Affidavit
H8~ 16 01 09:228
____________________ p.2
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CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
1700 Convention Center Drive
Miami Beach, Fl33139
cityclerk(IDci .miami-beach. lI.us
AFFIDAVIT
LOBBYIST MEANS AlL PERSONS EMPLOYED OR RETAINED, WHETHER PAID OR NOT, By A PRINOPAL WHO SEEKS TO ENCOURAGE
THE PASSAGE, DEFEAT OR MODIFICATION OF ANY ORDINANCE, RESOWTION, ACTION OR DEOSION OF my COMMISSIONER; my
ACTION, DEOSION, RECOMMENDATION OF my CITY BOARD OR COMMffiEE; OR ANY ACTION, DEOSION OR RECOMMENDATION
OF ANY PERSONNEl DEFINED IN ANY MANNER IN THIS SECTION, DURING THE TIME PERIOD OF THE ENTIRE DEOSION-MAKlNG
PROCESS ON SUCH ACTION, DEOSION OR RECOMMENDATION THAT FORESEEABL Y WILL BE HEARD OR REVIEWED BY THE cm
COMMISSION. OR A CITY BOARD OR COMMmEE.THE TERM SPEOFlCALL Y INCLUDES THE PRINCIPAL AS WELL AS ANY AGENT,
ATTORNEY. OFFICER OR EMPLOyEE OF A PRINOPAl, REGARDLESS OF WHETHER SUCH LOBBYING AC11VmES FALL WITHIN TkE
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: rUff Et./C,
Last Name First Name
Business Phone (115) {, 14f - /4 ~ 0 l( .z] Message Phone L) II/+f1 P-.
Business Name and Address; CbL...IJN'I' ht~
10 '{O J..lIt/'UJUr ~MJ, """I/MIt1 (J~. J::.L
No. Street Suite City'
Email Address: F \ I'~SG. @. Anl
2) Principal Retained by; Go <'-0'"') -rJ, ~
:s AMC
Middle Initial
3313Y
State
Zip Code
If different from above
City
Street
..sA M 2'
State
Suite
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):
t.t=H"MJIIT/()1V &- .f1:)/J/f7IN 1f)
111/E. Cd/Jlt/Y ThE.47l!:rrG
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p.3
Ma~ 16 01 OB.22a
.
4. Identify each individual (Commissioners, Board, Committee, Authority member or City staff)
to be lobbied:
!I/f/D/ut Pl(ef/!EllV"TIMI B~~/;J
CI11 eo.MMtf.fll/J'll
S. The subject matter in number three (3) above is to be considered at the meeting of (Identify each entity or
individual):
on 7/11 .2001
.
on . 2001
on 200 1
on (,//2 7//0: 2001
on . .. . 2001
on . 2001
)( The City Commission
a City Commission Subcommittee
D City Staff
llf City Board or Committee NlfnlelC PIf,EfMVU/fJN
D Personnel
D Identify Others
6. State the extent of any business, financial, familial, professional or other relationship which exists with any
individual identified in number (4) above:
ntE,4.Tt.I(. TE.CH,y/cl!-L Q"~G/rQft.,
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 farn 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. _ ~ .
Signature of ~ - .'.
D Personally known
'!- Produced ID
F lurId"" ~er:)
Identify
/-1 (q" S c..
a Did take an oath, or
D Did not take an oath
State of Aorida, County of Miami-Dade
Sworn to and subscribed before me
This I~~ day of f-f'J . 2001.
k-~M:) Lt)~
N~til~ or Deputy Clerk
If Notary, print, stamp or type as commissioned
FOR ClERK'S USE ONt Y
Registration: ~ ACCEPTED [J RElECrEO DATE:
If rejected, stale reason:
Registration fee paid: ~~[ [J ~o~ J N~:Ofil "';~~~~ li7
DATA ENTRY DATE:
.2001
ENTERED BY: