Calvo, Jose 01/14/2002
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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.f1.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 OTY
COMMISSION, OR A CITY 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 ACTIVITIES 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: ~Li/t1 ~~
Last Name First Name
~ gv~~~A
Middle Initial
Business Phone ~,,;l. / V /5// Message Phone ~ 1"9; '9d-P ~
Business Name and Address: 8.v...uV40 ~ ~v..tP""~~.K ~ _ E.J'./4--.
2:l 0 a..a ,v~ ,v ~vE~ ~ /?7/AA'?/ n.
No. Street Suite City State
Email Address: M
3p/ ~d..
Zip Code
2)
Principal Retained by:
'YFi3'?
If different from above
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qty
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Street
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PZ
State
Suite
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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):
/~A./..tV/Vf ~_-"J-... ~A2 4-..--.../ ~L)4J ~~ .y
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4. Identify each individui:-:ommissioners, Board, Committee:bthority member or City staff)
to be lobbied:
R.AUA//'(}~ ~A~
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
o City Board or Committee
o Personnel
o Identify Others
on . 2001
on . 2001
on . 2001
on Pl.t9~.:;Jt. . 200;2..
on . 2001
on , 2001
6. State the extent of any business, Financial, familial, professional or other relationship which exists with any
individual identified in number (4) above: Nr7dl!!'"
ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, USTING LOBBYING EXPENDITURES IN THE CITY OF MIAMI BEACH
FOR THE PRECEDING CALENDAR YEAR.
I do solemnly swear that all of the foregoing f, are true and correct and that I have read or am familiar
with the provisions contained in Section 2 of the Miami Beach City Code as amended, and all reporting
requirements.
Signature of Lobbyist:
~ Personally known
o Produced ID
o Did take an oath, or
~ Did not take an oath
State 0f Florida, County of Miami-Dade
Sworn to and subscribed before me
This / Y day OfA,N~. 20~
Notary or Clerk
.A~/A,eI,tI ~ J~~ .
If Notary, print, stamp or type as commissioned
Registration:
FOR CLERK'S USE ONLY
[ l R~ECTED DATE:" / //7/0 z....
I I
If rejected, state reason: .__
Registration fee paid: H"fes [ l No [ .J Not-for-Profit Organization
[lCash [~ MCR# ~l..(O 7 $}
DATA ENTRY DATE:
.2001
ENTERED BY: