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Larkin, Michael 1/07/02 m CITY OF MIAMI BEACH OFFICE OF THE CITY CLERK 1700 Convention Center Drive Miami Beach, FL33139 citvclerk@ci.miami-beach.fI,us '._~',' r~ 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, AmON OR DEOSION OF ANY COMMISSIONER; ANY ,A.mON, DEOSION, RECOMMENDATION OF ANY OTY BOARD OR COMMmEE; OR ANY AmON, DEOSION 'OR RECOMMENDATION OF ANY PERSONNEL DEFINED IN ANY MANNER IN THIS SEmON, DURING THE TIME PERIOD OF THE ENTIRE DECISION-MAKING PROCESS ON SUCH AmON, DEOSION OR RECOMMENDATION THAT FORESEEABL Y WILL BE HEARD OR REVIEWED BY THE OTY COMMISSION, OR A OTY BOARD OR COMMmEE. THE TERM SPEOFICALLY INCLUDES THE PRINOPAL AS WELL AS ANY AGENT, ATTORNEY, OFFICER OR EMPLOYEE OF A PRINOPAL, REGARDLESS OF WHETHER SUCH LOBBYING ACTIVTI1ES 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 WITHDRAWAl." 1) Lobbyist Name: Larkin Last Name Business Phone C3..a..s) 377 - 6 2 31 Business Address: 200 S. Biscayne No,' Michael First Name Message Phone (_) Boulevard W. Middle Initial State 850 Suite 33131 Zip Code Miami City Email Address: 2) Principal Retained by: Sunset Thre~-525~~.L.C. 1800 Suns,t Harbor Drive If different from above Street Street Florida . Suite Miami City Florida State 33139 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): Modification to prior Lot Split Approval 4. Identify each individual (Commissioners, Board, Committee, Authority member or City staff) to be lobbied: city Staff. We will not communicate with members of the Planning Board prior to the public hearing since they will review this application while acting in th~ir quasi-judicial capacity. 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 o City Staff a- City Board or Committee Planninq Board o Personnel o Identify Others .2000 .2000 .2000 Jan.22 .2001 .2000 .2000 on on on on on on 6. State the extent of any business, financial, familial, prof~onal or other relationship which exists with any individual identified in number (4) above: IKlf ON JULY 1ST OF EACH YEAR, EACH LOBBYST SHALL SUBMIT TO THE CITY CLERK A SIGNED STATEMENT UNDER OATH, USTING A 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 ~nd 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. A A A-I Signature of Lobbyist: /vvYj W ~ , ~ Personally known o Produced ID Identify o Did take an oath, or A Did not take an oath State of Florida, County of Miami-Dade Sworn to and subscribed before me . /),..,;-.. This t?--t'h day of [)ecetnJer:-)OOO. ~I ~~ Notary or Deputy Clerk Lift[ C ,8I'VCJkS If Notary, print, stamp or type as commissioned ",'UI:j",~,~ LISA C. BROOKS '. MY COMMISSION # CC 856829 EXPIRES: July 20. 2003 Bonded Th,. Notary Public UndoIwriters Registration: ~PTED FOR CLERK'S USE ONLY I I HJ [ ] REJECfED DATE: Lf-l.- 0:;>- If rejected, state reason: ___ Registration fee paid: 'f"fYes [ ] No .-J.-tNot-for-Profit Organization [ ] Cash [ -f'Oleck MeR # ~ DATA ENTRY DATE: ~ ENTERED B :