S. Batchelor & Lanster 3/7/2002
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CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
1700 Convention Center Drive
Miami Beach, FL 33139
citvclerk(q)ci.miami-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 MODIFICATION 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 DEFINED IN ANY MANNER IN THIS SECTION, DURING THE TIME PERIOD OF THE ENTIRE DEOSION-MAKING
PROCESS ON SUQ-l ACTION, DEOSION OR RECOMMENDATION THAT FORESEEABLY WILL BE HEARD OR REVIEWED BY THE OTY
COMMISSION, OR A OTY BOARD OR COMMITTEE. THE TERM SPECIFICALLY INCLUDES THE PRINOPAL AS WELL AS ANY AGENT,
ATTORNEY, OFFICER OR EMPLOYEE OF A PRINOPAL, REGARDLESS OF WHET1-IER SUCH LOBBYING ACTIVrnES 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: cf~ (h. ~ ~ornT7Jd L~.0
Last Name First Nam
Business Phone ~) S ZIf, '1--11"/ Message Phone L)
Business Name and AcIdress: T~ &J.r.~ ~AL- er AL....
2-cl ~ .~f;;'~ '6h,t(. u",tt> f-&r~' :rz....
No. St~ Suite Oty -;tate
Email Address: 1n)'F~ 7M kZw. {.(J~
2) Principal Retained by: ~~ ~~d/ ~ U~ lA~
G-
Middle Initial
q3 I ,)'f
Zip Code
If different from above
Street
Suite
City
State
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 (Desaibe In Detail):
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..
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4. Identify each individual (Commissioners, Board, Committee, Authortty member or City statr)
to be lobbied:
Du~> ~ ~~~:Jl;,: ~ Id pDe'~ 1YhIu0; ~w-
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 11N<L
o City Commission Subcommittee (1,.1c;...
o City Staff PUV'MJ 6tv/c;." tI?Ni p.-
o City Board or Committ
o Personnel
o Identify Others
.2001
.2001
.2001
. 2001
. 2001
.2001
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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 1 sr OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, UmNG LOBBYING EXPENDnuRES 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 ion -482 of the Miami ch Oty Code as amended, and all reporting
requirements.
Signature of Lobbyist:
~rsonally known
o Produced ID
o Did take an oath, or
o Did not take an oath
Identify
State of Rorida, County of Miami-Dade
Sworn to ~9J!'~bsaibecl fore me
This (J- r oay of 2001.
otary or Deputy aerk
~ IU- J;fI1F;1)~ 7 ~
If Notary, print, stamp or type as commissioned
FOR CLERK'S USE ONLY
Registration: [~CCEPTED [] REJECTED DATE: 3/.7;0 2-
If rejected, state reason: /'
Registration fee paid: [ ] Yes [ ] No./1 ] Not-for-P"9fit .~aAiJ9tIOD-'"
[ ] Cash [--?theck MeR # h!,.!::/dbIH ::>
DATA ENTRY DATE:
.2001
ENTERED BY: