Affidavit (06/21/2001)
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CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
1700 Convention Center Drive
Miami Beach, FL 33139
cityclerklOlci .miami-beach. fl. us
AFFIDAVIT
LOBBYIST MEANS ALL PERSONS EMPLOYED OR RETAINED, WHETHER PAID OR NOT, BY A PRINCIPAL 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 OTY BOARD OR COMMmEE; OR ANY ACTION, DECISION OR RECOMMENDATION
OF ANY PERSONNEL DEFINED IN ANY MANNER IN THIS SECTION, DURING THE TIME PERIOD OF THE ENTIRE DECISION-MAKlNG
PROCESS ON SUCH ACTION, DECISION OR RECOMMENDATION THAT FORESEEABL Y WILL BE HEARD OR REVIEWED BY THE OTY
COMMISSION, OR A CITY BOARD OR COMMmEE. THE TERM SPECIFICALLY INCLUDES THE PRINCIPAL AS WELL AS ANY AGENT,
ATTORNEY, OFFICER OR EMPLOYEE OF A PRINCIPAL, 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: ~t/L 'L. ~rfCJCl,
Last Name First Name
}/1'
Middle Initial
Business Phone em' 2g.l'5:'0;800 Message Phone (~ '}lit) '.r::z,{; 2
Business Name and Address: DiA -z.. ~ {) /U~ h. t e j\.J , L, L. f.
\ ' iL 36>1 :3
No. Str Suite City State Zip Code
EmailAddress: f'111/'fiJ ~t96~~/~ '~o-:
2) Principal Retained by: /!I;AJ+/ 's ,A (tUA ( t3~cJ", L.L P
~o AI~N ~
If different from above Street Suite
M,'Afv1; ~(.~ FL 3.;(84
. City I State Zip Code
(a) If a corporation, partnership, or trust, identify and provide the address for the chief officer, partner,
beneficiary or interests.
MANI.Ae..( D{'A""L 2....(,;;'5' S LSI,l~t.I9f'e_ [)r, t;'Ar'ie 2m MIAMI:FL
33133
3) Subject Matter (Describe in Detail):
Be?tc~ UAJceS5?/o/JS.
4. Identify each individual (Commissioners, Board, Committee, Authority member or City staff)
to be lobbied: /Y' /' I C I ..L /' /'
M,o v't'!f' S t'Jr-l-lrfP (j1y {'",MM / .c;scofJt 11;Y 1; ~r
I '
5. The subject matter in number three (3) above is to be considered at the meeting of (Identify each entity or
individual):
e The City Commission
~ity Commission Subcommittee
It' fiitY Staff
r:K City Board or Committee
o Personnel
o Identify Others
.2001
,2001
.2001
.2001
.2001
.2001
on
on
on
on
on
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6. State the extent of any business, financial, familial, professional or other relationship which exists with any
individual identified in number (4) above: i0(JiJ e.-
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
with the proviSions contained in Sectio"n 2-~2 0
requirements. , V
, I-
,
Signature of Lobbyist:
e true a~d rect a that I have read or am familiar
. mi ch Ci ode as amended, and all reporting
/
/;:/ /
o Personally known
o ~uced ID
~Did take an oath, or
o Did not take an oath
State of Florida, County of Miami-Dade
SWO;r~d subscr' d before me
This day 2001.
f]~~
~llth.. , or Depu Clerk
If Notary, print, stamp or type as commissioned
Registration:
~PTED
[ ] REJECTED
FOR CLERK'S USE ONLY
DATE: ( 0 - d J - () I
If rejected, state reason: ./"
Registration fee paid: r1 Yes [ ] No J-] Not-for-~fiW~~'11
[ ] Cash [JEleck MCR t::r:::> () v .
DATA ENTRY DATE:
.2001
ENTERED BY: