Affidavit
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CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
1700 Convention Center Drtve
Miami Beach, FL 33139
cityclerk@lci.miami-beach.fI.us
AFFIDAVIT
LOBBYIST MEANS ALL PERSONS EMPLOYED OR RETAINED, WHETHER PAID OR NOT, BY A PRINQPAL WHO SEEKS TO ENCOURAGE
THE PASSAGE, DEFEAT OR MODIFICATION OF ANY ORDINANCE, RESOLUTION, ACTION OR DECISION OF ANY COMMISSIONER; ANY
ACTION, DEQSION, RECOMMENDATION OF ANY an BOARD OR COMMmEE; OR ANY ACTION, DEQSION OR RECOMMENDATION
OF ANY PERSONNEL DEFINED IN ANY MANNER IN THIS SECTION, DURING THE TIME PERIOD OF THE ENTIRE DEQSION-MAKING
PROCESS ON SUCH ACTION, DECISION OR RECOMMENDATION THAT FORESEEABLY WILL BE HEARD OR REVIEWED BY THE an
COMMISSION, OR A CITY BOARD OR COMMmEE. THE TERM SPEQFICALLY INCLUDES THE PRINCIPAL AS WELL />S ANY AGENT,
ATTORNEY, OFFICER OR EMPLOYEE OF A PRINQPAL, 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: Salda.ho. G'f~.t2.!LY
Last Name First Name
Business Phone <iQ5.. I.{ 4." -1/ 9 <3 Message Phone ( ) S 1t-M IS.
~T. l-;r -
Business Name and Address: R,:r. KlSl> aN~OlTLa A-1tc..H1T'e:Ct"S
3LiO MIl\1or-cA- AvE... 10. C-o~1Irt.. c,,~t,.~, pI- 3S>LS'1.{
No. Street Suite' City . State
Email Address: ~ SG\\cl.Q.V\.G\ @. Irj h"l' l'I.e..(-
2) Principal Retained by: C.L ~ o.t: M Lo..lM.\ 8e~
nOO Ul'I.\IevlhOY\ ~~
Street
Vv\.L CUM. I ~e.o...cJ.1 l FL..
State
J.
Middle Initial
Zip Code
If different from above
D~we.
Suite
3; (3.9'
City
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):
~S~~~~ ~h-~ to
c...e>L ~~.
4. Identify each individual (Commissioners, Board, Committee, Authority member or City staff)
to be lobbied: . .
+t\..~h\rlC. ~1I"e.sevvQ...hOv\ ~Oltvo\
Cl~ CoW\VV\LS'S"l'an
5. The subject matter in number three (3) above is to be considered at the meeting of (Identify each entity or
individual):
on -z I L ~
,
on
on
on 411 l?-
on
on
)( The City Commission
o City Commission Subcommittee
o City Staff . .
')S- City Board or Committee j-ll( -h1vu.. '\JV"e.S~V\f""h.\lV\
o Personnel
o Identify Others
.2001
,2001
2001
: 2001 7/10, 2.00 I
,2001
,2001
6. State the extent of any business, financia
individual identified in number (4) above:
rofessional or other rei tionship which exists with any
- P Ira
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 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. ,
Signature of Lobbyist: .J1~ /hd..~
o jMrsonally known r -0' .
'I:l"'" Produced 10 ~LJ.6 ~ -.;2. q 0-.6 f, <J J q-
_,~ Identify
~ take an oath, or
o Did not take an oath
State of Florida, County of Miami-Dade
Sworn ~.9,~ljId subscril~~f~~:me
This ~ day of ~ 2001. (10 VAl Drr. a. C)), (l. ~
'-/-O~I/~:r'~lerk
If Notary, print, stamp or type as commissioned
._______. FOR CLERK'S USE O~
Registration: '{--t1ICCEPTED [.] REJECTED . DATE: ") / J
If rejected, state reason: .,/"'
Registration fee paid: M"fes [ ] No [] Not-for-Pr9l\t lir~ation,(
[ Cash ] Check CCMCR # ~ 0 b
DATA ENTRY DATE: IS-- 2001 ENTERED BY:~
S/UI