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Catherine Corrigan M.SQ-r~cJ rt (-I''tS C~nd ~wri h~;~9 M i Ai~~1 l ~,~ ~p~O,c~ ~,~^ City of Miami Beach Office of the City Clerk ciT, F6'~, .~~,~ 1700 Convention Center Drive, Miami Beach, FL 33139 rC`~ <' ~~ /~ ,~,. LOBBYIST REGISTRATION FORM 'i S, S.•0 Lobbyist means all persons employed or retained, whether paid or not, by a principal who seeks to encourage the passage, defeat or modification , any ordinance, resolution, action or decision of any commissioner; any action, decision, recommendation of the City Manager or any city board or ~~`., committee; or any actlon, decision or recommendation of any city personnel during the time period of the entire decision-making process on such f' action, decision or recommendation that foreseeably will be heard or reviewed by the city commission, or a city board or committee. The term specifically inGudes the principal as well as any employee engaged in lobbying activities. The term "Lobbyists" has specific exclusions. Please refer to Ordinance 2004-3435. Catherine M Rockfleet Financial Services, Inc. 14 Wall St, 20th FI New York NY 10005 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 212-618-1407 212-618-1705 Cathy.Corrigan@rockileetfinancial.com TELEPHONE NUMBER: FAX NUMBER: EMAIL: LOBBYIST RETAINED BY: Rockfleet Financial Services, Inc. NAME OF PRINCIPAUCLIENT: Rockfleet Financial Services, Inc. 14 Wall St, 20th FI New York NY 10005 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 212.818-1407 212-618-1705 TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional) Fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (c)] • NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: Catherine M. COrrlgan, CE~ • IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: Catherine M. Corri an, Eileen B. Corri an u.SPECIFIC LOBBY ISSUE:; municipal securities'underwriting Issue to be lobbied (Describe in detail): r__ _ _ _ ~~ _.._~.. _._ m _._ ul. QTY AGENCIES/INDIVIDUALS TO BE LOBBIED: Pursuant to City Code Section 2-482(g) include a statement of the extent of any business, financial, familial, professional or other relationship, giving rise to an appearance of an impropriety with any City personnel sought to be lobbied -- further, pursuant to City Code Section 2- 482(a)(4) include a statement of any contractual relationship (paid or unpaid) from 12 months preceding said City personnels' commencement of service with the City to the present date, stating the general nature of the subject contractual relation. A Full Name of Individual Title B) An Financial, Familial or Professional Relationship ,~ e{~~1~6r•r ; n/a ,~~~~, ~~~.) n/a IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE: (Required) ~j6}~/~~Q~~~ ~~~`~,/~E salaried owner 1 B) PRINCIPAL'S DISOLOSURE (OF LOBBYIST COMPENSATION): ~+.,/ , p/ ~ h ~'`~` / _ vE~ (ReQUlred). saleriedowner /f~~l/'- S/ Go / '~~ The following information must be answered: 1) Pursuant to Miami Beach City Code Section 2-488 Entitled "Prohibited Campaign Contributions By Lobbyists On Procurement Issues': /~les ^ No: Are you lobbvinq on a present or pendinq bid for goods, equipment or services, or on a present or pending award for goods, equipment or service? 2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues': ^ Yes 1 / Wo: Are you lobbvinq on a pendinq application for a Development Agreement with the City or application for change of zoning map designation or change to the Citv's Future Land Use Map? 3) Pursuant to Miami Beach City Code 2-484 (h) Any person (except those exempt from the definition of "lobbyist" as set forth in Section 2-481 above) who only appears as a representative of anot-for-profit corporation or entity without special compensation or reimbursement for the appearance, whether direct, or indirect, to express support of or opposition to any item, shall register with the clerk as required by this section but, shall not be required to pay any registration fees. ^ Yes .o~/ Vo: Are you representing anot-for-profit corporation or entity without special compensation or reimbursement. . SIGNATURE UNDER OATH: 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 MiamyB~ach City Code and all reporting requirements. Signature of Lobbyist: Signature of Principal/Client: VI. LOBBYIST IDENTIFICATION: C7 Produced ID NL{ l/fZ~J UC_ Form of Identification ° ^ Personally known (Principal) } =o }~+ UN ZZO d~ S ffl r C f PAi i B ida; tate o et ounty o - ent - ade ~,w ~ d g = °' a Sworn and subscribed before me J U.-~ X This 1~-t-~]day of~,-2A98-~t0 w~° cw C7~d~c Z ~~/ ~/7~/D `=N a~ ~ Signature ofg lic Notary - StSt tee =°• i0 E z° ~ E Notarization of Principal's signature } ~ ^ Personally known (Lobbyist) }3m UN zz$ T,v VII. SIGNATURE AND STAM~.P^.OF NOTARY: w O ~ N U tJ ~ WCS~`-'~W~ y ~ ~ ~ State offioriefa, County of A/4iarei-Bede u: w ; ~' Sworn to and subscribed before me g.~=~ X This day of ~ , X969 X010 waocw z°-zm° /7 /D a ~ ~ o" Signature of P lic Notary -State of Florida E z° o o Notarizatio of Lobbyist's signature U TO BE COMPLETED BY CITY CLERK'S STAFF ONLY Annuat Registration fee: [ ]Yes [ ] No Amount Paid ~O~_MCR # 303464 " "Date Paid 2 23 2of0 Lobbyist Registration Form received and verified by: ,~, __~~~.,.z_. ~~1Lc,OJr- F.1ClER,§ALL~aFC8RMS1,LOef3YX~T FKDRNISILOhbyist Registration Fornn 25104.doc Revised 02/11/2009 Produced ID N~ ntzw U ~ Form of Identification ~ Signature of Lobbyist m MIAMIBEACN City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov CITY CLERK Office Tel: 305.673.741 1 ,Fax: 305.673.7254 CityClerk@miamibeachfl.gov ~oBBYisr nannE: Corrigan, Catherine M. I understand that no later than October 1st of each gear, I must file the following forms, pursuant to Section 2-485 of the Miami Beach City Code, with the City Clerk's Office for all active lobbying issues. 1) lobbyist Expenditure Form 2) Disclosure Form Failure to file these forms on a timely basis will result in my name being transmitted to the Miami-Dade County Commission on Ethics and for code violation evaluation. In addition, once an issue I have registered to lobby on has been resolved, I am required to immediately notify the City Clerk's Office of lobbyist withdrawal in writing. Signature: 2/12/20.10 Date: F:ICLERILOBBYIST1Lobbyist Registration Farm 32708.doc