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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.ft.us
AFFIDAVIT
LOBBYISf MEANS ALL PERSONS EMPLOYED OR RITAINED, WHITHER 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 em 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 em BOARD OR COMMmEE. THE TERM SPEOACALLY INCLUDES THE PRINCIPAL AS WELL AS ANY AGENT,
ATTORNEY, OFFICER OR EMPLOYEE OF A PRINCIPAL, REGARDLESS OF WHITHER SUCH LOBBYING ACTIVITIES FALL WITHIN THE
NORMAL SCOPE OF EMPLOYMENT OF SUCH AGENT, ATTORNEY, OFACER OR EMPLOYEE. EACH PERSON WHO WITHDRAW$ AS A
LOBBYISf IS REQUIRED TO ALE A "CERTIACATE OF WITHDRAWAL." ,r---
1) Lobbyist Name: Lv!:::!)' FYLU~J7fy' ~~
Last Name Rrst Name Middle Initial
Business Phone e"I) '-I Y I . / )- 7;)- Message Phone L)
. "3,,, "]
No.
Business Name and Address:
f f--I ~
Street
:2. tJ't 13
Suite
'//'rJ / o/'1)?-YJ I
City
F/
State
..Y:3 /..J.r
Zip Code
Email Address:
2) Principal Retained by: U.A 4 -I ~.--II r-. r r r J /
/ ~ YJ- AJL-J /" /-L. +.
If different from above I Street
.?1A.J~1 ?/
City State
C~I: ( tlE'? )-
Suite
:J3 (7;;--
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 1i1J: ~ ~ ~ I- I
U/v i"'vt1t:.~ ;: >of, I' ~ >::. j,.,C:" h Y ~ ~ .s
4. Identify each individual (Commissioners, Board, Committee, Authority member or City staff)
to be lobbied: 11 r I 11
L/~ )"Yl ~ I J..J" I tI h r}- L~~ 7-
/I
5. The subject matter in number three (3) above is to be considered at the meeting of (Identify each entity or
individual):
Cl The City Commission on .2001
Cl City Commission Subcommittee on , 2001
Cl City Staff on ,2001
Cl City Board or Committee on ,2001
Cl Personnel on .2001
Cl Identify Others on ,2001
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 foregoing facts are true and correct and that I have read or am familiar
with the provisions cont~ined in Section 2-482 of the Miami Beach City Code as amended, and all reporting
requirements. --Ll
Signature of lobbyist: 2- ~~ ~
~~:~\~nowJ pO-7 8'/- Vr=-9-~s --0
.,,// r Identify
V Did take an oath, or
Cl Did not take an oath
State of Florida, County of Miami-Dade
Sworn ~~ subscr efore me
This ~day of/ 002.
~
~---tl:uty Clerk
If Notary, print, stamp or type as commissioned
Registration: ~- [ ]
If rejected, state reason: /'
Registration fee paid: ~es [ ] No [] Not-for-~ r,J~~ 1
[ ] C!~heck MeR #.
. 2002 ENTERED BY:
FOR CLERK'S USE ONLY
REJECTED DATE: LI:)" -:- 7 - 0 d---'
DATA ENTRY DATE: