Chad Oppenheim/Integrated Eq.
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City of Miami Beach Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139
LOBBYIST REGISTRATION FORM
Lobbyist means all persons employed or retained, whether paid or not, by a principal who seeks to encourage the passage, defeat
or modification of any ordinance, resolution, action or decision of any commissioner; any action, decision, recommendation of the
City Manager or any city board or committee; or any action, decision or recommendation of any city personnel defined in any
manner in this section, during the time period of the entire declsion-maklng process on such action, decision or recommendation
that foreseeably will be heard or reviewed by the city commission, or a city board or committee. The term specifically includes the
principal as well as any employee engaged in lobbying activities. The term "Lobbyists. has specific exclusions. Please refer
to Ordinance 2004-3435.
Oppenheim Architecture + Design 245 NE 37TH STREET, SUITE 102
BUSINESS NAME AND ADDRESS (Number and Street) (City)
MIAMI, FL
(State)
L
(M.I)
33137
(Zip Code)
NAME OF LOBBYIST:
Oppenheim
(Last)
Chad
(First)
305-576-8404
TELEPHONE NUMBER:
305-576-8433
FAX NUMBER:
chad@oppenoffice.com
EMAIL:
I. LOBBYIST RETAINED BY:
INTEGRATED EQUITIES, INC.
NAME OF PRlNCIPAL/CUENT:
2228 Park Avenue
BUSINESS NAME AND ADDRESS
MIAMI BEACH
(Number and Street) (City)
FLORIDA
(State)
33139
(Zip Code)
786-208-2124
TELEPHONE NUMBER:
FAX NUMBER: (Optional)
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:
MITICHELL RUBINSON
. IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
MITICHELL AND EDDA RUBINSON
II. SPECIFIC LOBBY ISSUE:
2228 PARK AVENUE BUILDING & ZONING ISSUES
Issue to be lobbied (Describe in detail):
III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
A) Full Name of Individual/Title B) Any Financial, Familial or Professional Relationship
HISTORIC PRESERVATION BOARD
BOARD OF ADJUSTMENT
PLANNING AND ZONING DEPARTMENT
lv. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURL Y,
FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE: (Required)
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required).
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reimbursement. Pursuant to Ordinance No. 2004-3435.
Pursuant to Ordinance No. 2003-3393 Amendina Miami Beach City Code Chaoter 2. Article VII. Division 5
Thereof Entitled "Campaign Rnance Refonn" Via The Addition Of Code Section 2-488 Entitled "Prohibited
Campaign Contributions By Lobbyists On Procurement Issues":
y
1)
Yes e
. 2)
Yes C;;..-:
v.
~fl1J) CO
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~o~ ~~c:~ ~ =~: b~~~odS. eauiDment or services. or on a Dresent
or oendinG award for Goods. eauiDment or service?
Pursuant to Ordinance No. 2003-3395 Amendina Miami Beach City Code Chaoter 2. Article VII Division 5
thereof Entitled "Camoaian Finance Refonn". Via The Addition Of Code Section 2-490 Entitled "Prohibited
Campaian Contributions BY Lobbyists On Real Estate Development Issues":
Are YOU lobbying on a oendinG aDDlication for a DeyelODment AGreement with the City or
aDDlication for chanGe of zoning maD desiGnation or change to the City's Future Land Use MaD?
SIGNATURE UNDER OATH:
ON OCTOBER 1 Sf OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CTY CLERK A SIGNED
STATEMENT UNDER OATH, USTING LOBBYING EXPENDITURES, AS WELL AS COMPENSATION
RECEIVED, IN THE CTY OF MIAMI BEACH FOR THE PRECEDING NDAR YEAR. A STATEMENT
SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXRENDITU MPENSATION DURING THE
REPORTING PERIOD.
I do solemnly swear that all of the foregoi
familiar with the provisions contained .
requirements.
facts are true and co rect and that I have read or am
n 2-482 of the Miami Beach City Code and all reporting
Signature of Lobbyist:
VI.
PRINCIPAL IDENTIFICATION:
Produced ID
Produced ID
Fonn of Identification
~Iy known (PrIndPOI)~
VII. SIGNATURE AND STAMP OF NOTARY:
State of Florida, County of Miami-Dade
Sworn to and subscribed before me ~.
This C> day or.J1 h I ~ . 2o...l:'\
Sign re of. blie Notary - State of Rorida
N rization of Lobbyist's signature
CIAL NarARYSEAL
LESUE ABRAHAM
NOI'AlYPUBLJC STATE OF FLORIDA
a>MYIS6ION NO. DD062244
I!lSION EXP.
State of Rorida, County of Miami-Dade
sworq;t subscribed before me r-..A
This day of 20~ \"
Signature of lie N ry - te of Rorida
Notarization of Principal's signature
OFFICIAL Nor MY ~ ~"
LESUF. AHRA,{MA ..
t4 h",fl~. ~
ICJtAltypUBUCSTATE:Jf ,'LA!'" ~/.
(OMMJS&lON NO. DD062244
. ocr. 5
. ~ FOR CLERJCS..IJS~NL Y -
Annual Registration fee: ['-rYes [ ] No Amo aid, J~O'()V MCR :V?7a2b.s Date Paid
Lobbyist Registration Form received and verified by:
Revised 02/10/04 F: CLER RIA-M\LOBBYIST\LOBBYIST FORM 04
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