63rd Street Associates, Ltd
m
I City of Miami Beach Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139
Email: cityclerk@ci.miami-beach.f1.us
LOBBYIST REGISTRATION FORM
-
(City of Miami Beach, City Code Chapter 2, Division 3, Section 2-481)
o Check Box if an Amendment
Sacks, David E.
NAME OF LOBBYIST: (Last)
(First)
(M.I) DATE QUAUAED AS LOBBYIST
2 So. Biscayne Blvd., Suite 2400. Miami.
BUSINESS ADDRESS: (Number and Street) (City)
FT. :1:11 :11
(State)
(Zip Code)
305-379-2425
TELEPHONE NUMBER:
":InC\ ~7a ?A?O
FAX NUMBER:
EMAIL:
I. LOBBYIST RETAINED BY:
N.PM!~1 P~Jcfp~~eUEMSGlci a tes, -Ltd.
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16:12 P@!nn1=lylY;;lT~i~ ~"pnnp". Mi"mi ):lp<lC'b. FL 33139
BUSINESS ADDRESS: . (Number and Street} (City) (State)
.~ ' /
(Zip Code)
":I"~ C;;":I1 A700
TELEPHONE NUMBER:
;Q5 is)1 91QJ
FAX NUMBER: (Optional)
EMAIL: (Optional)
Fill out this section If principal is a Corporation, Partnership or Trust [SectIon 2-482 (e)]
. NAME OF CHIEF OFACER, PARTNER, OR BENEACIARY:
Craig Robins
. UST ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A S% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
Craig Robins
n. SPEOFIC LOBBY ISSUE:
..
Condit.iona.' TTf=tp P~rm;~ Tnr (""nn~Tr",...+-;nn n-F nn,...1r~
Issue to be lobbied (Describe in detail):
In. CITY AGENCIES/INDMDUALS TO BE LOBBIED:
A) Full Name of Individual/Title B) Relationship
.
Planning Board
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURL Y,
FLA T RATE OR OTHER):
A) LOBBYIST DISCLOSURE: $ 260/19? "" 0'] r 1 y
-* B) PRINCIPAL'S DISCLOS~RE (OF LOBBV.::r
V, SIGNATURE UNDER OATH:
ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, U5nNG LOBBYING EXPENDITURES IN THE CITY OF MIAMI BEACH FOR
THE PRECEDING CALENDAR YEAR.
Signature of Lobbyist:
Signature of Principal/Client:
VI. LOBBYIST IDENTIFICATION:
a Produced ID
Form of Identification
Sf Personally Known
VII. SIGNATURE AND STAMP OF NOTARY OR DEPUTY CLERK:
State of Florida, County of Miami-Dade
Sworn to and SUbscribs~me
This 12 f~ay oh ~002.
Registration:
~PTED
FOR CLERK'S USE ONLY
q /30/ Q3
[ ] REJECTED DATE:
If rejected, state reason: /'
Registration fee paid: [y-<(es [ ] !'I 0 /'
[ ] Cash [treneck MCR #
DATA ENTRY DATE: r 1.-;;, 0 I ~
1 I I
ENTERED BY:
I First Revision - 05/17/02
SEP-28-03 04:08PM FROM-PATH~N LEWIS,JIP
305-3782420
T-B86 P,02/05 F-BOB
LW
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. q""~'
-'
Cl~ or Miami Budl Ol'lir:e or lI'Ie CIty Clerk
17DD CIlnVllnllrm CatltaI' Orfvll, f'1iw I5ellCh, FL 33139
Wlalh dl;yl:ferlC4lld,miarnH:leacl\.ff.llII
r.CIIBYIST ltEGISTRAllDN FDltM
(CIty ~r MlamlllelCh, CIty Code Cha~ 2, Division 3, Sec:llcn 2-"181)
C:::J Check .-ox If 1111 Amendment
SaCIeS, David E.
NAM!: OF LOI1IBYIST: . (~)
2 So. B1scayne Blvd., Suite
l!USlfljESS ADDRESS; . (Number /II1d Slrllt)
(FII'St)
2400. Miami.
(CIty)
(M.I) PATE quALIFIeD AS LOllllYI5T
II'T. .3:;1 1 ~1
(5fatll)
(Zj~ Cclcll)
305-379-242'5
rWPHON'" NUMllER:
'0'; ~'7p 2470
AX I'lUMPliR:
ErWL:
r. L088YJ5T'RfiT,QHED IY:
Nf1'll1~1 P!Jc:fp~8J~IIGlCiat.lS' .:J:j'td.
:
, '. "
'j t.. . .' ~ I' . i' . r , :' .. . 1
1-n~2 Pe"71R~v::l'PI"" aU_Y'lno(,~"::n"'" Ba,.,..'h
IlUSlNESS ADDRESS: . . .. . ~~~ ~d S~9' ',. (City) I
&'1: HI :39
(Statll)
(Zip 0xIe) ,
EMAIL: (Optional)
I
I
I
1'/11 aU!: this lI&CtIon It prlncpIIll. _ Corporation, ....rtIIlll'IIhlp ar:TMt [Sed:/a/l 2-482 (e)J
.
NAME o/' 0ilEf' omceR. PAATNER, OR Pr;N~ItY:
.
Craig Robin.
UST AU PERSONS HOLDING, PmECI1. Y OR TNDliu:cn.v, A' 5% OR MOR! OWNl!R.SHtp tNT!REST IN SUCH
COltPORATlON, PARTl'/atSHlP OR TlWST: I
praig Robins
i
I'J.
SPECIFIC LOBBY ISSUE;
'. .
".
,.! . t
~nnd f ~.i nn::l] IT.. 'P.,..mi ~ """r
IlISlJlt.cl be klb/lkld (P/:sQ'Ibe In derail): . . .; ,
,..,.."ta~ '"'1"...... of "l'
".,
A,."....'II'e
rrr. r:rrv AGIi!NCES/DlPMDUALS TP III LOIIIIEDI
~) FIIn I'/am. tIf IrId""dr,lill/Tldll ! I) R...tlaMhlp
, I
,
I
Planning Bo'ard ,
I
t I
SEP-ZR-03 04:0RPM FROM-PATHMAN LEWIS,JIP
30s-mZ420
T-BRS P.03/0S F-BOB
..... ~..,lIQILIIUlur ..:......""WAJIIIUU...DUJ"......'IllI. ""~......,..~ r.~ .,...~ nuwru.'r
~rrv.TI!OR OTHER):
,
,
") J.OUIMSJ' DISQ.05U~":
~) pur5Uant rn ardlnsr1Cl!l No 2Iim.3399 A_ndine Miami Beach plv Code ChaorAr 7. /lrtldl! viI. DIv1!1ori 5
Th~;;of intltlAd "Campa Ion FlnanCl! Reform" Via The Addltlon Of C"nrJA'5l!ct!on 2-488 I"ntllled 'Prohlblted i
~mM1Cln Contrihutions Bv LDbbvl~ On procurement. lSJ:ul!!S": : . I
,'. ; : I
~ ..::Ii:=="~ on a _nt Dr nendlno hid for ooods. e~ or _rvI..- or.... Dr-m
~__ _A fUr DIXHIs. eQuipment or IIIII'Vk:8? y~~ " I '
, I '
2) ~=,"~ w'Ordlnan.,s No. 2003-n9S Amend!nO Miami Beach ('tv cOdA Chaotsr 2, /lrtlde \111 Dlvl!lldn 5 .
_ _ntilled "Camoslon Finance RAform". Via 'fl:Ie Addition 01 Code Sel:tlon 2-4!lO Entitled "Prohibited:
D.moalon Conb1butlons Bv Lobbvlsts On Real E....te Develonmellt I.sues": '
~.l,:'='=:=:'''=L-'''''''----~ !
_ =_ . ________~__ __n ... cballoOe M th8 atv's Future U1nd U.... M;p'
, .
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v. ~'JUlU! U". G4TH# ' ,
OIol,ocrDltER 1'" OF j:Aat YI!A/f, EAall-08IMST 5/W..J. SUIIMO' TO rtlE crrY. CIJiIU( A s;tG~ED i i
IliTNrJlMI'NT UNDEJt. DAm, USJJNG LP88~1lI Jil)CPI!HDJJ'IIIWi XN mE crJY 01' MlAMt ./i!ACJI FOR'
THe plUlCEDJNG CAUlNPAR YEAR. ' I ~
,I do'solemnly swear that all of the foregoing fal=tS are true end correcl: IInd thet I have I'E!lld or 1m ' I
famlllar ~Ith the provlslons lXlntilll'led In Sealon :Z.462 of the MlillTIl ~eac:h CIty Cede as amended, and !all
repgrtlng raqulrem "
, ' , 63Pl Street Associates Ltd. :
~:nature of Lobbylllt: oy itS general. plU bl~l '
~f'lature of Prlncfpal{C1I : Pl.'
. 0 =;-- ,~ ~i.: ,~,:
Form of Icl!ntification r C= ~
vu.. "~1U1Ui AND liTl\MP Of ,.arMY Oil PliPUJY Q.I!lUll
I
State of; Florida, :County of Miaml-Dade I
SWorn to Clod subsCribed betore me
This 29th day of seDtenbe~03.
, . I
~~; ~FTED
Ifrej8CllllQ, lilllta 11!11~
Raglstrallon fee paid; ~J ,J I'IP
P"T" ~rflRV PATe; ~
. ,
2tId IlIMslon 3f~81a3
fOR,Q.EIUt'Sus,iONLV ~' k
[ ] Rl'JECTl'D DATI!:' j ~~ ~ , I I
11-'~~~ ..
,2003 ~D i :
".--,
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