HomeMy WebLinkAboutMartin Engineering 01/17/02
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CITY OF MIAMI BEACH
OFFicE OF THE CITY CLERK
1700 Convention Center Drive
Miami Beach, FL 33139
cityclerk@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 DECISION OF ANY COMMISSIONER; ANY
ACTION, DEOSION, RECOMMENDATION OF ANY CITY BOARD OR COMMmEE; OR ANY ACTION, DEOSION 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 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 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 FILE A "CERTIFICATE OF WITHDRAWAL."
1) Lobbyist Name: //,'t/,arJ..... ~ull L-
Last Name First Name Middle Initial
Business Phone ~ (p T ~ - S;e..~~ ,MeSSage Phone, @1l: - ~_
Business Name and Address: _ 6~ ~6 3G tit- .s~1 a.J III ~t1 SYVd.ve...
I/{L /1M R-- ~~
No. Street Suite City' State Zip Code
Email Address: r ILl I (, av-~ (J tl ~ I. (! l1 ftI(
Principal Retained by: A..ttxr!'11. e/l
$-[. ( tJ) q ~
If different from above
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City
2)
c~
A--
State
Suite
~ 3/12. -2-~r3
Zip Code
(a) If a corporation, partnership, or trust, identify and provide the address for the chief officer, part$ler,..
beneficiary or interests. ~ C'I_" Pi -ft ''AeJ
~ ;:)tJr'{ &\ I ~ r t!:$tCX(
, ' ' )
3)
4. Identify each individual (Commissioners, Board, Committee, Authority member or City staff)
to be lobbied: /J.. ' . d Il J // .--
~lt(fS5tev{, d~ N1:jIYr
5. The subject matter in number three (3) above is to be considered at the meeting of (Identify each entity or
ind~Ual): ~ ~e. M7 6ebt ~
~ The City Commission
lSlJ . Commission subcommitt. ee
City Staff
IJ City Board or Committee
IJ Personnel
IJ Identify Others
.2001
,2001
,2001
,2001
,2001
,2001
on
on
on
on
on
on
6. State the extent of any business, financial, familial, professional or other relationship which exists with any
individual identified in number (4) above: ./fi-
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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 in Section 2-482 of the Miami Beach City Code as amended, and all reporting
requirements.
Signature of Lobbyist: -t!--- --1
IJ Personally known .
~oduced ID ~1C1Ti' t:5(-f{or~...j ~wa{,J ~cwj,ci.fPAr'" 6(tfic~.if: IN C;r; ls-"72..j
Identify {
IJ Did take an oath, or
~id not take an oath
State of Florida, County of Miami-Dade
Sworn to and subscribed before me "2-
This (7"f'1, day of ~ 200t'.
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ZOOt6Z'lIdV 'dXR NOlSSIWWO:) AW
ZlE9€l:):) 'ON NOISSlWWO:)
VOIl:I01.:ldO llVlS :>n!lnd AMV LON
dWVH:>nVB!I .'-.TVl'H!liill
lVES^}f'tlON1Vl:jj!f:1~otary
4~lhtJ'~~
Nota or Deputy Clerk
(L 1')4>7;'/.../
print, stamp or type as commissioned
/' FOR CLERK'S USE ONLY \ _ \
Registration: v(ACCEPTED [] REJECTED DATE: D\' \1-\ 00- .
\. \.
If rejected, state reason: /'
Registration fee paid: ~es [ ] No...--f'1 Not-for-Profit.Orliaj)j2tlj:i~1 \,
[ ] Cash [~eck MCR # ri:. ~lL Y' .
DATA ENTRY DATE:
.2001
ENTERED BY:
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