Loews Hotels, Inc.
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CTY OF MIAMI BEACH
OFFICE.OF THE CTY CLERK
1700 Convention Center Drive
Miami Beach, Fl33139
cityclerk((i)d. miami-beach. fl. us
AFFIDAVIT
LOBBYIST MEANS ALL PERSONS EMPLOYED OR RETAINED, WHETHER PAID OR NOT, BY A PRlNOPAL 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 COMMITTEE; 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 PRINCIPAL AS WELL AS ANY AGENT,
ATTORNEY, OFFICER OR EMPLOYEE OF A PRlNOPAL, REGARDLESS OF WHETHER SUCH LOBBYING AcrrvrnEs FALL WITHIN THE
NORMAL SCOPE OF EMPLOYMENT OF SUCH AGENT, ATTORNEY, OFFICER OR EMPLOYEE. EACH PERSON WHO WITHDRAWS AS A
LOBBYIST IS REQUIRED TO FILE A "CERTIFICATE OF WITHDRAWAL. 1/
Michael
Rrst Name
1)
Lobbyist Name: . Sansbury
Last Name
Middle Initial
Business Phone (407) 503-9001 Message Phone L)
Business Name and Address: Loews Hotels Orlando
n R 00 T -"I kpWf'"l(')("j nr +v~ ,
No. Street
Email Address:
Orlando,
Suite Oty
msansbw::y@loews.can
Florida
State
32819
Zip Code
2)
Principal Retained by: Loews. Hotels .Inc .
667 Madison Avenue
If different from above Street
New York,
Oty
. New York
State
Suite
10021
Zip Code
(a) If a corporation, partnership, or trust, identify and provide the address for the chief officer, partner,
beneficiary or interests. Jack Adler is the President of Loews Hotels, Inc. Loews Hotels, Inc.
is a subsidiary of Loews COrporation, a publicly held corporation. Laurence A. Tisch and
Preston R. T1Sch own m aggregate approxllllately 31% ot the camon stock of Loews Corporation.
3) Subject Matter (Describe in Detail): .
Any and allma.tters relating to the Loews Miami Beach Hotel.
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSAnON (DISCLOSE WHETHER HOURL Y,
FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE: Lobbyist is a Regional Vice President of Operations for
Loews Hotels, Inc. He is not separately cc::npensat:Nl for lobbying activities.
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): None.
Y. SIGNATURE UNDER OATH:
ON OCTOBER 15r OF EAat YEAR,. EAat LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, USTlNG 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 2-482 of the Miami Beach City Code as amended, and all
reporting requirements. .~~~ --
Signature of Lobbyist: ~/#-Vl../~~
Signature of Principal/Client:
VI. LOBBYIST IDENlIFICAnON:
.f!S Produced ID
H.. f),(' U( iJ;., f tl
Form of Identification
5..[1--/ -rrf rl.. /, l. ()
.f!S Personally Known
YD. 'SIGNATURE AND STAMP OF NOTARY OR DEPUTY CLERK:
OA.a.~~Q.-
State of Florida, County of ~4iaR=li 03 C
Sworn to and SUbscri~me
This ~ l:llA. day of . 2002.
~~.~
Signature of Public Notary - State of Florida
i>=~ of Notary Public
Registration:
[ ~CEPTED
FOR CLERK'S USE ONLY
[ ] REJECfED DATE:
,I /) /J/o2..
If rejected, state reason: __
Registration fee paid: [~ [ ] No ~
. [ ] Cash [-1'Cfleck MCR #
DATA ENTRY DATE:
1
2002
1 First Revision - 05{17{02