Affidavit 08/14/01
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CITY OF MIAMI BEACH
OFfICE OF THE CITY CLERK
1700 Convention Center Olive
Miami Beach, Fl 33139
citvclerk(il)ci. miami-beach.f1.us
AFFIDAVIT
LOBBYIST MEANS ALL PERSONS EMPLOYED OR RETAINED, WHETHER PAID OR NOT, BY A PRINQPAL WHO SEEKS TO ENCOURAGE
THE PASSAGE, DEFEAT OR MODIACATION OF ANY ORDINANCE, RESOLUTION, ACTION OR DEQSlON 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, oeQSlON OR RECOMMENDATION THAT FORESEEABLY WILL BE HEARD OR REVlEWED BY THE CITY
COMMISSION, OR A CITY BOARD OR COMMmEE. THE TERM SPECIFICALLY INCLUDES THE PRlNCIPAL AS WELL AS ANY AGENT,
ATTORNEY, OFFICER OR EMPLOYEE OF A PRINCIPAL, REGARDLESS 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 ALE A 'CEIU'IFICATE OF WITHDRAWAL.'
1) Lobbyist Name: \l..\LA,",c- ~L~ 1\
Last Name First Name Middle Initial
Business Phone (1.~ Ci l. t - t;, \ "t- Message Phone ~ ere.:. \ -1 \\""-
Business Name and Address: _~\t. I\u l~' ~..I ~
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\c.(,\ tt...."JL (........w..~ 'He... ~.~_ ~,,\l~...... ~L ~~\o.l(;)
No. Street , Suite City I. Zip Code
Email Address: ~\..G(' Q ..4 - r~ll~. AJ
2) Principal Retained by: M....-... l'-..~.1. J.l. It,.+- ,,~ c:::..-..kL ~~ t
,,'- \ O~.c.- ~t'~.J_
If different from above Street Suite
+t\,_... ~ I t=-L ~'" ,~;
City State 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):
~.. ~ t?.'-- , ~\..:k~..&.
11. Identify each individual (CommlssionelS, Board, Committee, Authority member or CIty staff)
to be 1obbIecI: l l'\ I Ll .
~'- <.:..._...~\.......... , u,~....._~. II...~. \f'r~. r~41-\.
t\~. __ 1. -It....Jc ~ -! ,
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5. The subject matter in number three (3) above is to be considered at the meeting of (Identify each entity or
individual):
on ~~~< .2001
on , 2001
on "'"-. 1.1 , 2001
A
on ,2001
on , 2001
on .2001
iT"ihe City Commission
Q City Commission Subcommittee
I!I"""City Staff
Q City Board or Committee
Q 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:
\.\&.1. ~
ON OCTOBER lIlT Of EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, USTlNG 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.
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Signatu? Lobbyist:
~rsonally known
Q Produced 10
Identify
a Did take an oath, or
Q Did not take an oattl
_a_'Coo7!~~
S~'? 1b.. subscri before me
This I--pday cJ ,2001.
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Registration:
If Notary, print, stamp or type as commissioned
REJECTED
DATE:
FOR CLERK'S USE ONLY
If rejected, state reason: /'
Registration fee paid: ["1 Yes [ ] No [] Not-for-Profi~ani~
[ cash [ ] Check MeR tt!+ I
DATA ENTRY DATE: g I D 2001 ENrrERED BY: ( b
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