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Ronald Shane/MB Watersports JUL ~.. ~~~4 U~:25 PM SHANE WATERSPORTS CENTER 3058618841 r'. "~4 w;__ 'ifff City of Miami Beadl 0tI'lce of the City CIeI1c: 1700 Convention Center Drlve, Miami Beadl, FL 33139 LOQYJST REGJS'I'R4nON FOlOf ~ ,",_") 1 8 2004 -. 6y 1'\ITI8 W>byl5t - .. ~ empI~led or m.IMd. wt.IINr _ Of' IlCIt, Ilr I principii ..... .... ID _011'" the ~. d"" or mcdlt'lcaaon of an, DhIlnMCe, ~. ectiOll Of'dedsIaft of.....~' 'WI.; 1IIIf.aon, decltIon, -mm.nd1Iaon of lhe City Men~ Of' ..... dlr _I'd Of' -0..; or e..., M:IIon, d.lIlan ... -... ~ - of Ittrf clly ~.... d<<InC In ..... INlnn.. In mil MClIon, dUriftg che tImI Period of ~ enrn lMciflln INIdlll ..- 011 -.clIIdion, .--Ion or llItomrnendlltlon tha. for_bIv will be "-reI or .......... to,. lIMI ~ 'o/l'lnll..... 01 e atr .... 01_....... '"'- III'In 15*lIlcdy Indudu lIle prl.clptll .. .... . any ~oy_ ...... III loIIIrtInt IclMlIec, ,......... ..~ .............. u J ..._ ........... '- 0,/11__ ZClIM-30Q5. Sh~...1~ NAME OF LOBBYIST: \ZoV\a'~ Q'l\a_1 Sea.c.h uJattr .s.PIJt1L (b.,-\t-~ bSoo BUSINESS NAME AND ADDRESS (Number end Street) (atv) 50 S" - ~b \ - 8fJ '-(J FAX NUMIISl.: (Wt) vJ ~5 -~~, -~6"'c1..p TtlEPtlONE NUM8EIl: (MJ) IY'ldl4'" Gt~t'I<' v~ M..B. ~314] cs-.) (ZIp) ""\afYI\ B't\1ch Rcl.i.l/",b,@ Bt!.l/5.r.>,*~. Nc..;l- 01AIl.: .. L088YWrRITAINID .y, M\t1""'\ ,~l'h I-LAME 01= PRINClPAl.JQ.lEfir: \.Va ~~~~."...t-c;.. CJ">N'1 -\.~~ ~ SOD ':Cn ~a", BUSINeSS NAMl! AND ADOIlESS ?oc; - BlOl - ~l)O(" Ta&HONf NUMBER: ~e~ 1> fh "'t.. tb:r Iv'hct m \ (........... ...d !itNc) ) '305 - -g" 1-~84J FAX NUMlER: (Optlone/) ~d-. I FL- ~..) ? 3l1..n (Zip Code) M\~n"~"h fJAaM.Jb. a &l~~'.N~4- EMAlL.: (Opaon.c) ; fl. - ..... ...... . ......... .. . c.r,.r...... .,. tftIoI: a-ea (ell NAJtIE OF 0ItEP 0I'f'lCp, PAlmIER. OlI.llEtIEFIaARV: i2.o na.\ d L0 . ~ h ~,J -e... IDE/oITlFY IiIJ. PEASClNS HOl..DttfG. DIIlfcn.. y OR INOMC1\. Y, A 5.. ell MOlt! OI.oJIl!1 IIr JNTEMST 110 SUCH COAPORAllCltt PAR~ 0lI. llU/ST; u. M'!CIfIC LOU\' ....11 IV\'~Y\I\ I B~c.h V c..A I...... to be lobbied (OMcrlbe In detaI): w. cnY Mf!NCJ!I/lNDIVIDUAU 1'0 II! ~8lED: If,r>:tl'l~ 4,pl,CA.(..IU"V'\. i II) Full N_ fIf ..........!11IIlI I ! I I c' I .).,- rtln\........d 1...1""111....... G ~ I I L.... .:I_i! '~4 V~:L6 ~M SHANE WHfERSPURTS CENTER 3058618841 P. ".:1~. IV. DISCLOIURf or 1'I!ItMf AND ANOUN1S or L.ClNYIR' COMP_11IOIII (D-.a.oee WII!'IltIR HOURL Y, R.A r RATE' CM OTHl1I.): A) LOBBYIST DISClOSURE: <......, .~tJ n...e... 8) PRINCIPAl. 'S D/sctosuAE (01' L08IY1ST CClf I'ENSAnClN): r T'1_:IIl...... N,." Vl-e.. f::::\~ ~NIlI" -~--......, ...~__!!!!!!!!,..._ - '__ ___ t..:::/ retmb.........~ Pursuant to OnIlnMCe .... .....SIII. 1) ==:~~~-:.::::jl=.....~~::;;r~~"'r.:.~~:s Owt~r~.w.w.I~&~,..~ ~...IobbvINI_..... ~~~oilI........ -~~ _..--.,..~_ -en.a. -,.t aI",""""" ~ far ~ ....lWIUlftt _ .......7 r..-e 2) PlnuanrCOOtd.-Na. -- "-'~~:;;~~~=~"':~r:I!IIln!i tNr8Df' !'hUlled .~ Ananat RtiIbrm". 1IBd Cam"""'" r<rilth.- .. l'-"~ On fluI ~D8I"'~ i~~ _Yi'.IlI (2) AnI_IGIItwI=-~____.. &"'ft~; &- :;.~~=~~ -Clltt-I'ora--ar-..-_ ~ ...:: _... _"-? V. SIeNATUR.! UNDIIR OATH: ON OC'IOlEa I'" OF EACH YI~ IAaI LOUYI1n" IIIALL IUIM1T 1'0 'nil CITY CUIU( A "'ED STATrMENT UNDft ~TM, LIlII_ LOemM IDCJIINDI'I'Uaa .. WILL M COMPINM'TION REaMD, IN 'lM1 cnv Of' MIAMI 8IACH I'OR 1111 ......... CAI.IIIIDMl"IIM. A aTA'I'DI1NI' 8HAU IE fILED IVIM IF 1HIU HAVI IIHIII NO Dr ....... OIl C'DIIf.INM1ION DUMM TMI ItIPOR1tNGI PEIUOD. ) x<~.II...~~.__ J do SOlemnly swear that aU rI 1M IbregoIng f8a:s .Ie vue and comet ancIltlet I haW! read or am ~-, """ ... ~ .. -. l-482 or the MIIml Belch Cly CDde and a/l report1ng requIrements. Signature rI lobbyist: )l:.. <<~ ),~ " SIgnature rI PrlnclpaVClent: VI. LONYUr IDfNnnCA'IJON1 :J Prc:lducrld 10 MlNaPA&.IIHlImPIc:A1IoN, o Pl'clQ.acl/D Form of JdenUtlcIlIon ~ f'ersa1al/y known <~ YD. SlGNATUItI AND STAMP Of NOTAIM StIlt:e of f'lorfda, COunty d Mlaml-oede S.. of Ror1dI, County Of MMlI-oede Sworn lXllll'ld subscr1Cled before me SWan end IlbiatbId beltnl me T~~::t- L\J~~4 Thls_dlycA. 20_ ~""."Noloy__":::"t ... ~""""---,,- NotAlfz6do..oIlallb.....r._ -' . ~w o:.~~""'lWhnolP\";- ............ - . ~ --"'" ~A 1r&- . ..~~. '/If.., Form of ldInlIIlaIacn IlI'8r'sllndy ~ (flrilldplQ i $__V I "'nnUIII A-el5lteaan "- C ] Y. [ J No JlmDu ICIt . ...... .... I \,obbytoC ~_ """"" rec.hteoI..... ___ b1r: l Reoliod 02/10/04 F: ~1\L088YJST""" <lIt f..,/O ~