Janna P. Lhota/IHC MB Corp
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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 decision-making 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.
NAME OF LOBBYIST:
illota
(Last)
Janna
(First)
P.
(M.!)
Lauderdale, FL 33301
(Zip Code)
Holland & Knight LLP, One E. BraNard Boulevard, suite 1300, Ft.
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State)
954-525-1000
TELEPHONE NUMBER:
954-463-2030
FAX NUMBER:
EMAIL:
I. LOBBYIST RETAINED BY:
IHC;MiaIPi Beach Corp:>ration
NAME OF PRINCIPAl/CLIENT:
1950 Ste.mrrons Freeway, Suite 6001, Dallas, Texas 75207
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State)
214-863-1285
(Zip Code)
TELEPHONE NUMBER:
FAX NUMBER: (Optional)
EMAIL: (Optional)
Fill out this section if principal is a Corporation, Partnership or Trust [Section 2-4B2 (cll
NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY:
IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATIDN, PARTNERSHIP OR TRUST:
II. SPECIFIC LOBBY ISSUE:
Representation before the City Special ~Jaster (Case Nos. JB03000738/JB03000316/
Issue to be lobbied (Describe in detail): JB04000007
III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
A) Full Name of Individual/Title
B) Any Financial, Familial or Profe5$ional Relationship
Sial Master Clerk Kerry He
Sr. Electrical Inspector Thomas Ra
Chief Elevator Inspector John Anto
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURL Y,
FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE: (Required)
Hourly
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). Hourly
1) Pursuant to Ordinance No. 2003-3393 Amendina Miami Beach City Code Chaoter 2. Article VII. Division S
Thereof Entitled "Camoaian Finance Reform" Via The Addition Of Code Section 2-488 Entitled "Prohibited
Camoaign Contributions Bv Lobbyists On Procurement Issues":
Yes <9
Are vou 10bbvinG on a Dresent or DendinG bid for Goods. eGuioment or services. or on a Dresent
or oendinG award for Goods. eGuioment or service?
2) Pursuant to Ordinance No. 2003-3395 Amendina Miami Beach City Code Chaoter 2. Article VII Division S
thereof Entitled "Camoaian Finance Reform", Via The Addition Of Code Section 2-490 Entitled "Prohibited
Camoaian Contributions Bv Lobbvists On Real Estate Develooment Issues":
V. SIGNATURE UNDER OATH:
ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, USTING LOBBYING EXPENDITURES, AS WELL AS COMPENSATION
RECEIVED, IN THE CITY OF MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT
SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPENDITURES OR COMPENSATION DURING THE
REPORTING PERIOD.
I do solemnly swear that all of the foregoing fact are true and correct and that I have read or am
::;:;~m~:the _"on~ 'dQ:;,m; '"'''' C;ly Code ,,' ,II reportiog
Signature of Lobbyist:
Signature of Principal/Clie : ~
VI.
LOBBYIST IDENTIFICATION:
PRINCIPAL IDENTIFICATION:
o Prod uced ID
o Prod uced ID
Form of Identification
Form of Identification
9< Personally known (Lobbyist)
VII. SIGNATURE AND STAMP OF NOTARY:
~ersonally known (Principal)
State of Florida, County of Miami t;;lade6(l)1.U0-r0l
Sworn to anll subscribed before me
This -?<<v\ day of . t 2d0L/
( -tn.C. &A~
Signature Public Notary - State of Aorida
Notarization of Lobbyist's signature
...",':A\:'rt.t- Cheryl M.e. Chudnow
. . . '. MY COMMISSION # DD087813 EXPIRES
April 14, 2006
BONDED THRU TROY FAIN INSURANCf,INC.
Signature Public Notary - State of
Notarization of Principal's signature
/".:~;;':;K::: JANIE R, ROBINSON
j" " .,.\
I: ,"'I~ ',;} MY COMMISSION EXPIRES
,,~ - ~/, .~~~~- December 29, 2007
7 /o~
Annual Registration fee: [ ] Yes [ ] No Amo nt P
Lobbyist Registration Form received and verified by:
Revised 02[10[04 F:
.-:;::iC),,":JI: '<
'S.us.~ ONLY 'I .~ P /
:5 'D]J MCR 41/v%ate Paid 2,
ARIA-M\LOBBYISl\LOBBYIST FORM 04
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