Atlantic & Pacific Prop.Mgmt
lD
City of Miami Beach Office of the City Oerk
1700 Convention Center Drive, Miami Beach, FL 33139 R E C.' F_I V ED
Email: cityclerk@ci.miami-beach.t1.us ~. , .-
LOBBYIST REGISTRATION FORM
(City of Miami Beach, City Code Chapter 2, Division 3, Section 2.Q8i)NO'J I 2 ~M g: I 8
o Check Box if an Amendment CITY CLERt,'S OFF ICE
-
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NAME OF L BYIST: (Last)
(First)
(M.!) DATE QUAUAED AS LOBBYIST
3526 N. Miami Avenue, Miami, FL 33127
BUSINESS ADDRESS: (Number and Street) (City) (State)
(Zip Code)
305-571-1811
TELEPHONE NUMBER:
305-571-[821
FAX NUMBER:
todd@staarchitecturalgroup.com
EMAlL:
I. LOBBYIST RETAINED BY:
Atlantic & pacific Property Management & Alan Cohen
NAME OF PRlNQPAL/CLIENT:
1025 Kane Concourse, #210, Bay Harbor Island, FL 33154
BUSINESS ADDRESS: (Number and Street) (City) (State) (Zip Code)
305-867-2245
TELEPHONE NUMBER:
305-867-2246
FAX NUMBER: (Optional)
EMAIL: (Optional)
Fill out this section if prindpalls a Corporation, partnership or Trust [Section 2-482 (c))
NAME OF CHIEF OFFICER, PARTNER, OR BENEACIARY:
Howard Cohen
UST ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A S% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST: How a r d Co hen
fi. SPECIFIC LOBBY ISSUE:
Certificate of Appropriateness, Variances, Conditional Use for
Issue to be lobbied (Describe in detail): Parking Garage & Design Review
fiI. CITY AGENCIES/INDMDUALS TO BE LOBBIED:
A) Full Name of Individual/Title B) Relationship
Historic Preservation Board
Board of Adjustment
Planning Board
Desicrn Review Board i
.Lv. U.L:M,.LU:JUKIC ur IICK"'~ ,,"1.1 "'PlUUrt I ~ ur LUDDI J.~I ,,",UPlt"'lCrt;:>>AIJ.Un lUJ.:t\..LU:X: wnel nICK nuuIU. r,
FLATRATEOR OTHER):
A) LOBBYIST DISCLOSURE:
$275/220
~.r
B) PRINClPAL'S DISCLOSURE (OF LOBBYISTCOMPENSATlON):
$275/220
1)
Pursuant to Ordinance No. 2003-3393 Amendina Miami Beach City Code Chaoter 2. Article VII. Division S
Thereof Entitled "Camoaian Finance Reform" Via The Addition Of Code Section 2-488 Entitled "Prohibited
Camoaian Contributions Bv Lobbvists On Procurement Issues":
2)
Pursuant to Ordinance No. 2003-3395 Amendina Miami Beach City Code Chaoter 2. Article VII Division S
thereof Entit~d "Camoaian Finance Reform", Via The Addition Of Code Section 2-490 Entitled "Prohibited
Camoaian Contributions Bv Lobbvists On Real Estate Develooment Issues":
v.
SIGNATURE UNDER OATll:
ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHAll SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, USTING LOBBYING EXPENDITURES IN THE CITY OF MIAMI BEACH 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 contai in 82 of the Miami Beach City Code as amended, and all
reporting requirements.
Signature of Lobbyist:
VI. LOBBYIST IDENTIFICATION:
Form of lrentification
Grso~IIY~
Q Produced ID
VII. SIGNATURE AND STAMP OF NOTARY OR DEPUTY CLERK:
,
State of Florida, County of Miammade
Sworn to and subscribeg, bef<:>re{me_
This ~day of ~2003.
lie
.
.
FOR CLERK'S USE ONLY
Registration: 'I><[ ACCEPTED
] REJECTED
DATE:
H,('J-.'OJ
If rejected, state reason:
Registration fee paid: )X1Yes [ ] No
DATA ENtRY DATE: Jz./IIl
[ ] Cash t><ttheck
. 2003 ENTERED BY
'10!.fgg2
2nd Revision 3/18/03