Lofts of No. Beach, Inc.
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CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
1700 Convenbon Center Drive
Miami Beach, FL 33139
citvclerk(Ci)ci .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; ANV
ACTION, DECISION, RECOMMENDATION OF ANY 01Y BOARD OR COMMffiEE; 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 01Y
COMMISSION, OR A CITY BOARD OR COMMffiEE. THE TERM SPECIFICALLY INCLUDES THE PRINCIPAL AS WELL AS ANY AGENT,
ATTORNEY, OFFICER OR EMPLOYEE OF A PRINCIPAL, REGARDLESS OF WHETHER SUCH LOBBYING ACTIVTIlES 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 WIT,^DRAWAL."
1) Lobbyist Name: --rf1Ct+Yv1E<; ftLc;,.XfTNDcgc ::r:::-S~
Last Name First Name Middle Initial
Business Phone M :S~j..3p{f Message Phone (_)
A-Ur:..kIt',S';:,<'cf2- :L _ ----r~8S, f..fi .
_IDO S~ cJ.~gf ~so,L;e M\~ K
No. Street 1 ~uite City
Email Address: G--<"'~ @Y a.L>\' ~
2) Principal Retained by: ~ ~ 0:., N ~ ~ ~9-t l ~'"
(p ~ ,;>'L CU-.<h-:n (CJ,
If different from above Street
~o,~ R-
City State
Business Name and Address:
State
"'3 ~ (~ \
Zip Code
Suite
?::, ~ Il( C)
Zip Code
(a) If a corporation, partnership, or trust, identify and provide the address for the chief officer, partner,
beneficiary or interests. gA-.e~ r-\o{.-.d- ~\~, ~ c:J~L
~-'? b rfk-e ~.t:: 1-
~ ~ 0<-"
Subject Matter (Describe in Detail): f---) t <.::. ,
3)
a~ k~ ~'~=.- ~
C '. 'tf -^-<..
l~'~ I l~~L,p-
4. Identify each individual (Commissioners, Board, Committee, Authority member or City staff)
tObelobbied:~ + ~~ 8vJ.
~'--"-~~_~ O~~(&- 6jf'e,
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, famili\professional or other relationship which exists with any
individual identified in number (4) above: r" ........
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, nO. _~. t'::L. r::x:?f/ .
Signature of Lobbyist: ~ ;y v ~
/persOnallY known
o Produced ID
~Did take an oath, or
o Did not take an oath
Identify
State of Florida, County of Miami..Dade
Sworn t~d sUbscrib~J~e
This J day of 200l.
.
~~e/d-~:
or Dep Clerk
If Notary, print, stamp or type as commissioned
FOR CLERK'S USE ONLY It ~
[ ] REJECTED DATE; / () () I
, I '
If rejected, state reason; /'
Registration fee paid: ~es [ ] No [J Not-for..~t ~92~
[ ] Ca [J Check MCR # .
DATA ENTRY DATE; 0 0 2001 ENTERED BY: I h
,
Registration;