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Arden Savoy (2) SENT BV: BERCOW & RADELL, PA; ~05377e222; SEP-11-02 5:15PM; PAGE 5/e to iRECEIVED CITY CLERK'S O~Pf. ,OCT 0 2 1002 , ., it l~ 1~ .- r City of Miami Beach Office of the City CI __ 1700 Convention Center Drive, Miami Sac ,l 33139 EmaU: citycJelic@ci.miami.beach,fI.us LOBBYIST REGISTRATION FORM r ta "R .. .,' ,}' - _. -A. i, n " (City of Miami Beach, City Code Chapter 2. Division 3. Section 2-481) o .e Cheek Box if an Amendment NAME OF LOBBYIST: Lar1<in, (last) Michael (First) (M.I.) D^TE QU^LIFIED ^S LOBBYIST BUSINESS ADDRESS: 200 S. Bisc:avne Blvd.. Suite 850 Miami. FL 33131 (Number and Street) (City) (State) (Zip Code) (W1377-6231 h_'_ ,..,______ ."........._....._J~tjl.~rr-e222 TELEPHONE NUMBER: FfI\)( NUMBER: EMAll: I. L08BYIST RETAINED BY: _,_.._... ,~dJ!l_SavO\l Partners. LLC NAME OF PRINCIPAUCl.IENT: Bercaw & Radell. P.A. 200 S. Biscavne Blvd.. Suite 850 Miami, FL 33131 BUSINESS ADDRESS: (Number and Street) (City) (State) ,_"h" (3~H'Z1.-6231 TELEPHONE NUMBER: 1~~.2~_., _,__.. FAX NUMBER: (Optional) (Zip coder- ' j~rcawtjlbrzoninalaw.COIl!- EMAlL: (Optional) Fill out this section If prlnelpalls a COrporation, Partnership. or Trust [Section 2~2 (en ? NAME OF CHIEF OFFICER, PARTNER OF BENEFICIARY: Cl'lIig Spencer ? LIST ALL PERSONS HOLDINO, DIRECTLY OR INOlRECTt. Y, A. 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, FARTNERSHIP OR TRUST: II. SPECIFIC l.OBBY ISSUE: RP5-4 Code Amendment Issue to be lobbied (Desetibe in detail): III. CITY AGENCIESnNDIVIDUALS TO BE LOBBIED: -.- -- .~ '\), II) Full Name of IndlvlduallTitle B) Relatlonshl p City Commission NONE SENT BV: BERCOW & RADELL, PA; . ~05~77B222; SEp-11-02 5:1BPM; PAGE BIB IV, DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATRION (DISCLOSE WHETHER HOURL Y, FI,A T RA TE OR OTHER): A) LOBBYIST DISCLOSURE: . ,,_.mQ.mu~er ~u_,_. B) PRINCIPAL'S DISCLOSURE (OF LOBBVIEST COMPENSATION): "_,,,,._J~O.oo pel hUUI V. SIGNATURE UNDER OATH: ON OCTOBER 1.T 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 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 ot Lobbyist Signature of Principal/Client: VI. LOBBYIST IDENTIFICATION: c~~ .-.......-.......- ......-......-----........ .......-- o #1 Produced 10 Form of Identification ~ Ii Personally Known VII. ~~~~U~A~~N~MP OF NOTARY O~ DEPUTY ~RK: State of ~t;u";,~-Mianli-ge.Cj#~JA.1IJ~ sworn.'o and s~~ before me '~{r --- This l$.~ay of , 2002. ~iic N~tary - State of r1arida' Print, stamp or type name of FOR CLERK'S USE ONL. Y Registration: ( ) ACCEPTED [) REJECTED DATE: ~ Ifrejecte<l. stat. reason: . " ,oHm" . h'''_.'. Registl1ltion fee paid: [ 1 Yes ( ) NO I 1 Ca$h I ) Check MCR .. DATA ENTRY DATE: ,2002 ENTERED BY: _.., H' I 1 Flrsl Revision _ 05-17.02 , . . IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATRION (DISCLOSE WHETHER HOURL Y, FLA T RA TE OR OTHER): A) LOBBYIST DISCLOSURE: $250.00 oer hour B) PRINCIPAL'S DISCLOSURE (OF LOBBYIEST COMPENSATION): $250.00 oer 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 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 reqUireme~ ' /"1 Signature of Lobbyist: ~ L-- ,. Signature of Principal/Client: VI. LOBBYIST IDENTIFICATION: o 15 Produced ID Form of Identification ..E::r 15 Personally Known VII. SIGNATURE AND STAMP OF NOTARY OR DEPUTY CLERK: State of Florida, County of Miami-Dade Swom to and SU~ed before me This 1i. day of I 2002. .t\_.~:*'. ~157 : · !qIIIII JaIL :n. .. AIIIlD'" n t.aoo.uo.s1S1 Print, stamp or type name of Notary Public Registration: FOR CLERK'S USE ONLY [ ] ACCEPTED [] REJECTED DATE: If rejected, state reason: Registration fee paid: [ ] Yes [ ] No [ ] Cash [ ] Check ftJ# MCR# DATA ENTRY DATE: 1 , 2002 ENTERED BY: 1 First Revision - 05-17-02