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Affidavit Bercow & Radell P.A. m - - CITY OF MIAMI BEACH OFFICE OF THE CITY CLERK 1700 Convention Center Drive Miami Beach, FL 33139 citvclerk(Cilci. miami-beach .fl. us AFFIDAVIT LOBBYIST MEANS ALL PERSONS EMPLOYED OR RETAlNED, WHETHER PAID OR NOT, BY A PRlNCIPAL 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 PERlOD 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 PRlNCIPAL AS WELL AS ANY AGENT, ATTORNEY, OFFICER OR EMPLOYEE OF A PRlNCIPAL, 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) Michael First Name w. Middle Initial Lobbyist Name: Larkin Last Name Business Phone (m 177-fi211 Message Phone (_) Business Address: 200 S. Biscayne B1Qulevard No. Street Florida Miami City State 850 331 jyite Zip Code Email Address: 2) Principal Retained by: c/o,Bercow & Il,adeH, P.A. Civil Works ~nOS..Bisc~yn~B'alevard If different from above Street City Florida State 850 Suite 33131 Zip Code Miami (a) If a corporation, partnership, or trust, identify and provide the address for the chief officer, partner, beneficiary or interests. Linda Bell, President 3) Subject Matter (Describe in Detail): Biscayne Point and North Beach streetscap~ Improvement Projects 4. Identify each individuai (Commissioners, Board, Committee, Authority member or City staff) to be lobbied: city Commission and Mayor 5. The subject matter in number three (3) above is to be considered at the meeting of (Identify each entity or individual): ~ The City Commission on May 16 .2000 a City Commission Subcommittee on ,2000 a City Staff on .2000 a City Board or Committee on .2000 Cl Personnel on ,2000 Q Identify Others on ,2000 6. State the extent of any business, financial, familial, professional or other relationship which exists with any individual identified in number (4) above: None. ON JULY 1ST OF EACH YEAR, EACH LOBBYST SHALL SUBMIT TO THE CITY CLERK A SIGNED STATEMENT UNDER OATH, LISTING 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 reQuiremen./71 uf. 1/. /I Signature of Lobbyist: '1r. l/ l.,/ V . a Personally known a Produced 10 Identify a Did take an oath, or Cl Did not take an oath State of Florida, County of Miami-Dade Sworn to and subscribed before me This day of , 2000. Notary or Deputy Clerk If Notary, print, stamp or type as commissioned Registration: r;A ACCEPTED FOR CLERK'S USE ONLY I [ ] REJECTED DATE: 5/ i.f~ 0 I If rejected, state reason: Registration fee paid: [ ] Yes [ ] No [] Not-for-Profit Organization -'l [ ] Cash [vfCheck MeR # ';2-35 cr (., , DATA ENTRY DATE: .2000 ENTERED BY: