4360 Collins, LLCSent by: GREENBERG TRAURIG
;505 579 0717;
QW of Hiami Beach Office a' the City Cleric
t7~0 Convenaefl C. enl~,r Ddve, Mlatal ISea~, FL 33L3Cj
Email: d tycJertt O cJ,m~M -bea~. fi.us
LOBBYZS'r REGZSTRATZON FORM
(Qty (~ Mmn~ Beach, O~ Code Chapmr 2, Olv~on 3, S~do~ 2-481)
u Check ~o~ if an Amendment
Dougherty Lucia
-~A~E OF LoBBY]sT: ?Last) .... (first)
1973 Rri~l~l 1 Avenue Miami
~51N~S ~D~: (Nu~ a~ St~t) (O~)"
305-579-0603
TELEP~E NUMBS;
06/10/03
5: 12PM;]etF~
#737;Page 4/5
~.l) DATE qUALIFIED AS LOBBY[ST
F1 33131
(Sram) (Zip
FAX NL~BER: EMA~I-;
LOII~YZ~'r RETAZNED ~y:
NAr4~ OF PRINCIR~L/¢LIENT:
T,T,(~
1717 N. Bayshore Drive
Miami Fi 33133
I~JSlNE$$ A~DRES~:
305-532-3,340
TELEPHONE NUMBER:
(Number arld Street)
F~ NUMBLY: (Ol~onal)
{zip Cede)
ENML: (0~)
Fill out ttd~ r~ect~n if prindpal Is a cerporation, PMmemhip or TmsC [Secti~m 2-482 (c)]
· NANE OF CHIEF OFI~EF_R, PARTNER, OR BENEF']CI, AEy:
- L~T ALL PERSONS ~iOI..DIN~, D1RECTLY OR INDIRECTLY, A 5% OR MO,%E OWNERSHZP IN335REST IN SUCH
CD~O~A]]ON, PARTNERSHIP OR TRUST:
SPEC~FZC I.O~liy ZSSUE:
Amendment to Zoni.n..g Ordinance and Zoning Map
[~e to be lobbied (De~/ibe in ~il): '-
~. ~ AGENCZES/~IDiV~DUALS TO BE LOBBIED;
A) Full Name of individual/Title B) Relationship
Sent by: GREENBERG TRAURZG 305 579 0717~ 06/10/03 5:12PM;]etFax #737jPage 5/5
~V.~ DISCLOSURE OF T~S ~D ~NT5 OF ~B~ ~PEN~N (~L~E WH~H~R ~ ~
~T~ O~
8) PRINCIPAL'S D!c,~ r'~.J,qE (OF LOBBYL~T COMPEN.?,ATION): $ 4 ~ fl
Pursuant to Ordinance No. 2003-3393 Amendine Miami Beach C"~ t'nd~ Chaoter :~. Article V]L Divisioq.
Thereof Entitled "Camoaian Finance Reform" Via The Addition Of c~e__ Section 2-488 Entitled
Camaaian Contributions By Lobbyists On Prqcurement ~m,e~~'
Pursuant to Ordinanoe No. 2003-3395 Anneadirm Miami 6each Cit~ r-r~_e Char~er 2, ArUcle V~! Djv~ion ~
thereof Entitled 'Cam~aiqn Finance Reform", Via The Aadieion Of ~ _q~i,~n 2-4g0 EntiUed ~Prohibited
Camoaiqn Contributions By Lobbyists On Real P~a~e Oeveinn~cFt1~)~a~f,~_~;
Ar~ YoU IobbyJn(~ on a_DelKlina aaDXcation for a Dm,~!,~,,me~t &_are~m~nt w/th the CRy ~--
auDlicati~on for chanae Df zonina maD de~ianat~on or chana_e t_o the City's ~u~re Land Use MaD~?
V. SZGNATURE UNDER OATH:
ON OCTOBER 1st OF EACH YEAR, EACH LOBBYZST SHALL SUBHI'r TO THE t.&l t' CLERK A SZGNED
STATENENT UNDER OATH, L]~iING LOBBYZNG EXPEND/'rlJRES ~1 THE CXTY OF M/AH/BEACH FOR
THE PRECEDZNG CALENDAR YEAR,
I do solemnly swear tha~ all of the foregoin9 tacos are true and correct and that I have read or am
familiar with the provisions contained i~SeL-tion 2-482 of the Miami
reporting requirements. ~ Beach City Code as amended, and ail
Signature of Lobbyist:
Signature of Principal/Client:
Produced [D
Form of [dentification
{~TPersonally Known
vzI. ~GI~TURE AND $1'~J~P I~ NOTARY 0~ Dt;FUTY CLERK:
State of Rodda, County of Miami-Dade
Sworn to and subscribed before me
This !~ day of .\L~(~ , 2003.
.... ~,,,, Jennifer Arencibia
,-'~LL,,;'~..~'~ C0mm~ss~on #DD 198185
5. ~'~x~. 3.*-:- Expires: Mar 30, 2007
;',~.'½...-~.. -" Bonded Thru
^tlanuc Bondm§ Co_ Inc.
Signatfire of Public Notary - State of Florida
Print, stamp or type name of Notary Public
ReglslzaUon: [ ] ACCEPTED
If m~ state
[]ATA EN"~Y DATE;
2n~ Revk~an 3/~8/03
FOR C4.ERK'~ ~ ONLY
[ ] RE]ECT~O OAT~: