Arthur William/Michael Flood
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City of Miami Beach Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139
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L~ist ~ns ~rsons employed or retained, whether paid or not, by a principal who seeks to encourage the passage, defeat
oiJcl>dific:nibn cSny ordinance, resolution, action or decision of any commissioner; any action, decision, recommendation of the
c~an" or,~y city board or committee; or any action, decision or recommendation of any city personnel defined in any
l11illIDer i.!'this sec1:ion, during the time period of the entire decision-making process on such action, decision or recommendation
tWore!iel:ilbly ~I be heard or reviewed by the city commission, or a city board or committee. The term specifically includes the
pe~al esJNell@fu.anyemPIOyeeengagedinIObbYingactivities.The term "Lobbyists" has specific exclusions. Please refer
tUj'uinaace 2004-3435.
Q: ~ ~ /.. \J~u1A1Vt
NAME 0 BB (Last) (First)
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BUSINESS NAME AND ADDRESS (Number and Street) (City) (State)
LOBBYIST REGISTRA nON FORM
(M.!)
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TELEPHONE NUMBER:
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FAX NUMBER:
-
EMAIL:
I. LOBBYIST RETAINED BY:
~~
NAME OF PRINCIPAl/CLI :
~ U.C 401 ~~ea!r tvt~iK.~~
BUSINESS NAME AND ADDRESS (Number and Street) (City) (S tel
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TELEPHONE NUMBER: FAX NUMBER: (Optional)
~l~
(Zip Code)
-
EMAIL: (Optional)
Fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (c))
NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY:
. IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
U. SPECIFIC LOBBY ISSUE:
QE ......." Q oE'\.- ~..... '"
Issue to be lobbied (Describe in detail):
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b eo. ~ ST\lL.E t"'\ l '-\ c> \ ~u.J)
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IU. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
A) Full Name of Individual/Title
B) Any Financial, Familial or Professional Relationship
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.
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURL Y,
FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE: (Required) ~ 1t~
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required), r'J...,l r If.41"'6 ~ .> - CS> 6J 0
Yes
1) Pursuant to Ordinance No. 2003-3393 Amendina Miami Beach Citv Code Chaoter 2. Article VII. Division 5
Thereof Entitled "Camoaian Finance Reform" Via The Addition Of Code Section 2-488 Entitled "Prohibited
Campaian Contributions By Lobbvists On Procurement Issues":
2) Pursuant to Ordinance No, 2003-3395 Amendina Miami Beach Citv Code Chaoter 2. Article VII Division 5
thereof Entitled "Campaign Finance Reform", Via The Addition Of Code Section 2-490 Entitled "Prohibited
Campaian Contributions Bv Lobbvists On Real Estate Develooment Issues":
Yes
V. SIGNATURE UNDER OATH:
ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, USTlNG LOBBYING EXPENDITURES, AS WELL AS COMPENSATION
RECEIVED, IN THE CITY OF MIAMI BEACH FOR THE PRECEDING CALEND YEAR. A STATEMENT
SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPENDITURES OR P SATlON DURING THE
REPORTING PERIOD.
Signature of Lobbyi
and correct and that I have read or am
Miami Beach City Code and all reporting
I do solemnly swear that all of the foregoing facts are tr
familiar with the provisions contained in Section 2-48 t
requirements.
VI. LOBBYIST IDENTIFICATION:
Produced ID
Produced ID
Form of Identification
Form of Identification
~rsonallv knoWiilbJbbyist)
VII. SIGNATURE AND STAMP OF NOTARY:
~v knnwn (lSi!Incipal)
State of Florida, County of Miami-Dade
Sworn and subscrl before me
This ~day of
Notary - State of Florida
obb ist's signature
MARTA M. HERRERA
MY COMMISSION # CC 982158
EXPIRES: November 16, 2004
Bonded Thru Notary Pubic Underwrtters
MARTA M, HERRERA
MY COMMISSION # CC 982158
EXPIRES: November 16, 2004
Bonded Thru Notary PubrlC Uoderwrilers
FOR CLE
Annual Registration fee: [Xi Yes [ ] No Amount Pa"
Lobbyist Registration Form received and verified by:
Revised 02/10104 F: CLER\ALL
2.. ~ bOb 1 Date Paid
T\LOBBYIST FORM 04