Affidavit
02/28/2001 17:58 FAX 3054439339
tien, bY: Wti~/Hl11iard 305 673 5352
CORNERSTONE GROUP
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CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
1700 Convention Center Drive
Miami Beach, FL 33139
citvclerktalci.mlanii-beach.f1.us
AFFIDAVIT
LOBBYIST MEANS ALL PERSONS EMPLOYED OR RETAINED, WHETHER PAlO OR NOT, BY A PRINCIPAL WHO SEEKS
TO ENCOURAGE THE PASSAGE, DEFEAT OR MODIFICATION OF ANY ORDINANCE. RESOlUTION, AmON OR
DEOSION OF ANY COMMISSIONER; ANY ACTION, DEctSION, RECOMMENDATION OF ANY em BOARD OR
COMMffiEE; OR ANY ACTION, DEOSION OR RECOMMENDATIoN OF ANY PERSONNEL DEANEp IN ANY MANNER
IN THIS SEmON, DURING THE TIME PERlOD OF THE ENTIRE DECISION-MAKING PROCESS ON SUCH ACTION.
DEOSION OR RECOMMENDATION THAT FORESEEABLY WILL BE HEARD OR REVIEWED BY THE drY COMMISSION,
OR A CITY BOARD OR COMMmEE. THE TERM SPEOFICALL Y INCLUDES THE PRINOPALAS WEll AS ANY AGENT,
ATTORNEY, OFFICER OR EMPLOYEE OF A PRINOPAl, REGARDLESS OF WHETHER SUCH LOBBYING AmvmES
FALL WITHIN THE NORMAL SCOPE OF EMPLOYMENT OF SUCH AGENT, ATTORNEY, OFFICER OR EMPLOYEE. EACH
PERSON WHO WITHDRAWS AS A LOBBYIST IS REQUIRED TO ALE A 'CERTIFICATE OF WITHDRAWAL'
... 1":" .,---
Lobbyist Name: w,~~(. ..l()~e.W
last Name First N~ Middle Initial
Business Phone &(1.!.-4; 3. f; 2., 1_~ Message Phone ~) 2.&1 ~5'~' I.
B~5inessAddre5s:91o?5' .~...D1.xlE~~t~ ..--:: 200
Jlh~~(a ~~t-<. NO. ... _Str~ :3~~_
Ci ty . Sta te Zi P Code
1)
Email Address:
2)
Group
~-
Suite
"33/3 tf
Zip Code
Principal Retained by; The Cornerstone
2./L.I PCJ.JCG ve le.eu
C If different from above
o 12 "<.. '~(..t:'3
Oty
~l..UD
str~
State
(a) If ~ cOrpOration, partnership, or trust, identify and provide the address for the chief
. _offi~er,-partner, ber::~~iary or intereS~1 J .. ~
~()~~ . .~~.r 1)+oAiJi . rt~
Subject Matter (Describe in Detail): 11.iiY. S'F .' " R P ~
3)
4. t~d~~~l~i~~ ~J~m~~:~~~m~itte~,!,~-:~~~~r or~~ff)
FEB. 28 '01 (WED) 17:58
COMMUNICATION No :45 PAGE. 1
Sent by: WSP/Hilliard 305 673 5352
02/28/01 17:45
Jab 246
Page 2/2
5. The subject matter in number three (3) above is to be considered at the meeting of
(Identify each entity or individual):
III The City Commission
CJ City Commission Subcommittee
:J City Staff
o City Board or Committee
CJ Personnel
CJ Identify Others
on () I.) to (lm.&)il . 2001
on . 2001
on . 2001
on . 2001
on . 2001
on . 2001
6. State the extent of any business, financial, familial, professional or other relationship which
exists with any individual identified in number (4) above: 1\01\ <..
ON OCTOBER 1ST OF EACH YEAR. EACH 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 repo' requirements.
Signature of Lobbyist:
~rSOnallY known
o Produced ID
~ take an oath, or
o Did not take an oath
Identify
State of Florida, County of Miami-Dade
Sworn to and subscribed before me
This ..l..l::td-.. daYOf~\"""''''J .2001.
~.
Notary or Deputy
If Notary, print, stamp or type a
l
FOR CLERK'S USE ONLY t
[ J REJECTED DATE: 3/, _ 0 I
f
If rejected, state reason: ./
Registration ~ paid: ~ ~ ~sh[ [~ ] N~~~r~~ ~2{D~tir
DATA ENTRY DATE: .2001 ENTERED BY:
Registration:
FEB. 28 '01 (WED) 18:48
COMMUNICATION No:49 PAGE. 2