HomeMy WebLinkAboutBilzin Sumberg
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CITY OF MIAMI BEACH
OFFICE OF TH E CITY CLERK
1700 Convention Center Drive
Miami Beach, FL 33139
cityclerk(O)ci .miami-beach.f1.us
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AFFIDAVIT
LOBBYIST MEANS ALL PERSONS'~MPLOYED OR RITAINED, WHITHER 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, DECISION, 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 WILLBE HEARD OR REVIEWED BY THE OTY
COMMISSION, OR A CITY BOARD OR COMMmEE. THE TERM SPECIFICALLY 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 WITHDRAW$ AS A
LOBBYIST IS REQUIRED TO FILE A "CERTIFICATE OF WITHDRAWAL."_~ / _~ ~
1) Lobbyist Name: //I..4~tflrU. d~k ~ .-
Last Name First Name "'Middle Initial
BUSine~\'Phone ~-~~ ~ '3 --- Message Phone (_)
Business Name and Address: '2$-;?~ /~ .., V.4//JlP ~;V
.~ '-i4~)
. . '. City
No.
Street
Suite
J1.::::"L
~tate
cI~
~:TJ3 J
Zip COde
Email Address: ~~.. -aJY\dlllt.L2-
2) Principal Retained by:1d3/L7~# ~ 1./u..-~..2fJ
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If different from above
Street
Suite
City
State
Zip Code
(a) If a corporation, partnership, or trust, identify and provide the address for the chief officer, partner,
beneficiary or interests.
3)
SUb~ Matter (Describe in Detail):
_ ~./r ~2CU? ~~17/AI~.AlCl(:>
4. Identify each individual (Commissioners, Board, Committee, Authority member or City staff)
tObelo~~ . )
C ~~~ M..~.1 ))~
5. The subject matter in number three (3) above is to be considered at the meeting of (Identify each entity or
individual):
on~L.2001 Rk::
on , 2001
on , 2001
on . 2001
on , 2001
on , 2001
CJ The City Commission
CJ City Commission Subcommittee
CJ City Staff
CJ City Board or Committee
CJ Personnel
CJ Identify Others
6. State the extent of any business, financial, familial, professional or other relationship which exists with any
individual identified in number (4) abov~~
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ON OCTOBER 1ST OfJ:ACH YEAR, EACH L~BSYIST SHALt'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 .a11 of th~ foregoing facts ar.e true and correct and that I have read or am familiar
with the provisions cont?lined in Section 2- f the Miami Beach Ci Code as amended, and all reporting
.r~.Q~irements.
Signature of Lobbyist:
"i I Personally known
b - Produced 10
~ Did take an oath, or
CJ Did not take an oath
-.., ., .'. ..."._~.. ~ .
Ide~titY'-. '! . . ,
. ,
State of Florida, County of Miami-Dade
Sworn tQ .~nd subscribed before me
This !:fTP day of JV1 J ' 2002.
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Notary or Deputy Clerk
If Notary, print, stamp or type as comf'!'lissioned
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FOR CLERK'S USE ONLY
Registration: [j ACCEPTED [] REJECTED DATE:
If rejected, state reason:
Registration fee paid]1: [. v(Y s. [ ] No [] Not-for-Profit Organization
_ CjSh [ ] Check MCR #
DATA ENTRY DATE: / t . 2002 ENTERED BY: ...
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