Dennis A. RichardCity of Miami Beach Office of the City Clerk
1700 ConvenUon Center Drive, Miami Beach, FL 33139 R ~',~ ~ E I ~t! E D
Emaih cityderkOd.mia mi -beach.fi.us
LOBByI'ST REGI'STRATZON FOR" 03 J~!]~ -6 P~ ~: 1'7
(city of Miami Beach, City Code Chapter 2, Division 3, ~S~b. ~.n 2-~4~,1). ~-., ~, ~-
LJttY UL~.r~n ~ OFFICE
El Check Box if an Amendment
Riche~d Dennis A.
NAME OF LOBBYIST: (Last) (First) (M.I) DATE QUALIFIED AS LOBBYIST
825 Brickell Bay Drive, Suite 1748, Miami, FL 33131
BUSINESS ADDRESS: (Number and Street) (City) (State) (Zip Code)
305-374-6688 305-374-0384 dennis~richardandrichard.com
TELEPHONE NUMBER: FAX NUMBER:
LOBBYZST RETAZNED BY:
Philips South Beach LLC d/b/a The Shore Club
EMAIL:
NAME OF PRINCiPAL/CLIENT:
1901 Collins Avenue, Miami Beach, FL 33139
BUSINESS ADDRESS: (Number and Street) (City) (State) -- .(Zip Cede.) .
305-695-3236 305-695-3255 matt.par gament(~ianscnragerhotels.com
TELEPHONE NUMBER:
FAX NUMBER: (Op~onal)
EMAIL: (OpUonal)
Fill out this secUon if prlndpal is a Corporation, Partnership or Trust [Section 2-482 (c)]
· NAME DE CHIEE OFFICER, PNa, TNER, OR BENEFICIARY:
zee attacheD.
· LIST ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CO~RATION, PARTNERSHIP OR TRUST:
See attached.
1I. SPECZFZC LOBBY ZSSUE:
Sky Bar
Issue to be lobbied (Describe in detail):
'rn'. ~,~.m Y AGENCIES/INDMDUALS TO BE LOBBIED:
A) Full Name of Zndividual/'ntle B) Relationship
City Administration, City Attorney's Office, Mayor & City None
Commission, City Boards and Committees, if permissible
FLAT RA'rE OR OTHER);,
$425.00 per hour.
A) LOBBYIST D[SCLOSURE:
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): $425.00 per hour.
1)
2)
pursuant to Ordinance No. 2003-3393 Amendin~ Hiami Beach City Code Chaoter 2. Article VIL Division 5
Thereof EntiUed ~Camnaian Finance Reform" Via The Addition Of Code Section 2-488 Entitled ~Pmhibited
Camo~ian Con~butions By Lobbyists On Procurement issues":
Are VOU Iobbvina on a Dresent or pending bid for aoods, eauiDment or services, or on a Dresell~
or ~endina award for aoocb, eauiDment or service? Yes ~
Purulent to Ordinance No. 2003-3395 Amendina Miami Beach Cib/Code ChaDter 2, ArUde Vt"[ Division 5
I;hereof Entitled "Camoaian Finance Reform". Via The Addition Of Code Section 2-490 Entitled ~Pmhibitecl
C,~mpaiqn Contributions Bv Lobbyists On Real Estate Development Issues":
Are you Iobbvina on a Dendina anolicatkm for a Develooment Aareement with the City or
mnn!lcation for chanae of zonina mad desianaUon or chanae to the City's Futura Land Use HaD?
V. SXGNATURE UNDER OATH:
ON OCTOBER Is~ OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CZI'Y CLERK A S~GNED
STATEMENT UNDER OATH, I.~ST~NG LOBBYING EXPENDZTI. IRES TN THE CiTY OF M~t! BEACH FOR
THE PRECEDXNG CALENDAR YEAR.
I do solemnly swear that all of the foregoing facts are true and correct and~that ! have read or am
familiar with the provisions contained ll~ Section 2-482 of the Miami Bk~ch ~ity Code as amended, and all
reporting requirements. (-.~, J
Sig nature of Lobbyist;/I .axxrv~r~
Signature of Principal/Client:
LOBBY~T XDENTZI~CAI~Ofl:
Produced TD [] Personally Known
Form of Identification
~lGNAllJRE AND STANP OF NOTARY OR DEPUTY CLENKI
State of Flodda, County of MiamFDade-
S~tate o.f Flori.da, .Cou.n. ty ,of M, iami-Dad~li~/Sworr~ I~ ~and subscribect.before me c_,~ 1
~worn ro She suoscn_Deo before, me L~_v~t This ~ day of ,h~ ~ ~,Or . 2003.
Sig~aL'Jt~[ p~ic I~~ a Florida i Signature ~i~:s~q~J:a~ of Florida
Regis~'afion: ~:~ACCEPTED
If rejecl~l, state reason:
Registration f~ paid: ~Yes [ ] No
DATA ENTRY DATE: _(~'[ ,9~
2nd Revision 3/18/03
FOR CLERKS U~E ONLY
,2003 ENTERED BY~'~,
F :\CLER~lATL¥.obbyists~regi~b aliona03.doc