Affidavit (Eddi Chabble)
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CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
1700 Convention Center Drive
Miami Beach, FL 33139
citvclerklOlci. m ia mi-beach. fl. us
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, DEOSION, RECOMMENDATION OF ANY CITY BOARD OR
COMMmEE; 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 FORESEEABL Y WILL BE HEARD OR REVIEWED BY THE OTY COMMISSION,
OR A OTY BOARD OR COMMmEE, 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, ATTORNEY, OFFICER OR EMPLOYEE. EACH
PERSON WHO WITHDRAWS AS A LOBBYIST IS REQUIRED TO f)LE A "CERTIFICATE OF WITHDRAWAL."
1) LObbYistName:_1)?Oc.,~ ~ d-
Last Name f First Name Middle Initial
Business Phone ~ 57 q - D (d') "'$ Message Phone (_)
Business Address: I Z- L. ( 0> J2LcJu ~ (r;-..J e _
No. Street Suite
City
Email Address:
State
Zip Code
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~
/7\..tJ tJ e.e AJ "^^
Street
Suite
2)
Principal Retained by:
If different from above
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City
State
Zip Code
(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):
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4. Identify each individual (Commissioners, Board, Committee, Authority member or City staff)
to be lobbied: :p-~ 0> -S u f(
)
5. The subject matter in number three (3) above is to be considered at the meeting of
(Identify each entity or individual):
on~nJ\.cJJ
on
on
on
on
on
o The City Commission
o City Commission Subcommittee
o City Staff
o City Board or Committee
o Personnel
o Identify Others
.2001
,2001
.2001
.2001
.2001
,2001
6. State the extent of any business, financial, familial, professional or other relationship which
exists with any individual identified in number (4) above:
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ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY
CLERK A SIGNED STATEMENT UNDER OATH, USTING 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 2-4 of the Miami Beach City Code as
amended, and all reporting requirements.
Signature of Lobbyist:
o ~onally kn~n 1/
p../Produced ID t i-()L M?'.::'; - J-:L I - </'1 - 7 J' ,- U
Identify
o Did take an oath, or
o Did not take an oath
State of Florida, County of Miami-Dade
sworr:d~ sUbscrii4 before we
This day of 0,./UJ02001.
fl~~~
eputy Clerk
If Notary, print, stamp or type as commissioned
FOR CLERK'S USE ONLY
Registration:
[~D
[ ] REJECTED
DATE:
If rejected, state reason: ~
Registration fee paid: ll.])fE5 [ 1 No .....--'- ] Not-for-~gqn~~~'P
[ ] Cash [l...fCheck MCR # ~u
DATA ENTRY DATE:
.2001
ENTERED BY:
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