Boni Real Estate, LLCCity of Miami Beach Office of the OW Clerk
1700 Convention Center Drive, Miami Beach, FL 33139
Email: dtyclerk@ci.miami-beach.fl.us
LOBBYIST REGISTRATION FORM
(City of Miami Beach, City Code Chapter 2, Division 3, Section 2-481)
r~ Check Box if an Amendment
ROSEN HAROLD
NAME OF LOBBYIST: (Last) (First) (M.I) DATE QUALIFIED AS LOBBYI~-I'
407 Lincoln Road, Penthouse S.E. Miami Beach, FIorida 33139
BUSINESS ADDRESS: (Number and Street) (City) (State) (Zip Code)
(305) 534-4757
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
Z. LOBBYXST RETAZNED BY:
Boni Real Estate, LLC.
NAME OF PRZN~PALJCLIENT:
530 Ocean Drive, Miami Beach, Florida 33140
BUSINESS ADDRESS: (Number and Street) (C!ty) (State) (Zip Code)
(305) 761-1353
EMAIL: (Optional)
TELEPHONE NUMBER:
FAX NUMBER: (Optional)
Fill out this section if pHndpal is a Corporation, Partnership or Trust [Section 2-482 (c)]
· NAME OF CHIEF OFfiCER, PARTNER, OR BENEFICIARY:
Saba Nissan
* LIST ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
SPECIFIC LOBBY ISSUE:
Request permission to demolish and modify the courtyard
Issue to be lobbied (Describe in detail):
IIX. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
A) Full Name of Individual/Title B) Relationship
Historic Preservation Board
[V. DZSCLOSURE OF TERMS AND AMOUNTS OF LOBBYZST COMPENSATZON (Dt'SCLOSE WHETHER HOUR£ ~
FLAT RATE OR OTHER~
A) LOBBYIST DISCLOSURE:
$450.00 an hour
B) PRINC]PAL~ DISCLOSURE (OF LOBBYIST COMPENSA'r[ON):
$450.00 an hour
l)
2)
Pursuant to Ordinance No. 2OO3-3393 Amendina Miami Beach City Code Chaoter 2. Article V~T, Division
Thereof Entitled "Camoaion Finance Reform" Via The Addition Of Code Section 2-488 Entitled 'Prohibited
Camoaien Contributions By Lobbyists On Procurement Issues":
Are you Iobbvinq on a present or oendina bid for aoods, eeuioment or services, or on a present
or aendin- award for aoods, eauiDment or service? O Yes n No
Pursuant to Ordinance No. 2003-3395 Amendino Miami Beach CiW Code Chaoter 2. Article VII Division 5
thereof Entitled 'Camoaion Finance Reform". Via The Addition Of Code Section 2-490 Entitled "Prohibited
Camoaian Contributions By Lobbyists On Real Estate DeveloDment Issues":
Are you Iobbvina on a oendina aoolicetion for a Develooment Aereement with the CRv or
aoolication for chan,e of zonina mad desianation or chanqe to the City's Future Land Use MaD?
nYes B No
V. SZGNATURE UNDER OATH:
ON OCTOBER ].~r OF EACH YEAR, EACH LOBBYIST SHALL SUBMTr TO THE CTrY CLERK A SIGNED
,STATEMENT UNDER OATH, LTSTiNG LOBBY'LNG EXPENDTTURES TN THE C~i'Y OF M~AMZ BEACH FOR
THE PRECEDZNG CALENDAR YEAR.
! do solemnly swear that all of the foregoing facts are true and correct and that ! have read or am
familiar with the provisions contained in Se~-'tion 2-482 of the Miami Beach City Code as amended, and all
reporting requirements.
Signature of Lobbyist:
SignatureofPrincipal/Client: /~JJ'~ _~ / ~////.//~/~ -- ~)~ ~1%¢ , ~._~ ,.D. £~',~'~.'JI- Iytc~rto ~4.0 ~ -
.... ;,,,,,,,..;.-
~ Produced :~D /~ !1-~' "'~'"'"*'"~'~""~.! ar4rersonallv Known
' Form or :aenaticati~. ~;
ViZ. SZGNATURE AND STAMP OF NOTARY OR DEPUTY CLERK:
State of Florida, County of Miami-Dade
Sworn to and subscribed before me
This ~ day of ~ 2003.
Sig
Pri:
Registration: ~ ,[
If rejected, state reason: /
Registration fee paid: ~c-,~¥es [ ] No
DATA ENTRY DATE: ~-/.~ O[
2nd Revision 3/[8/03
FOR CLERK'S USE ONLY
] RE3EL,, bD DATE:
i]Cash [ ]Check MCR#~--~ ~/'0',~ ~
2003 ENTERED BY: ~ ~
F:\CL~HATL\LobbyistsVegistrationa03.doc