James Gran - Philips So Beach
aty of Miami Beach Office of the City aerie:
1700 Convention Center Drive, Miami Beach, FL 33139
Email: citycIertc@ci.mlami-beach.fl.us
LOBBYIST REGISTRATION FORM
RECEIVED m
-
03 AIJG 26 PM 12: 02
ClTY CLERK'S OFF ICE
(aty of Miami Beach, Oty Code Q1apter 2, Division 3, Section 2-481)
a Check Box If an Amendment
Gran James
NAME OF LOBBYIST: (Last) (First)
10 N.W. 42 Avenue, Suite 200, Miami, FL 33126
BUSINESS ADDRESS: (Number and Street) (aty)
305-448-5955 305-448-5466
(M.I) DATE QUALIFIED AS LOBBYIST
TELEPHONE NUMBER:
FAX NUMBER:
(State) (Zip Code)
cwi@civilworks.com
EMAIL:
L LOBBYIST RETAINED BY:
Philips South Beach LLC d/b/a The Shore Club
NAME OF PRlNCPAl./CUENT:
1901 Collins Avenue, Miami Beach, FL 33139
BUSINESS ADDRESS: (Number and Street) (aty) (State) (Zip Code)
305-695-3236 305-695-3255 matt.pargament@ianschragerhotels.com
TElEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional)
FIll out this section If prtndpalls . Corpontlon, PlII1:nershlp or Trust [5ectIon 2-482 (e)]
. NAME OF CHIEF OFFICER, PM.TNER, OR BENEFICARV:
See attached.
. UST All. PERSONS HOLDING, DIREcn.V OR INDIREcn.V, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR lRUST:
See attached.
Do SPECFIC LOBBY ISSUE:
SkyBar
Issue to be lobbied (Describe in detail):
m. CITY AGENCIES/INDMDUALS TO BE LOBBIm:
A} Full N.me of Indlvldual/11tIe B) Relationship
City Administration, City Attorney's Office, Mayor & City None
Commission, City Boards and Committees, if permissible
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lV. U.&:K.Lu:MI_ ur I CK"'~ ,,"U Al"lUUNI~ ur LU_' DI \"U"'II'I:N:::tAllUN \U~~ wnc I nCK nVUKL r,
FLATRATEOR OTHER): $500.00 flat rate
A) LOBBYIST DISCLOSURE:
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION):
$500.00 flat rate
1) Pursuant to Ordinance No. 2003-3393 Amendina Miami Beach Otv Code Chaoter 2. ArtIcle VII, DMsion 5
Thereof Entitled "Camoaian Finance Reform" Via The Addition Of Code SectIon 2~88 Entitled "Prohibited
Camoaian Contributions BY Lobbvists On Procurement Issues":
:rre oe~~I:::=~ 0:: :=.nte:~i==~~=~:~ or services. or on a Dresent
2) 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 2~90 Entitled "Prohibited
Camoaian Contributions BY Lobbvists On Real Estate DeveloDmert Issues":
Are you lobbYinG on a oendlnG aDDllcatIon for a DeveloDment AGreement with the Citv or
a;::~ for chanae of zoninG maD desiGnation or change to the CItY's Future Land Use MaD?
v. SIGNATURE UNDER OATH:
ON OCTOBER 151 OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, US11NG LOBBYING EXPENDITURES IN THE CITY OF MIAMI BEAOt FOR.
THE PRECEDING CALENDAR YEAR.
I do solemnly swear that all of the foregoing facts are true and correct and that I have read or am
familiar with the provisions contained in Section 2-482 of the Miami Beach City Code as amended, and all
reporting requirements. ~
Signatu,e of lobbyist: -.....- ~~
Signature of PrindpaVOlenl: . ~
VI. LOBBYIST IDEN11FICAll0N:
a Produced ID C:rfo'3)-4 5'1-55- b I ,-0
Form of Identiflcatlon
o Personally Known
Signature
Sylvia [li8Z
Print, sta~~Jj_~~ Public
, OJ'"
FOR CLERK'S USE ONLY
Registration: k:fACCEPTED
If rejected, state reason:
Registration fee paid: J::;!ies [ ] No
DATA ENTRY DATE: --l.f2. g'
2nd Revision 3/18/03
DATE:
3 -'J..0 --03
~ b 3?l\ L(--
[ ] REJECTED
[ ] Cash -'<(Check M~CR"
. 2003 ENTERED BY:
F:~ \HAll\lObbylsls\registratiOna03.doc
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