Ocean Drive Condo Assoc 10/5
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CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
1700 Convention Center Drive
Miami Beach, FL 33139
citvclerk@lci.miami-beach.f1.us
AFFIDAVIT
LOBBYIST MEANS ALL PERSONS EMPLOYED OR RETAINED, WHETHER PAID OR NOT, BY A PRINCIPAL WHO SEEKS TO ENCOURAGE
TH~. PASSAGE, DEFEAT OR MODIFICAiIoN 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 ACTIVrnES FALL WITHIN THE
NORMAL SCOPE OF EMPLOYMENT OF SUCH AGENT, ATTORNEY, OFFICER OR EMPLOYEE. EACH PERSON WHO WITHDRAWS AS A
LOBBYIST IS REQUIRED TO FJV-'l'C~RTIFICATE OF WITHDRAWAL." .
1) Lobbyist Name: ~41t1:>>> )((!.., t.J:l 4ft I.!oOi\
Last Name First Name Middle Initial
Business Phone aos: 53.:z.. 0$00 Message Phone (_)
Business Name and Address: -*..."f Ha.., r'''~ 'R.fD'6(~
J'2.'2."l vJt:c:Jk,,..-I-G-'\., Av, 1 Mh"ll\( Be..c.~. PL 3313 Cf
No. Street j-L Suite City I State Zip Code
Email Address:k~(.o".cg.be.lIs~.I1~t-
2) Principal Retained by: ~ OC.C4^ Dr,CO-JCilUIIII/"" A~~. J:..?i:.1
3 0' 0 C.'"J CI\. 0,..
If different fro~bove Street Suite
MlmlM.1 C)tQ(.~ I '::-L- '3"3I:;Cf
City State Zip Code
(a) If a corporation, partnership, Dr trust, identify and provide the address for the chief officer, partner,
~eficia. ry Dr intyt.\Stsr . /' , . . 4^ 0 D
---r::c~ ..l.&J-.]lLr" ~ V") I J\J( c.~'" _r.
3) Subject Matter (Describe in
I"i
4, Identify each individual (Commissioners, Board, Committee, Authority member or City staff)
to be IObbied:~. f-< , _ t A._I. I. t
? O""...(t---....rO,.tr~ u~f7Y)e"
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 on. 2001
o City Commission Subcommittee on. 2001
o City Staff on . 2001
o City Board or Committee on. 2001
o Personnel on JOt ...... 2001
!('"Identify Others Z 80 A on 0"7 ' 2001~r,
6. State the exte of any business, financial, familial, professional or other relationship which exists with any
individual identifi in number (4) above:
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 0
with the provisions contai a in
requirements.
sign~ Lobbyist:
'tfPersonally known
o Produced D'
rect and tpat I have read or am familiar
ity, Code as amended, and all reporting
~,~ .;..'
;', ','
, ,r.- '"
Identify .
. ~
id take an oath, or
o Did not take an oath
State of Florida, County of Miami~Dade
Sworn ~subscribeJlbe!9r~e _ __
This ~day of ~1.
. .
.
If Notary, print, stamp or type as commissiDned
. ':, ,',. . .,~ .'" "-"
. ,
Registration:
~D
FOR CLERK'S USE ONLY
, '~j "
, -.-
r ] REJECTED, . DATE:';
If rejected, state rease :
Registration fee paid:
eck ] N~~~r:r~r~'r'6C; p
DATA ENTRY DATE:
,2001
ENTERED BY: