William Goldsmith
PECEIVED
03 on - 3 M1 9: 33
I' :;LEHK'S OFFICE
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City of Miami Beach Office of the City Clerk
1700 Convention Center Drive, Miami Bach, FL 33139
Email: cityclerk@ci.miami-beach.fl.us
LOBBYIST REGISTRATION FORM
(City of Miami Beach, City Code Chapter 2, Division 3, Section 2-481)
o ..s Check Box if an Amendment
NAME OF LOBBYIST:
larkin
(Last)
Michael
(First)
W.
(M.I.) DATE QUALIFIED AS LOBBYIST
200 S. Biscavne Boulevard. Suite 850
BUSINESS ADDRESS: (Number and Street)
Miami
(City)
Florida
(State)
33131
(Zip Code)
13051377-6231
TELEPHONE NUMBER:
13051377-6222
FAX NUMBER:
EMAIL:
I.
LOBBYIST RETAINED BY:
William Goldsmith
NAME OF PRINCIPALlCLlENT:
1820 W. 25th Street. Sunset Islands #2
BUSINESS ADDRESS: (Number and Street)
Miami Beach
(City)
Florida 33140
(State) (Zip Code)
305-949-9049
TELEPHONE NUMBER:
305-948-6478
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 OF BENEFICIARY: N1A
? LIST ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST
IN SUCH CORPORATION, PARTNERSHIP OR TRUST: N/A
II. SPECIFIC LOBBY ISSUE:
Variance ADolication for sinale-familv residence located at 1820 West 25'" Street. Miami Beach. Florida 33139
Issue to be lobbied (Describe in detail):
III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
A) Full Name of IndlvldualfTItle B) Relationship
Jorae Gomez None
Armando Valdes None
Richard Lorber None
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATRION (DISCLOSE WHETHER
HOURL Y, FLA T RA TE OR OTHER):
A) LOBBYIST DISCLOSURE:
$275.00 Hourlv
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIEST COMPENSATION):
$275.00 Hourlv
1) Pursuant to Ordinance No. 2003.3393 Amendlno Miami Beach City Code Chaater 2 Article VII Division 5
Thereof Entitled "Camaaion Finance Reform" Via The Addttion Of Code Section 2-488 Entitled "Prohibtted
Camaaien Contributions Bv Lobbvists On Procurement Issues":
resent or
2) Pursuant to Ordinance No. 2003.3395 Amendlne Miami Beach City Code Chaater 2 Article VII Division 5
thereof Entitled "Camaaien Finance Reform' Via The Addttion Of Code Section 2-490 Entttled 'Prohibited
Camaaion Contributions Bv Lobbvists On Real Estate Develoament Issues':
Ication for
V. SIGNATURE UNDER OATH:
ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES IN THE CITY OF MIAMI BEACH FOR THE
PRESEDING 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. ../7.4'4 / /---.-/
Signature of Lobbyist: ~~
/
~ A! Personally Known
VII. SIGNATURE AND STAMP OF NOTARY OR DEPUTY CLERK:
Signature of Principal/Client:
State of Florida, County of Miami-Dade
Swot:Q)o and su~~r~id before me
This ~ day of ~' 200t.'?
_ Yaet Coday . ,.
. ft._ r ~..1IIlIfIIsr .
1:qJI.-,JIL 110_
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Print, stamp or type name of Notary Public
FOR CLERK'S USE ONLY
Registration: ~ACCEPTED [] REJECTED DATE: \.0 ~3 '-I() 3
If rejected, state reason: ^
Registration fee paid:*fYes [ ] No f2. b Lt~/ \.
~(, ~T: Whed( MCR# ---
pATA ENTRY DATE:U:S ,-2682- ENTERED BY: