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Dotson, Albert - Reg. Library . -~ CITY OF MIAMI BEACH OFFICE OF THE CITY CLERK 1700 Convention Center Drive Miami Beach, FL 33139 cityclerk@ci.miami-beach.fl.us AFFIDA VIT LOBBYIST MEANS ALL PERSONS EMPLOYED OR RETAINED, WHETHER PAID OR NOT, BY A PRINCIPAL WHO SEEKS TO ENCOURAGE THE PASSAGE, DEFEAT OR MODIFICATION OF ANY ORDINANCE, RESOLUTION, ACTION OR DECISION OF ANY COMMISSIONER; ANY ACTION, DECISION, RECOMMENDATION OF ANY CITY BOARD OR COMMITIEE; OR ANY ACTION, DECISION OR RECOMMENDATION OF ANY PERSONNEL DEFINED IN ANY MANNER IN THIS SECTION, DURING THE TIME PERIOD OF THE ENTIRE DECISION-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 COMMITIEE. THE TERM SPECIFICALLY INCLUDES THE PRINCIPAL AS WELL AS ANY AGENT, ATTORNEY, OFFICER OR EMPLOYEE OF A PRINCIPAL, REGARDLESS OF WHETHER SUCH LOBBYING ACTIVITIES 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: Dotson. Albert E. Last Name First Name Middle Initial Business Phone (305) 350-2411 Message Phone (305) 350-2411 Business Name and Address: Bilzin Sumberg Dunn Baena Price & Axelrod LLP 200 South Biscayne Boulevard. Suite 2500 Miami. Florida 33131 Email Address:adotson@bilzin.com 2) Principal Retained by: Regosa Engineering - 46 NW 36th Street. Miami. Florida 33127 If different from above Street (a) If a corporation, partnership, or trust, identify and provide the address for the chief officer, partner, beneficiary or interests. DralZUisa Cure (Address is same as above) 3) Subject Matter (Describe in Detail): Resolution Reiecting All Bids Received in Response to Bid No. 02-01/02. The Construction of the City of Miami Beach Regional Library 4. Identify each individual (Commissioners, Board, Committee, Authority member or City staff) to be lobbied: City Commission and City Staff 5. The subject matter in number three (3) above is to be considered at the meeting of (Identify each entity or individual): X The City Commission o City Commission Subcommittee X City Staff o City Board or Committee on March 20 on on March 20 . 2002 . 2002 ,2002 ,2002 on I on on . 2002 , 2002 o Personnel o Identify Other 6. State the extent of any business, financial, familial, professional or other relationship which exists with any individual identified in number (4) above: NONE ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO TIlE 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 ofthe 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 Code as amended, andallreportingreqUir~~-; ~... SIgnature ofLobbytst: X Personally known o Produced ill Identify X Did take an oath, or o Did not take an oath State of Florida, County of Miami-Dade Sw.orn J~~ subscribe~ ThIS i~ day of, , ,2002. af<t0-I2!H~ N ry or Depu Clerk ~, ..,,, GISELLE PACHECO . ~~ MY COMMISSION' DO 016885 . : EXPIRES: April 10. 2005 Bonded l1IIU PIcfIItd ~ ,..." If Notary, print, stamp or type as commissioned FOR CLERK'S USE ONLY Registration: [] ACCEPTED [ ] REJECTED DATE: If rejected, state reason: Registration fee paid: [ ] Yes [ ] No [ ] Not-for-Profit Organization [ ] Cash [ ] Check MCR # DATA ENTRY DATE: ,2001 ENTERED BY: