Yonatan Moshe (10/5/2001)
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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.fI.us
AFFIDAVIT
LOBBYIST MEANS ALL PERSONS EMPLOYED OR RETAINED, WHETHER PAID OR NOT, BY A PRINOPAL WHO SEEKS TO ENCOURAGE
THE PASSAGE, DEFEAT OR MODIFICATION OF ANY ORDINANCE, RESOLUTION, ACTION OR DEOSION OF ANY COMMISSIONER; ANY
ACTION, DEOSION, 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 DEOSION-MAKING
PROCESS ON SUCH ACTION, DEOSION OR RECOMMENDATION THAT FORESEEABLY WILL BE HEARD OR REVIEWED BY THE CITY
COMMISSION, OR A CITY BOARD OR COMMmEE. THE TERM SPECIFICALLY INCLUDES THE PRINOPAL AS WELL AS ANY AGENT,
ATIORNEY, OFFICER OR EMPLOYEE OF A PRINCIPAL, REGARDLESS OF WHETHER SUCH LOBBYING ACTIVTTlES FALL WITHIN THE
NORMAL SCOPE OF EMPLOYMENT OF SUCH AGENT, ATIORNEY, OFFICER OR EMPLOYEE. EACH PERSON WHO WITHDRAWS AS A
LOBBYIST IS REQUIRED TO FILE A 'CERTIFICATE OF WITHDRAWAL."
1) Lobbyist Name: ~,..~~~ ae-rP.rtd K -
Last Name First Name Middle Initial
Business Phone ~ '- '1 ~ - 1/ D I Message Phone (_)
Business Name and Address: , " I ~c. J6t... t?cD. M'
t( 'I! ~/.e.
U$ 'fI. 33/.3'
No. Street Suite City State Zip Code
Email Address: (.le.,.."W k ~SO\JT",t;~ /leI. (p .., .~
2) Principal Retained by: ~JSl(. ca..+o-. M 00$1. e-
, '-( I /U 1& '3,..J -4-ct ~ So n: . "Z.O ").00- I- t. - _
If different from above Street
J-I i 0.......1..... "-:f(
City
State
Suite
-,3 =s 1.3 '2...-
Zip Code
(a) If a corporation, partnership, or trust, identify and provide the address for the chief officer, partner,
beneficiary or interests.
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3) Subject Matter (Describe in Detail): If.
s ...vSc.(, ..,
4. Identify each individual (Commissioners, Board, Committee, Authority member or City staff)
to be lobbied: , 4L? . ~~
...,,~- :/ ~T 2..,g,4-
5. The subject matter in number three (3) above is to be considered at the meeting of (Identify each entity or
individual):
o The City Commission
o City Commission Subcommittee
",-City Staff
....-city Board or Committee
o Personnel
o Identify Others
.2001
,2001
,2001
.2001
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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:
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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 i tion 2-482 of the Miami Beach City Code as amended, and all reporting
requirements.
Signature of Lobbyist:
"fi.- Personally known
o Produced 10
--J... Did take an oath, or
b - Did not take an oath
Identify
State of Florida, County of Miami-Dade
Sworn to and subscribed before me
This S-t;t:; day of 0 c 1-z; b........., 2001.
r'
.~ uJdJ--
Notary or Deputy Clerk
If Notary, print, stamp or type as commissioned
FOR CLERK'S USE ONLY I
Registration: ~ ACCEPTED [] REJECTED DATE: J 0 I 5 1 u I
If rejected, state reason:
Registration fee paid: vfYes [ ] No [] Not-for-Profit Organization _
[ ] Cash [ ] Check MCR # 'l-'f'u 2- [;::,
DATA ENTRY DATE:
.2001
ENTERED BY: