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CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
1700 Convention Center Drive
Miami Beach, FL 33139
cityclerk(Ci)ci. m ia mi-beach. fl. us
AFFIDAVIT
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, AmON OR DECISION OF ANY COMMISSIONER; ANY
AmON, DECISION, RECOMMENDATION OF ANY em BOARD OR COMMmEE; OR ANY AmON, 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 FORESEEABLY WILL BE HEARD OR REVIEWED BY THE em
COMMISSION, OR A em BOARD OR COMMmEE., THE TERM SPECIFICALLY INCLUDES THE PRINCIPAL AS WELL AS ANY AGENT,
ATIORNEY, OFFICER OR EMPLOYEE OF A PRINCIPAL, REGARDLESS OF WHETHER SUCH LOBBYING ACITVITIES FALL WITHIN THE
NORMAL SCOPE OF EMPLOYMENT OF SUCH AGENT, ATIORNEY, OFFICER OR EMPLOYEE. EACH PERSON WHO WITHDRAW? AS A
LOBBYIST IS REQUIRED TO FILE A "CERTIFICATE OF WITHDRAWAL. n ......... ,r-.
1) Lobbyist Name: /j.q lSl"YVlt Ihfnl=-'YO ~ :7
Last Name First Name Middle Initial
Business Phone eo 1) Y"I (- I Z 7 Z. Message Phone (--> .
Business Name and Address: J (;, to 5 S'v r 51
h,IJM( f:.. 331s)
Street Suite
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No.
City
State
Zip Code
Email Address:
2)
Principal Retained by:
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If different from above
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City
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Street
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State
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Suite
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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 (Describe in Detail):
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4. Identify each individual
to be lobbied:
5. The subject matter in number three (3) above is to be considered at the meeting of (Identify each entity or
individual):
AI/A
CJ The City Commission
CJ City Commission Subcommittee
CJ City Staff
CJ City Board or Committee
CJ Personnel
CJ Identify Others
.2001
,2001
,2001
,2001
12001
,2001
on
on
on
on
on
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6. State the extent of any business, financial, familial, professional or other relationship which exists with any
individual identified in number (4) above:
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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 cont?line~in e .on 2-482 of the Miami Beach City Code as amended, and all reporting
requirements. /
Signature of Lobbyist: ~ -? 6 J - ~
~, ~ally known 4'-1 '&& .-- 01 0 ~ 7/- - u l.1 .-- /1
~roduced ID ~ T (/
~ Identify
CJ Did take an oath, or
CJ Did not take an oath
State of Florida, County of Miami-Dade
SworoJp P9d sUbscrim~~ m.e2
This ~day of ~_002.
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If Notary, print, stamp or type as commissioned
Registration: ~ED
FOR CLERK'S USE ONLY :\
] REJECTED DATE: ~ 5~ j-u C)
If rejected, state reason:
Registration fee paid: ~... [ ] No [] NOI-for-~:~~jfj)
[ ] Ca~eck MCR # ;J;2
DATA ENTRY DATE: S - -.2002 ENTERED BY:/ , .
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