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CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
1700 Convention Center Drive
Miami Beach, FL 33139
cityclerk@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, DECISION, RECOMMENDATION OF ANY CITY BOARD OR COMMmEE; 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, DEOSION OR RECOMMENDATION THAT FORESEEABLY WILL BE HEARD OR REVIEWED BY THE CITY
COMMISSION, OR A CITY BOARD OR COMMmEE. THE TERM SPECIFICALLY INCLUDES THE PRINCIPAL AS WELL AS ANY AGENT,
ATTORNEY, OFFICER OR EMPLOYEE OF A PRINCIPAL, REGARDLESS OF WHETHER 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 WITHDRA't'AL." _I
1) Lobbyist Name: ~~.J (!tt t:'...~ tt
Last Name First Name
Business Phone ~ Message Phone (~
Business Name and Address: 2..CIO - , S' ... b Sf: ~U ,~
~p\,"r
City
Middle Initial
No.
Street
Suite
Fe.
State
-z..IO
'3--'--LS" ~
Zip Code
..
Email Address:
/ 2. 2-~ PIlWL~Lc...
1?".4 "A.s7 ~
If different from above fJJ,c Street Suite 9
~,' ..tJ jt:c.. ~~/.3
City State Zip Code
Principal Retained by:
2)
(a) If a corporation, partnership, or trust, identify and provide the address for the chief officer, partner,
beneficiary or interests.
3)
Subject Matter (Describe in Detail):
nr4 ~~.
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:
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4. Identify each individual (Commissioners, Board, Committee, Authority member or City staff)
to be lobbied: Pi. ~,J.~ / ..tm.Jj
S. The subject matter in number three (3) above is to be considered at the meeting of (Identify each entity or
individual): .e,..J, ~ 7.o-.l/~ QU-.; sn.
.2001
, 2001
. 2001
, 2001
, 2001
.2001
[J The City Commission
[J City Commission Subcommittee
[J City Staff
[J City Board or Committee
[J Personnel
[J Identify Others
o
on
on
on
on
on
6. State the extent of any business, financial, familia
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.
d correct and that I have read or am familiar
ch City Code as amended, and all reporting
Signature of Lobbyist:
CJ D"",nallY knOW~ /
~~d~ced ID r;d5 -/If- ~ - VJ f- (u 9- ()
. /" Identify
'e:r"'" Did take an oath, or
[J Did not take an oath
State of Florida, County of Miami-Dade
sworr)-t.o'flL sub&rib~~e CJjl.,
This d day of ~--wat
r~er~
If Notary, print, stamp or type as commissioned
Registration:
DATA ENTRY DATE:
FOR CLERK'S USE ONLY) J
[ ] REJECTED DATE: ~ d + [ Q;;:r-'
] No [] Not-for-Pro
sh [ ] Check MCR #
~ ENTERED BY:
If rejected, state reason:
Registration fee paid: [ ]
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