301 Ocean Dr. (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<Cilci ,miami-beach, f1,us
AFFIDAVIT
LOBBYIST MEANS ALL PERSONS EMPLOYED OR RETAINED, WHETHER PAID OR NOT, BY A PRINCIPAL WHO SEEKS TO ENCOURAGE
THI; PAsSAGE, DEFEAT ORMObIFlCAtION OF ANY ORDINANCE, RESOLUTION, ACTION OR DEOSION OF ANY COMMISSIONER; ANY
ACTION, DEOSION, RECOMMENDATION OF ANY cm BOARD OR COMMITTEE; 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 cm
COMMISSION, OR A CITY BOARD OR COMMITTEE. THE TERM SPECIFICALLY INCLUDES THE PRINOPAL AS WELL AS ANY AGENT,
ATTORNEY, OFFICER OR EMPLOYEE OF A PRINOPAL, 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 FIW "C~RTIFICATE OF WITHDRAWAL." .
1) Lobbyist Name: ~41t1~ 1 Ke.-rr f-1:Jdtrl.!oOt\
Last Name First Name Middle Initial
Business Phone aos: 53.1 OSOO Message Phone L)
Business Name and Address: ~~f HtJ.., ("0)0'\ l<!l:)bb(~
J'2'2."t vJQ~k,...-'l-o--o.. Ave I Mh"lll\l BotC.~1 PL 33/3Cf
No, Street 5-'- Suite City State Zip Code
Email Address:k~t.O~~bt.II.s~ . l1t"r
2) Principal Retained by: ~ O,C4^ Dr, CO~CilUlllltl.., A~scx... I..?.c..
30l Oc~U\. 0,...
If different fro~bove Street Suite
MI~tNll OtQ(.kL. (:'L.. '3'3/~Cf
City - I State Zip Code
(a) If a corporation, partnership, or trust, identify and provide the address for the chief officer, partner,
~efjcia, ry or int~sts, . /' , , '4" 0 1\
--r::c q.n..K.. .l,&L..]lL r l' .dO l (') I '^"", c. ea-'\ ~ r .
3) Subject Matter (Describe in
I'i
4. Identify each individual (Commissioners, Board, Committee, Authority member or City staff)
to be IObbied:_. ,q , _ t A._I. L__ t
7 o...,~~o('.r~\JYTne"
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 , 2001
on , 2001
on 7i:iJ .J., 2001
on o~ ' 2001~r,
of any business, financial, familial, professional or other relationship which exists with any
in number (4) above:
o The City Commission
o City Commission Subcommittee
o City Staff
o City Board or Committee
o Personnel
!!""'Identify Others Z go A
ON OCTOBER 1 Sf OF EACH YEARf EACH LOBBYIST SHALL $(JBMITTO THg 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:
~erSonallY known
o Produced q,
rrect and tpat I have read or am familiar
ityCode.as amended, and all reporting
c.~ i
{.,
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':".,'1>
Identir; .
'\'
id take an oath, or
o Did not take an oath
State of Florida, County of MiamH)ade
Sworn ~subscribej)be!s>r~e _ .
This ~day of ~1.
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Registration:
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If Notary, print, stamp or type as commissioned
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FOR ClERK'S USE ONLY
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[ ] REJECTED. . ~ DATE':,; \,
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If rejected, state reaso :
Registration fee paid:
eck ] N~~~r:rblr~ttr9 p
DATA ENTRY DATE:
,2001
ENTERED BY: