Stefanie Reed/Art Basel MB
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City of Miami Beach Office of the City Clerk
1700 Convention CentB" Drive, Miami Beach, R. 33139
Email: cityclerk@c:i.rniami-beach.f1.U5
LOBBYIST REGISTRATION FORM
RECEIVED
03 NO\! 26 Pr1 ,: ~ 2
(City of Miami Beach, City Code Chapter 2, DMsIon 3, Section 2...qa1)~ I T V (' L E R K' S 0 F Fie E
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NAME OF LOBBYIST: (Last) ,
&l/io SlJ (3/ 51ree+- H/Clt-nl1 ,
BUSINESS ADDRESS: (Number and Street) (City) /
5-::1; -1-L(D - (09) ':30S'. '1-l{D .qSDL{
TElEPHONE NUMBER: FAX NUMBER:
S-kfuh('~
(Rrst)
Ii
(Ml) DATE QUAUFIED AS LOBBYIST
FL 33JSk
(state) (Zip Code)
)+~~Y)\'e. reeJ (d}:V~!ti.c.:,~
EMAIL:
I. LOBBYIST RETAINED BY:
M 6IJSe( \.-'U~Vr-i &ach.
NAME OF PRINOPAlJa.IENT:
3U L~\r--.GJ\lr- fLJ J{:,310 I HI\::iVY'l"
BUSINESS ADDRESS: (Number and Street) , (City)
3 05 - bot(,q :[31- 3D 5 . fooL( -qq1-3
TELEPHONE NUMBER: FAX NUMBER: (Optional)
BetA.ch. f:L 3313Cj
(Slate) . (Zip Code)
ftov;d~ D~eg t1JI-H:x;dd. C<Jh7
EMAIL: (Optional)
FlI out III. section If prindplll ill. Corpolldion, PlIrb1enlllp or Trull: [Section 2....2 (e)]
. NAME OF CHIEF OFFICER, PARlNER, OR BENEFICIARY:
. UST All PERSONS HOlDING, DIREC11.YOR INDIREC11.Y. A 5% OR MORE OWNERSHlP INTEREST IN SUCH
CORPORATION, PARlNERSHIP OR TRUST:
IL SPECIfIC LOBBY ISSUE:
VeA 0\"aJr\t-
Issue to be lobbied (Describe in detail):
m. cnv AGEtoCIO/INDMDUALS TO BE LOBBIED:
A) FYI NII_ vf Individ....{TiIIe
8) ReIIItiouIIip
~e veJerJa-t'rJh in fvzw 01
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lV. U.&:M LlU::MJI~ur II:KP'DIU"IIUAPlUUnl:turLUDDI...,1 ~I.&UI"t\U.&:M ~ wrn::;lnac. rJfJIJI'CLJ,
RATRATEOR OTHER):
A) DISClOSURE: \"n
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B) PRINCIPALS DISCLOSURE (OF LOBBYIST COMPENSATION):
1) Pursuant to Ordinance No. 2003-3393 Amendina Miami Beach City Code Chaoter 2. Artide VII. Division 5
Thereof Entitled "Camoaian Rnance Reform" Via The Addition Of Code Section 2-488 Entitled -Prohibited
Camoaian Conbibulions BY Lobbvists On Procurement Issues":
:e'=:i=~ ~ ~ e:i::~::r ~~:u~torservic:es. or on a DrMant
2) Pursuant to Ordinance No. 2003-3395 Amendina Miami Beach Oty Code Chaoter 2. Artide VII Division 5
thereof Entitled "Camoaian Finance Reform". Via The Addition Of Code Section 2-490 Entitied -Prohibited
Camoaian Conbibulions BY Lobbvists On Real Estate Develooment Issues":
V. SIGNATURE UNDER OATH:
ON OCTOBER lSf OF EACH YEAR. EACH LOBBYIST SHALL SUBMIT TO THE crrv ClERK A SIGNED
STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES IN THE crrv 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 c ntained in ion 2-482 of the Miami Beach City Code as amended, and all
reporting requirements. L..
Signature of Lobbyist:
VL LOBBYIST IDENJIFlCAllON:
-d' Produced ID t=L \)n\Je('> l..'t#'V'''l\'e.
Form of Id:!nt:ification
Personally Known
YD.
SIGNA lURE AND STAMP OF NOTARY OR DEPUIY a.ERK:
ROCIO RODRIGUEZ
MY COMMISSION 1/ DO 209444
EXPIRES: May 5, 2007
Bonded Tbru Notary Public Underwriters
State of Aorida, CoUnty a Miami-Dade
Swom to and 5ubscribed before me
This ~ day of ~~ 2003.
?rL~ ~A~
Signature a Public - State a Florida
Print, stamp or type name a Notary Public
Regiobdl:iu.l: KACCEPTED
If rejected, state ~=.....:.
Reljsb'ation fee paid: f"Q'es [ 1 No
DATA ENTRY DATE: jt. I
2nd Revision 3/18/03
FOR asut'S USE OM.Y
[ 1 REJECTED DATE: ll-'l~,-o 3
[ lCash ~ MCR# ~~CJ?>if l
2003 ENTERED BY: ~
;:\~11.\LObbyists\registraliona03.doc