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Affidavit (04/02/2001) m -" CITY OF .MIAMI BEACH OFFICE OF THE CITY CLERK 1700 Convention eel,ter Drive Miami Beach, Fl33139 citvclerk(1i)ci .miami-I leach.f1.us AFFIDAVIT LOBBYIST MEANS ALL PERSONS EMPLOYED OR RETAINED, WHETHER PAID OR NOT, BY A PRINOPAL WHO SEEKS TO ENCOURAGE THE PASSAGE, DEFEAT OR MODIFICATION OF ANY ORDINANCE, RESOLUTION, ACTION OR DEOSION 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 DEOSION-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 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 FILE A "CERTIFICATE OF WITHDRAWAL.' Lobbyist Name: Larkin Last Name Business Phone (1.a.0 377-6231 Michael First Name r,essage Phone L) w. Middle Initial 1) City Email Address: State 33131 Zip Code 850 Suite Business Address: 200 S. Biscayne Boulevard No. S\ 'eet Miami Florida 2) Principal Retained by: Just Around the Corner , L.L.C. 370 Lexington Avenue If different from above Street suite 801 Suite New York New Yrok 10017 Oty SMe 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): Planning Board Application for Substanti~l M{)nif;~i=lt-ion +-n ("(')nni+-i("\n~' rTc:o npf',...nn::.l 4. Identify each individual (Commissioners, Board, Committee, Authority member or City staff) to be lobbied: Board, City staff 5. The subject matter in number three (3) above is to be considered at the meeting of (Identify each entity or individual): o The City Commission ._ on. 200~ o City Commission Subcommittee on. 200 o City Staff on . 200 lO City Board or Committee Planning Board on April 24 .200 1 o Personnel on . 200\ . o Identify Others on ' . 200 ' 6. State the extent of any business, financial, familial, professional or other relationship which : exists with any individual identified in number (4) above: ' ON JULY 15T OF EACH YEAR, EACH LOBBYST SHALL SUBMIT TO THE CITY CLERK A SIGNED STATEMENT UNDER OATH, USTING A 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 reporting requirements. Y1 A_/ / J (A , ", , Signature of Lobbyist: L!:L W, ~ ~ersonally known o Produced ID . :~~, ' ,., Identify , ' o Did take an oath, or o Did not take an oath State of Florida, County of Miami-Dade Sworn to and subscribed before me This ;l,'C\~dayof ~~ 2001. ~.-^--)~.~/ Notary or Deputy lerk',..L , ifo",VPY8 CRISTINA O. GONZALEZ J:t.,., COMMISION * CC 727273 ;" ~PIRES MAR 23, 2002 ~t ~ 80NOEOTHRU ~OF l'o'" ,ATLANTIC BONDING CO" INC. If Notary, print, stamp or type as commissioned Registration: ~PTED FOR CLERK'S USE ONLY [ ] REJECTED DATE: cj) ..'2 { () / If rejected, state reason: Registration fee paid: [ ] Yes [ ] No [] Not-for-Profit Organization [ ] Cash [ ] Check MCR # DATA ENTRY DATE: ~ 02.. .200t ENTERED BY: 1..!6~ ,! : ::~