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MB Red, Inc c/o Charlie Tevies ... t j 1 Oly of MIBml1leach 0IIlClI of the CIty aerk 1700 Conventlon Center Drive, Mllmll!cach, Fl33139 Emili: dlydcrkllPd.rT1I8m1.beICh.f1,us LOBBYIST REGISTRAll0N FORM '" (atv of Miami Beach. oty Code Chapter 2. Division 3, SectIon 2-481) lid Cheek Box If an Amendment rio D<'2. hJ.I/""\u NAME OF LOBllYIST: (Last) (M.I) DATE QJAJ.lFI~~arrnsr 33[~, (Zip Code) bd..(l AJ ~H){QJ .1..f'.NY"\ EMAIL: C30s-) <3h- I \ \~ TI!LEPHONE NUMBER: :r. LOB8\'ISI' RlTAIlIIID BY: ...Hd2 !J.L..d J)J\~D"u, v..Qo~ 1"." l1o.~/cll "dJJJI ~.l'l NAM~ OF ~NCIPAlJo.ttNT-;- - r . . - , . ~ _L JoDI ~lliM Q...ULM.l.:.A BUSINESS ADDResS: (Number and Street) hl1~J 6.u..c;-, (CIty) (Statl!) I Q. 63h'Cl (Zip Code) TaEPHONE NUMB.I!R.: FAX NUMBER.: (Optional) EMAIL: (Optlona1) PIn aut this .action "ptIndpId II a CIlII pllIIatlDn. ,.rtnenhlp or nust [58dIan 2-482 (c)] , NAME OF QlIEF OFFICER. PARTNER., OR BENEFICIARY: , UST ALL PERSONS HOLDING. DIRECTLY OR.INDIRECltY. A 5% OP. MOP.E OWNI!RSHIP INTEREST" IN SUQl CORPORA11ON, PARTNERSHIP op'TRUST: n. JPIIClIIK LOBBY 155U~ .fkw l~~'~ n tt l"IV~.I) (! .J J :b-.D'IVI ...::to "+ItA.. .At i1 ~ ~ bsuc to be 10 (tles;ribe in II): 0 ~W _0-) l~l &Ltv.o ~ m. cnY MEfCCES/IND1VIDUAl5lO BE LOBBIED: AI ..... N_ oflndlwlclUlI/11tJe B) R:aIatJ.MhIp &wuo 190-, LOO/900'd tOE-1 9lllm90E+ ~VS3H SVN3QHV~ M31~OH, ftd90:90 ZOOZ-BZ-90 ..... f l ~. IV. DJSCLOSLIRE OP TERMS AND AMOWITS OF LOBB1'IS1' COMPERSA11ON [DJSa ose VllHEtHER HOURL Y, J=l.AT RATE OR arHfR): A) LOBBYIST" DlSCLOSURE: ~rf ~.s.ao a) I'IUNCIPAL'S DISo.OSURE (OF LOBBYISt COMPENSATION): ~/;./ C.v &" ,"",.,....,jA ~ /.Ie J. ..r v. SIlINATURE UNDlR. OATtIl ON ocrOIER 151 OF EACH YEAR, EADI LOII8\'IS1' SHALl. suBtd'T 10 THE crrY c:LEIdC A SIGNED SfATEMENT UNO. OAnt, usrING LOBBYING EXPENDITURES IN THE CITY OF MIAMI BEACH FOIl THE PREaDING CALENDAR YbR. 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 contai in Section 2-482 of the MiamI Beach City Code as amended, and all reporting requirements. Signature of Prlndpal/Olent: VI. LOIBYJSt 1tlIt~Iil'JCATION= SIgnature of Lobbyist: lIS Produced 10 Form of Identification lit Personally Known YIL SIGNAtuRE AND 51"AMP OF IIOTAkT OR DIPU1Y a.EIIIf: State of Florida, County of MIami-Dade Swom to and subscribed before me This day of , 2002. Signature of Public Notary - State of F10rtda Print, stamp or type name of Notary Public FOR a.ERK'S US! ONLY R.eglslrBtlon: [] ACCEPreD [J RE:lECTED DAlE: If rejected, s13b: reason: Registration ree paid: [ ] Yes t ] No [ ] cash [ ] Check MCR # DATA ENTRY DATE: 1 .2002 ENI'1!REO BY: I Rrst RllVIsIor1- 05/11/02 190-~ lOO/900'd 'OE-! 91119E990E+ xvs~ SVN30~~ M3!-no~~ "d90:90 ZOOZ-8Z-90 ,I ~ J , " ~'Y"'~ Of R-t(\Ufo.O{Ol\~) STATE OF FLORIDA. COUNTY OF MIAMI-DADE SWORN TO AND SUBSCRIBED BEFORE ME TIllS d V'<f DAY OF ~ 2002. 0~J1 Signature of Public Notary e of Florida Print. stamp _ 190-~ lOO/lOO'd ,OE-1 SlllsmOE+ ~VS3H SVN3aH~ M31-MOH~ ndSO:90 ZOOZ-9Z-90 . ..~ ~~ City of Miami Beach Office of the City Clerk 1700 Convention Center Drive, Miami Beach, FL 33139 Email: dtyclerk@d.miami-beach.f1.us LOBBYIST REGISTRATION FORM (Oty of Miami Beach, City Code Chapter 2, Division 3, Section 2-481) ... Check Box If an Amendment riD O~ hJJlr\U NAME OF LOBBYIST: (Last) ~\~, BUSINESS ADDRESS: (City) (3o~) 5~-11 { (, FAX NUMBER: (M.I) DATE QUAUFI~~BYIST 33j~\ (Zip Code) bd..{l AJ ~lJ l[aJ ,1"f'Dy'Y) EMAIL: l2o$) ~3"- I \ l~ TELEPHONE NUMBER: I. LOBBYIST RETAINED BY: J:1.h, LJ..u. Dl \~ Jt\:h NAME OF PRINOPAl./Q.IENT: ~(\L. , fO~aluJ. IdJA/I~j) _t 100\ e.olliiL> CW.l.-.U.U BUSINESS ADDRESS: (Number and Street) hu~ (City) ~I (State) Ct. 6~I~Cl (Zip Code) TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional) FIll out th.. HCtIonlf prtndplll ... CorpontIon, PIIrtnenhlp or TruIt [5edIon 2-482 (c)] NAME OF CHIEF OFFICER, PARTNER, OR BENEFIOARY: ? UST ALL PERSONS HOLDING, DIRECTlY OR INDlRECfL Y, A S% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: Do SPECIFIC LOBBY ISSUE: ./JlAl.t hfl'Y1 g~ Il ~~.d) Q ~ J ~ .b-O'lt.ll .-to ~ .At h fi:i. Q.Ju Issue to be 10 ied (Describe in ill: 0 .::i..ttlW..o-..) l~( &l.ttA.O <.fiV~ m. CITY AGENCIES/INDMDUALS 10 BE LOBBIED: A) Full Nllme fIIlndlvldu8l/TlfJe B) R1118t1on1h1p d..ur tJ 0 IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCI 0Sf WHET1tER HOURL Y, FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE: '- J..JN.Ai tf ~.s,OO B) PRINOPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): Y. SIGNATURE UNDER OATH: ON OCTOBER 1ST OF EACH YEAR. EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED STATEMENT UNDER OATH, UmNG LOBBYING EXPENDITURES IN THE CITY OF MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR. I do solemnly swear that all of the foregoing facts are true and correct and that I have read or am familiar with the provisions contai in Section 2-482 of the Miami Beach City Code as amended, and all reporting requirements. Signature of Lobbyist: Signature of Principal/Client: VI. L088YIST IDENTIFICATION: " 65 Produced 10 Form of Identification YD. SIGNATURE AND STAMP OF NOTARY OR DEPUTY CLERK: State of Florida, County of Miami-Dade Sworn.J:Q.$!nd subscri~~D~ me This ~ day of ~ 2002. ~I~_= Print, ,type11l.....dlO1lllWl!ary Public ~ Exp"o, ,....".5\ 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: ~ 2002 1 First Revision - 05/17/02 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