Esteban Ferreiro - ATS
City of Miami Beach Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139
LOBBYIST REGISTRATION FORM
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 the City Manager or any city board or
committee; or any action, decision or recommendation of any city personnel 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 committee. The term
specifically includes the principal as well as any employee engaged in lobbying activities. The term "Lobbyists" has specific exclusions. Please
refer to Ordinance 2004-3435.
Fei-reiro Esteban (Steven)
NAME OF LOBBYIST: (Last) (First) (M.I)
PR Concepts, Inc. 11980 SW 144th Court, Suite 206 Miami FL 33186
BUSINESS NAME AND ADDRESS (Number and Street) ~(-Cit~y),~ (State) (Zip Code) ~,~,~ ~j rJs
305-938-0236, x710 ~'~~"'~' ' -382-433 Y~2,A~„-~-o~d InfoCa~psconceptsinc.com
TELEPHONE NUMBER: \ FAX EMAIL:
LOBBYIST RETAINED BY:
NAME OF PRINCIPAL/CLIENT:
American Traffic Solutions Scottsdale AZ 85260
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
460-443-7000 480-596-4501
info@ p sconceptsi n c. com
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:
• IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN
SUCH CORPORATION, PARTNERSHIP OR TRUST:
u.SPECIFIC LOBBY ISSUE:
Red Light Cameras
Issue to be lobbied (Describe in detail):
nl. CITY AGENCIES/INDIVICIUALS TO Bf LOBBIED: (Pursuant to city code section 2-482(g)
include a statement of the extent of any business, financial, fai~lilial, professional or other relationship, giving raise 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 the
commencement of service of City personnel to be lobbied.)
A Full Name of Individual/Title B) Any Financial, Familial or Professional Relationship
City Commission
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT
RATE OR OTHER): ,
A) LOBBYIST DISCLOSURE: (Required)
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION):
(Required). (=LF~-T (~f}'T'~
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":
^ Yes ^ No: Are you lobbvinq on a present or pending bid for goods equipment or services or on a
present or pendina 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 ^ No: Are you lobbvinq on a pendina application for a Development Agreement with the City or
application for change of zoning map desianation or change to the City'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 ^ No: Are you representing anot-for-profit corporation or entity without special compensation or
reimbursement. .
V. SIGNATURE UNDER OATH:
ON OCTOBER 1sT OF EACH YEAR EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH LISTING LOBBYING EXPENDITURES AS WELL AS COMPENSATION RECEIVED
IN THE CITY OF MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL BE FILED
EVEN IF THERE HAVE BEEN NO EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD.
Signature of Lobbyist
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 and all reporting requirements.
Signature of Lobbyist:
Signature of Principal/Client:
VI. LOBBYIST IDENTIFICATION:
^ Produced ID
PRINCIPAL IDENTIFICATION:
Form of Identification
^ Personally known (Lobbyist)
VII. SIGNATURE AND STAMP OF NOTARY:
State of Florida, County of Miami-Dade
Sworn to and subscribed before me
This day of , 2008
Signature of Public Notary -State of Florida
Notarization of Lobbyist's signature
~ Produced ID
Form of Identification
Personally known (Principal)
State of ~ I
Sworn an subscribed before me
Thi ~ z~ay of ~ , 2008
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Signature of Public Notary -State of Florida
Notarization of Principal's signature
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Amiual Registration fee: [ '']Yes [ ] No Amount Paid $ MCR # Date Paid,-
Lobbyist Registration Form received and verified by: „'. _: ,,
F:\Ct:ER\LOBE3YIST\LObbyist Registration ~Forrii 327t18:doc ~ `Revised 03/.27/2008-'