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HomeMy WebLinkAboutDhchange, Emanuel 'lD - CITY OF MIAMI BEACH OFFICE OF THE CITY CLERK 1700 Convention Center Drive Miami Beach, FL 33139 citvclerk(1i)ci .mia m i-beach. fl. us AFFIDAVIT LOBBYIST MEANS ALL PERSONS EMPLOYED OR RETA~NED, WHETHER PAID OR NOT, BY.A PRIJljOPAL WHO SEEKS TO ENCOURAGE THE PASSAGE, DEFEAT OR MODIFICATION OF ANY ORDINANCE, RESOLUTION, AmON OR DEOSION OF ANY COMMISSIONER; ANY AmON, DEOSION, RECOMMENDATION OF ANY CITY 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 DEOSION-MAKING PROCESS ON SUCH AmON, DEOSION OR RECOMMENDATION THAT FORESEEABLY WILL BE HEARD OR REVIEWED BY THE CITY COMMISSION, OR A cm 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 AcnvmES 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:c- })L.l (.-t\~t.J 62 &rlYtftJ 4 6/ 9 Last Name First Name Middle Initial ..{':;o ] No. Business Phone ~05) s;g 0 135 Message Phone L) Business Name and Address: 'X E f r fS 'l. S.b~ ~ LA ~-A . LID / ~ 1\1 Mi ~EAlrf Pi- Suite City 1 . .state ~~~& U7M\'W..c; 4.J lA urr-.. Principal Retained by: C. OUA ~c; A.v Street 3g13~ Zip Code Email Address: 2) If different from above Street Suite City State Zip Code (a) If a corporation, partnership, or trust, identify and provide the addr'ess for the chief officer, partner, beneficiary or interests. 3) su~ect Matter (Describe in Detail): I tiP} PI (-A-rlolJ "'\0 ""'~f '-t 15..lltv(.... S\.f ~ -r E. Nt *-:r ll>a-rQ. .,-0 "t~ R ~ i ~ tJ ~O O(~~ ~\{ ~ f~ ~.:rA Lt u: ""'" Sl.. let! JJtWt,-- D~Af.J DR t liE. 4. Identify each individual (Commissioners, Board, Committee, Authority member or City staff) to be lobbied: -t\\ ~I OR." L r It.E <,f. R.. "t<L \ 0 \oJ ~t)A ~ '0 s. The subject matter in number three (3) above is to be considered at the meeting of (Identify each entity or individual): a The City Commission Cl City Commission Subcommittee a City Staff a City Board or Committee a Personnel .;:tIs:: Identify Others --If 1,<. 1 l') ~ \ L on on on on on p" E ~fe. vA- "\ \ () tJ on .2001 .2001 .2001 .2001 .2001 .3 J A2-.., 200L 6. State the extent of any business, financial, familial, professional or other relationship which exists with any individual identified in number (4) above: UD"-l c;:, . , .,." . )" : ON OCTOBER 1ST OF EACH YEAR, EACH LQBmst.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 Sectio 2-482 of the Miami Beach City Code as amended, and all reporting requirements. ,. , . ' Signature of Lobbyist: ~ Personally known Cl Produced 10 Identify Cl Did take an oath, or Cl Did not take an oath State of Florida, County of Miami-Dade Sworn to and subscribed before me This rP q day of ..}In)tJl+bf .2001.. MARIA T LOpf&flAL. NOfARYPUBUCSTATEOFFLORIDA COMMISSION NO. DDOlOCJ8 MYCO~ION EXP. APR. 10.2005 ~c;a~ tary or Deputy Cler 0- ...... M~4- r tf)P€~ If Notary, print, stamp or type as commissioned ., .' FOR CL:ERK'S USE ONLY Registration: ~CEPTED' [ 1 REJECTED D~T~: '1iS'./ O'~' f , If rejected, state reason: --- .... Registration fee paid: n Yes [ ] No~ 1 Not-for-Prqtilj Of9E'*~o'l-. ~ [lCash ~eck MCR# ~~~ , DATA ENTRY DATE: .2001 ENTERED BY: