Robbins, Kent 2/8/02
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02 FEB ,.8 PH 2: 42 -
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Miami Beach, FL 33139
citvclerk@ci.miami-beach.f1.us
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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 DEOSION OF ANY COMMISSIONER; ANY
ACTION, DEOSION, RECOMMENDATION OF ANY OTY 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 RECOMMENQATION THAT FORESEEABLY WIl.L BE HEARD OR REVIEWEQBY THE OTY
i~MISSION, OR A OTY BOARP OR COMMmEE., THE TERM SPECIFICALLY INCLUbES THe: PRINOPAl AS WELL AS ANY AGENT,
ATTORNEY, OFFICER OR EMPLOYEE OF A PRINOPAL, REGARDLESS OF WHETHER SUCH LOBBYING ACTIVmES FALL .wrrHI~ TI;iEi
NORMAL SCOPE OF EMPLOYMENT OF SUCH AGENT, ATTORNEY, OFFICER OR EMPLOYEE. EACH PERSON WHO wrrHDRAWS AS A
LOBBYIST IS REQUIRED TO F~ ~CERTIFICATE OF WITHDRAWAL."
1) Lobbyist Name: LObb(A~ \ KeG't f- J(,
Last Name I First Name
Business Phone ~ 5'3 2 ~ 0 ~ 00 Message Phone L) ,
Business Name and Address: . ~OIrr( Soc:lfI\ - ~ ~"c "
{?-J;'( uJ{i:>t,(Jh~ A-v~J ~&~C0 PI-
No. Street Suite (, City,' I ~tate
Email Address: X"'/'o[b~be(}lsao1h . he
Principal Retained by: O<:.e..Gt."" 'X)qllf P~.x.r()tJ..hp", IfsSocAoI1fJ"'\l Lc
L-/ l> r; fJ~.... Or.
If different from abov:.a Street ""'2. Suite
AA, (1 ;v..t J:2ea~ ~ ':./3( ~9
, City State Zip Code
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(a) If a corporation, partnership; or trust, identify and provide the aclclress for the chief officer; partner,
:T;c~~nt~~~~ ;f?-~$lJe"f
Middle Initial
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33/31
Zip Code
2)
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The subject matter in number three (3) above is to be considered at the meeting of (Identify each entity or
individual): A '_",I ,.. I '1 , _ 4 A.~
IV....,r D~.<Jc rrr>(^eJ... ......i -rV'\VJ I (q',-
Cl The City Commission
Cl City Commission Subcommittee
Cl City Staff
Cl City Board or Committee
Cl Personnel
Cl 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
individ al identified in numbe (4J ~bove:
Q lV\a,.
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ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYISTS"-ALL SUBMI'r TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES IN THE CITY OF MIAMI BEACH
FOR THE PRECEDING CALEN AR YEAR.
of he foregoing facts are true and c!orrect arl'd.,that I have read or am familiar
n 5ectlon 2- ~ Ofmz'."'; Oly Code as amended:r~ all re~ng
I do solemnly swear th
with the provisions co
requirements.
Signature of Lobbyist:
~ Personally known
ClProduced 10
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'IdentifY' . \
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Cl Did take an oath, or
Cl Did not take an oath
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State of Florida, County of Miami-Dade
Swor'bto and subscribed Qefore me ~":Il
This ..n day of ~ _ . 20lJoh--
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" .' ," '~otpry of- Depl:lty ark.,.
If Notary, print, stamp or type as commissioned
,
[ ] REJECTED
DATE:
Registration:
[ ~CCEPTED
If rejected, state reason:
Registration fee paid:
Yes [ ] No [] Not-for-pro!Qrga.ni~~ .q. ,
Cash [ ] Check MCR # Lt f7'. (
DATA ENTRY DATE:
.2001
ENTERED BY:
or"
t:iilliill:iI,i.,
Miscellaneous Cash t<ecelpt
CITY OF MIAMI BEACH
~ash 0 Credit Card 0 Check #
Received of
Address
For J
(THIS INFORMATION MUST BE COMPLETED)
Account Number:
Preparer: G ~
N~ 242277
$ ~0.0()
Jf:1)fI (J(j V)' 0" 20 O~
Office of Finance
" / By
I- (?rJ)c.,f, "'{~;'-'!9f'.' !::tt ,4::;YI'j HC'l':,"
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