Feingold, Laurence 1/11/2002
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CITY OF MIAMI BEACH
OFFiCE OF THE CITY CLERK
1700 Convention Center Drive
Miami Beach, FL 33139
cityclerk(1i)ci.m iami-beach. fl. us
AFFIDAVIT
LOBBYIST MEANS ALL PERSONS EMPLOYED OR RETAINED, WHETHER PAID OR NOT, BY A PRINOPAL WHO SEEKS TO ENCOURAGE
THE PASSAGE, DEFEAT OR MODIACATION OF ANY ORDINANCE, RESOLUTION, ACTION OR DEOSION OF ANY COMMISSIONER; ANY
ACTION, DECISION, RECOMMENDATION OF ANY CITY BOARD OR COMMmEE; OR ANY ACTION, DEOSION OR RECOMMENDATION
OF ANY PERSONNEL DEAN ED IN ANY MANNER IN THIS SECTION, DURING THE TIME PERIOD OF THE ENTIRE DECISION-MAKING
PROCESS ON SUCH ACTION, DEOSION OR RECOMMENDATION THAT FORESEEABLY WILL BE HEARD OR REVIEWED BY THE OTY
COMMISSION, OR A OTY BOARD OR COMMmEE. THE TERM SPEOACALLY INCLUDES THE PRINOPAL AS WELL AS ANY AGENT,
ATTORNEY, OFACER OR EMPLOYEE OF A PRINOPAL, REGARDLESS OF WHETHER SUCH LOBBYING ACTIVmES FALL WITHIN THE
NORMAL SCOPE OF EMPLOYMENT OF SUCH AGENT, ATTORNEY, OFACER OR EMPLOYEE. EACH PERSON WHO WITHDRAWS AS A
LOBBYIST IS REQUIRED TO AlE "CERTIACATE OF WITHDRAWA~"
1) Lobbyist Name: &, ?- .I-. v
Last Name F Name Middle Initial
Business Phone ~~- ~?!;J. ""'~/k; Message Phone L) gAt7-'R1.b
Business Name an~ Address:, L.f}u /2.-~/,ag (iif-I"'./~.c..<> 'I? ~_
/fa; L/f\..J Co~~ i# ::1:'/09 Ii)/~I gff/#!-Ir/>, ~. 2::] / JJfc
No. Street Suite City ,./ State Zip ode
Email Address: /l)O' ,J'i? '
2) Principal Retained by: m~ /,.J
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If different from abo~
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Street
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State
Suite
:;?8/7~
Zip Code .
(a) If a corporation, partnership, or trust, identify and provide the address fOr the chief officer, partner,
beneficiary or interests. ~/1 / / ~
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3)
Subject Matter (Describe iJl Detail): j.
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'4. Identify each individual (Commissioners, Board, Committee, Authority member or City staff)
to be lobbied: .c-/ ,::! ",c/l CC? '- ~ "1
l..:L-(, e.r=u &,-r' /C-t,f}1..S' ~ ~
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S. The subject matter in number three (3) above is to be considered at the meeting of (Identify each entity or
individual):
/
co/The City Commission
o City Commission Subcommittee
o City Staff
o City Board or Committee
o Personnel
o Identify Others
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6. State the extent of any business, financial, familial, professional or other relationship which exists with any
individual identified in number (4) above:
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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 for oin facts are true and correct and that I have read or am familiar
with the provisions contained in on 2 2 of the Miami ch City Code as amended, and all reporting
requirements.
Signature of lobbyist:
~ Personally known
o Produced 10
'f!, Did take an oath, or
o Did not take an oath
Identify
State of Florida, County of Miami-Dade
Sworn to and subscribed before me
This IltP day ofif:.~ . 200~
~
A(LV~d~ W..(lb-- J
Notary or Deputy Clerk
If Notary, print, stamp or type as commissioned
FOR CLERK'S USE O~L T
Registration: ~ACCErrrED [] REJECfED DATE: 1.1 r( J D::::r-
..If rejected, state reason: /'
Registration fee paid: [~Yes [ ] No [] Not-for-Profit Organization
[ Cash [ ] Check MCR #
~
DATA ENTRY DATE:
2001
ENTERED BY:
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