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So Beach Ocean Parcel Ltd (' ~ ~ aty of Miami Beach Office of the aty Oerk 1700 Convention Center DrIve, Miami Beach, FL 33139 Email: dtyderk@ci.mlami-beach.fl.us LOBBYIST REGISTRATION FORM (aty of Miami Beach, Oty Code Chapter 2, Division 3, Section 2-481) .IS Check Box If an Amendment , ~hV1 !lAd I 11 .......Jnrdr nJ 0/' .tJ . w{)O(f) NAME OF LOBBYIST: (Last) (First) (M.!) DATE QUAUFIED AS LOBBYIST ..JI")( (.J.( /)'J\I'Q~lQ (IlJA~'.l_....'Jfn'f::. c:1f7i51/ ~.lt.d31~1 BUSINESS ADORESS: (Nunller and Street) (Oty) (State) I (Zip Code) L ~C)~ ") :5A{~- 111~ TELEPHONE NUMBER: 1~\"'-=>'b- 11ICt" FAX NUMBER: ~L:)1)~'JI{J;""",~~ EMAIL L LOUYIST RETAINED BY: ( Jb~ 6.1>cJ...t' ~ O~D~ ..)/1('(1' o. L-hi. cJo c 011(\ 6r~ 11 f'~r NAME OF PRINaPAL{ClIENT: TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional) Fill out this secIIan If prtnc:l.-l .. . CorpontIo;o, PIIrtnenh1p or TntIt [Sec:tIan 2-482 (e)) NAME OF OiI~ OFFICER, P~TNE!l- OR_BENEFICIARY: Vdn /1rfu~ ~ ? UST AlL PERSONS HOLDING, DIRECTlY OR INDIRECTlY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PAR-rnERSHIP OR TRUST: ~~ Do SPECIFIC LOBBY ISSUE: . . ,}jb\..QJ... In ~3 [)~A)911t\t-""Q 1'" n r W,'lI ~ Ih a.....d '-f'.f'^"-'ff; ..l ~ ~~ Issue to be lobb.ed (Describe in detail): '"__ _ . ...~~_ _ . 0 .~.... 100 _^~.. Cll,_ /L l~ ^ _ .,_ ~~ (..... ~ ....tt <> -V--' . ~) 1-Cl./l'1't:' t..J/l..U.Jl. m. CIIY AGENCIES/INDIVlDUAL5lO BE LOBBIED: A) Full..... fill IncIIvIcINI/TItIe B) Rellltionlhlp (- . IV. DISCI OSllRE Of 1ERMS AND AMOUNlS Of L088YIST COMPENSAllON (DISCI OSE WHETHER HOURL Y, FLAT RATE OR OTHER): A) LOBBYIST DISClOSURE: l-\cle .JLif <.A.A.:hJ d1 ffl(J) _ &D B) PRINOPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): lbroOO/W"'> I . l~N>l1~~ Y. SlGNAlURE UNDER OAtH: ON OCTOBER 1'" OF EACH YEAR. EACH LOII8YIST SHAU SUBMIrTO THE CITY a.ERK A SIGNED srATEMENT UNDER OATH, U5nNG LOBBYING EXPENDI1VRES 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: Signature of Principal/Client: VI. LOBBYIST IDI!N11FICAll0N: .ItS Produced ID Form of Identification ~nal~ Kn~ YD. SIGNATURE AND 5rAMP Of NOTARY OR DEPUTY CURK: State of Florida, County of Miami-Dade Sworn to~ SUbscri~~~ m.e This to day of 2002. . Fl.-hAth Bemlldo Print, sta ~eFlW!lirY Public ~.~ ExpImAugust 12. 2002 FOR CLERK'S USE ONLY Registration: [] ACCEPTED [] REJECTED DATE: If rejected, state reason: Registration fee paid: [ ] Yes [ ] No [ ] Cash [ ] Check MCR # pATA ENTRY DATE: jjJ r . 2002 I First Revision - 05/17/02 (-. . IV. ~WCIP'I OSIIRE OF 11:RMS AND AMOUII1S OF LOIIBYISI' COMPENSA1ION (DIl9a os-' WHentER HOURL Y, FLAT RAT! OR. ornER); A) LOBBYIST DtsClOSUIU:: Ih..!Lif l.o1 oJ-o dI ..y,0'I. eXJ B) ~IUIIIOI'AL 'S OISO.OSURE (0 LOBBYIST COMPENSA"T1ON): 4 (J. dJ. f!Y'I I.l. I'V\..h-r\Q..O.J)~ ~ (<fiooo.oo hi. Y. S1SNAl'UIll! UNDER OAtH: ON 0CI'08ER lIlT OF EADI YEAR. UCH LOBBYISf SHALL SUBMIl'TO 11fE CITY a.J;Rk A SIGNED srATEMENT UNDER 0A1H, LISTING lOBBYING EXPENDITV IN CITY OF f4IAMI BUCH FOR 11IE PRECEDING CALENDAR YEAR. and that I have read or am ach oty COde as amended, and all I do solemnly swear that all of the foregoing facts are tru familiar with the provisions contained in SectIon 2-482 reporting requirements. Signature of Lobbyist: Signature of Prindpal/Client: VI. LOBln'I5I'mEN1IJ'lrATlOfI: . P^,,_,D ~ , k)~~~ rm 0 ldentificatio oS Personlllly Known vn. SlGNATUIU! AND stAMP OF NOTARY OR DEPUTY C1EIUC: State of Florida, COUnty of Miami-Dade Sworn to and subscribed before me This day of . 2002. Signature of Public Notary - state of Florida Print, stamp or type name of Notary Public FOR a.ERK'S USE ONLY Registration: [J ACCEPTED [] REJECTED DATE: If rejected, state reason: Registration fee paid: [ ] Yes [ ] No [ ] Cash t J Check: MCR #: DATA I!NTRY DATE: I ~OO2 ENTEJU;D BY: 1 Fil'.lt Revis/on - 05/17/02 E90-~ 800/l00.d ZlE-! 9ll19ESSOE+ ~ve3~ SVN3a~V~ M3!-MQij~ nVlS:80 ZDDZ-ID-lO ST A IE OF FLORIDA. COUNTY OF MIAMI-DADE SWORN TO AND SUBSCRIBED BEFORE ME THIS d DAY OF ~ .2002. ~~i& ,- . ture 0 Public otary - S~~ '1 ~,cJ _ Print, stamp or type name of Notary Public KATHRYN E. BALVEMINI NaIIIIy PuIlIo, .... ell NIw'l1lrk No.01~ () - II 11'1 NIw'l1lrk CaunIy ~,,,,.I1"on ElIphI""" m123 S90-d 800/S00.d llS-l 9 lll9S990E+ ~V83~ SVN3a~~ M3l-MO~d nVSg:80 lOOl-IO-lD * : ," "_..; l\.:mw Y()RK...sTAlI.~.f~.~;g~ "'~.I!&:::.,6 .. .... .,. . .",.... 1[5:820 334784. D~R.:J,.~c;EtlSE I OOEt". , "'.~:. ..\~ · ~,... " -.......-...... ." '/: . . .,"".1 ~'_ .W . r:~': '. '~I .~ ;.:":'~