James Silver Trustee
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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
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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, 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, DECISION 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 ACTIVmES FALL WITHIN THE
NORMAL SCOPE OF EMPLOYMENT OF SUCH AGENT, ATTORNEY, OFF ER OR EMPLOYEE. EACH PERSON WHO WITHDRAW$ AS A
LOBBYIST IS REQUIRED TO FILE " RTIFlCATE OF WlTHDRAWA ." . J -
1) A (' ~ t,U ~--
Lobbyist Name: U..,-/I
ast Name First Name
Business Phone f!.. 21) ;-::7 Y' 7? .) -7 Message Phone (_)
Business Name and Address: V g ') ,L. / /1 wt", /Z.2.
mi- #1jC<'M~ 4/'crf ,P~
Suite City State
Middle Initial
No,
Street
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Zip Code
Email Address:
2) Principal Retained by:
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, Suite
Street
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State
Zip Code
If different from above
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, City
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(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): M ------
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4. Identify each individual (Commissioners, Board, Committee, Authority member or City staff)
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):
~
on / /
on ~/
on~
on~/
on~
on
o The City Commission
o City Commission Subcommittee
o City Staff
o City Board or Committee
o Personnel
o Identify Others
. 2001-2-
, 200'!- 2-
, 2001---.2-
, 200t;2
, 2001-/,-
,2001?-
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 contained in Section 82 of.th~e.M. ia . Beach City Code as amended, and all reporting
requirements. "
Signature 9f Lobbyist:
~nallY known
o Produced TO
~~ke an oath, or
a Did not take an oath
Identify
5tatJ~a, Co nty of Miami-Dade
Sworn subsc e for: me
This day of 2002,
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If Notary, print, stamp or type as commissioned
FOR CLERK'S USE ONLY
Registration: [vr ACCEPTED [] REJECTED
DATE:~ ~- 0 :)-...
If rejected, state reason:
Registration fee paid: [""1"Yes [ ] No [] Not-for-Profit Organization
[ ] Cash [jCheck MCR #
DATA ENTRY DATE: .2/ 1.:..)/ .2002 ENTERED BYlt-'i'2r'