Gary S. Reshefsky/C&Y GarciaCity of Miami Beach Office ol~the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139
Emaih cityclerk@cL miami.beach.fl, us
LOBBYIST REGISTRATION FORM
(City of Miami Beach, City Code Chapter 2, Division 3, Section 2-481)
~ Check Box if an Amendment
Reshefsky Gary
NAME OF LOBBYIST: (Last) ~ (First)
~A 1,?.21 Brickell Avenue Miami
BUSINESS ADDRESS: (Number and Street) (City) ~
305-579.0737 305-961-5737
TELEPHONE NUMBER..I~ FAX NUMBER:
(M.I) DATE QUA'm'~LIFIED AS LOBBYIST
Florida 33131
(State)
(Zip Code)
reshefsk~
EMAIL:
I. LOBBYIST RETAINED BY:
Carlos & Yasmin Garcia
NAME OF PRINCIPA--I~NT:
5860 Pine Tree Drive. Miami Beach, Florida
BUSINESS ADDRESS: (Number and Street) (City) (State) (Zip Code)
TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional)
305-970-7494
Fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (c)]
· NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY:
· LIST ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
II. SPECIFIC LOBBY ISSUE:
Variance for 5860 Pine Tree Drive
Issue to be lobbied (Describe in detail):
I I I. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
A) Full Name of Individual/Title B) Relationship
SEE ATTACHED
· 'FLAT RATE OR OTHER):
$235.00
, A) LOBBYIST DISCLOSURE:
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION}:
$235.00
1)
2)
Pursuant to Ordinance No. 2003-3393 Amendina Miami Beach City Code Chaoter 2, Article VII, Division 5
Thereof Entitled "Campaian Finance Reform" Via The Addition Of Code Section 2-488 Entitled "Prohibited
Campaiqn Contributions Bv Lobbyists On Procurement Issues":
Are you Iobbvinu on a present or oendinu bid for aoods, eoui~,~ent or services, or on a present
or Dendinu award for o_oods, euuiDment or service? Ye~ {No)
Pursuant to Ordinance No. 2003-3395 Amendina Miami Beach City Code Chaoter 2. Article VII Division 5
thereof Entitled "Camoaign Finance Reform", Via The Addition Of Code Section 2-490 Entitled "Prohibited
Camoaion Contributions By Lobbyists On Real Estate Develooment Issues":
Vo
Are you Iobb¥inu on a Dendinu application for a Development ADreement with the City or
annlicat~ chano~e of zoninu mad de$iunation or chano_e to the City's Future Land Use MaD?
S I GNATURE UNDER OATH:
ON OCTOBER IsT 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 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 contained in Section 2-4182/e~f the Miami Beach City Code as amended, and all
reporting requirements. ~JS~eshefs
Signature of Lobbyist:
ky
Signature of Principal/Client:
Carlos Garcia
VI. LOBBYIST IDENTIFICATION:
[] Produced ID
Form of Identification
VI I. SIGNATURE AND STAMP OF NOTARY OR DEPUTY CLERK:
Yasmin Garcia
Personally Known~'''~
State of Florida, County of Miami-Dade ~ ~a
Sworn to and subscribed before me
This 15th day of January, 2004.
Print, stamp or type name of Notary Public
Registration:
If rejected, state reason:
Registration fee paid: [ j Yes [ No
2nd Revision 3/18/03 I
FOR CLERK'S USE ONLY
[a' CCEPTEO[] REJECTED DATE'.
~ ENTERED B~~
n 03 d~
F:~HA~Lobbyists~regis~atio ~ ·
· FLAT RATE OR OTHER):
$235.00
· · A) LOBBYIST DISCLOSURE:
B) PRINCIPAL'S DISCLOSURE (OF LOBBYISTCOMPENSATION):.
$235.00
Pursuant to Ordinance No. 2003-3393 Amendina Miami Beach City Code Chapter 2, Article VII, Division 5
Thereof Entitled "Campaian Finance Reform" Via The Addition Of Code Section 2-488 Entitled "Prohibited
Camoaian Contributions Bv Lobbyists On Procurement Issues":
2)
Are you Iobbvina on a present or Dendina bid for aoods, e~_L_'__u~nt or services, or on a ~resent
or Dendina award for goods, eauiDment or service? Yes
Pursuant to Ordinance No. 2003-3395 Amendina Miami Beach City Code Chaoter 2. Article VII Division
thereof Entitled "Campaiqn Finance Reform", Via The Addition Of Code Section 2-490 Entitled "Prohibited
Campaign Contribut;ions By Lobbyists On Real Estate Development issues":
Are you Iobbvina on a Dendina aDDlication for a Development Aareement with the City or
aoolicatJ~ for chanae of zonin_o mad desianation or chanqe to the City's Future Land Use Map?
Yes
V. SIGNATURE UNDER OATH:
ON OCTOBER IsT 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 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 contained in Section 2-482 of the Miami Beach City Cod~l~lS amended, and,~ll
reporting requirements.
//
Signature of Principal/Client: 3( ~a~or~i&
VI. LOBBYIST IDENTIFICATION: /
~ Produced ID Personally Known
Form of Identification
VI I. SIGNATURE AND STAMP OF NOTARY OR DEPUTY CLERK:
State of Florida, County of MiamFDade
Sworn to and subscribed before me
This 15th day of January, 2004.
~ ~ p~lRE~ember 4, 20~ } ~ ,
-:,:,~:~ ,.:~,~:~?~.~ Print, stamp or type name of Nota~ Public
?
Registration: [ ~EPTED
If rejected, state reason:
Registration fee paid: [ ] Yes [ ] No
DATA ENTRY DATE:
2nd Revision 3/18/03
FOR CLERK'S USE ONLY
[]Cash [~"~eck MCR#
2003 ENTERED BY:
F:\CLE R\HATL\Lobbyists\registrationaO3.doc