Affidavit (05/04/2001)
m
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CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
1700 Convention Cel,ter Drive
Miami Beach, FL 33139
cityclerk(Ci)ci. m iam i-I leach. fl. us
AFFIDAVIT
LOBBYIST MEANS ALL PERSONS EMPLOYED OR RETAINED, WHETHER PAID OR NOT, BY A PRINOPAL WHO SEEKS
TO ENCOURAGE THE PASSAGE, DEFEAT OR MODIACATION 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 DEOSION-MAKING PROCESS ON SUCH ACTION,
DEOSION OR RECOMMENDATION THAT FORESEEABLY WILL BE HEARD OR REVIEWED BY THE CITY COMMISSION,
OR A em BOARD OR COMMmEE. THE TERM SPEOFICALLY INCLUDES THE PRINCIPAL AS WELL AS ANY AGENT,
ATTORNEY, OFFICER OR EMPLOYEE OF A PRINCIPAL, 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."
Jeffrey
First Name
r.essage Phone L..-)
Middle Initial
Lobbyist Name: Bercaw
Last Name
Business Phone (uJ.s.) 377-62?0
1)
City
Email Address:
2) Principal Retained by:
Beta Epsilon Cadillac. L.L.C.
If different from above
State
33131
Zip Code
850
Suite
Business Address: 200 S. Biscayne
No.
Miami
Boulevard
Street
Florida
c/p Bercow & Radelli P.A.
200 S. Biscayne Bou evard
Street
R';O
Suite
Miami
City
Florida
Sti:lte
11i 11
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 Considp.red
by the Board of Adjustment.
4. Identify each individual (Commissioners, Board, Committee, Authority member or City staff)
to be lobbied: city staff, Board of Ad;us1I:.ment (at- pnhli... h""rin'))
5. 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
o City Staff
lSl City Board or Committee Board of Adj ustment
o Personnel
o Identify Others
.2000
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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 LOfJBYST 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.
Signature of Lobbyist:
~Personally known
o Produced ID
e true and correct an at I have read or
each City Code as ,
'..
. :~~ . .
''i
Identify
;. .
I,
o Did take an oath, or
i Did not take an oath
State of Florida, County of Miami-Dade
Sworn to and subscribed before me
This 3o+e-.. day of ~ 200~.
~.~OCf~
Notary or Depu Cler ..,:..r. ,
",.,.V Pt'l~ CRISTINA 0, GONZALEZ
~&'f, COMMISION '" CC 727273
~ ~ IOXPIRESMAR23,2002
BONDED THRU
OF ATLANTIC BONDING CO" INC,
If Notary, print, stamp or type as commissioned
FOR CLERK'S USE ONLY
Registration: ['fJ ACCEPTED
[ ] REJECTED
DATE:
~
4- ) ')-OU \
Uu
If rejected, state reason: /'
Registration fee paid: [0 Yes [ ] No [] Not-for-Profit Organization , C2l.
[ ] Cash [.I(Check MeR # :LoS q Ie (;if
"
,! " ,.:~
DATA ENTRY DATE:
.2000
ENTERED BY: