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Troy Russ/Glatting Jackson . m - City of Miami Beach Office of the City Clerk 1700 Convention Center Drive, Miami Beach, FL 33139 Email: cityclerk@ci.miami-beach.fl.us LOBBYIST REGISTRATION FORM (City of Miami Beach, City Code Chapter 2, Division 3, Section 2-481) D Check Box if an Amendment R f ) '5'5 IR.O'l ?~ NAME OF LOBBYIST: (Last) (Rrst) (M.I) DAlE QUAUAED i'S LOBBYIST 33 E~$'\ \~It0~ -S'\"o . OFU-At0DC. t=L 3ZAOI BUSINESS ADDRESS: (Number and Street) (City) (State) (Zip Code) 4CY7. 84~ .lolS~2 4-o""'~1>q. )..,~ar -rrUSS@ ~\o.."\-T~f'I~. c.cm lELEPHONE NUMBER: FAX NUMBER: EMAlL: I. LOBBYIST RETAINED BY: 0l-~~\t.~" -a-~f=-~toJ. \~ A~uu ~ e,U2.HA-~r JJ..IL NAME OF PRlNCIPAljCUENT: -s s ~ +>'1'\.1=- ~fklot fXt UAAJ(Y) BUSINESS ADDRESS.: (Number and Street) (City) FL (State) --szS'ol (Zip Code) +ci. 4:~ ,(p~~ lELEPHONE NUMBER: +0 ' 3q .I~~tt FAX NUMBER: (Optional) Fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (e)) NAME OF CHIEF OffiCER, PAR1NER, OR BENEAOARY: \J'J,\ \.Lt\.ro C- 'rZce.~~t') ~\,. ,~'ro..\t'TY\O...f) . UST ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INlEREST IN SUCH CORPORATION, PAR1NERSHIP OR 1RUST: Se.e. ~cl II. SPECIFI.C LOBBY ISSUE: (').."\ 'Nh.~ O~ ij{1=~ I\b, '3b. 02JD~ - C-ValL)crlt~1\ ~ &:t~'d Issue to be lobbied (Describe in detail): ~~ l'+ O?'\,,'ons III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: A) Full Name of Individual/Title B) Relationship '"'~ IV, DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLATRATE OR OTHER): A) LOBBYIST DISCLOSURE: 1$ \ 2..l:t..) ~L) ~ B) PRINQPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): 41>( l-~) J.h "Iil V. SIGNATURE UNDER OATH: ON OCTOBER 1sT OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE cnv CLERK A SIGNED STATEMENT UNDER OATH, USTlNG LOBBYING EXPENDITURES IN THE cnv 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 conta'ned in Section 2482 of the Miami Beach City Code as amended, and all reporting requirements, Signature of Lobbyist: Signature of Principal/Cn ~rSOnallY Known VI. CI Produced ID VII. SIGNATURE AND STAMP OF NOTARY OR DEPUTY CLERK: State of Florida, County of Miami-Dade Swom to aad SUbSCribe~ befo,e me This ;l./ Sj day of 1)1',' , 2003. L//Z2-/rn I . Registration: ~D FOR CLERK'S USE ONLY ] REJECTED DATE: DATA ENTRY DATE: [ ] Cash [ ] Oleck If rejected, state reason: Registration fee paid: 2003 ENTERED BY: A TL \Lobbyists\registration03.doc 2nd Revision 1/27/03 .llli . Glatting Jackson Kercher Anglin Lopez Rinehart, Inc. Shareholder Jackson, Timothy T. Rinehart, John F. Kercher, William C. Jr. Anglin, William Joel, Jr. Barth, David L. Exum, Joe H., Jr. Hood, Jay R. Lamantia, Sharon K. Kulash, Walter M. Hayo, Carey S. Percy, John H. McMacken, Thomas J. December 31, 2002 # of Shares % Ownership 152 152 151 149 90 90 90 90 70 34 24 10 1,102 December 31 2002 ownership % 13.79% 13.79% 13.70% 13.52% 8.17% 8.17% 8.17% 8.17% 6.35% 3.09% 2.18% 0.91% 100.00% 4/15/2003 1 :59 PM