Kutun, Barry 08/09/01
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CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
1700 Convention Center Drive
Miami Beach, FL 33139
citvclerk@)ci,miami-beach.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 MODIFICATION OF ANY ORDINANCE, RESOLUTION, ACTION OR DECISION OF ANY COMMISSIONER; ANY
ACTION, DECISION, RECOMMENDATION OF ANY CITY 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-MAKING
PROCESS ON SUCH ACTION, DECISION OR RECOMMENDATION THAT FORESEEABLY WILL BE HEARD OR REVIEWED BY THE CITY
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 AcrrvmES 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: k lITO+-....} '-:]SARI<.. '-<
Last Name First Name Middle Initial
Business Phone GQS) S 3, ~ -14).. 4 '-\ Message Phone ~ "bO \ -'1Cl.q~
Business Name and Address: ~A-RR'-<' l<'J"\,-",--> Co u'S.ut..\"7\tJ1'S. ) l\J C '
~6\2. F\'S'f-I.€R ::\:'SL"'N{) Vrt,.J 'M.,""""', FL.
No. Street Suite City State
Email Address: bl<UT.....f'-.> @ d ~ l; . <:'2) N\
2) Principal Retained by: ~tvIOt--l "~M"Of<.I'\R'( SeRlJlc..e~) IUC,
.5"6(,'(" 5~"'"".o""N ~-I-, 1\ S...., -t--e A
If different from above Street
\..loLL'-( "-'ODD F L-.
City State
3S\09
Zip Code
Suite
s"3.o2./
Zip Code
(a) If a corporation, partnership, or trust, identify and provide the address for the chief officer, partner,
beneficiary or interests.
3) Subject Matter (Describe in Detail):
R:tJ-P \J 0 41 -00 I D \
30\3, OR~lL c..Ol-..l,RI'Cn.......<;;,
S<<sr€. ,......
4. Identify each individual (Commissioners, Board, Committee, Authority member or City staff)
to be lobbied: _
?uR..c~""s\.:...Jc.. ()"f"F\,"-~ R...
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 on ,2001
6. State the extent of any business, financial, familial, professional or other relationship which exists with any
individual identified in number (4) above: ~ IJ 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 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. ~ /J
Signature of Lobbyist: ~
o ~sonally kno~n <) _ ()
VF'.Jduced ID r- ..::>5; 0-
~Did take an oath, or
o Did not take an oath
o
Identify
State of Florida, County of Miami-Dade
sworncr ffld sUbscrib~re m.e
This <Jjt) day of . 2001.
C~~~
If Notary, print, stamp or type as commissioned
FOR CLERK'S USE ONLY
Registration: [] ACCEPTED [] REJECTED DATE:
If rejected, state reason:
Registration fee paid: [ ] Yes [ ] No [] Not-for-Profit Organization
[ ] Cash [ ] Check MCR #
DATA ENTRY DATE:
.2001
ENTERED BY: