Michael Rosenbaum, Esq.
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Oty of Miami Beach Office of the City Clerk
1700 Corlventlon Center Drive. MIami Beach, FL 33139
Ernall: dtyderlcOci.rm.mi-beach.fl.us
LOBBYIST REGISTRATION FORM
(City of Miami Beach, Qty Code Chaprer 2, DMsion 3, SeClkln 2-181)
1:1 Check Box If an Amendment OrJ 1:)t+~ '"t"'H'~ Fo{l;Y\ IS
-rPtc~"^'iaS A\...~)(1rNbEe r . f.U-O> l./ITH -r-~IO- C,.,...,
NAME OF LOBBYIST: (Last) (First) (M.I) OATS QlJAllFIED AS LOB5YlST
-l.QO S~ .;2.Nl:> ~. ~ ri~ 3C(.!lo Mu't'WlI, ~ 3~131
8IJSINESS ADDRESS: (Number Lnd Street) (Oty) t (Stale) (ZIp Code)
~6S- 31~-S'3t3 :3 tJS- ::'7'f-Cj051/ ,41Tt\-C+t-IVlES~ .4oL.Co~
TELEPHONE NUM8ER: FAX NUMBER: Et1A1l:
L LOBBYJST R!TAINED BY:
t".{C)t)~i2-N ~A-(2M1\ey. U c...
NAME OF PRINOPAljOJENT: .
c/o MICHAfc (2.oS€~^W1,€.r~ .
L :;t.. 3 fZ-1) A-v€.. q-r-€. /q c.fo M 1M1(
BUSINESS ADDRESS; (Number and street) (City)
305" - '375- err} 5
TELEPHONE NUMBER: FAX NUMBER: (Optional)
~L-
(State)
33l 3/
(Zip Code)
EMAIl: (Optional)
Fill out this section If prlnclpIIl II II Corporiltlon,. Partnership or Trust (SlIctIon 2-482 (c;)]
NAME OF OlIeF OFFICER, PAIl.TNER, OR 8ENEFIOARY: M ~ t> AetN GiS L L C
I
. UST ALl. PERSONS HOLDING, DIR.ECTLY OR INDIR.eCTlY, A 5% OR MORE OWNERSHIP IrqERESTIN SUCH
CORPORA'TlON PAR'J1IlERSHlPORTlWST:f\'\tZ PAer"',~ UC' ~Icthf~ ILo51~iMu"'"
Ast14ltl4-1V1 (l.l>S.~NBl'tWlV\ . f!.of>Et.. (\16 VI' t-OJ))' (... A- ~p u!c . ll.<l(; I PAI.-MA j't> tilt:..
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INv~sm€lJiS',(.(.c )'l)"NI'- j:::.t.'INf'Et.Z>
U. \l~~~LOB:~ I\~ ~ ~1AJ ~y 1- ill QI~
1Cl.AA .~ ~t ~~ a..~1 f~~
Issue to be lobbied (Describe in delalI):
m. CITY AGENClE5/INDMOUALS TO BE LOBBIED:
A) Full Name of IndIvldual(l1tSe B) ReI.tionshlp
CI1"Y A-~foIIltJ Ir'tt'A'rl (),.J I CrrY fI--rrot-IJ€.Y IS ofFIC ~ I >A_.
{IA /tYOi. +- Cl'rr CP ;'V\t<"I/.s:.I I ON IVII I"-"-
,...........,'".~.................. 1""11'11 .11'.....
~T~rT ?~?_rT_~nr
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IV. DISCLOSUR.E OF TERMS A"D AMOUNTS OF LOBBYIST COMPENSATION (DISCI.OSE WHETHER HOURL Y,
FlA T ItA TE OR OTHER):
A) LOBBYIST DISa.oSURE:
.fr 300 / ~
.
B) PRINOPAL 'S DISa.osU~ (OF LOBBYIST COMPENSATION);
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V. SIGNATURE UNDER OATH:
ON OCTOB~R 1 SI' OF EACH YEAR, EACH LOBBYIST SHAll SUBMIT TO THE CITY CLERIC A SIGNED
STATEMeNT UNDER OATH, LImNG LOBBYING EXPENDITURES IN THE CITY OF MIAMI BEACH FOR
THE PRECEDING CALENDAR YEAR.
I do solemnly sweat that all of the foregoing facts are true and correct and that I have read or am
familiar wltrl the provisions contained in Section 2-482 of the MiamI Beach City Code as amended, and all
reporting requirements. n (\ '"" ()(h
SIgnature of lobbyist: ~ ~
Signature of Principal/alent:
VI. L08BYIST IDENTIFICATION:
CJ Produced 10
~allY Known
Form of Identification
YD. SIGNAtuRE AND STAMP OF NOTARY OR DEPUTY CLERICl
State of Ronda, County of Miami-Dade
Sworn to ~d subscribltd before me
This 11 day of~ . 2002.
~
Signature of Public Notary - State of Rorlda
Ctf"Cdr'....,t ~t.."'''S
f'3\: ==000_11
'''',.1 EllpnI Sel*lmblr2UOOI
Print, stamp or type name of Notary Public
FOR CLERIC'S USE ONLY J
Registration: ~D [] RElECfED DATE: to /2..-0, 1)?----
If rejecnld, state reason:
Reglstnrtlon fee paid: ( ] Yes [ ] No ~ .-, ( , l ( ~~q
(]eash []Check MCR:tt~ ~
DATA ENTRY DATE: to 2002 ENTERED BY:
I
I FlISl: RevlsIon - 05/17/02
j ~ ' .
06/17/02 HON 18:23 FAX 305 3749054
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I..AWOPFtets
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City of Miami Beach OffIce of lt1I Oty aft
170D CollventiOn Cent8" Drive. MIami Beach, PI. 33139
EmilII: dtydel1cOci.ml~.lI.us
LOBBYISr REGISl'RATJON FORM
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(City of JIliilml Bead'l, City Cclde Chapter 2, DMsion 3, Sealon 2-'181)
~ Checl( Box If an Amendmeftt ($).... b,+-n:."'t"l4's: Fo{ljt'\ IS
...,.- ~~"^ ~S A\"'~ "'frl,n:~J;/z' .::t: . ~/) CoIl"",,, -rtI (;. crT'{
NAME OF LOBB'I'IST: (\at) (1'Irst) (MJ) DAlC QUAUFlED ~ LOemsr
---LOOSe..~b~. ~~3~!lo ,u, fh'\A. I. ~ ~31$1
"i'i'SiN!SS ADDIU!SS: (Nwnber bel stmr,) (~ ( (Slabe) (ZIp Q)de)
~6S- "'31'-f-S"3t'3 :3 05"- "'S7t.f.-qo-s1! -/I rrft-C*IVlES~ AoL..CCl!'1
TEISHONE NUMIlER: fAX NUMBeR.: &f1A1l:
L LOIlIl1'J5l' R&TAJNEP BY:
r4 C) 't)~ ~1\12"""1\(!Y u- c.
NAME Of PRINCPAIJQJeNT: I .
e/o MICHA'L (Z..oS€~I!t.I"'I€.r~.
!. ~ R:. 3/Z.:o ,4.11(. Q-r€. /'1 c.fo f.t I i\'Y\1 L
lllJS!NI!SS ADDRESS: (NumLer Incl Street) (City)
3O!)-~7S- '1575 305-~5'~-6fi"~'
TElEPHONE NUMBER: FAX NUMBER: (Optional)
p'-
(Stare)
33 { '31
(Zip Code)
EMA1l: (Opdomll)
Fill out this HCtIon II' principii III. Carporadlln, Paltnel'lhlp ... Trust [SlIdIotI 2-482 (1:)]
NAMe OF CtIIEF OffiCElVAIl'\li!R, OUt:NEFlC!ARY: W\. ~ p-A (2r rJ ~ ~ S' ILL c....
. UST AU. PERSONS HOlDING, D~Y ClR INDIRECI1..Y, A 5% OR. MORE OWNERSHIP INTEREST IN SUCI1
CORPORATIOr{, PAIm&SHIP OR TIWST: t-\rt. PAt:rN~S u.c: .l'tleil~G'(.. to.n:NM","" iM~A~W1.
(2.0S'N~Ml"I; R DB~'f N!)VI6'~D"b i L ~N, /"L C i /..4IG, pl'f(..~A j 1)14 It- :rN\I~~T"S. U~;
1> ,"tV \ S \C.<'~l ~F'EL.b
IlL ~LCI8~~1E: _ _.L..I ~;u,.~..u lu..-I\.:f 1'1_ iLl QJ+n......
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Jssuc to bI! lobbied (Desa1be In detail):
m. CITY A&ENCIE5JD1DMDUALSTO M LDNDD:
A) filii Nllme at lncIIvIdual/11Ge
C.1'fY A-l)M I'" I.(''tt/trl /) ,.J I Crt"I /nTOUJ l. '{ l.r off'1C (l ,
fIA~'(()t +- C~~ CoD MtI'll.n:'1 o~
B) ReI8dCll'lllhlp
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08/17/02 HON 18:23 FAX 305 3749054
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LAW OFFICES
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IV. DIfCII'lCUR.E OF TERMSAIIlD AMOUNTS OF LOBBYIST COMPENSATION (DUCLOSE WHETlfER INJUltt r,
Fl,AT RATE Oil t:nHER,)
A) LOBBYIST DISQ.CSURE:
i' .300 / ~
.
g E()o/~
.
B) PRINCJPAl..'S DISClOSUIle (OF t.OBBYIST COMPENSATION):
v. SlONATUIU! UNDI!Il 0A11f:
0" ocro.~ 1ft OF EAC2I YEAR" EACH LOBBYIST SHALL SUBMIT TO THf crrt CURl( A SIGNED
srATEMENT UNDER OATH, usnNG LOBBYING EXPENDnuRES IN THE ern' Of MIAMI BEACH FOR
THE PRECiDJNG CALENDAR 'lIAR.
I do solemnly swear that: aH cf the foregoing facts are true and correct and that I have read or am
familiar wlt\'l the provisions contained in Section 2-482 of the Miami Beach City Cede as amended, and all
reporting requirements. .
Slgnatur& of lobbyist:
Signature of Prindpal/OIent:
VL L088'fJST IDanlFXATloN:
o Produced IO
Form of Identification
X Personally Known
vu. SlGNA'IURE AND Sf AMP OF NOTARY OR DI!PUTT a.EIUC:
State of Acride, COunty of Miami-Dade
SWorn to and SUbscri~e
This iP day of . 2002.
~ '" NIcole Frederic
. ~ . My CornmlNion DD087932
'\;.. ':II Exp/Na M8Ich 08, 2001
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Signature of Public N ry - State of Florida
~iu>l e.. :f7'e.d~' {' ~
Print, stamp or type. name of Notery Public
FOR CLERK"S US! ONLY
Registration: [] ACCEPTED [J REjECreD DATE:
If rejec:tIld, state reason:
Regbb.tk.il ree paid: [ ] Yes [ ] No
[ ] cash r ] 01eck HClU
DAT" ENTRY DATE:
1
.2002
ENTER8> BY:
I FiI:!t ReIilsIon - DS/17/ff/,
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