Affidavit (04/18/2001)
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CITY OF MIAMI BEACH
OFFICE OFTHE CITY CLERK
1700 Convention Center Drive
Miami Beach, FL 33139
citvcierk(QJci .mi2mi-beacn.fi .us
AFFIDAVIT
LOBBYIST MEANS ALL PERSONS EMPLOYED OR RETAINED, WHElHE;>, PAID OR NOT, BY A PP1NCP,'.L WHO SEEKS
TO ENCOURAGE THE PASSAGE, DEf'EAT OR MODIFICft,TiON OF ANY ORDINANCE, RESOLUTiON, ACTION OR
DEOSION OF ANY COMMISSIONER; ANY ACTiON DEOS;ON RECOMMENDATION OF ANY CITY eo~RC Oi!
COr-1MITTE=; OR ANY ACTION, DECISION OR RECO(.U.1ENOAnON OF ANY PERSONNP.. DEFlNED IN ANY t-1ANNER
It-l THIS SECTiON, DURING THE TII'-1E PERlOO OF THE E!'4TIRE DECIS10N-Mt>.i<lNG PROCeSS e.N Sl.JCH ACTION,
DEGS10N OR RECOMr-1ENDA110N THAT FORESE~.8LY WI~L BE HEt1,RD OR RevIEWED BY THE cin' COMMISSION,
OR p. CITY BOARD OR COM~1ITTE=, THE TERM SPECIFlC~LL Y INCLUDES THE PRlNGPAL AS WELL AS ANY ,~GE'n,
ATTORN,,', OFi'ICER OR E,'1PLOYEE OF A PRJNOPP.,L, REGARDLESS OF WHETHER SUCH LOBBYING ACTWTTiES
F,.lLL WITHIN THE NORMft,L SCOPE OF EI'.,PLOYMENT OF SUCH AGENT, ATTORNEY, OFP1CcR OR EHPLOYE::: E.~C-!
PERSON WHO WITHORA.WS AS A LOBBYIST IS REQUIRED 70 F1lE A "CERTIFICATE OF WrTHDPAWA.L."
1)
Lobbyist Name: PI ~
W Name
J-1 Me-
First Name
Middle Initial
Business Phone~ .5 $g - DJ 3.5
Of; L U U..r
M
5tr~H
Stace
Message Phone C. _j_ _
6/~
--.63" ; ~19.~
-~ -~-~._-_._-.
Zip Code
Business Address: (0' OJ
Ioe1J-e!iI2 '
/YIt ,{J-,>lI
City
Emaii Address:
&>m~(!J;-i).. _r/-f I- ~~~
2) Principal Retained by: ,
If different from above
S~"';:::lc:>r
Suite
City
State
Zip Code
(a) If a corporation, partnership, or trust, identify and provide the address for the c~ief
officer, partner, beneficiary or interests.
3)
Subject Matter (Describe in Detail): _ 9-~},
~h~
4. Identify each individual (Commissioners, Board, Committee, Authority member or Oty staff)
to be lobbied: -/!r1-A.. ._ ,,__, _
..
..... .
~, The subject matter in number three (3) above is to be considered at the me::::ting or
(Identify each entity or individual):
)(J The City C8mmission
Xl City Commission Subcommittee
XI City Staff
ro City Board or Committee
Q Personnel
Q Identify Others
on
on
on
on
2001
______~________, 2 GC 1
20l)]
___._______.12.001
on __._~_. _ ..___J 2001
..__' 2001
on
6. State the Extent of any business, financial, familial; professional or other re\ationS~lip which
E~;(ist.s 'J'Jith any individual identified in number (4) above: ----.N_an.e...-.,____._____,.__.._~._.
ON OCTOBER 1ST OF EACH YEA~ EACH LOBBYIST SHALL SUBMIT TO THE CITY
CLERK A SIGNED STATEMENT UNDER OATH, LIJ.:r:IN6-+0BBYING EXPENDITURES IN
THE CITY OF MIAMI BEACH FOR THE PRECEDING CAlE~IDAR YE,AR.
I do solemnly swear that all of the fOI "'YUICltj 'dL1'S are t:-ue 2rYJ correct and that I have read or
am familiar with the provisions cOl')tained in Section 7-482 of the Miami Beach City Code as
amended, and all reporting requirements.
MAluA T tDPEZ
NOfAIIYPUBLK ':l'I ATJ:OF FLORIDA
COMMISSIOi' ,~o ')0010418
MY COMMISSION EXP. APIt 10
Signature of Lobbyist.
XIX Personally known
::J Produced lD
MX Did take an oath, Or
:J Did not take an o2th
StaLe of Fionda, County of Miami.Dade
Sworn to and subscribed before me
ThIS /. 1- O?" ^oF 1/-'1 ~I L _ 2001
-----."-----.----.,
,
P,egl5traricn:
[~PTED
FOR CLERK'S USE ONLY
<i) f/~ (
( 1 REJECTED
D,"'TE:
I
I
L.,
If rejected, S"'"L2te reason:
Registration fee paid: r es [ J No [] Not-for~Profit OrganizatlQn
[ ] Cash [ ] Cneck MeR #
DATA ENTRY DATE; f /1 f /0 f ,2001
ENTERED ~_~ ~,____,__