Affidavit (02/09/2001)
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CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
1700 Convention Con"', Drive
MIlImI Beach, FL 33139
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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
COMMITTEE; 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 COMMITTEE, THE TERM SPECIFICALLY INCLUDES TliE 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 , ATTORNEY, OFFICER OR EMPLOYEE. EACH
PERSON WHO WITHDRAWS AS A LOBBYIST IS REQU~D TO FILE A 'CERTIFICATE OF WITHDRAWAL:
1) Lobbyist Name: C /rtLnJ CH-th.J.o IJ.
Last Name First Ncrne Middle Initial
'Business Phone (.5oS) "'),-/ .O"ll/"l Message Phone (sOS-) ("l!.P1./47
Business Address: -t.s7 'I / S-Jre~ f M/ '
A A I . /J I No. titreet
/v/,qmt oe 1U:/" t:!:::.
City State
Email Address:ai.fl.SG.lr..n(Ja()/.CA7n.1
2) Principal Retained by: HaI....:"a / Oulrloort- 14~;://a
g37S' l. J.,.d f'Aeef
If different from above
l-o"'L!. &a ~j,
, City
.5'31 fOuite
Zip Code
Street
w-
StA..,Ie,J
Suite
908'03
Zip Code
State
(a) If a corporation, partnership, or trust, identify and provide the address for the chief
officer, partner, beneficiary or interests.
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4. Identify each indivij:lual (Co~missioners, Board, Committee, Authority member or City staff)
to be lobbied: f}11 CO....m',j"$,..nf'r.( rMUfoy tt~cI S-/...ff ttJ nf'((>J'..r~Ar
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5. The subject matter in number tf1ree (3) <Dove is to be considered at tf1e meeting of
(Identify each entity or individual): N a t- 'it + ~<M>d,1/JP(J.
Q The City Commission on .2000
Q City Commission Subcommittee on ,2000
[J City Staff on ,2000
[J Ci ty Bocrd or Com mi ttee on ,2000
[J Personnel on ,2000
Q Identify Others on .2000
6. State the extent of any business, financial, fanlilial, professional or otf1er relationship which
exists with any i':ldividual identified in number (4) abOVej My ~,,,..t::2 C;fr,,, f::/n{)M;(, I
,,~s().f'~ h4.~ o...c-~d. ~.<: I n.rv..rA.-1\cA tl f~-t... ,.,-n I n.su _ sold. +v -fl-e,
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ON OC1'OBER 1 Sf OF EACH YEAR. EACH LOBBYIST SHAll. SUBMlTTO THE CITY
CLERK A SIGNED STATEMENT UNDER OATH, UmNG LOBBYING EXPENDnuRES IN
THE aTYOF MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR.
I do solemnly swear that all of the foregoing facts are true and correct and tf1at I have read or
am familiar with the provisions contained in Section 2-482 of tf1e Miami Beach City Code as
amended, and all reporting requirements. .
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Signature of Lobbyist:
.,( Personally known
a Produced ID
/ Did take an oath, or
a Did not take an oath
Identify
State of Florida, County of Miami-Dade
Sworn to and subscribed before me
This 71 sf" day of :JAI-I\lI\K:L(. 2001.
Q
Notary or Deputy Clerk
(1rl'~ ~. OtJlYlA-S
If Notary, print, stamp or type as commissioned
FOR USE ONLY
] REJECTED DATE:
r?/r;! tJ I
2.001
Cllrln Financial .Inaurance, Inc.
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Insurance, Pensions & Investments
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CHARLES A. CITRIN
Pr..ldent
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Februmy 2, 2001
City of Miami Beach
City Hall
AUn: Robert Parcher, City CIeri<
1700 Convention Center Drive
Miami Beach. FL 33139
RE: CHARLES A. CITRIN
LOBBYIST REGISlRATION
Subject Matter: Pay Telephone Sites (First Amedcan Telecom)
Principal: National Outdoor Media
Dear Mr. Parcher:
Enclosed please find Affidavit dated Janumy 31, 2001 containing my original signature which has been
duly notarized as well as my check payable to the City of Miami Beach in the sum of $25,00 for the registration fee,
Thank you,
M/
CHARLES A CITRIN
CAC:cmd
CITYM.iamiBeach.Lobbyistl
757 41st Street, Miami Beach, FL 33140
Tel: 305-674-0447 . Fax: 305-674-4B43
Securities ollered through Dempsey Financial Network, Inc, Member NASO, SIPC
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