNDER OATH, USTING A LOBBYING EXPENDITURES IN THE
cm 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. I /l ' "
Signature of Lobbyist: ~ V V
,
)z'-.. Personally known
o Produced ID
...~:. .
''l
Identify
, '
( ,
Q Did take an oath, or
"I- Did not take an oath
State of Florida, County of Miami-Dade
Sworn to and subscribed before me
This "\~ day of ~ . 2000. ' -' . c:--,.
.firrz ~~A-.^ ) ""'" - ~,
...v ~fJ" CRISlINf\ O. GON727273 Notary or De~tYCi\!rk"O T,
, O~&<;:'COMMISION*CC
'" ',...PIIES MAR 23, 2002
III I! BONO,on<lU ".. ..
~1i (!!i ,1IANTIC 'ff~eH~C CQ ,'N'-
or\'., ' Notary, print, stamp or type as commissioned
FOR CLlERK'S USE ONLY
Registration: [] ACCEPTED [] REJECTED ' DATE:
If rejected, state reason:
Registration fee paid: [ ] Yes [ ] No [1 Not-for-Profit Organization
[ ] Cash [ ] Check MeR #
,~ ~ ":'
DATA ENTRY DATE:
, 2000
ENTERED BY: