HomeMy WebLinkAboutAffidavit Gumenick Properties
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CITY OF MIlli~I BEACH
OFFICE OF TUE CITY CLERK
LOBBYIST REGISTRATION
AFFIDAVIT
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LOIlBYIST SPECIFICALI.Y INCLUDES PRINCIPAL AS tmLL AS ANY AGENT,
OFFICER OR EMPLOYEE OF A PRINCIPAL. EACH PERSON WHO WITHDRAWS
AS A LOBBYIST IS REQUIHED TO FILE A "CERTIFICATE OF
WITHDRAWAL."
(1)
Lobbyist Name ~osen, Harold
LAST NAME, FIRST NAME
Business phone (_3-05)534 ~757
MI.
(2)
Principal
Address A.n7 T.i ",-,,",1," l)n=:lln P~n+-hnll~~
.
Miami Beach, Florida
Retained By: G'lllllllQtlick proPQrtiQii
~ 'R
Zip 3313'l
Business
Principal's Add.ess
990 West Avenue, Miami Beach, FL Zip33139
or DIffERENT rRoM .DOVE)
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!)
Approv~l fnr P~rkinq G~r~q~
. '
(4) Identify each individual (Commissioners, Board, Committeo, Authority
member, or City staff) to be lobbied.
Pl~nninq Rn~rn 7.nninq ~n~rnf np~ign R~v;~w Rn~rn ~rin
staff.
(5)
The subject matter in number (3) above is to be considered at the
meeting of: (Identify each entity or individual)
0 The City Commission on
0 City Commission Subcommittee on
0 City Staff on
fJI City Board or Committee on
0 Personnel on
0 Identify Others on
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(G) State the extent of any business, financial, familial, professional or
other relationship which exists with any individual identified in number
(4) above.
T\lnno
ON JULY 1 OF EACH YEAR, EACH LOBBYIST SHALL SUBHIT TO THE CITY CLERK, A
SIGNED STATEHENT UNDER OATH, LISTING ALL LOBBYING EXPENDITURES IN THE
CITY OF HI AMI BEACH FOR THE PRECEDING CALENDAR YEAR.
I do solemnly swear that all of the foregoing facts arc true and correct
and that I have read or am familiar with the provisions contained in
Section 2-[.8 of the Hinmi Bench City Code ns m.ended, ~nd nIl reporting
requirements.. r-..... d /Y
Signature of Lobbyist: ~z:;--~/k~
/' p/
I3"'Personally known
o Produced 10
(IUEUT! FY)
o Did take an oath, or
o Did not take an oath
State of Florida, County of Dade
Sworn to and subscribed before me
this 6ft day of ~I YU ~~\
~l lAURA CAHO Notary
~ & My Comm E>ql, 1/ll\104
pte:uc .. No. CC 901893
ll__ll.....',D,
Notary: Print, Stomp, or Type os commissioned
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Registration:
,fOR..CLERK'S USE ONLY
o REJECTED
DATE ..3-1
If rejected, state reason: ~
Registration fee paid: ~~NO . Not For Profit Organization
o Documentary Pr~~f~7?ched
o Cash Check HCR No .{;j 3 ~U::1 'j::.
DATA ENTRY DATE
19
ENTERED BY