HomeMy WebLinkAboutFisher Island Holdings
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fIXECEIVED
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CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
1700 Convention Center Drive
Miami Bei3ch, FL 33139
cityclerk@ci,miami-beach,fJ,us
AFFIDAVIT
LOBBYIST MEANS ALL PERSONS EMPLOYED OR RETAINED, WHETHER PAID OR NOT, BY A PRINOPAL WHO SEEKS TO ENCOURAGE
THE PASSAGE, DEFEAT OR MODIACATION 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 DEAN ED IN ANY MANNER IN THIS SECTION, DURING THE TIME PERIOD OF THE ENTIRE DEOSION-MAKING
PROCESS ON SUCH ACTION, DEOSION OR RECOMMENDATION THAT FORESEEABLY WILL BE HEARD OR REVIEWED BY THE CITY
COMMISSION, OR A CITY BOARD OR COMMmEE THE TERM SPEOACALLY INCLUDES THE PRINOPAL AS WELL AS ANY AGENT,
ATTORNEY, OFFICER OR EMPLOYEE OF A PRINOPAL, REGARDLESS OF WHETHER SUCH LOBBYING ACTIVrnES FALL WITHIN THE
NORMAL SCOPE OF EMPLOYMENT OF SUCH AGENT, ATTORNEY, OFACER OR EMPLOYEE. EACH PERSON WHO WITHDRAWS AS A
LOBBYIST IS REQUIRED TO ALE A "CERTIACATE CW WITHDRAWAL."
1)
Lobbyist Name: L-uk J ..J
Last Name
rYL
First Name
Middle Initial
Business Phone '.EJ:J 'f'll . J;" 1 ~ Message Phone <->
Business Name and Address: f-l//~/;r l$ tJ Lr,.~ ~ I ~L.~ ~
:J6 ~ 7 S(,.j ~ J'.J-.. ~ ~ l( , f)I,. I A I"I"f
No, Street Suite City
Email Address: > 'vlel ~ .." q~a 0 L · t 6r-r\
flJ J...d'" .TJ J ~ ...J /In N, ;5
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State
f] I 7 J-
Zip Code
2)
Principal Retained by:
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 Matte~Destribe in D,etail):
I v C .IJ r" I ..IJ "', J
I
~.... r/ ~ 41 rt.~,.. A -.(., / iffY'/' ~y.", ~
I
""",.",
4. Identify each individual (Commissioners, Board, Committee, Authority member or City ~
to be lobbied: A LL
,
5, The subject matter in number three (3) above is to be considered at the meeting of (Identify each entity or
ind7ual):
!f'~ City Commission
o Commission Subcommittee
City Staff
Q City Board or Committee
Q Personnel
Q 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:
ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE 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 of the for~
with the provisions contained in Se
. requjrem~nts.
Signature of Lobbyist:
Q Personally known
~ Produced 10
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'f ,( "
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.,_.,-'4'_',
..,.' ~.
. .; Identify
1'-- Did take an oath, or
o Did not take an oath
State of Florida, County of Miami-Dade
Sworn to and subscribed before me
This ~ day of ~ . 2000;J--
,~ tJ~
Notary or Deputy Clerk
'""
If Notary, print, stamp or typ~ as commissioned
Registration: 9'] ACCEPTED
.'. .,.
FOR CLERK'S USE ONLY
DATE: 3/uJ 0 '}.-
, .
'.
] REJECTED
If rejected, state reason:
Registration fee paid: [ ] Yes [ ] No [] Not-for-PrQlit ~)~~
[ ] Cash [ ] Check MCR # c;...
DATA ENTRY DATE:
.2001
ENTERED BY:
Miscellaneous Cash Receipt
CITY OF MIAMI BEACH
N~ 243220
./0
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~
o Cash
o Check #
~. {\ $35.00
MCllIcL-\ ~ 20 ~.
Received of
For
(THIS INFORMATION MUST BE COMPLETED) Office of Finendfrector
Account Nu 4fGf}32~~? ,CL:: 64703MCR 1471'10
Preparer: Dept: u_ _ K EXT: ,
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