Affidavit (Rudy & Betsy Perez)
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CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
1700 Convention Center Drive
Miami Beach, FL 33139
citvclerk@ci,miami-beach.f1.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, DECISION, RECOMMENDATION OF ANY CITY BOARD OR COMMITTEE; 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 FORESEEABLY WILL BE HEARD OR REVlEWED BY THE OTY
COMMISSION, OR A CITY BOARD OR COMMmEE, THE TERM SPECIFICALLY INCLUDES THE PRlNCIPAL AS WELL AS ANY AGENT,
ATTORNEY, OFFICER OR EMPLOYEE OF A PRINOPAL, REGARDLESS OF WHETHER SUCH LOBBYING ACTlvrnES 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: Lor/,{;() /V7jchIclJ
Last Name First Name
Business Phone (-3~) :3 --n- (, d. 31 Message Phone (_)
&c~ w oJ-- ~Je /I ) f. {J..
ate ~ 131.!{l<4jrL ralvJ I 6k ~m (f7,q';' t3Ar~. PI
No. Street Suite City , State
(.J,
Middle Initial
Business Name and Address:
3.~/3~
Zip Code
Email Address:
2)
Principal Retained by:
/{W:j f Ij~.h'f Per'Cz..
If different from above
Street
Suite
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):
~:.~~I ~~J otMj ;t
t'~L.., (";,
!tlr 01~d(C~i~ ],.,i~ I\pr&f#1 CorN <f
"
"
4. Identify each individual (Commissioners, Board, Committee, Authority member or City staff)
to be lobbied: ) W I ..Iv /"
01 5tr-'H;;fJk,>1{)~ 6~""l IctA (J'vUi( i"./ft1J'J Ct'{ 4;MMdj/V\
.(CI+ /)(;(,,//'( ItS' _2
,
5. The subject matter in number three (3) above is to be considered at the meeting of (Identify each entity or
individual):
0 The City Commission on .2001
a City Commission Subcommittee on ,2001
a City Staff on .2001
0 City Board or Committee on ,2001
0 Personnel on ,2001
a Identify Others 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:
11 or\:.
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 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. /J /1/1, /1 ,
Signature of Lobbyist: ~ L./ ~
a Personally known
~ Produced 10 bL:#'-
C &;;;)..5' ' 5~ - ~ -:; - 3 f" r 0
Identify
a Did take an oath, or
a Did not take an oath
State of Florida, County of Miami-Dade
Sworn to jnd subscribed before me
This ,l.. t!:l- day of Y'.r)~ 2001.
~~~
~otary&~~
({; :::;~::.:-~~.:o
If Notary, print, stamp or type as commissioned
FOR CLERK'S USE ONLY
Registration: [v(ACCEPTED [] REJECTED
DATE; ""''''J LtJ ")...ut..! I
If rejected, state reason:
Registration fee paid: [,rYes [ ] No [] Not-for-Profit OrganilatiPIl.
[ ] Cash [.,rtheck MCR # '2- :> '0'11 0
DATA ENTRY DATE:
.2001
ENTERED BY;