301 Ocean Drive Condo Assoc.
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City of Miami IleICh OMea of lIle cny Clerk
1700 Conventlon Cenlel' Dr1ve, Miami Ileacl'l, FL 33139
Em,ll: C1l\1C1erlcOclJNmI-IleICtl.II.U$
LOBBYIST REGISTRATION FORM
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L ',. ',\>: i'~ 1.-'00 ,.,
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COt'( ofMiaml8udl, Oty Colle Claple, 2. Division 3, ~,,~~l):i)K'S OF r- ICE
~ChKk BD)( Ih" Amendment Sl!e. Fit'~1 ~<<Nt~""1-' 3FO!~ Cj,~};~07.
B N.s.'- ~oth;"'ed)
(Last) (first) D......:.M:I~ ~TE QUALIfIED AS LOBBYIST
\~'t L.o~IO~ R1i::. N.t01'A\~L 33/3q_
BUSINess ADDRess: (Number and Street) (City) (Slate) (ZJp COde)
3:>5-53d~05~)(') 305~S31~DlSb Knrrt:bl)~\~'N~
TeLePHONE NUMIlER; FAle NUMBER: eMAl1.:
I. La"nsr ....AlNED ay:
BQj ~~\~ CoNDOMINiuM ~OCI'({rrow4NC.
NAME OF PIlINCIPAL/C ENT:
8~1 DcEftN OI4vc
BUSINESS "DORE5S: (Number .ncl Slrftl)
SD5 r to / d - 0> '-f ~ b
T!l.EPHONE NUMBER: FAX NUMIER: (0pfJ0nII)
(eil'()
J (Stale)
!MAIL: COCltlonaI)
,.. eut ltIIa nctIoft I' prine.,.. Is . CorpordlOll, ~1II1JI"'hlp or Trust [5KtIon 2-482 (c))
. NAME OF OIlE" OI'l'JCER, PARTNER, OR BeNEPlC~ T
'B?AN\.< ~L U IS'-C. 1\, C..... t1LESIQ€J\}
. UST ALL PeRSONS HOLOING. DIRECTlY OR INOIRfCTl Y, A 5.... OR MORE OWNWHIP INTEREST IN Sl1CH
CORPORAllON, PARTNERSHIP OR TRUST:
f'JON ~tRe:rfIT CoNdOM uM I RtD ".l
II. SPECI'ICLOIIUSlUEI a...e,. ( rtp"~~(" land>" ce"'(t?r-I'\ff'l/l""
ISOOO'-CA"'\Dr c..- Q.",d 15'15 CcI/,oIt3 A;.Jc CfM).'()1"l\o(use et-Jr1,is
Issue to be IClbblecI (Describe In der.il): "l.o^u.MI"1 Ou /Q 'n~",1- t"fJ/il6(oh,,-e,;!-
IU. crry AGINCnS/JNDMDUALS TO BI LOBBIED:
A) Purl Neme ", IncI.~""/Tltle
I) lleIeaonship
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,.. IV. OIICLOSU'" 01" TlRMS AND AMOUNTS 01" LO..YlST COMNNSAnON (DISCLOSE WHITHER IIDlIIII. r,
I'I.A T ~ TI! 0It OTHBI~
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~ 5, [XX) R.'E.'\A/(JcQ.
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I) PR.lNCIPAL'S DISCLOSURE (OF LOBBYIST COHPENSAl1ON):
A) LOBIYlST DiSClOSURE:
Y. SlGNAYUIlE ""DU OATH:
ON OOOIll!R 1- 0' EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CrTY ClERK A SIGNED
STATEMENT UNDeR OAtH, usnNG LOBBYING EXPENDn'URES IN THE cItY OF MIAMI BEACH FOR
THE '''ECEDING CALENDAR YeAR. '
I do solemnly swear that an of th foregoing facts are true and correa and that r have read or am
familiar with the provlslo lned I on 2-482 e lami Beach Oly Code as amended, and an
reporting requirements.
Signature or Lobbylst:
Signature of PrlndpaVCllent:
VI, LDHYl5r IDlHTlflCATlON:
o Produced ID
Form of Identification
...,.. Personaltv Known
VII, SlClNATUU AND STAMP 01" NOr_V OR DEf'UTY CLERK:
5t1te at Aorid., County of Miami-Dade
Swam to and SUbscrl~~:1e ~
This ~ r day of 200...,
Print, stamp or type name of Notary Public
'OR CLERK'S USE ONl V
Reglstratlon: ['N ACCEI'TED [} REJECTED
If rejected, state r..son:
Reglsntion tee paid: [ ) Yes M Nil
[ ] Cash ] Check MeR'
\ - ~-lQ3
DATE;
DATA ENTRY DATE:
I
"21Kr2'"" ENTERED B .
I ..... RevIsIon - 05117/02
TOTAl. P. 02