2060 No. Bay Road Dev. J.Turchn
~
City of Miami Beach Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139
Email: cityclerk@ci.miaml-beach.fl.us
LOBBYIST REGISTRATION FORM
(City of Miami Beach, City Code Chapter 2, Division 3, Section 2-481)
Check Box if an Amendment
Adler. Brian S.
NAME OF LOBBYIST:
(Last)
(First)
Au~st 15.2002
(M.I) DATE QUALIFIED AS LOBBYIST
200 S. Biscayne Blvd.. #2500. Miami. FL 33131
BUSINESS ADDRESS: (Number and Street) (City)
(State)
(Zip Code)
(305) 350-2351
TELEPHONE NUMBER:
(305) 351-2206
FAX NUMBER:
badler@bilzin.com
EMAIL:
I. LOBBYIST RETAINED BY:
2060 North Bav Road Develqpment. LLC/John A. Turchin
NAME OF PRINCIPAUCLIENT:
1900 Sunset Harbour Drive. Suite 1. Miami Beach. Florida 33139
BUSINESS ADDRESS: (Number and Street) (City) (State)
(Zip Code)
(305) 672-0702
TELEPHONE NUMBER:
(305) 531-0318
FAX NUMBER: (Optional)
itruchin@bellsouth.net
EMAIL: (Optional)
Fill out this section if principal is a Corporation, Partnenhip or Trust [Section 2-482 (c)]
NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: John A. Turchin
LIST ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP
INTEREST IN SUCH CORPORA TION_ PARTNERSHIP OR TRUST: John A. Turchin. Rony Seikaly
n. SPECIFIC LOBBY ISSUE:
Property located at 2060 North Bay Road. Miami Beach. Florida and annearance before staff and
boards includin~ Sim!:1e Family Residential Review Board
Issue to be lobbied (Describe in detail):
III. CITY AGENCIESIINDIVIDUALS TO BE LOBBIED:
A) Full Name of IndividualJTitle B) Relationship
Single Family Residential Review Board 8/19/02
Any Subsequent Meetings Needed
Doc. #584274
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER
HOURLY, FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE:
$270 per hour
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION):
$270 per hour
V. SIGNATURE UNDER OATH:
ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES IN THE CITY OF MIAMI BEACH FOR THE
PRECEDING CALENDAR YEAR.
I do solemnly swear that all of the foregoing facts are true and correct and that I have read or am familiar with the provisions I _
contained in Section 2-482 of the Miami Beach City e as amended, and all reporting requirements. L ~W;yN -\0 Me! ~v b ,crj ~
'<X-.wr~~ ~i,> !i: J..a,
t Signature of Lobbyist: \ 2..O>'L
Signature of Principal/Client: j
u lit' """ t:l,1Jd.s,i1r-
OFFICIAL N
N' 'LILLIAN BEAUCHAMP
['. N.QI'ARYPUBUWATEOFFLORIDA
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. .29,2006
Form ofIdentification .... r .J
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VI. LOBBYIST IDENTIFICAT
=> Produced ID
X Personally Known
VII. SIGNATURE AND STAMP OF NOTARY OR DEPUTY CLERK
State of Florida, County of Miami-Dade
Sworn to and subscribed before me
This tL day orp.._ )~, 2002.
f" ~.'tiii""'" "" '.UD........ ORTIZ
i'$>>~ "~In
<:*;' . ~~ MY COMMISSION It CC 797302
.': ~;., i EXPIRES: December 17, 2002
".r,ii'.r.. . Bonded l11lU Pichard 1nSUf8/1C8 Agency
Signature f ublic Notary - State 0 Florida
~L/2- A uT.&- CJ,e.r;":)
Print, stamp or type name of Notary Public
Registration:
~;TED
FOR CLERKS USE ONLY /
[ ] REJECTED DATE: 6' A /0;;)--
-0-,. I
If rejected, state reason: .____'
Registration fee paid:I'[J Yes []
C)J~ '/\ I >.~, []
pATA ENTRYDATE:~'2002
No
Check MCR #
Doc. #584274