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David Hess & Richard Evans r.ti~9t;",c:h , Z4J03 to City of'Miami Beach Office of the City Clerk 1700 Convention Center Drive, Miami Beach, FL 33139 ~;-;=; " r~'1 ~,...,. ~ /", LOBBYIST REGISTRATION FORM U) o ,0 -n ., Lobbyist means all persons employed or retained, whether paid or not, by a principal who seeks to encourage the passage,j,efeiltJl or modification of any ordinance, resolution, action or decision of any commissioner; any action, decision, recommendatiornlf the:> aty Manager or any city board or committee; or any action, decision or recommendation of any city personnel definedlll 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. Kasdin Neisen o. NAME OF LOBBYIST: Gunster Yoakley BUSINESS NAME AND ADDRESS 305-376-6062 TELEPHONE NUMBER: (Last) (First) 2. S. :'Biscayne Blvd., #3400 (Number and Street) (aty) 305-376-86010 FAX NUMBER: Miami FL (State) (M.!) 33131 (Zip Code) EMAIL: I. LOBBYIST RETAINED BY: David Hess and Richard Evans NAME OF PRINCIPAl/CLIENT: Casablanca Condaniniurn Association, Inc. 6345 Collins Ave., Miami Beach BUSINESS NAME AND ADDRESS 305-868-0010 (Number and Street) (City) (State) (Zip Code) FL 33141 TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional) Fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (cll 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: II. SPECIFIC LOBBY ISSUE: Approval of parking facilities 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 City Manager None Planning Department None Parking Department None -,'~:1 (.11 'on C) n ?: ~.:.,~" .... ..- m r-"'4 "....,.1 IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURL Y, FLA T RA TE OR OTHER): C[' A) LOBBYIST DISCLOSURE: (Required) tp '1,% ~ ~~,cv.l.r B INOPAL'S DISCLOSURE (OF LOBBY1SI COMPENSATION): (Required). t ';2; (1) r 1) Pursuant to Ordinance No. 2003-3393 Arnendina Miami Beach Citv Code Chaoter 2. Artide VII. Division 5 Thereof Entitled "Campaian Finance Reform" Via The Addition Of Code Section 2-488 Entitled "Prohibited Campaign Contributions BY Lobbyists On Procurement Issues": Y or selVices or on a 2) Pursuant to Ordinance No. 2003-3395 Arnendina Miami Beach Otv Code Chaoter 2. Article VII Division 5 thereof Entitled "Camoaian Finance Reform". Via The Addition Of Code Section 2-490 Entitled "Prohibited Camoaian Contributions BY Lobbyists On Real Estate Develooment Issues": V. SIGNATURE UNDER OATH: ON OCTOBER 1 Sf OF EACH YEAR,. EACH LOBBYIST SHALL SUBMIT TO THE OTY CLERK A SIGNED STATEMENT UNDER OATH, U5TlNG LOBBYING EXPENDITURES, AS WELL AS COMPENSATION RECEIVED, IN THE OTY OF MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPEND S R COMPENSATION DURING THE REPORTING PERIOD. I do solemnly swear that all of the ~ regoing facts are true and correct and that I have read or am familiar with the provisions contain Section 2-482 of the Miami Beach City Code and all reporting requirements. Signature of Lobbyist: . Signature of Principal/Client: C-'o. ). -e. ~'- \.(l- ~t- ~\J lkl,) G Produced ID PRINCIPAL IDENTIFICATION: XPrc1.~ 10 Ei5tl.-7'1J-&--rotl-{) J)nVef'SlfaM.J'orm of Identification r:: Personally known (Principal) VI. LOBBYIST IDENTIFICATION: Form of Identification X Personally known (Lobbyist) VII. SIGNATURE AND STAMP OF NOTARY: .OFFlClALNOI: Y MARIA V lJNDNEI.LOPIlZ NOTARY PUBUC SfATEOFFLCIUDA COMMISSION NO. DDIM5619 M~ JtC9 7/ }l?oate Paid <(; "..5-0 <jJ