Affidavit (05/04/2001)
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CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
1700 Convention Center Drive
Miami Beach, FL 33139
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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, DECISION, 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 CITY
COMMISSION, OR A OTY BOARD OR COMMITTEE. THE TERM SPEClFICALL Y INCLUDES THE PRINCIPAL AS WELL AS ANY AGENT,
ATTORNEY, OFFICER OR EMPLOYEE OF A PRINCIPAL, REGARDLESS OF WHETHER SUCH LOBBYING ACTIvrnES 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: <::;~~'N\~ ~\J L
Last Name First Name Middle Initial
Business Phone ~ ,1 \.( - I 2. "t '"L Message Phone L) S. t1I'<
Business Name and Address: ~')2~ '5v.J 11.""( Sf- 6-'"1
M' .
'''iv\' \
F(
5>1 ~,
Zip Code
No,
Street
Suite
City
State
Email Address:
4
2) Principal Retained by: t:> ",
{.Ie f\..(g(\4 ~-N'(d~ (g ?tJ\
If different from above Street
City
State
Zip Code
(a) If a corporation, partnership, or trust, identify and provide the address for the chief officer, partner,
beneficiary or interests. "ioA{ a ~
3) Subject Matter (Describe in Detail):
~~\-~ar-J~IJ:.( ~f.(~lV
4. Identify each individual (Commissioners, Board, Committee, Authority member or City staff)
to be lobbied: ~d O~ A.Jp&t~W+
5. The subject matter in number three (3) above is to be considered at the meeting of (Identify each entity or
individual): n ~\ . r A.~,'. ~ '- J
~ en \~NP^""",,,
o The City Commission
o City Commission Subcommittee
o City Staff &~-'-
~ City Board or Committee '~ . MJ;v""
o Personnel
o Identify Others
on . 2001
on . 2001
on I ~ 2001
on '5 { 'f" I: 2001
on I , 2001
on . 2001
6. State the extent of any business, financial, fa i1ial, g,rofessional or other relationship which exists with any
individual identified in number (4) above: ~
ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES IN THE CITY OF MIAMI BEACH
FOR THE PRECEDING CALENDAR YEAR.
I do solemnly swear that all of ego
with the provisions contained in Sectio
requirements. {
Signature of Lobbyist:
o Personally known
IJ'15roduced ID ft> L i\; So ,n. 0 - I ""l "2. - 1../ I . " l.tj - ()
Identify
facts are true and correct and that I have read or am familiar
- 2 f the Miami Beach Ci de as amended, and all reporting
o Did take an oath, or
s-t>id not take an oath
State of Florida, County of Miami-Dade
Sworn ~a;;; subscribed before me
This day of 4.Wj , 2001.
~<!<../..--P
, Not or Deputy Clerk
Ld/J 'fj-,.J ~a u{'~tJ. ~
If Notary, print, stamp or type as commissioned
FOR CLERK'S USE ONLY
Registration: ~CEPTED [] REJECTED
DATE: 5' - l/- 0 I
If rejected, state reason: ./
Registration fee paid: [\1'Yes [ ] No A ] Not-for-Prpf~~anization (
[ ] Cash ['-ftheck MCR f/d'. Of I)
DATA ENTRY DATE:
.2001
ENTERED BY: