Will Pirkle - Philips So. Beach
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- RECE\VEO
City of Miami Beach Office of the City Cierk M \2' 02
1700 Convention Center Drive, Miami Beach, FL 33139 03 ~UG 26 Pn '
Email: dtycIer1c.@d.miami-beach.ft.us CC
LOBBYIST REGISTRAnON FORM CITY CLERK'S OfF \ t...
(City of Miami Beach, City Code Chapter 2, Division 3, Section 2-481)
Cl Check Box if an Amendment
)lirlcle ~ill
NAME OF LOBBYIST: (Last) (First) (M.I) DATE QUALIFIED AS LOBBYIST
4940 N.R 27 Avenue, Lighthouse )loint, FL 33064
BUSINESS ADDRESS: (Number and Street) (City) (State) (Zip Code)
954-596-2534 954-596-2534 wi11@tritonesystems.com
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
-
L LOBBYIST RETAINED BY:
)lhilips South Beach LLC d/b/a The Shore Club
NAME OF PRINCPAljCLIENT:
1901 Collins Avenue, Miami Beach, FL 33139
BUSINESS ADDRESS: (Number and Street) (City) (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 prlndpells a Corporation, ,...,.enhlp or Trust [SectIon 2-482 (e))
. NAME OF CHIEF OFFICER, PlATNER, OR BENEFICIARY:
See attached.
. UST All PERSONS HOLDING, DIREGnV OR INDIREGnY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR lRUST:
See attached.
Do SPECIFIC LOBBY ISSUE:
SkyBar
Issue to be lobbied (Describe in detail):
m CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
A) Full Name ~ IncIvldual/11tIe B) Relationship
City Administration, City Attorney's Office, Mayor & City None
Commission, City Boards and Committees, if permissible
IoV. UI.:M.LU:M.lKC ur I E:KI'I::' AnIU Rl'lUUn I::' ur LUDDY I.:t I \'u1'I_n_IIoUn lUI.:M.Lu::.E: nnE: I nE:K nUUKf. r,
FLATRATEOR OTHER):
A) LOBBYIST DISCLOSURE: lIDu l< L ~\ \'<t
B) PRINCPAL'S DISCLOSURE (OF LOBBYISTCOMPEN5ATION):~t.
1) Pursuant to Ordinance No. 2003-3393 Amenclina Miami Beach Otv Code Chaoter 2. ArtIde VII. DMsion 5
Thereof Entitled "Camoaian Finance Reform" Via The Addition Of Code Section 2-488 Entitled "Prohibited
Camoaian Contributions BY Lobbvists On Procurement Issues":
:~:;i~ab:=~O;:': ::::~e:~i==:::~~:U~ or services. or on a DreseM
2) Pursuant to Ordinance No. 2003-3395 Amendina Miami Beach CItv Code Chaoter 2. Artide VII DIvision 5
thereof Entitled "Camoaian Finance Refonn". Via The Addition Of Code Section 2-490 EntitIecI "Prohibited
Camoaian Contributions BY Lobbvists On Real Estate Develooment Issues":
~~~""'..):.'':~'".;''''~~:;'MIP?
V. SIGNATURE UNDER OATH:
ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE aTY a.ERK A SIGNED
STATEMENT UNDER OATH, USTlNG LOBBYING EXPENDITURES IN THE aTY OF MIAMI BEAOt FOR
THE PRECEDING CALENDAR YEAR.
Signature of Lobbyist:
Signature of Principal/Client:
VI. LOBBYIST IDENTlflCA11ON:
~ Produced 10 tU,L. (J').lf..'rl.~..' 'f...2'lJ) -0
Form of Identification
e e and correct and that I have read or am
2-4 of the Miami Beach City Code as amended, and all
,
I do solemnly swear that all of the foregoing fa
familiar with the provisions co . d i.n Se .
reporting requirements.
o Personally Known
Signatu
MAY 8 2006
VD.
Print,
FOR CLERK'S USE ONLY
Registration: k ACCEPTED
Ifrejected, state reason:
Registration fee paid: ~es [ ] No
DATA ENlRY DATE:
[ ] REJECTED
DATE:
<g - 110 --03
JlH"J f~
[ ]Cash~
MCR#
. 2003 ENTERED BY:
2nd Revision 3/18/03
F:\CLER\HAll\lobbyists\registrationa03.doc
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