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Affidavit (03/28/2001) ~en, DY: W~~IHllllard 305 673 5352 02/28/01 15:41 J 00 <<4b ~age <<I~ m CITY OF MIAMI BEACH OFFICE OF THE CITY CLERK 1700 Convention Center Drive Miami Beach, FL 33139 citvclerklOlci. miami-beach.f1.us AFFIDAVIT LOBBYIST MEANS ALL PERSONS EMPLOYED OR RETAINED, WHETHER PAID OR NOT, BY A PRJNCIPAL WHO SEEKS TO ENCOURAGE THE PASSAGE, DEFEAT OR MODIFICATION OF ANY ORDINANCE, RESOLUTION, AC'TlON OR DEOSION OF ANY COMMISSIONER; ANY ACTION, DEOSION, RECOMMENDATION OF ANY CITY BOARD OR COMMmEE; OR ANY ACllON, DEOSION OR RECOMMENDATION OF ANY PERSONNEL DEFINED IN ANY MANNER !~< THIS SECTION, DURJNG 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 COMMmEE. THE TERM SPECIFICALLY INCLUDES THE PRINCIPAL AS WELL AS ANY AGENT, ATTORNEY, OFFICER OR EMPLOYEE OF A PRJNOPAL, 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 FILE A "CERTIFICATE OF WITHDRAWAL: 1) Lobbyist Name: M"yor~ last Name Business Phone Ll.QJ2 443-8288 ~tllr.!1rt- First Name I Middle Initial Message Phone 0a,6L..:z,Q9~2223 Business Address: 21 21 PoncE' No. rfQ T.Qrin 13'''d PI;[2 Coral Street ' State <;;ahlo5, FL-3-3-1-34 Suite -3.,1,4 Zip Code Coral G"k'",~ City Email Address: l<'T 2) Principal Retained by; The Cornerstone Group If different from above Street Suite Oty State Zip Code (a) If a corporation, partnership, or trust, identify and provide the address for the chief officer, partner, beneficiary or interests. stuart I. Meyers & Jorqe Lopez 3) Subject Matter (Describe in Detail): ~J;'Q <; 1'11'1/01 i 2 '"""-.0_ :/iz..-.::I 4. Identify each individual (Commissioners, Board, Committee, Authority member or Oty staff) to be lobbied: Mavor and City Commissioner Sent by: WSP/Hilliard 305 673 5352 02/28/01 lb:4" ,",OD ~~o ro,:::!C VIV ,*. '~ 5, The subject matter in number three (3) above is to be considered at the meeting of (Identify each entity or individual): Xl The City Commission &l City Commission Subcommittee Xl City Staff JO City Board or Committee o Personnel ::J Identify Others on , 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: ----1l.ona.._, _______.._..__ , ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED STATEMENT UNDER OATH, LI OBBYING EXPENDITURES IN THE CITY OF MIAMI BEACH FOR THE PRECE G CALE OAR YEAR. Signature of Lobbyist: lOX Personally known :J Produced ID correct and that r have read or the Miami Beach City Code as JIIX Did take an oath, or :J Did not take an oath "of' of AonO', Cooo", of M;'m;-D,d, ~ Sworn to ~ subscribe efore me This ...J~da'L of 2001. ' ~ :-....," M f',,~ E. More 11.1 ^ Al ~ ; ;.Commlulon # CC 115492 ~~~ji I!xpir.. I(ar. 15.2003 ' Notary or Deputy Clerk '", ~...... BonllN Thl'u , 1111"" Atla!ttic Bondinc Co., InQ, If Notary, print, stamp or type as commissioned I I L FOR CLERK'S USE ONLY ! / [ 1 REJECTED DATEd '2-9/0 / / "7 If rejected, state reason: /" Registration fee paid: [~s [ ] No [] Not-for-Pro [J;..Sh [ ] Check MCR # ~' .,r DATA ENTRY DATE: 0 v .2001 ENTERED BY: I Regtstration: . ______"__".______..i