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Robert Switkes/Tiramesu, etc City of Miami Beach 1700 O~.e of the'c/t), Oerk Convenl~on Center Ddve, M/ami Beach, FL 33139 Email: °tyclerk@cLmiami.beach.t~ us LOBBYIST REGt. STRATZoN FORM (Oty of Miami Beach, City Code Chapter 2, Division 3, Section 2-481) o Check Box if an Amendment SWITIfES ROBERT NAME O~ (305) 534-4757 TIRAMESU, ETC. NAME C)F PRINCIPAL/CLIENT: 721 LINCOLN ROAD, MIAMI BEACH, FLORIDA 33139 (305) 532-4538 (State) TELEPHONE NUMBER: FAX NUMBER: (Opbonal) EMAIL: (OptionaJ) Fill out this ~'ction if prindpal is a Corporation, Partnership or Trust [Section 2-482 (c)] · NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: GRAZ IANO SBROGGIO · lIST ALL PERSONS HOLDING, DIRECTLy OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHZp OR TRUST: II. SPECIFIC LOBBY ISSUE: CONCURRENCY FEES Issue to be lobbied (Describe in detail): CITY AGENCIES/ZNDZVXDUAL$ TO BE LOBBZED: A) Full Name of I~ndividual/Title B) Relationship FINANCE CO~Z4ITTE CITY OF MIAMI BEACH CITY COMMISSION City of Miami Beach OffiCe of the'Qty Clerk 1700 Convention Center Drive, Miami Beach, FL 33139 Emaih dtyderk@ci.miami-beach.fl.us LOBBYIST REGISTRATION FORM (City of Miami Beach, City Code Chapter 2, Division 3, Section 2-481) [] Check Box if an Amendment SWITKES ROBERT NAME OF LOBBYIST: (Last) (First) (M.I) DATE QUAUFIED AS LOBBYIST 407 LINCOLN ROAD, PENTHOUSE S.E. MIAMI BEACH FLORIDA 33139 BUSINESS ADDRESS: (Number and Street) (City) (State) (Zip Code) (305) 534-4757 TELEPHONE NUMBER: FAX NUMBER: EMAtL: I. LOBBYIST RETAINED BY: TIRAMESU, ETC. NAME OF PR/NCZPAL/CLZENT: 721 LINCOLN ROAD, MIAMI BEACH, FLORIDA 33139 BUSINESS ADDRESS: (Number and Street) (City) (State) (Zip Code) (305) 532-4538 TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional) Fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (c)] * NAME OF CHIEF OFFICER, PARTNER, OR BENEFiCiARY: GRAZ IANO SBROGGIO . LIST ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: SPECIFIC LOBBY ISSUE: CONCURRENCY FEES Issue to be lobbied (Describe in detail): CITY AGENCIES/INDIViDUALS TO BE LOBBIED: A) Full Name of Individual/Title B) Relationship FINANCE CO~ITTE CITY OF MIAMI BEACH CITY COMMISSION [V. DZSCLOSURE OF TERMS AND AMOUNTS OF LOBBY!ST COMPENSATION (DZSCLOSE WHETHER HOURL ~ FLAT RATE OR OTHER.): A) LOBBYIS/DISCLOSURE: $2t500.00 FLAT:FEE ' ' B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): $ 2,5 0 0.0 0 FLAT FEE t) 2) Pursuant to Ordinance No. 2003-3393 Amendina Miami Beach City Code Chaoter 2. Article V~L Division 5 Thereof Entitled "CamDaian Finance Reform" Via The Addition Of Code Section 2~488 Entitled 'Prohibited Camoaian Contributions By Lobbyists On Procurement Issues": Are you IobbvJna on a D _r~____qt or ~endina bid for aoods, eauiament or services, or on a ar=sent or aendina award for aoods, eaui~ment or service? [] Yes~No Pursuant to Ordinance No. 2003-3395 Amendina Miami Beach City Code Chaoter 2, Article VII Division 5 thereof Entitled ~Camoaian Finance Reform". Via The Addition Of Code Section 2-490 Entitled "Prohibited Camoaian Contributions Bv Lobbyists On Real Estate DeveloPment Issues": Are you Iobbvina on a oendina aDDlicaUon for a DeveloDment Aareement with the City or aDDlication for chanae of zonina mad ~_e_~,_anation or chanae to the City's Future Land Use MaD? E]Yes~No V. ~GNATUREUNDEROATH: ON OCTOBER IsT OF EACH YEAR, EACH LOBBY!ST SHALL SUBHTT TO THE CTrY CLERK A SZGNED STATEMENT UNDER OATH, I~ST[NG LOBBYING EXPENDITURES TN THE CZTY OF HI[AH! BEACH FOR THE PRECEDZNG CALENDAR YEAR. ! do solemnly swear that all of the foregoingfacts~re true and correct and that ! have read or am familiar with the provisions contained in s~ction 2~82 of the Miami Beach City Code as amended, and alt reporting requirements. ~ Signature of Lobbyist: ~__-/,+--~// ~ '-, I / - ~ Produced ID [] Personally Known Form of ~[dentification ViZ. SZGNATURE AND STAMP OF NOTARY OR DEPUTY CLERK: State of Florida, County of Miami-Dade Sworn to and subscribed befo~re me This ~ day of ~C;L_L~3~,, 2003. Registration: ~ If rejected, state mason: ReglstratJon fee paid: [~ ~ ] No DATA ENTRY DATE: /~//"~'~ 2nd Revision 3/~.8/03 FOR CLERK'S USE ONLY [ ] RF_IEL.,I:O DATE: [ ]Cash [ ',]-,C~k MCR#-,~-~"~"L-~_ ,2003 ENTERED BY: