Scott Backman/Juan Ramirez
03-15-04 oz:ze~m From-RJOEN MeCLOS"Y FTL
aW64ms
T-312 p 04/05 F-Z1Z
City of Miami 8&acn Cfflce of lfl8 CIty CIO"
1700 Convflnlion CenlOr Drive, MIami Beac:tl, FI. 33139
im&ll: cl11cl4lr~ millm~lM;/1.fl.w
LOBBYIST RECJISTRATION FORM
RECEIVED
04 N~P 23 MilO: 20
'; T\f "-'1'-"0'
,,/, I l,LUI/{'S OFF ICE
/
(e,l)' of Miami BelIef!, Ci~ CDGe cna~ 2. DiVIsiOn 3. SecIorI2~')
:1 Clalld' ..1 It all Amencamttnt
&ACl(~ SCOlT e,
NAME OF I.OB8YIST: (1..Ul) (Fim) (M.11 'DATE QUALIFIED AS L.OIiIBYIST
&dIIIl~v Sm.Ih ScnW'J8{& Russetl 200 LJal.r.11'(1 BI>id :raft floor Ft I ....n.r<la..,fL 33301
aUSINess AODIltESS; (NI</IIDef' '''12 SVft() (City) ($18la) (Zip Colle)
~541527'2485
TiLEPHONE NUMlER.
~541333-40115
AX Nut.48f.R:
SCOff B8ckmaM.n.J~ ~m
EMAlL:
.. LOAVIIT ~'T-"NI:IlIY:
JUAN RAMON RAMIRi'.2
NAMa OF PRiNCIPAl-JCL.iiNT
. t':lA'UL. PF<<:!DUC~I~. 400 D......... Au.".... ~I GatlMs FL. .. 33148
/' BUSINESS AODREB~(N..mller and Sueel) (C,~) (S18t81 (Zip Code)
l1J8} 367.8llM ___._ 13Qfi) ~71 .
IlflEPHONE NUt.4NR: FAX NUMBER: 1000000nall E~'L: {OPllonall
Fill old ifill HCtIon If prinolpal II . Corpol'llllon. P.rtneffIlip or Till. [Sec1ion 2-482 'c~
. NAME Of CHieF OFFICiR, PARTNER. Of( BENEfICIARY: S"""" ~.n ;Q,....",,...,~
. LIST AU. PEFlSONS HOL.D''''G. OIRECTL Y OR INP.RE'CTL Y. A 5'110 OR MORE OWNIRSHIP INTEIltEST
IN SUCH CORPORATION, PARTNERSHIP OR TRUST
II. 'flielPlC LORY 'HUE:
lJiflCl uiS pwnllltl~ r8ill llS_ CDrIIlUIlillCI an" da.- llW"'a
189,,8 to Ill! lOtlbiIIcI (CUcnl'le In Oelail) 2050 N. Bav Fld.
III CITY AGINC~'"NPIVIDUAl.' TO IE L.OIIIIIID:
r-------.--
I 41 FilII N.... of IndiVictu.~
j Bo..,.d of Adj..lIDlDt
,
I) RtIItlOMIIIP
('il) Commillloll
L-
_.._---_._._~._._---,.-
FTL 1179695.1
03-15-04 02:27pm From-RUDEN McCLOSKY FTL
9547SmgS
T-372 P,05/0S F-212
IV. DI$CI..OSURt: 01' TERMS AND AMOUNTS OF 1-0BBYIST COMPI!NSATlON (DISCI..OSURe
WHETHER HOURLY, FLA TRA TE 0If OTHI!R):
A) LOBBYIST OISCL-OaURe: None
B) PRINCIPAL'S OISCLOSURI'! (OF I.OeSYIST COMPENSATION): /Iione
') Pursuant 10 OfqlR.,ca No. 2003-3383 Amend'nll Miami 8e.ll<;!l Citlt COde Chanter 2 ArtICle VII, DivisIOn
5 Therl!Of EnlitJ@!! .Came.is" Flntfnce Refonn. via The Ad~Q!llJ! Code Section ?-4D8 Entl~ed
"Prohibited CampaiQn ContrillullOns BY LollpylSts On PrOClJrementlsSU8S"
2)
...Ng, \fO.. lo,p\!ll!ll on a -~'qq .wliG8tlon for II OevelODlIlllnl Aa....menJ wllll me CIn' or
;~J1C~ for chanae of ~nina map ...jan.~on or fbiOSe ~ the Ci;lv', I"yture Land US. Map?
V, SIG"ATUJU: UNDER OATH:
VI. LOBBYIST I
c PrO<.1uced 10
EACH LCBaVIST SJiALL SUaMIT TO THE CIlY CURK A SlG1'li:P
G I.0811YING EXPE~DnlfR:E ' E CITY OF MIAMI BEACH FOR
ON OCTOBER 1- OF EACH
STATEMENT UNDEROATlt, 1-1
'nlE PRECEDING CALENDAR
I do ~lemnl)l swear that ad of
provisIOns contal(lElQ In Secti
SlQnature 01 !.ObbYIS!;
,-:)
VJI. SIGNATU~ ANO S'fAMl' OF NOTARo\' OR DEPUTY CUR.J(:
SIIiIIIiI of Fiend., County of Miami-Dace
Sworn 10 aM $~l:l4Icnbea before me
ThIs ;7;;' /WI. Clay of flI fIR" It , 2004.
VIRGINIA DUEPPE
NOTARY PUBLIC-STATE OF FLORIDA
COMMIIIlON. CC;20773
EXPIRES 4/2112004
BONDED THRU AlIA l-B88-NOTARYl
U~M-0 ~
Signa~lIr of PubliC NOtary FlOncla
\), 12-(11I\\.A -puE:fPC3
P,int, "'.mp or 1)'P" IlllIllI: of Not~y Public