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Bear Stearns & Co. 11 t(" ~ ~ CITY OF MIAMI BEACH OFFICE OF THE CITY CLERK 1700 Convention Center Drive Miami Beach, FL 33139 dtyderk(Q)d. miami-beach. fl.us AFFIDAVIT LOBBYIST MEANS ALL PERSONS EMPLOYED OR RETAINED, WHETHER PAID OR NOT, BY A PRINCIPAL WHO SEEKS TO ENCOURAGE THE PASSAGE, DEFEAT OR MODIFICATION OF ANY ORDINANCE, RESOLUTION, AmON OR DECISION OF ANY COMMISSIONER; ANY AmON, DECISION, RECOMMENDATION OF ANY CITY BOARD OR COMMmEE; OR ANY AmON, DECISION OR RECOMMENDATION OF ANY PERSONNEL DEFINED IN ANY MANNER IN THIS SEmON, DURING THE TIME PERIOD OF THE ENTIRE DEaSION-MAKING PROCESS ON SUCH AmON, DECISION OR RECOMMENDATION THAT FORESEEABLY WILL BE HEARD OR REVIEWED BY THE OTY COMMISSION, OR A CITY BOARD OR COMMITIEE. THE TERM SPECIFICALLY INCLUDES THE PRINCIPAL AS WELL AS ANY AGENT, ATTORNEY, OFFICER OR EMPLOYEE OF A PRINCIPAL, REGARDLESS OF WHETHER SUCH LOBBYING ACTIVrnES FALL WITHIN THE NORMAL SCOPE OF EMPLOYMENT OF SUCH AGENT, ATTORNEY, OFFICER OR EMPLOYEE. EACH PERSON WHO WITHDRAWS AS A LOBBYIST IS REQUIRED TO FILE A "CERTIFICATE OF WITHDRAWAL." 1) Lobbyist Name: Abrams Michael last Name First Name I. Middle Initial Business Phone @..Q.?) 932-0996 Message Phone Cl..Q}. 904-4083 (cell) Business Name and Address: D.A.A. & Associates 2999 N.E. 191st street, Suite 409, Aventura, Florida 33180 No. Street Suite Oty State Email Address:Mikea@katzlaw.com 2) Prindpal Retained by: Bear Stearns & Co. Inc. Zip Code If different from above Street Suite City State Zip Code (a) If a corporation, partnership, or trust, identify and provide the address for the chief officer, partner, beneficiary or interests. 3) Subject Matter (Describe in Detail): Investment Banking. L f .- /) .. .' , , l~- D .'-'~:'... I , ". ..-'-",' ~ ;Yl "....~ . -0 (,n ::.t: 0 rn ..." w "T1 CJ ("'") N rrt en ... " m City of Miami Beach Office of the City Clerk 1700 Convention Center Drive, Miami Beach, FL 33139 Email: cityclerk@d.miami-beach.f1.us LOBBYIST REGISTRATION FORM - (City of Miami Beach, City Code Chapter 2, Division 3, Section 2-481) ~ Check Box if an Amendment Abrams NAME OF LOBBYIST: To '),/7/07 (M.!) DATE QUAUFIED AS LOBBYIST Mike (First) #409, Aventura, FL (City) (State) (305) 932-0972 FAX NUMBER: (Last) 191st street, (Number and Street) 33180 2999 N.E. BUSINESS ADDRESS: (Zip Code) Mikea@katzlaw.com EMAIL: (305) 932-0996 TELEPHONE NUMBER: I. LOBBYIST RETAINED BY: Bear stearns & Co. Inc. NAME OF PRINCIPAl/CLIENT: 383 Madison Avenue, New York, New York 10179 BUSINESS ADDRESS: (Number and Street) (City) (State) (Zip Code) {2121~272-2222 (212) 272-5188 TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional) Fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (e)] ? NAME OF CHIEF OFFICER, PARTNER, OR BENEFIOARY: ? UST ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: D. SPECIFIC LOBBY ISSUE: Investment Ban~ing Issue to be lobbied (Describe in detail): m. CITY AGENCIES/INDMDUALS TO BE LOBBIED: A) Full Name of Indivldualrntle B) Relationship City Commission Financial Office IV. DISCLOSURE OF TERMS AND AMOUNlS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURL Y, <( FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE: $ 4 , 000 per mon th B) PRINOPAL'S DISClOSURE (OF LOBBYIST COMPENSATION): V. SIGNATURE UNDER OATH: ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED STATEMENT UNDER OATH, USTING 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 contained in Section 2-482 of the Miami Beach City Code as amended, and all reporting requirements. Signature of Lobbyist: ~ Signature of PrlndpaVCient: ~- - VI. LOBBYIST IDENTIFICATION: .cr Produced 10 Form of Identification XitX 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 1 2 day of Sept.. . 2002. iZ-(2~ Signature of Public Notary - Stcte of Florida ~, ANNCOMXlN ArI):o>\ MY COMMISSION I cc 919978 ....'l52! EXPIRES: MIR:h 20, 2004 ~. !londIId TIw NaIIIy NlIIc IlaIwdlIrI Ann Condon Print, stamp or type name of Notary Public / FOR CLERK'S USE ONLY Registration: M ACCEPTED [] REJECTED DATE' If rejected, state reason: / Registration fee paid: [trfes [ ] No ~TI~] Cl1eck. MCR' pATA ENTRY DATE: 2002 ~ I First Revision - 05/17/02