Affidavit (07/01/2001)
.
in
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cnv Of MIAMI BEACH
OfFICE Of THE cnv CLERK
1700 0lrM!ntl0n CenIIer Ortve
Mlamllleach, R. 33139
cll:ycIer1<@d.miami-hPNh.f1.us./
AFFIDAVIT
LOBBYIST MEANS AU PERSONS EMPlOYED OR RETAINED, WHETHER PAID OR NOT, BY A PRINCIPAL WHO SEEKS TO ENCOURAGE
THE PASSAGE, DEFEAT OR MODlACATION OF ANY ORDINANCE, RESOLUTION, ACTION OR DECISION OF ANY COMMISSIONER; ANY
ACTION, DECISION, RECOMMENDATION OF ANY CITY BOARD OR COMMffiEE; OR ANY ACTION, DECISION OR RECOMMENDATION
OF ANY PERSONNEL DEANED IN Atff MANNER IN THIS SECTION, DURING THE TIME PERIOD OF THE ENTIRE DEClSION-fIIAKING
PROCESS ON SUCH ACTION, DECISION OR RECOMMENDATION THAT FORESEEABLY WIU BE HEARD OR REVIEWED BY THE CITY
COMMISSION. OR A CITY BOARD OR COMMffiEE. THE TERM SPECIACAUY INCLUDES THE PRINQPAL AS \NElL AS ANY AGENT,
ATTORNEY, OFACER OR EMPLOYEE OF A PRINCIPAL, REGARDLESS OF WHETHER SUCIi LOBBYING ACTIVITIES FAU 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 "CEIUlFICATE OF WITl)pRAWAL'
1) lobbyist: Name: --tp..."',-I>fVo"t ~S' H CA...tJlttJu 4Z- :t
Last: Name Arst Name Middle Initial
BusIness Phone i3oS)~q.2-~ 8"Lf Message Phone LJ
BusIness Name and Address: A ~a....k I. (~S, p. 11-.
(00 S'e :2A..J fro ~;f-~ 3f~ #A~', ti-- '33/3/
No. Street I Suite 6t;f (Slate ZIp Code
Emall Address: (L.,-f-a tJ,JfM?r;@tt.I(. C-oW\
2) Principal Retained by: ~~..fl..-M..J JM..,~' ~ . I..t.. C. .
:J.. o'r7/ "'-l ( 3D-ft-. ef.
If different from above Street
Clv~ Fi--
City State ZIp Code
(a) If a corporcltlon, partnel ship, or trust:, Identify and provide the address for the chief oftlcer, partner,
benefldary or Interests. ....-f.',. ". ':D. I /,
" V"'\ ~ ! rQ~t:n/ A) ~ 3o~ C:t-.
, ~~,47<-- 331 t'o
Suite
S~/J"o
3) Subject Matter (Des!:tibe in Detail):
-~ c...1Yl ~ f!. r:: f
",.....,<!f,;->.:;.;:.<,;.;,.,~.....,tI;I"'"
.'
.....
4. Identify each Individual (Commissioners, Board, Committee, Authority member or Qty starr)
tobelobbled:~ ~ o/fJr-~~s.;..... '_~ ~''A,A.S~i
G'J.., C'r1J1.h,&, If ()'6"fI~
:/
5. The subject matter In number three (3) above is to be considered at the meetlng d (Identify each entity or
Individual):
/'
iii" The City Commission
o City CommIssion Subcomll1itlee
o City Staff
o City Board or Comlllitree
o Personnel
o Identify Others
on ~11f(
on I
on
on
on
on
.. 2001
.2001
.2001
.2001
.2001
.2001
\
6. State the extent d any business, financial, familial, prctessional or other relationShip whlch exISts with any
Individual identified in number (4) above: 'VI ~
ON OCTOBER 1 Sf Of EACH YEAR, EAOi LOBBYIST SHALL SUBMIT TO THE CITY a.ERKA SIGNED
STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES IN THE CITY Of MIAMI BEACH
FOR THE PRECEDING CALENDAR YEAR.
I do solemnly ~r that aU c:I the f9regoing facts are true and COIrect and that I have read or am familiar
wIIh", _ """""" . ~ 2-<1" "'... _ """ CIty """ "......... ...., '......
~ul~. ~ ~
Signature c:I lobbyist: OMQ 12.
~Personally known
IJ Produced 10
~take an oath, or
IJ Did not take an oath
Identify
State c:I Florida, County d Miami-Dade
~~2001. _~~~_
If Notary, print, stamp or type as COl111lissloned
FOR CLERK'S USE ONLY
Reglstra1lon: [] ACCEPTED [] REJECTED DATE:
If rejeCted, state ~:
Reglslrallon fee paid: [ ] Yes [ ] No [] Not-fa'-Profit OrganIzatIon
[ ] Cash [ ] Oleck MCR #
DATA ENTRY DATE:
. 2001 ENTERED BY:
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