Affidavit
.
. .
m
-
-
CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
1700 Convention Center Drive
Miami Beach, FL 33139
citvclerklCllci. miam i-beach. fl. 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 COMMfTTEE; 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 REVIEWED BY THE CITY
COMMISSION, OR A CITY BOARD OR COMMfTTEE. THE TERM SPECIFICALLY INCLUDES THE PRINCIPAL AS WELL AS ANY AGENT,
ATTORNEY, OFFICER OR EMPLOYEE OF A PRINCIPAL, REGARDLESS OF WHETHER SUCH LOBBYING ACTIVmES 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: RcJ,5ctJ66/c(;.. (;J ILL! A I'Y) P
last Name Rrst Name Middle Initial
Business Phone ~ '1--35 '73/0 Message Phone ~ Z-313 C;3/0
Business Name and Address: RO;se:N&~ De::5I(,:N d1wcJf'>
} 2...."10 ( suJ 7/ AVE fY))/J./YJ/ FL 3315{,
No. Street Suite City State
Email Address: RD~\..A NOA~ ~ AoG . CONI
2) Principal Retained by: C IVI L- wdR.K5 J N G
3(0,5 PoNCE: DE: I Pen." 1:$1.\ID
If different from above Street
CoRAL.. GA5l$-5 r'(,._
City ) State
Zip Code
$u I T~ :2..d C:>
Suite
33 L~4-
Zip Code
(a) If a corporation, partnership, or trust, identify and provide the address for the chief officer, partner,
benefidary or interests.
W/LL-IMln p. Rcl,<.CNfl,ERG-)PR6<, !::2Ho( Sw'tIA\lC ffilM11JYl.
3) Subject Matter (Describe in Detail):
RFO 10-00/01 Urban Desian. Landscaoe Architect"r~ ~nd Enqjn~~~rinq
services for planning, design and constrctuion administration
for North Shore and Biscayne Point Neighborhoods.
, -..~ ."
4. Identify each individual (Commissioners, Board, Committee, Authority member or City staff)
to be lobbied:
All Commi~~;nnpr~r M~ynr. riry M~n~gor. MQgn~;~~;nn ~nmm;~~oo
and city Staff
S. The subject matter in number three (3) above is to be considered at the meeting of (Identify each entity or
individual):
1!JX The Oty Commission on 5/16 .2001
a City Commission Subcommittee on ,2001
Xlg City Staff on tba ,2001
l'bc City Board or Committee on ~'h~ .2001
a Personnel on ,2001
l'bc Identify Others on ~h:::a ,2001
6. State the extent of any business, financial, familial, professional or other relationship which exists with any
individual identified in number (4) above: No Relationship
ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE crrv CLERK A SIGNED
STATEMENT UNDER OATH, USTING LOBBYING EXPENDITURES IN THE crrv 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 M~'ami ch Oty Code as amended, and all reporting
requirements. oiJ P
Signature of Lobbyist: ~ J ~ ~!!AJ
a Personally known
" Produced 10 J=: ) il-.... '1)" 0/ .......-.s 1-1 c. ~ S ~
Identify
;i Did take an oath, or
a Did not take an oath
State of Florida, County of Miami-Dade
Sworn to and subscribed before me
This /Str:: day of ~ ' 2001.
~, d~i.l tJ ~
Notary or Deputy Clerk
If Notary, print, stamp or type as commissioned
FOR CLERK'S USE ONLY
Registration: o/.l ACCEPTED [] REJECTED
If rejected, state reason:
Registration fee paid: W Yes [ ] No [] Not-for-Profit O[9anizatio):\
,{ ] Cash ~ Check MCR # Z."i=;q e.~
.2001 ENTERED BY:
DATE:
Nr::J
I~) 2-00)
DATA ENTRY DATE: