Trustee for Shops at Ocean Ct
(' ~
lD
Oty of Miami Beach Office of the Oty aerie
1700 Convention Center Drive, Miami Beach, Fl 33139
Email: dtyderk@d.miami.beach.ft.us
LOBBYIST REGlSTRAnON FORM
-
(Oty of Miami Beach, oty Code Chapter 2, Division 3, Section 2-481)
65 Check Box If an Amendment
~{' Ju~~. (~{vj /ll--.
NAME OF LOBBYIST: (Last) (Fi~")"""r' .
BU~~A~;SS: R>iS~'and~~'~ ~~~ ~
(ro ~ 'I '53b-. \ \I ~ t?-n() 'l~ b -(( ( ("
TELEPHONE NUMBER: FAX NUMBER:
/'). lI~O\
(M.I) DATE QUAUFI D/lS LOBBYIST
fl-I La /U.l" g , 33.1:3 /
(State) (Zip Code)
~..RtU~
EMAIL
I. LOII8YIS1' RETAINED BY:
t.-lu1/l H ~ J. Y; n f ,'LA. ~Llll h L mu /'I tJ-. 0 . "9r ~dJ, ~ &W1).J
NAME OF PRINCIPAl/WENT:
fflOf1 J). ~ahroJ ~~Ju.u~
BUSINESS ADDRESS: (Number and S) () I
fQS\(\ f)~I-(lO I [q~<.{'\ 0~1-I0:33
TELEPHONE NUMBER: FAX NUMBER: (Optional)
-
.A .I , J l:t... ,{} i'\1f) \
(State)
B:..:J a..t J ~ I A ,6.., QQ I Q3;3~U,
(Zip Code)
EMAIL: (Optional)
FIll out this MdIon If ~ Is. Carpar........ PIIrtMn11lp or Trust [5ec:IIon 2-482 (e)]
? ~EF ~TNER, OR BENEFIOARY:
? UST ALL PERSONS HOlDING, DIRECTLY OR INDIREffiY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
Do SPECIFIC LOBBY ISSUE:
JO.....l.A..-ti NUl ~ Qf) ~ ~"-'JI,....D_ ~,,{) .JO It"\!,h I 10<..l,::}
Issue to be lobbied (Describe in detail): o--t',,-~'~ LO(d) ~ ~
m. CITY AGENQES/INDMDUALS 10 IE L088IED:
A) Full,.... r1# IndIvIdu8l/11tle
B) Rellltlonshlp
, .
,. .
IV. ~IRE OF TERMS AND AMoUN1S OF LOII8TlSr CUMPENSAlIOM (D1SCI OSE WHETHER HOURI. Y,
Fl.A T RA TE OR OTHER):
A) LOB8YJST DISCLOSURE:
..d, Eo'"l Q(f
1111
,
k~
~~~.~
~~
B) PRfflCPAl. 'S DISCLOSURE (OF lOBBvtsr COMI>E"SATION):
Y. SilGNA1Ud! UNDER OAnt:
ON OC'I'ORR 1- OF EACH ~ EACH LOII8YISr SIW.I. SUBMIT TO nlE CITY Cl.ERK A SIGNED
STAnMENf UNDER OATH, LISTING LOB8YJNG EXNNDmJRES IN THE CITY OF MlANIIEAat FOR
nil! PRECmIMG CAlENDAR YEQ.
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 as amended, and all
reporting requirements.
'L----""___._
~
Signature of Lobbyist:
Signature of Ptlndpal!CJient:
v'
VI. LOIIIM:s1' II:It:III UFAATJON:
IS Produced to
Form of Identification
#$ ~rsonarly K~
m. 5EGNA1VRI! AND sr.,.p OF NOTAIlY DJI. otI'U1Y CURl[:
State of Rorlda, County of Miami-Dade
Swom w~subsaibej before me
This 'L-"Il.." day of ~ . 2002.
~OY-_offJ<Q;lo
, .#~':7Iih YOIIAMllAM GUaIRA
~'A'~ MY COMMISSION' DOCl87S35
Print, stamp or type name ti.l.,.yP\lbllc~
FOR c:LERK"S USE CJIIU. y
Rl:glstratlon: [] A\..CEPII:;/.I [] REJEcrED OATE:
IF rejel:ted, state reason:
Reglstrlltion fee P<lkl: [ ] Yes [ ] No
[] sh ] Check MCR #
DATA ENtRy DATE: 2002
1
I First Revision - 05/17/02
9BV-~ vOO/EOO'd v2B-1
9l119ESSOE+
~va~ SVN3a~V~ M31-MO~~ nd20:S0 2002-B2-Nnr
(- '.
IV. DISCI OSIIRE Of TERMS AND AMOUNTS Of LOB8YIST COMPENSAnOfl (DISCI 05E WHElMER HOURL Y,
FLAT RATE OR OTHER);
A) LOBBYlsr DISCLOSURE: (il)1l.A ~ /.I ~ 0 ~ ..
B) PRlNOPAL'S DISQ.OSURE (OF LOBBYlsr COMPENSATION):
Y. SIGNA lURE UNDER OATH:
ON OCTOBER 1'" OF EACH YEAR,. EACH LOIIBYISI' 5HAU SUBMrr TO THE CITY a.ERK A SIGNED
STATEMENT UNDER OATH, LI5TJNG LOBBYING EXPENDnvRES IN THE CITY OF MIAMI BEACH FOR
THE PRECEDING CALENDAR YEAR.
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 as amended, and all
reporting requirements.
Signature of Lobbyist:
'L---
Signature of Prindpal/Client:
VI. L088YIST IDEIf11F1CAnON:
6$ Produced ID
Form of Identification
6$ ~nalJy ~
YU. SIGNATURE AND STAMP OF NOTARY OR DEPUTY QBU(:
State of Florida, County of Miami-Dade
Swom ~ f't. subscri~ before me
This day of ~ , 2002,
Print, stamp or type name
(tbr ~ ~f:~")
FOR a.ERK'S USE ONLY
Registration: [] ACCEPTED [] REJECTED DATE:
If rejected, state reason:
Registration fee paid: [ ] Yes [ ] No
[ ] Cash [ ] Check MeR #
DATA ENTRY DATE:
1
.2002
ENTERED BY:
J First Revision - 05{17{02
STATE OF FLORIDA, COUNTY OF MIAMI-DADE
SWORN TO AND SUBSCRIBED BEFORE ME
TillS /~ DAYOF~,2002.
~}I~U)~ ~
Si atur of Public Notary - State of Florida
~ Elzabelh 88maldo
Print, s l'fJHYe:~m8~ Public
..~lOxpilllS August 12. 2002