Shep Equities, Inc.Oty of Miami Beach Office of t~e Ob/Oerk
1700 Convert,on ~ Drive, Miami Beach, FL 33139
Emalh city~.mlami-beach.~.us
LOBBYIST REGXSTRATXON FORM
(Ob/of Miami Beach, Ob/Code Chapter 2, EXvtsion 3, SecUon 2-481)
Check Box if an Amendment
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NAME OF LOBBYIST: (Last) (First) (H.I) DATE QUAL~mu AS LOBBYIST
BLISXNESS ADDRESS: (Number and SITeet) (City) ' (State)
'TELEPHONE NUNBER: FAX NUNgEP.: EMAZL:
(Zip Code)
FAX NUNBER: (OpUgmal)
EMAZL: (Optional)
Fill out thb ___-ecrm_ if prlndpal b m Corp~ ~p or Tnmt [,~t:Jon 2'482 (c)]
NAME OF O'ur.l' OFF/C:~R, PN~TNER, OR BENEF~C~.RY:
~ ~ ~ ~, D~Y ~ ~D~Y, A ~ ~ ~ ~ ~ IN ~H
~~, P~ ~ ~:
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~m¥ AGENC~ES/~ND][VD)UALS TO BE LOBBXED:
A) Full Name of ~lvkluam/TltJe B) Rdationship
FLA T RA TE OR OTHER,):
B) PRINCIPAL'S DISCLOSUEJ~(OF LOBBYIb-rJ~OHPENSATION):.
2)
Pursuant to Ordinance No. 2_n~__~-_~_~__~ Amendlna Miami _n~.~-h City Code Chapter 2. Article VD, Division 5
Thereof Entitled ~Camoaian finance Reform~ Via The Addition Of Code Section 2-488 EntJfled ~Pmhibited
Camo~iqn Contributions Bv Lobbyists On Procurement Lssues":
Ar~ v~ b,hhvina on a present or oendina Mci for ooods, eauiDment or services, or on a Dre~ent
Qr oendina award for aaod~ eauiDment or sew~e? Yes ~b~;)
Pursuant to Ordinance No. 2gO3-33g~ Amendina Hiami Beach City Code Chaoter 2, Article VE Division 5
thereof Eptifled "Camoaian Rnance Reform'. Via The Arld~ofl Of Code Section 2-490 Entitled ~Pmhibited
Camoaiqn Contributions Bv Lobbyists On Real Estal~ Develooment [ssues~:
ON OCTOBER 1~ OF EACH YEAR, EACH LOBBYIST SHALL SUBMTr TO THE ~a mt' CLERK A SZGNED
STATEMENT UNDEg OATH, I. bl~lG LO~IIYING EXPENDXTURES IN THE ~ OF MZAI4! BEACH FOR
THE PRECEDING CALENDAR YEAR.
! do solemnly swear that all of the ~o.regoing fa
familiar with the pmvisions/eeq, tai~'~cl in ' -
reporting requirements. U. ~tK
Signature of Lobbyist:
Signature of Principal/Client:
a Produced ID
Form of Identification
State of Flodda, County of MiamkDade
Sworn to and subscribed.before me
This I'C ~day of ~/~.~, 200~.
/
id correct and that I have mad or am
ch City Code as amended, and all
-~, ~,~,% Liliam R Haffield
:?~1~ .i~ My Cemmission DDO02020
.", ~' ~:xpi~e~§ February 18, 2005
Registrafioel: [ F(~O [ ] REJECTED DATE: ~::~ '-~//[/'~
If reject~l, state reason;
Registra~on feepaid: [[,1/Y'es [ ]No [ ]Cash [ ]Ched( MCR#
2nd Revision 3/18/03 F:\CLER~IATL~t~-°bbyists~raU°~a03'd°c