1229 Partners Inc.
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CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
1700 Convention Center Drive
Miami Beach, FL 33139
cityclerk(Cilci ,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 DEOSION OF ANY COMMISSIONER; ANY
ACTION, DEOSION, RECOMMENDATION OF ANY CITY BOARD OR COMMmEE; OR ANY ACTION, 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 FORESEEABLY WILL BE HEARD OR REVIEWED BY THE CITY
COMMISSION, OR A CITY BOARD OR COMMmEE. THE TERM SPEOFICALL Y INCLUDES THE PRINOPAL AS WELL AS ANY AGENT,
ATTORNEY, OFFICER OR EMPLOYEE OF A PRINCIPAL, REGARDLESS OF WHETHER SUCH LOBBYING ACTIVITIES FALL WITHIN THE
NORMAL SCOPE OF EMPLOYMENT OF SUCH AGENT, AlTORNEY, OFFICER OR EMPLOYEE. EACH PERSON WHO WITHDRAW? AS A
LOBBYIST IS REQUIRED TO FILE A "CERTIFICATE OF WITHDRAWAL." ~
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1) lobbyist Name: C #",u~te.;-7- ~~)cJ /" .
last Name First Name Middle Initial
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Business Phone (~ ~ '7 3>" 1 I 0 1 Message Phone L)
Business Name and Address: II ( ) lit LJ c:!. b / ~ N
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Street Suite City State
EmailAddress: ~~A/cI ,l(.~SDUTHI3FIf~# LA~, C~
Principal Retained by: I 2.. 2-c:J Pit I2T,/V'tF"R s :z:;;:v C-.
C- I~l ~fi ;. S~ 11&0 ~,e,~ /1 esrz:::- ~ 4
f different from above Street Suite
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City State Zip Code
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3'51 >!:f
Zip Code
No.
2)
(a) If a corporation, partnership, or trust, identify and provide the address for the chief officer, partner,
beneficiary or interests. I /.
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3) Subject Matter (Describe in Detail): r, /'
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4. Identify each individual (Commissioners, Board, Committee, Authority member or City staff)
to be lobbied: ./J/ . f'L .-J- -:) ~ LslA
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5. The subject matter in number three (3) above is to be considered at the meeting of (Identify each entity or
individual) :
.2001
.2001
.2001
.2001
, 2001
.2001
a The City Commission
a City Commission Subcommittee
'-' City Staff
~ City Board or Committee
a Personnel
a Identify Others
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:
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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
~~~i:~~;:~sions co~n Section 2~Code as amended, and all reporting
Signature of LObbYi~ ~~
i. Personally know
a Produced ID
'fL Did take an oath, or
..{; Did not take an oath
Identify
State of Florida, County of Miami-Dade
Sworn ~d subscribed before me
This , _ day of Hf!:J ' 2002. ~ ~ J ~
Notary or Deputy Clerk
If Notary, print, stamp or type as commissioned
FOR CLERK'S USE ONLY
Registration: y{ ACCEPTED [] REJECTED DATE: .5/ 9-/02--
If rejected, state reason:
Registration fee paid: IXJ Yes [ ] No [] Not-for-Proflt Organiz ti
t ] Cash 9<J Check MCR # .
DATA ENTRY DATE: 2002 ENTERED BY: