S.Batchelor & R.Lanstr 3/7/2002
CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
1700 Convention Center Drive
Miami Beach, FL 33139
cityderk(ii)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 DECISION OF ANY COMMISSIONER; ANY
ACTION, DEOSION, RECOMMENDATION OF ANY CITY BOARD OR COMMITTEE; 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, DECISION OR RECOMMENDATION THAT FORESEEABL Y WILL BE HEARD OR REVIEWED BY THE CITY
COMMISSION, OR A CITY BOARD OR COMMITTEE. THE TERM SPECIFICALLY INCLUDES THE PRINOPAL AS WELL AS ANY AGENT,
ATTORNEY, OFFICER OR EMPLOYEE OF A PRINOPAL, REGARDLESS OF WHETHER SUOl LOBBYING ACfNmES 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: &~~ I S~M'nn
Last Name First Nam;--cr=
D.
Middle Initial
Business Phone e!?L) S3b- JCfC)O Message Phone L)
Business Name and Address: T...t!Lt) {!o.rchrvk:l ~, ..d. a..P ·
~ fA '_~. n
~~. s. h~~ hcJ& ~uiteJraoo a~ State ?d/JI
Email Address:Sdtz.tV ~law, (!pw1
2) Principal Retained by: 5~ f>o..f-t:A.l, n'l or-.& ~.A-:J. b{>tl/V)W
Zip Code
If different from above
Street
Suite
aty
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 (Dellaibe In Detail): ~
~~~~~ d ,::;~f;~ ~*-' 1~p\J";S ~J~~(n~L
rJ M.e.--nLlf'\. ~A/\,d&-J..
,
.
4. l~entifY each individual (Commissioners, Board, Committee, Authority member or City sIaff)
~ lobbied:
fh~{}~~ j1'~ ~:~~I;'" ~,^<~ON ""'" PWS'li.o ~;
5. The subject matter in number three (3) above is to be considered at the meeting of (Identify each entity or
individual):
D The Oty Commission ~
D Oty Commission Subcommittee UT1P-
D City Staff ~P^dt~ ~n'"'
D City Board or Commi~
D Personnel
D 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
individual identified in number (4) above:
V\ I1"f'.J-
ON OCTOBER 1 sr OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE aTY CLERK A SIGNED
STATEMENT UNDER OATH, usnNG LOBBYING EXPENDIlURES IN THE aTY 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 Section 2-482 of the Miami Beach City Ccxle as amended, and all reporting
requirements. A-->
Signature of Lobbyist:
~rsonallY known
D Produced ID
Identify
D Did take an oath, or
D Did not take an oath
ANA M JIMENEZ
NOfARY PUBLIC Sl'ATE OF FLORIDA
COMMISSION NO. CC8S9111
MY COMMISSION EXP. Y 28
/
State of Florida, County of Miami-Dade
Sworn ..to, lInd subscri~~~~i me
This ?'PfI'-- day of ~ 20~
Notary or Deputy Oerk.
If Notary, print, stamp or type as commissioned
Registration:
[~CCEPTED
FOR CLERK'S USE ONLY .
[ ] REJECTED DATE: 3/7 /0_7:- -----'"~
, r
If rejected, state reason: ./
Regi&ralion fee paid: ~ ~ ~~[ ~~ ] N~~~r:ro~orr~5
DATA ENTRY DATE: . 2001 ENTERED BY:
('
Miscellaneous Cash Receipt N~ 24229 5
CITY OF MIAMI BEACH
....-; ~eCk # d-C) st6 0
o Cash o Credit Card $ 56.GO
I
~7 20 () 2---
Received of ~ W (ft/'C7Jp,J11 S (( f'B."1=- ErA ! 1/ fJ
Address ~ t2- SAAJT7 r4 6t> :J). f::c,{~ "'I~#J/ .1-
For p~ , S~ ~
(THIS INFORMATION MUST BE COMPLETED) Office of Finance Director
By
Account Number:
Preparer: Dept: EXT:
..
~ (
(
~"'.,;"""'.....-~'.'-.'--""--.~"-~- -~~~....,-,.-.- .-_..~-..-.-.. --,.-..- ..........--,-., -~-. ---~._~ ------..----.....--....-..- ~.---.:-.---"- -._,-...-,.....-.._~~. _.-~--~ .~ ---'~ ,,-----.~.--~.........~-,~~
0C(G..1' 2'f22-'J r
TEW CARDENAS REBAK ET AL L.L.P.
OPERATING ACCOUNT
201 SOUTH BISCAYNE BLVD.. SUITE 2600
MIAMI, Fl 33131
~ 9 46bic.~
GIBRALTAR BANK
CORAL GABLES, FLORIDA 33146
63-9045-2670
PAY TO THE
ORDER OF
03/04/2002
City of Miami Beach
$
*******50.00
DOLLARS
*Fifty and 00/100
City of Miami Beach
II-a 2QL. bOil- I: 2b ?OQOL. 5 51:020
I~
I!
MEMO
IIIP
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