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HECEIVED
02 HfJ{ 22 PM 2: 33
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CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
1700 convention Center Drive
Miami Beach, Fl 33139
citvclerk@ci.miami-beach.fl.us
cln !~Lti\K'S OFFiCE
AFFIDAVIT
lOBBYIST MEANS All PERSONS EMPLOYED OR RETAINED, WHETHER PAID OR NOT, BY A PRINCIPAL WHO SEEKS TO ENCOURAGE
THE PASSAGE, DEFEAT OR MODIACATION OF ANY ORDINANCE, RESOllmON, ACTION OR DECISION OF ANY COMMISSIONER; ANY
ACTION, DECISION, RECOMMENDATION OF ANY CITY BOARD OR COMMffiEE; OR ANY ACTION, DECISION OR RECOMMENDATION
OF MY PERSONNel DEFINED IN ANY MANNER IN THIS SECTION, DURING THE TlME PERIOD OF THE ENTIRE DECISION-MAKlNG
PROCESS ON SUCH ACTION, DECISION OR RECOMMENDATlQN THP.T FORESEEABLY WILL BE HEARD OR REVIEWED BY THE em
COMMISSION, OR A CITY BOARD OR COMMffiEE. THE TERM SPECIFICAllY INCLUDES THE PRINCIPAL 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, OFACER OR EMPLOYEE. EACH PERSON WHO WITHDRAWS AS A
lOBBYIST IS REQUIRED TO ALE A "CERTIFICATE OF WITHDRAWAL. H
1) Lobbyist Name: }/\ \ ,-4t.. e..a r ~ .M. \ c... ~... P L
last Name First Name
l)
Middle Initial
Business Phone ~ "" <..l - ~ \ \. "L Message Phone ~ 1 C! '- - ~o !lCj
Business Name and Address: 1S.. ... Co. t\ DG \ ~~r _ '-
). 1
lc..~ \ ~L c- &-...l-. \..~ N .n......., 0'U~ CL J" ref (
No. Street \ S~ite City State Zip Code
Email Address: JVl..e...J(.\'<e>" ~ P-.J~\.....u. ^.&
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2) Principal Retained by: ~ C'1....... S,&-o..l.... ?-o.J:1-",...J'" I l ~l '.;t
(../ (:) ~&.J~~ ~ Q . ~ II , - Co.. lh, ~h&\.___ ~\..J2.. ~~
l If different fro above Street Suite
~'-__l. ~L- '-"\.l"- I
City State Zip Code'
(a) If a corporation, partnership, or trust, identify and proVide the address for the chief officer, partner,
beneficiary or interests.
c.r-....,"" ~~h t.-l
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3)
Subject Matter (Describe in Detail):
~~:;.~~ . t\o\>-"c~ r-...~~ ,~~ ~.......~-t..J:: '-"e~\ ( t\d._~~
~ ....~
I'"'" (::c:;~ --\ (.::)
4. Identify each Individual (\.~m~issloners, Board, Committee, AUthO~ member or City staff)
to be Ioll.bied: " fl
"-ll 81,.:. ~~ r I '--..........."1- ~...A....~~ 1J...~. -.Q ~ l.-.. ~
I I ~
S. The subject matter in number three (3) above is to be considered at the meeting of (Identify each entity or
individual):
on c:
on 1
on .,
on i{. \..<..
on
on
vThe City Commission
~ City Commission Subcommil:lee
tiV' City Staff
!Y' City Board or Committee to\.__
~
c Personnel
o Identify Others
.2001
.2001
.2001
,200L
.2001
,2001
6. State the extent m any business, financial, familial, professional or other relationship which exists with any
individual identified in number (4) above:
ON OCTOBER 1 Sf OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO llfE aTYCLERK A SIGNED
STATEMENT UNDER OATH, LISTlNG LOBBYING EXPENDITURES IN THE crrv OF MIAMI BEACH
FOR THE PRECEDING CALENDAR YEAR.
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State m AOrida, County m Miami~Dade
Sworn to and subscribed before me
This ;'-b.i(. day r:K f-..ofo...rC4--. 2001.
.-
~ I.) d----
, Notary or Deputy Cieri<
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~ Did take an oath, or
Q Did not take an oath
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If Notary, print, stamp or type as commissioned
FOR CLERK'S USE ONLY
Registration: ~ ACCEPTED [] REJECTED DATE: \3/2-2-/ ();i!-
If re1ected, state rea~l~
Registration fee paid: ~ Yes [ ] No [] Not-for-~ijniz~on "'l
[ ] Cash [ ] Check MCR # 0'--'-\ ....)aOL- '_
DATA ENTRY DATE:
. 2001 ENTERED BY:
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