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Arden Savoy SENT BV: BERCOW & RADELL, PA; , ... 305~77a222; SEP-11-02 5:17PM; PAGE ~/4 r- , ECa:=!!:'I\ l\VIT"'"",, R It'~';fi i,~ ! ell'{ CLERK S D' OCT 0 2 ?r"~ J3'J 11I]me i City of Miami Beach 0fIIce of the City Clerk \ 1700 Convention Canblr DrIv., Mieml l!4Ictl. FL~9 Emall: cityclerkOci.miami-bellCh.ft.us LOBBYIST REGISTRATION FORM .' .... ...... . (City of Miami Beach, City Code Chapter 2, Division 3, Section 2-481) o 6! Cheek Boll: if .n Amendment NAME OF LOBBYIST: Dabtly (Laet) 2508 Ponce De Leon (Numb8r and Stnillt) DElvid (First) (M.!.) DATE QUALlFIE;O AS LOBBYIST BUSINESS ADDRESS: Coral Gables (City) Florlda , (State) 33134 , , (Zip"Code) (3051 445-2808 TELEPHONE NUMBER; (305) 445.2884 FAX NUMBER: EMAlL; I. LOBBYIST RETAINED BY; ,.Arden SaVOY Partners. LtC NAME OF PRINCIPAUCLlENT: Bercow & Radell. P,A, ~~$._Bilcavne Blvd.. Suite 850 Miami. FL 33'31__ BUSINESS ADDRESS: (Number and Street) (City) (state) (Zip COde) (;3Q,Gt;}1],~O- TELEPHONE NUMBER: (3051377-6222 FAX NUMBER: (Optional) m',' ,..' jb~rcow@brzol)l!1alaw, com EMAIL: (Optional) Fill out this sKtlon If prlnelPlllls a Corporation. Partnership, or Trust [Sec:tlon 2-482 (e)] ? NAME OF CHIEF OFFICER, F'ARTNER OF BENEFICIARY: Craig Spencer ? LIST ALL PERSONS HOLDING, DIRECTLY OR INDIRSCTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: II. SPECIFIC LOBBY ISSUE: RPS-4 OO~ A~n~ment I&sue t(l b9 lobbied (De~be in detail); III. CITY AGENCIESIINDIVIDUALS TO BE LOBBIED: A} Full Name of Indlvldualrrltle B) Relationship ~ City CommI$$lon NONE SENT BV: BERCOW & RADELL, PA; ~05~77a222; SEP-11-02 5:17PM; PAGE 4/4 J ,., . IV. DISCLOSURE OF TERMS AND AMOUNTS OF lOBBYIST COMPENSA TRION (DISCLOSE WHETHER HOURL Y, FI.A T RA 7E OR OTHER): A) LOBBYIST DISCLOSURE: Hourly $ 2 2 5 . 00 $225.00 B) PRINCIPAL'S DISCLOSURE (OF LOSBYIEST COMPENSATION): , Hourlv V. SIGNATURE UNDER OATH: ON OCTOBER 1*' OF EACH YEAR. EACH L08BYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED STATEMENT UNDEIt OATH, LISTING LOBBYING EXPENDITURES IN THE CITY O~ MIAMI BEACH FOR THE PRESEDING 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 -482 of the Miami ach City Code as amended, and all reporting requirements. Signature of Lobbyist: Signature of Principal/Client: VI. LOBBYIST IDENTIFICATION: . Ii=- ~ ~ Produced 10 F1- Dr.:... L,e. D I~d -1?~~53 -~l/;;.-d Form of Identification o K Pel'5Onaly Known VII. SIGNATURI: AND STAMP OF NOTARY OR DEPUTY CLERK; State of Florida, County of Miami.Oade Sworn to and &u~rlbed before me This ~ day of .Sf1 H002. .(!~ i,ature of Public No - State of Florida Gft!! n (J a ~~ (!71rrpJ/ Print. stamp or type name of Notary Public /" FOR CLERK'S USE ONLY , ("\ 1-, \ ^ ') Reglstratlon: ru4fCEPTED I I REJECTED DATE: ~ If rejected. state reason: 'fJRI'"' Registration fee paid: [ I Yes [ ] No [ ] Cash [ ] Check MCR # , " _ DATA ENTRY DATE: _ .2002 ENTERED BY: I 1 First Revision _ 05-' 7-02 SENT BV: BERCOW & RADELL, PAj ~05~77e222; SEp-17-02 2:01PMj PAGE 3/5 . . . IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATRlON (DISCLOSE WHETHER HOURL Y, FLA T RA TE OR OTHER): A) LOBBYIST DISCLOSURE: ~Ja~5;(}} _' Ii d!lS.~ .' ,,- ..t'awIf, - ~ B) PRINCIPAL'S DISCLOSURE (OF LOBBVIEST COMPENSATION): _, V. SIGNATURE UNDER OATH: ON OCTOBER 11T OF EACH VEAR, EACH LOBBYIST SHALL SUBMIT TO THE CIlY CLERK A SIGNED STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES IN THE CITY OF MIAMI BEACH FOR THE PRESEDING 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 IDENTIFICATION: C~ o It Produced 10 Form of Identification .. )Ii .G Personally Known VII. ~GNATURE ND ST"MP OF NOTARY OR DEPUTY CLE,RK: )C,(.O.. . State of lkIot;da, unty oHAiami 6ade O~ SWorn 12 and S~b.ed before me P--- - -0- ThisJ-L day of I 2002. _ Registration: FOR CLERK'S USE ONI.. Y ( ] ACCEPTED () REJECTED DATE: Ir rejecaed. staf8 reason: _"' . RegistratIon fee pllid: I ) Yu I ) No I) Cull I) Check MCR*_". DATA ENTRY DATE: 1 "' . 2002 ENTERED BY: 1 First Revision - 05-17-02