Richard E. Perez - Jose Luis Rodriguez , 4 ev 60 _ _ .
80(1)-
,................,
. , .._, Rd .
to
49 •S's Poi
eal 1 1 -A IV\ I ''' EA( H RECEIVED
qty of Miami Beach Office of the City AM I I 114
1700 Cpnvention Center Drive, Miami Beacbi fi , t ' S OFFICE
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 foreseea4ly will be heard or reviewed by the city commission, or a city board or committee. The term
specifically Includes the principal as wel ny employee engaged in lobbying a les. The term "lobbyists" has specific exclusions. Please
refer to Ordinance 2004.3435. P
TC aid ,
NAME OF LOBBYIST: Laa��st) ,� / (First) (M.i) .,�c
0 5.5 A C /I ,� a j P�. .�.5/
N
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code
5(3 (x.53 4 (99 1033 payo 2WI Jelce1 i- 0 a
TELEPHONE NUMBER: FAX NUMBER: / EMAIL:
Please notify this office if your contact information-changes: address, phone, or a -meant address.
I. LOBBYIST RETAI ED I ,Y
Ji5 e, °tail �.d r/ t/•t
NAME OF PRINCIPAL/CLIENT:
' J(0 .55 AL ' le. x(pah.e,
F. i i, .. .1. g i, 0 2
BU AND ADDRESS S t e e l ) / 818)Zt C de
TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional)
FIII 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:
n:SPECIFIC . LOBBY ISSUE: .
r .(?0i'C/ 47 . d ✓.S / )i e4 / fr Gj' /,e of t ' ,57.c /v i u / /wi s‘t )3 Issue to be lobbied (Describe in detaf J .. i
?31 V 9
ill. CITY 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
personnel' 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) Any financial, Familial or Professional Relationship
, ,----) p &orc/ 0/ ,adjzo-/tte-ri
.,
,,
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) :` 0 . /"'�
(Required).
The following Information must be answered:
1) Pursuant t• + iami Beach City Code Section 2-488 Entitled "Prohibited Campaign Contributions By Lobbyists
On Pro • ement issues ":
1 Yes _L_" No: Are ou lobb 1 • on a • resent • r • endin • bid fo • nods e • I • ment or services or on a
present or pending a ward for goods. eaupment or service?
2) Pursue' o Miami Beach City Code 2-490 Entitled °Prohibited Campaign Contributions By Lobbyists On
Rea state Development Issues ": 'e
7p It Yes Li No: Are ou iobb in • on a • endin • a lication • r a Develo • ment A • reement with the CI a or
designation or cha e to the C t
application for change of zoning. map sianati na 's Future Land Use ltv
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 a not- for - profit
corporati • or entity without special compensation or reimbursement for the appearance, whether direct, or
indirec to express support of or opposition to any item, shall register with the clerk as required by this ,
secti • but, shall not be required to pay any registration fees.
m' Yes II No• Are ou re . resentin► not for. • rofit co ' • orat on or enti w thout s • ecia com • en aeon or
_
reimbursement. .
V. SIGNATURE UNDER OATH:
N F BRUARY 28th OF EAC . YE R EACH L. BBYIST SHALL SU ' u1T TO THE C CLERK A 5 ED
STA MENT UN *ER OA LUSTI G .LOEB I G. EXPE DITUR S . AS. WELL AS COMPENSATION
REC VED 1 TH` CITY OF MI 1 BEAC • THE P C - DING , DAR YEAR. A T. EMENT SH
BE. FIL D EVEN IF THERE HAVE BE N'NO 'PENDITURES' O ' ` ' ' ENSATION DURING THE REPORTING
PERIOD.
".
nature of Lobbyist'
t do solemnly swear that all of the foregoing fa true and correct and that I have read or am familiar with the
provisions contained in Section 2-482 of the - i = - - City Code ant(. all reporting requirements.
Signature of Lobbyist
Signature of Principal/C ' _ r,V
Atir r!
* 1-- VI. LOBBYIST DE 0 CATION: PRINCIPAL IDENTIFICATION:
re • r 6Pe- 7,95" ! ''l � ro duced tD
S 4 3j��/ v �,g0Produced ID 75607-
Form of Identification Form of Identification
` 3
❑ Personally known (Lobbyist). ❑ Personally known (Principal) f , .." � . .:. 4
w ' : x; iSABELSA TELL
VII. SIGNATURE AND STAMP OF NOTARY: ;� MYCQMMi3SitINtD0878891
w - � EXPIRES: April 13, 2013
' State of Florida, County of Miami -Dade State of Florida, County of Miami -Dade '' Bonded Thru Wary Public Ur ►derwritets
* rf Swam to a - d subscribe • • efore me Swom :a and subscrib - • • =fo me
!}4 This . d. of f 01 010 This o : - y of / • � 010
Signature o ublic No °ry — State of Florida Signe re of Pub i otary — State of Florida
Notarixad • of Lobbyist's signature Nota tlon of Principal's signature
TO BE COMPLETED BY CI C ERK'S STAFF ONLY •
Annual Registratlon fee: [ ] Yes [ ] No Amount Paid zpo 'r MCR # • . U Date Paid (
Lobbyist' Registration Form received and verified:by: I /1111/111/11/01
F :w.LEit\aa t6 eFOrtma iLossiisrFORT+K! t uattistItegis tionFormga0in dac ; W Re , Ised 05/05/3010
tr
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov
CITY CLERK Office CityClerk @miamibeachfl.gov
Tel: 305.673.7411 , Fax: 305.673.7254
LOBBYIST NAME: �C iet ( Roc.c a._
I understand that no later than February 28th of each year, 1 must file the following
form, 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 and Compensation 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 e City Clerk's Office of lobbyist withdrawal in writing. ,/a
Signature: Date:
A
•
: : , s ,
. stods to- EA
„ .
. .
. „
. .
RECFf VF
City of Miami Beach Office of the City Clert2Q 0 NOV 23 AN I, . ! 4
1700 Convention Center Drive, Miami Beach, FL 3313
LOBBYIST REGISTRATION FORM
CITY CLERK'S OFF ICE
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 wel ny employee engaged in lobbying a "ties. The term "Lobbyists" has specific exclusions. Please
refer to Ordinance 2004 -3435. i P
t rcAaio
NAME OF LOBBYIST: (Last) (First) ` (M.I)
65 ,I0 rA / ` c/ IL(.a . P/33/
BUSINESS NAME AND ADDRESS Number and Street) (City) (State) (Zip Code)
3a5 ) ( tY)
5 L 3 f S 3 ( Q O 1 9.(i0.3 u / g a 2 r,( Jeuh4-
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
Please notify this office if your contact information changes: address, phone, or e-mail address.
I. LOBBYIST RETA ED ELY: ‘
J23 �,arJ ^ r/ u
NAME OF PRINCIPAUCLIENT:
J60 5,5 AL ( 12. W74".ci/2Q-6,a) F/33110
BU31,.SalsIAMEAND ADDRESS (Number and Street) (Cit) State) Zi C de)
/.51.5 c ry /co o- ain.4 e Ale/
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:
n.SPECIFIC LOBBY ISSUE:
- 17 ocr c2 Issue to be lobbied (Describe in deta 1'
33! V
CITY 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
personnel' 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) Any Financial, Familial or Professional Relationship
C•
•
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT
RATE OR OTHER): .
A) LOBBYIST DISCLOSURE: (Required) 1 i° 171°
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): �%�
(Required). •
The following information must be answered:
1) Pursuant to Miami Beach City Code Section 2 Entitled "Prohibited Campaign Contributions By Lobbyists
On Procurement Issues ":
i
❑ Yes No: Are you Iobbvinq on a present or pending 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 ":
liffes ❑ No: Are you Iobbvinq on a pending application for a Development Agreement with the City or
application for change of zoning map designation 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 a not - 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.
L' 'f Yes ❑ No: Are you representing a not - for - profit corporation or entity without special compensation or
reimbursement. .
V. SIGNATURE UNDER OATH:
ON FEBRUARY 28th 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 • • NDAR YEAR. A STATEMENT SHALL
BE FILED EVEN IF THERE HAVE BEEN NO EXPENDITURES 0 - • PENSATION DURING THE REPORTING
PERIOD.
-2 7j
- `. nature of Lobbyist~
I do solemnly swear that all of the foregoing fa true and correct and that I have read or am familiar with the
provisions contained in Section 2-482 of the M -, i Be- City Code and, all reporting requirements.
Signature of Lobbyist:
Signature of Principal /C ' - . `�
VI. LOBBYIST IDE CATION: /' PRINCIPAL IDENTIFICATION:
2 E , P ID Produced ID 736 K..64 - "a —6)
o r Form of Identification Form of Identification
d Znn-
co O <
in e,; o ❑ Personally known (Lobbyist) ❑ Personally known (Principal) ; „ z,._:.:,:: ► - - - - -
e�z ':
rr e s:% ISABEL SATCHE
`" 0 x VII SIGNATURE AND STAMP OF NOTARY: MY COMMISSION # DD 879891,
�w ,
;' , EXPIRES: April 13, 2013
cc State of Florida, County of Miami -Dade State of Florida, County of Miami -Dade ``' 9andedThruNotary PublicUnderwriters
y y
f$. 1 ••?.; . Swom to and subscribed "efore me Sworn a d subscribe• before me
> . . . : ',.:8: 1-s i This d- of D7/7 2010 This v9 y of /' M , _110
Alp 4 _i __.) .
Signature of - ublic No ry - State of Florida Signat ; re of Pub i otary - State of Florida
Notarizati . n of Lobbyist's signature Nota . zation of Principal's signature
TO BE COMPLETED BY CITY CLERK'S STAFF ONLY
Annual Registration fee: [ ] Yes [ ] No Amount Paid $ MCR # Date Paid
Lobbyist Registration Form received and verified by
F: .LL.\aFO aSti YXS " FORMS \ Lbbyis , g: ratio crass 20Vhdoc Revised 05 /05/2010
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov
CITY CLERK Office CityClerk@miamibeachfl.gov
Tel: 305.673.7411 , Fax: 305.673.7254
LOBBYIST NAME: o C a 1 R C-C 2 - -
1 understand that no later than February 28th of each year, I must file the following
form, 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 and Compensation 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 e City Clerk's Office of lobbyist withdrawal in writing. ///2-,/
Signature: Date: