Stuart Smilow
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CITY CLEHt~'S Off ICE
City of Miami Beach OffIce of the City Clerk
1700 Convention Center Drive, Miami Bach, FL 33139
Email: cityclerk@ci.mlami-beach.fl.us
LOBBYIST REGISTRATION FORM
(City of Miami Beach, City Code Chapter 2, Division 3, Section 2-481)
o .oS Check Box If an Amendment
NAME OF LOBBYIST:
Larkin
(Last)
Michael
(First)
W.
(M.!.) DATE QUALIFIED AS LOBBYIST
200 S. Biscavne Boulevard. Suite 850
BUSINESS ADDRESS: (Number and Street)
Miami
(City)
Florida
(State)
33131
(Zip Code)
/305\ 377-6231
TELEPHONE NUMBER:
(305\ 377-6222
FAX NUMBER:
EMAIL:
I.
LOBBYIST RETAINED BY:
Stuart Smilow
NAME OF PRINCIPAL/CLIENT:
4465 Sheridan Street
BUSINESS ADDRESS: (Number and Street)
509-267-4919
TELEPHONE NUMBER:
Miami Beach
(City)
Florida
(State)
33140
(Zip Code)
FAX NUMBER: (Optional)
EMAIL: (Optional)
Fill out this section If principal Is a Corporation, Partnership, or Trust [Section 2-482 (ell
? NAME OF CHIEF OFFICER, PARTNER OF BENEFICIARY:
? LIST ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST
IN SUCH CORPORATION, PARTNERSHIP OR TRUST:
II. SPECIFIC LOBBY ISSUE:
Variance AoDlication
Issue to be lobbied (Describe In detail):
III. CITY AGENCIESIINDIVIDUALS TO BE LOBBIED:
A) Full Name of Indlvidualmtle B) Relationship
JorQe Gomez None
Armando Valdes None
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATRION (DISCLOSE WHETHER
HOURL Y, FLA T RATE OR OTHER):
A) LOBBYIST DISCLOSURE:
Hourlv $250.00
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIEST COMPENSATION):
Hourlv $250.00
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~
Signature of Lobbyist: ~
,
Signature of Principal/Client:
VI. LOBBYIST IDENTIFICATION:
o 6S Produced 10
Form of Identification
'ti 6S Personally Known
VII. SIGNATURE AND STAMP OF NOTARY OR DEPUTY CLERK:
State of Florida, County of Miami-Dade
Sworf'l !o and S~~Cribed before me
This ~ day of -<<...,2002.
G) Yaet Godoy
. ". IL.1IlOII157
....,JaIL 3J. 2005
0, --.,
"" 14DOo3!lCJ.5161
Signatur
Print, stamp or type name of Notary Public
FOR CLERK'S USE ONLY
Registration: ~ ACCEPTED [ ] REJECTED DATE: 11- - \ q \. 0 'L
If rejected, state reason:
Registration fee paid: }.(Yes [ ] No " r 71 J. I ()
[ ] Cash k'Check MCR # ~ 7 -:L
DATA ENTRY DATE:
,
, 2002 ENTERED BY:
1 First Revision - 05-17-02
,
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSA TRION (DISCLOSE WHETHER
HOURL Y, FLAT RA TE OR OTHER):
~if I ~J
I
if '2 aD tJ()
A) LOBBYIST DISCLOSURE:
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIEST COMPENSATION):
2SD .Ct)
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 requirements.
Signature of Lobbyist:
A~/4~
Signature of Principal/Client:
VI. LOBBYIST IDENTIFICATION:
[j;Y' .1!5 Produced 10
6sYO - l-tJ2 - ~"<2~3-D
Form of Identification
o .1!5 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 J!i day of ber"~2002.
Signature of Public Notary tate of Florida
~'Ii(}yn /2.r/J:df,-aicl
Print, stamp or type name of Notary Public
~'l\. Llllam R Hatfield
. ~ .: My Commission 00002020
'\;0,,,:1' Expires February 18, 2005
Registration:
FOR CLERK'S USE ONLY
be( ACCEPTED [] REJECTED DATE: 11. ~ I q ,,0 1.
If rejected, state reason:
Registration fee paid: l>("Yes [ ] No
[ ] Cash l>ct Check
MCR#
2-S1I{\O
DATA ENTRY DATE:
1
, 2002 ENTERED BY:
1 First Revision - 05-17-02