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Robbins, Kent 2/8/02 ...... . .... '. Ie ~ \ ~,\ . \- -:. . .'. : . '.REeEI'!,' ED. . . ~ '-'. \ .~, ~., .... :' . - . - . '. 02 FEB ,.8 PH 2: 42 - !;-y!. . "S llfj~~~~~:~~:;~~~RJ< ; j ", .' \ 170Q' Convention"center bH~~ ~'\.: Miami Beach, FL 33139 citvclerk@ci.miami-beach.f1.us , . ',\ \, \, l' '; : '~>" 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 " r. "~' (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 .'.~ ~ 33/31 Zip Code 2) '" ^ 0 c:. et.t I ~ - . 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,. , . 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 ,j " ~,. , '. \ 'IdentifY' . \ I '....., ',\ " Cl Did take an oath, or Cl Did not take an oath , \, '" ,,' State of Florida, County of Miami-Dade Swor'bto and subscribed Qefore me ~":Il This ..n day of ~ _ . 20lJoh-- \ ,.j ~.~ ~ " .' ," '~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':," ~i:[::~~~'1Y(M" ..-., ~XT: \