Horizon Investigations, Inc.
in
-
CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
1700 Convention Center Drive
Miami Beach, FL 33139
cityclerk@ci.miami-beach.f1.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, DEOSION, RECOMMENDATION OF ANY CITY BOARD OR COMMmEE; OR ANY AmON, 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 RECOMMENDATION THAT FORESEEABL Y WILL BE HEARD OR REVIEWED BY THE OTY
COMMISSION, OR A CITY BOARD OR COMMmEE. THE TERM SPEOFICALLY INCLUDES THE PRINOPAL AS WELL AS ANY AGENT,
ATTORNEY, OFFICER OR EMPLOYEE OF A PRINOPAL, 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 WITHDRAWft."
1) Lobbyist Name: Sc"" ~ A w'L'1v- ~)Iiiie~)d I) #
Last Name First Name Middle Initial
Business Phone ~r.."? 3-// (;) / Message Phone L-)
Business Name and Address: 'fae../o ff c' S llLijnFfii!... I-z-
S-rrl//)o III / k~c~.lN Rg'J U A. f?/
No. Street Suite City State
Email Address: ~A--/c/K@!!!: ~t.J77-t ~E=/JC HL/!-tAJ, (j?l/
// ~ ' -
2) Principal Retained by: r/'PA::..j "2..eT"N .+.r yesr.lrfJ.h,;."s) ~ c::...
~.s:-O rA--PI~, ,4.t1'fI"or - ..4~
If different from above Street Suite
~/Arw",~ PI 33()ZY
City State Zip Code
33/3 ?
Zip Code
(a) If a corporation, partnership, or trust, identify and provide the address for the chief officer, partner,
beneficiary or interests.
705'0
n f'I,);.. 1I.I;1>.).....,t?.J7 "3 ~ <> .....~
3)
Subject Matter (Desc. ribe in Detail):.:;;:> r.I:> _ r, ,
ur r _~... --r;;vCf;;.rI771 ,L~
~7!J..,J c.~
I
\.
4. Identify each individual (Commissioners, Board, Committee, Authority member or City staff)
to be lobbied: () '.L 11 ,
\...:.,- .L:f l..... ~ ""^'" SS '- s-v1
5. The subject matter in number three (3) above is to be considered at the meeting of (Identify each entity or
individual) :
~e City Commission
o City Commission Subcommittee
o City Staff
o City Board or Committee
a--- Personnel
o Identify Others
.2001
, 2001
, 2001
,2001
, 2001
, 2001
on
on
on
on
on
on
6. State the extent of any business, financial, famili I, professional or other relationship which exists with any
individual identified in number (4) above: C> C
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 foregoing facts are true and correct and that I have read or am familiar
with the provisions contained. ion 2-482 of the Miami Beach City Code as amended, and all reporting
requirements. .
Signature of Lobbyist:
... ~personally known
o Produced ID
~Did take an oath, or
o Did not take an oath
Identify
State of Florida, County of Miami-Dade
Sworn t~ sUbscri~-=e 02-
Thisd day of ""2OOt:
<-
~~
If Notary, print, stamp or type as commissioned
FOR CLERK'S USE ~' /
Registration: [~PTED [] REJECTED DATE: f 2- ()~
I /
If rejected, state reason: ~
Registration fee paid: t-1"Yes [ ] No~] Not-for-PrgDt, 9r~~~tioJ'lA
[ ] Cash [t..-]"Check MeR #~ '=!;;;:;-~ U
DATA ENTRY DATE:
.2001
ENTERED BY: