Robert Goodman/Art Basel
lD
-
City of Miami Beach Office of the City Cierk
1700 Convention Center Drive, Miami Beach, FL 33139
Email: dtyderk@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
~r;d/YJd/? ;(J)y.fl S,
NAME OF LOBBYIST: (Last) ) (First) (M.I) DATE QUAUFIED AS LOBBYIST
3::11 4/.s~ Sl-re~ J- ___';./'('7 /7/J/J/ Ab~m~/1~,a;Yr;; J:""/.. d3l~GJ
BUSINESS ADDRESS: (Number and Street) / (City) eState) (Zip Code) ,
/:?tt~ft,73-~~/77) r;gt'./))IP7Q -/.:241-2 ~bn".m~~k.r<V/JcI
iaTI>HO NUMBER: '/JJ( NUMBER: MAlL:..f?" CLJ /Y)
I. LOBBYIST RETAINED BY:
.4H A-:z~/ Mdm/ &07e/}
NAME OF PRINOPAl./CUENT:
Fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (c))
. NAME OF CHIEF OFFICER, PAATNER, OR BENEFlaARY:
n
-i
-<
<::>
w
.~ ;0
<:> m
<:
()
<::> m
;:,. '<
::r
rn
CJI 0
~
.
(")
r-
UST ALL PERSONS HOLDING, DIRECTLY OR INDIRECll. Y, A 5% OR MORE OWNERSHIP INTEREST IN SUCH ~
CORPORATION, PARTNERSHIP OR TRUST: :;2;;
U')
2
..,.,
C")
/'TJ
u.
SPEOFIC LOBBY ISSUE:
Vt?~ r;rrl/J!-
Issue to be lobbied (Describe in detail):
m. crrv AGENOES/INDMDUALS TO BE LOBBIED:
A) Full Name of Individual/TItle
B) Relationship
1. v. U~LV:=lUKI: vr I CKPI::t ArcU Al"lvurc l::t ur LVDD 11.::' I \..v......cn:tft 11un lUl:M..LU:=l1: nncl nCrt nvuru.. f,
,FLAT RATE OR OTHER):
;~;;L"';;'"k:!Y i:~~:;7t;~5hJ~:t/l;~de ,oj:
B) PRINCIPALS DISCLOSURE (OF LOBBYISTCOMPfNSATION): -lads.
5e~ ,4.h,y~
1) Pursuant to Ordinance No. 2003-3393 Amendino Miami Beach City Code Chaoter 2. Article VII. Division 5
Thereof Entitled "Camoaian Finance Reform" Via The Addition Of Code Section 2-488 Entitled "Prohibited
Camoaion Contributions Bv Lobbvists On Procurement Issues":
ent or services or on a resent
2) Pursuant to Ordinance No. 2003-3395 Amendino Miami Beach City Code Chaoter 2. Article VII Division 5
thereof Entitled "Camoaian Finance Reform", Via The Addition Of Code Section 2-490 Entitled "Prohibited
Camoaion Contributions Bv Lobbvists On Real Estate Develooment Issues":
?
V. SIGNA1\JRE UNDER OATH:
ON OCTOBER 1ST OF EACH YEAR,. EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, LISTING LOBBYING EXPE ITURES IN THE CITY OF MIAMI BEACH FOR
THE PRECEDING CALENDAR YEAR.
Signature of Principal/Client. e
VI. LOBBYIST IDENTIFICATION: \ ~
o Produced ID W i-e}- i $ I.J t- '<.~~~ ~allY Known
Form of lrentification ~
..,01'':'',,,,, Marisa Bluestone
;tl' * My Commission CC989850
"''!!'!''/ expires December 25, 200A
.~
I do solemnly swear that all of the
familiar with the provisions 6ntai
reporting requirements.
Signature of Lobbyist:
VII.
SIGNA1\JRE AND STAMP OF NOTARY OR DEPUTY CLERK:
State of Rorida, County of Miami-Dade
Sworn to and subseribed before me
This <) day of ~OV - , 2003.
,r
~Vl
Signature of Public Notary - State of Rorida
MOt VIS?\ ?:')\A'C~tove
Print, stamp or type name of Notary Public
-
FOR CLERK'S USE ONLY
Registration: [] ACCEPTED
If rejected, state reason:
Registration fee paid: [ ] Yes [ ] No
DATA ENTRY DATE:
[ ] REJECTED
DATE:
[ ] Cash [ ] Cheel< MCR #
.2003
ENTERED BY:
2nd Revision 3/18/03
F: \CLER\HAlL\Lobbyists\registrationa03.doc
NOV.12.2003 12:03PM
NO. 232
P.2/2
<.tv. UJ.=-\"LU~U""IC: vr I a:::.~,.,::J "'AU "'P'lUU!'1I::1 ur "'UPO,~~t \",uPlrC",:'I\II.UJ' \.U.&.:>I-L-V~~ nnz:tnl:I'C. nULJt<Lr, A /
fL4.TRATEOR OTHER): .:;t-:.::rt:::y~ :r
" CO',,",:,OlSO-OS"'7 '!Y t<'J~ /("-12,0;"',0< ,7 nJNJ-Ih/'j '0 ·
t"eJr7.//Jr-f W_ _/ ~r )//ci2s'f 1l .y~v/ <:) tGr /JZ'//kAde c? I'..t-
-ra'Si\::5.,
B) PRINQPAL'S DISClOSURE (OF LOBB"11ST COMPENSATION):
Ve., 0
1)
~nt or services. or on 21 oresent
2)
?
V. SlGNATtlRE UNDER OATH:
ON OCTOBER 1 Sf OF EACH Yl'AR, EACH LOBBYIST SHALL SUBMIT TO THE cITY CLERK A SIGNED
STATEMENT UNDER OATH, Ll5T1NG LOBBYING EXPE !TURES IN THE CITY OF MIAMI BEACH FOR
THE PRECEDING CALENDAR YEAR..
Signature of Lobbyist:
Signature of Principal/Client.
VI, LOBBYIST IOENTIFICATION: ( ,
o Produced ID l21.4' ~c::)- ~ /1 t. szJ,z.$e.
Form ofldentifiea~on
ue and correct and have read Dr am
City Code as amended, and all
Personally Known
VII.
SIGNATtlRE AND STAMP OF NOTARY OR DEPU'TY CLERK:
.'.......'<1"" MQri&Q Bluestone
~ L~ ... My commi$Sio~ CC989!50
';~,l E.plre' December ,5 ,00'
"'11""
State of Florida, County of Miami-Dade
Sworn to and subscribed before me
This <) day of pOv . , 2003.
/
~ V1-
SIgnature of Public Notary - State of Floricla
M Gt V I q... ;2,)\A -r: ~ rove
Print, stamp or type name of Notary Publie
~-
If rejected, stlte reason;
Registration fee pald: [
DATA ENTRY DATE:
FOR C1..ERK'S USE ONLY
[ ] RElECTCD DATE: I}} I 7/ ()..:S
I
Registration:
2003
F:\Q.ER\HA11..\t.obbyislS\re91strationa03.dOC
[ ] Cash [ ] aleck
ENTERED BY:
21ld RevIsion 3/18/03
NOV .12. 2003 12: 03pr'1
Garber & Goodlnan, Inc.
Adt!ertisin~/Mar1<elinK, since 1963
301 41st Street, 3rd Floor
Miami BMah, FL 33140
Tel. (305) 673-5177
Fax (3OS) 673.1242
bgoadlll4niWgarberandgoadman.oom
r,o. 232
DATE:
November 12,2003
Elizabeth
City Cler1c's office
City of Miami Beach
P.1/2
TO:
COMPANY:
FAX NUMBER:
NUMBER OF PAGES:
FROM:
673-7254
2 (including this page)
Diane Goodman
As per your request attached is page 2 of the lobbyist form with the
disc1OSUl"e amount.
I will mail a $25 check today.