4360 Collins, LLCSent by:
GREENBERG TRAURIG
3O5 579 0717j
City of Miami Beach Office ~ ~ Ci~ Clerk
1700 Canvention Center Drive, Miami Beach, FL 3313g
Email: cib, clen%Od ,m~n~ -beach, fl ,us
I.OBBY~ST REGZSTRATZON FORM
Miami Beach, City Code Chapter 2~ Division 3, Section 2-4B1)
[] Check Box If an Amendment
Reshe .f. sky ,,, Gary
NAME O~ LOBBY[ST: (~)
1221 Brickell Avenue
BUSINESS ADDRESS: (Number and Sa'eeL)
305-579-0737
TELEPHONE NUMBER:
06/10/03
5:12PM;]e;Fax #737;Page 2/5
(First)
(city) ' (state)
DATE C~RJAL.~RED A~ LOBBYIST
33131
(Zip Code)
Z. LOBBYT. ST Ri=TAT, NED BY:
4360 Collins, .LLC
NAME OP PRZNC~PAI~CL/ENT:
1717 N. Bayshore Drive
Miami, FI
33133
eUSINESS ADORERS: (Numbe¢ and Sb'ee~) (City) (State)
305-532-3340
TELEPHONLC'N{JMBERi '- FAX NUMI~CR: (Op~ioflal) - '
(?Jp Code)
EMA~L: (Opaanal)
Fill out this s~-Uon if prindpal is a C~rporaflon, Partnership or Trt~t [$ectior~ 2-482 (c)]
* NAME OF CHIEF OFkqCSR, PAR'INER, OR B~EF~C~ARy:
L/ST ALL PER..q)NS HOLDING, DIRECTLY OR ]NDZRr:CrLY, A 50,% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATZON, PARTNERSHIP OR ~:
SPEC~FZC LOBBY
Amen~men[ 'co zoning
Issue to be lobbied (D~be in detail):
Ordinance and Zoning Map
CTI'Y AGENCZES/INDZN~OUALS TO BE LOBBZED;
A) Full Name ~f Zndlvtdualj11Ue B) RelaUonshlp
Sent by: GREENBERG TRAURIG :305 579 0717; 06/10/0:3 5:12PM;]etFex._#737;Page 3/5
D~:I..OSMRE OF TEII. Iq~ AND AHQUNTS OF LOBBYIST COMPEN$~N (DISCLOSE WHETHER ~fOUR/. ~
]:t~l. T IM TE 01~ OTHER]:
B) PPJNCIPAL'S OZSCLOSURE (OF LOi~BYIST ~MPENSA'r[DN):
$235
l)
2)
Pursuant t~ Ordinance Nh. 2n~O~.-:3a93 Amendina Miami Beach gev r_e~e__ Che~ 2. Article V~L D!~mon ~
Thereo~ EntiUed 'CamoaiQ~ Finance Reform' Via The Addition Of C_r~_e Section 2-'t88 Entitled 'Pmhibie,~
Camoaian Contributions By i nhhvists On PrOCurement IssL~s#:
Are wu Iobbvina on a Dresent or Dendina bid for a__n_N~_S; euuioment or services, or on a
or Dendinq award fl3r ao~_d__~_ eauioment or se~vioe? D YeS
Pursuant to Ordinance No. 2003-339S Amendina Miami Beach Citv Code Cha=er 2, A~ticle VH Division S
bhereof Entitled "Camoaian Financ~ Reform", Via The Addition Of f'~l~ .~ection 2-490 Entitled 'Prohibit~
Camoaiqn Contributions By Lolobvists On Real Estate Develooment
Are you Iobbvinm on a Dendine anolica~ion for a Oevelonment Aareemmnt with the Ciev or
aoDliCatlon far chanae Df zoni~a mad desianation or chanae to the City's Future Land Use MaD?
DYes ~No
V. ~GNATURE UNDER OATH:
ON OCTOBER ].st Of EACH YEAR, EACH LOBBY]~' SHALL SUBMIT TO THE CTI'Y CLERK A S~GNED
STATEMENT UNDER OATH, L~ST~NG LOBBYING EXPENDTrURE~ ZN 1'HE ~ OF MIL&HZ BEACH FOR
THE PRECEOZNG CALENDAR YEAR.
! do .solemnly swear that all of the foreg¥i~g~[acts are true and correct ar~l that ] have read or am
familiar with the provisions conta~Jned~i[~l~c~ion 2-482 of the Miami Beach City Code as amended, and ali
Signature of Lobbyist: L..~J/~ ~-"~.~.
Signature of Pri/IcipalJaient."--~/~,~,~-~'
~ Produced ID
Form of ~dentification
VLt. S~GNATURE AND ~TAMP OF NOTARY OR DEPMTV
State of Florida, County of Miami-Dude
Sworn to and subscribed before me
This ,/(:.~ dayof ~_~L)~t~ , 2003.
,,,~,~,, Senmfer Arenc~bm
?.k:;~' .-~. "-, Commission #DD 198 i S5
~_~i. '~. i;~ Expires: Mar 30, 200?
'",':'~,~ ~ ~ ~.~'.~:~ Bonded Thru
',,.1,," Atlantic Bonding Co. Inc.
Registration: ]~
If reJeCted, state reasam
~ Personally Known
Sign~-tu~e of Public Notary - State of Florida
Print, stamp or type name of Notary Public
DATA ENTRY DATE: ~.~.._,2003 ENIP..REDBY: ~../.,~.? ~
2n~ Revt~don 3/tSln3 F:\C~~~U~a03.d~