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Affidavit-Beta Epsilon Cadillac .....-.-..-... .~~---,";"':;-- -. m -,. CITY OF MIAMI BEACH OFFICE OF THE CITY CLERK 1700 Convention Cel,ter Drive Miami Beach, FL 33139 citvclerk(Cilci. miami-! leach. fl.us AFFIDAVIT LOBBYIST MEANS ALL PERSONS EMPLOYED OR RETAIN EO, WHETHER PAIO OR NOT, BY A PRINOPAL WHO SEEKS TO ENCOURAGE THE PASSAGE, DEFEAT OR MODIACATION OF ANY ORDINANCE, RESOLUTION, ACTION OR DEOSION OF ANY COMMiSSIONER; ANY ACllON, DEOSION, RECOMMENDATION OF ANY CITY BOARD OR COMMmEE; OR ANY ACllON, DECISION OR RECOMMENDATION OF ANY PERSONNEL DEFINED IN ANY MANNER IN THIS SECllON, DURING THE TIME PERlOD OF THE ENTIRE DECISION-MAKING PROCESS ON SUCH ACTION, OEOSION OR RECOMMENDATION THAT FORESEEABLY WILL BE HEARD OR REVIEWED BY THE CITY COMMISSION, OR A CITY BOARD OR COMMITTEE. THE TERM SPEOFICALLY INCLUDES THE PRINCIPAL AS WELL AS ANY AGENT, ATTORNEY, OFFICER OR EMPLOYEE OF A PRINOPAL, 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 Cla5.) 377 - 6 2 31 Michael Arst Name Lessage Phone L) w. Middle Initial 1) State 33131 Zip Code 850 Suite Business Address: 200 S. Biscayne No. Miami City Boulevard Street Florida Email Address: 2) Principal Retained by: Beta Epsilon Cadillac, L.L.C. If different from above c/p Bercow & Radell P.A. 200 S. Biscayrte Bouievard Street 850 Suite Miami City Florida St"te 11i11 Zip Code (a)If a corporation, partnership, or trust, identify and prOVide the address for the chief officer, partner, beneficiary or interests. Nick Economos 3) Subject Matter (Describe in Detail): Variance Application to be Considered by the Board of Adjustment. 4. Identify each individual (Commissioners, Boarcl, Committee, Authority member or City staff) to be lobbied: City staff, Board of Adius,tment fat pnhlil" ho:>,.;'J'}) S. 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 o City Commission Subcommittee a City Staff & City Board or Committee Board of Adjustment Q Personnel Q Identify Others .2000 ,2000 ,2000 ,2000 ,2000 .2000" on on on on May 4 on on 6. State the extent of any business, Financial, familial, professional or other relationship which '. exists with any individual identified in number (4) above: Nome. ON JULY 1sT 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. ,I It} , .. Signature of Lobbyist: ./1~,- L-=-- ~/ Q Personally known Q Produced 10 <~~. ' .., Identify ,", . I. Q 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 day of ,2000. Notary or Deputy Oerk:" .. r If Notary, print, stamp or type as commissioned FOR CLERK'S USE ONLY Registration: [~CEPTED [] REJECTED DATE: flolj 4-.;1_ C>U \ (! ~J . If rejected, state reason: Registration fee paid: [0'Yes [ ] No [] Not.for-Profit Organization [ ] Cash (J-Oleck MeR # 2- :>,Stl (... "I '. ;, ,~ : \~? DATA ENTRY DATE: .2000 ENTERED BY: .-_.' -..- --,.-