HomeMy WebLinkAboutc/o Bruce Eichner So Be Ocean
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Oty of Miami Beach Office of tihe Oty Oerk
1700 Convention Center Drive, Miami Beach, FL 33139
Email: cityclerk@ci.miami-beach.fl.us
LOBBYIST REGISTRATION FORM
(CIty of Miami Beach, City Code Chapter 2, Division 3, Section 2-4B1)
.os Check Box If an Amendment
(~OS) $3{,- \U..2
TELEPHONE NUMBER:
BoS') ,<;3b- U\1o
FAX NUMBER:
eofoo
(M.!) DATE QUALIAED AS LOBBYIST
,:t. 3~13
(Zip Code)
lxJ.p. DieuJbw .&rrl
EMAIL:
riD 0 a f1).U~U
NAME OF LOBBYIST: (Last)
L LOBBYIST RETAINED BY:
\.~"1lQ:..h PuCL.cl-. ()~ JoJW. bid - do ~ &11.~ tiUtvUI"
NAME OF PRINCIPAl/CLIENT:
(g(pt) ~~ a.w~
BUSINESS ADDRESS: (Number and Street)
I /l.(iI> ~( I hJ1,d ~Jc 'nCO 100~1
(City) (State) dip Code)
TELEPHONE NUMBER:
FAX NUMBER: (Optional)
EMAIL: (Optional)
FIll out thla aedIon If prlndplll Is a CorponItIon, PlIrtnenhlp or Tr1I8t [SedIan 2-482 (c))
? NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY:
Wan Rrru <?.t. .$..c.tvw
? LIST ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARJNERSHIP OR TRUST:
~ ,(f; lePJlU/
D. SPECIFIC LOBBY ISSUE:
m. CITY AGENCES/INDMDUALS 10 BE LOBBIED:
A) Full NlIme or Indlvldual/Tlde
B) ReIatIonahIp
,
c'
IV. DISCLOSURE OF TERMS AfID AMOUNTS OF LOBBYIST COMPENSATION (DISCI OSE WHETHER HOURL Y,
FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE:
~lJOO ~ dl~~
COMPENSATION):~ e'Vl ~/ L6eAJ<)
V. SIGNATURE UNDER OATH:
ON OCTOBER 15' OF EACH YEAR,. EACH LOBBYIST SHALL SUBMrr TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, USTING LOBBYING EXPENDDURES IN THE CITY OF MIAMI BEACH FOR
THE PRECEDING CALENDAR YEAR.
I do solemnly swear that all of the ~
familiar with the provisions con '
reporting requirements.
egoing facts are true and correct and that I have read or am
in S ion 2-482 of the Miami Be h City Code as amended, and all
Signature of Lobbyist:
Signature of Principal/Client:
VI. LOBBYIST IDEN11F1CATION:
65 Produced ID
Form of Identification
~Kno;>
vn. SIGNATURE AfID STAMP OF NOTARY OR DEPUTY a.ERK:
State of Florida, County of Miami-Dade
Sworn to~d subscribfd 2J?~e me
This 10 day of ~ 2002.
ry - State of Florida
~ ~ Elizabeth Bem8t'dO
Print, sta~~.~ Public
FOR CLERK'S USE ONLY
Registration: [] ACCEPTED [] REJECTED DATE:
If rejected, state reason:
Registration fee paid: [ ] Yes [ ] No
[ ] Cash [ ] Check MCR #
DATA ENTRY DATE:
1
2002
ENTERED BY:
1 First Revision - 05/17/02
, "
IV. DJSCLOSl1llE OF TERMS AND AMOUNtS OF LOBBYIST COMPEMSATION (DJSCLOSE wHEnIER HOUllL Y,
FLAT RATe OR OTHER):
A) LOBBYIST DISClOSURE:
.....-hm 1 1 0 (f VUL:b.. g ~ $.-(l<D
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): \. '16 l e2R IJY1 I::th lfY)~ 1>>,aLO
V. SIGNAT\IIlI: UNDBR (Hl1M:
ON OCTOBER lSf OF &ACH YEAR. EACH LOBBYIST SHALL SUBMIr TO THE CLERK A SIGNED
srATEMENT UJ'.lDER OATH, LJS11NG LOBBYING EXPENDrruRES IN THE OF MIAMI BEACH FOM
THE PRECEDING CALENDAR YEAR.
SIgnature of Prlndpal/cllent:
VI. LOIIIlYlST IDEN'I1FICA11ON:
d ProduadID ~~~ /).wJ~SW& ~,uV1
Fa dentification ~~
d that I have read or am
City Code as amended, and all
I do solemnly swear that all of the
famlllar with the provisions con '
reporting requirements.
Signature of Lobbyist:
I'< Personally Known
VII. SlG....1URE AND srAMP OF NOTARY OR DBPUn' cLERIC:
state of Florida, County of Miami-Dade
Swom to and subscribed before me
This day of J 2002.
Signature of Public Notary - state of Florida
Print, stamp or type name of Notary Public
FOR CLI!RJ('S USE ONLY
Registration: [] ACC6'TED [] REJECTED DATE:
If rejectEd, state reason:
Registratlon fee paid: [ ] Yes [ l No
[] sh [ ] CI1eck MCU
DATA ENlRY DATE: 2002
1
I First Revisign - O'!./17/1J2
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.
STATE OF FLORIDA, COUNTY OF MIAMI-DADE
SWORN TO AND SUBSCRIBED BEFORE ME
TInS ~ DAY OF ~-o/- .2002.
E90-~ BOO/~OO'd ZlE-l
91119E990E+
~~~, /
New lfe"u"-
Print, stamp or type name of Notary Public
KRHRYN e.8AlYEMN
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