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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 aN 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. 01 the
Oty Manager or any dty board or committee; or any action, decision or recommendation of any dty personnel dtfined 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 dty board or committee. The term speciflCillly includes the
principal as wen as any employee engaged in lobbying activities. The term "lobbyists. hlI. Specific elCduslon.. P.........
to Ordinance 2004-3435.
KAsdin
Neisen
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NAME OF LOBBYIST:
Gunster Yoakley
(Last)
2 S. Biscayne Blvd.,
BUSINESS NAME AND ADDRESS
305-376-6062
TELEPHONE NUMBER:
(Number and Street)
305-376-6010
(First)
#3400 Miami,
(City)
(M.I)
FAA NUMBER:
FL 33131
(State) (Zip Code)
nkasdin runster.com
EMAIL:
I. LOBBYIST RETAINED BY:
patrinely Group, LLC
NAME OF PRINCIPAL/WENT:
1980 Post Oak, Suite 1600 Houston, TX 77056
BUSINESS NAME AND ADDRESS (Number and Street) (City)
713-840-2700 t-IZ -~~I()-"l..~ 5;
TELEPHONE NUMBER: FAX NUMBER: (Optional)
(State) (Zip Code)
EMAIL: (Optional)
Fill out thl. MctIon if principal I. a Corporation, Partnem.lp or Trust [SectIon 2-482 (c)l
. NAME OF O1IEF OFFICER, PARTNER, OR BENEWARY: '..n
C. Deu.u.. ~\c-u...Q~, ~I(,"-"-~""'~ v"(.<.f'O'(
. IDENTIFY ALL PERSONS~ING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREsT IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
C, ~ ~N' ~..&:',^j) Q'<.ke.\~, KJ~d.> ; ~OV\(1f&0. O'm", ((
n. SPEOFlC LOBBY ISSUE:
Variance(s)
Issue to be lobbied (Describe in detail):
m. QTY AGENOES/INDMDUALS TO IU! LOBBIED:
A) Full Name of Individual/Title B) Any Financial, Familial or Professional Relation.hlp
Planning Department
City Managerjs~office
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSAnON (DISCLOSE WHETHER HOURL Y,
FLA T RA TE OR OTHER):
A) LOBBYIST DISCLOSURE: (Required)
$400.00 per hour
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). $400.00 per hour
Yes ~ Are YOU reDresentina a not-for-Drofit corooration or entity without sDeCial camDensation or
reimbursement. Pursuant to Ordinance No. 2004-3435.
1) Pursuant to Ordinance No. 2003-3393 Amendino Miami Beach City Code Chaoter 2. Artide VII. Division 5
Thereof Entitled "Camoaign Finance Refonn" Via The Addition Of Code Section 2-488 Entitled "Prohibited
Camoaion Contributions By Lobbvists On Procurement Issues":
Yes
2) Pursuant to Ordinance No. 2003-3395 Amendina Miami Beach Citv Code Chaoter 2. Article VII Division S
thereof Entitled "Camoaion Finance Refonn". Via The Addition Of Code Section 2-490 Entitled "Prohibited
Camoaion Contributions BY Lobbvists On Real Estate Develooment Issues":
V. SIGNATURE UNDER OATH:
ON OCTOBER 1ST OF EACH YEAR, EAOf LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, UmNG LOBBYING EXPENDITURES, AS WELL AS COMPENSATlON
RECEIVED, IN THE CITY OF MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT
SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPENDITURES COMPENSATlON DURING THE
REPORTING PERIOD.
Signat re t Lobbyist
I do solemnly swear that all of the foregoing facts are true and correct and that I have read or am
familiar with the provisions cont1/M' . Section 2-482 of the Miami Beach City Code and all reporting
requirements.
Signature of Lobbyist:
Signature of Principal/Client:
VI.
LOBBYIST IDENnFlCATlON:
PRINCIPAL IDENTlFlCAnON:
Produced ID
Produced ID
Fonn of Identification
Fonn of Identification
X Personally known (Lobbyist)
VII. SIGNATURE AND STAMP OF NOTARY:
Personally known (Principal)
State of Florida, County of Miami-Dade
Swom and subscribed before me
This _day of . 20_
Signature of Public Notary - State of Rorida
Notarization of Principal's signature
MARIA V IJNDNER..LOPEZ
NOTARY PUBUC5l'ATI(lII FLORIDA
COMMISSION NO. DDOO619
MY COMMISSION EXP. AUG. 5
1Mi'4
LY ,...!)'YJvtl/
Annual Registration fee: [ ] Yes [ ] No MCR ~Date Paid
Lobbyist Registration Form received and verified by:
Revised 02/10{04 F: C ER\A \MARIA-M\LOBBYIST\LOBBYIST FORM 04
r.
i
~
i.
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSAnON (DISCLOSE WHETHER HOURL Y,
FLAT RATE OR OTHER):
A) LOB8YIST DISCLOSURE: (Required)
$400.00 per hour
'Per hour
$400.00,
Yes
B) PRINOPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required).
a :e~,: n!Dresentina II not-for-Droflt corooration or entitY without sDl!dal comDel1Slltion or
bu Pursuant to Ordinance No. 2004-3435.
1)
Yes e
21
Yes e
v.
Pursuant to Ol'dlniill1Cl! No. 2003-3393 Amendinlj Miami Beach City Code ChaDter 2. Artide VII. Division 5
Thereof Entitled "Camoai9n Finance ReformH Via The Addition Of Code Sectian 2-488 Entitled "Prohibited
Camoaion Contributions BY Lobbvists On Procurement Issues":
Are YOU lobbyina on a Dresent or Dendina bid for GOOds. eauiDment or services. or on a Dresent
or oendinG award for Goods. eauioment or service?
Pursuant to Ordinance No. 2003-3395 Amendinq Miami Beach Otv Code Chaoter 2. Article VII DIvision 5
thereof Entitled "Camoaion Finance RerormH. Via The Addition Of Code Sectian 2-490 Entitled "Prohibited
Camoaion Contributions By Lobbvists On Real Fc:t'lte Development Issues":
:'~=n::~~~;:':==G~a:o~~~~':~;:'''re~~:t: MaD?
SIGNATURE UNDER OATH:
ON OCTOBER 1 Sf OF EAOt YEAR,. EAOI LOBBYIST SHAlL SUBMIT TO THE arv CLERK A SIGNED
STATEMENT UNDER OATH, U5nNG LOBBYING EXPENDITURES, AS WELL AS COMPENSATION
RECEIVED, IN THE CITY OF MIAMI BEAOI FOR THE PRECEDING CALENOAR YEAR. A STAT!MENT
SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPENDITU COMPENSATION DURING THE
REPORTING PERIOD. "
'ng facts are true and correct and that I have read or am
'on 482 of the Miami Beach City Code and all reporting
I do solemnly swear that all of the foreg
familiar with the provisions contained i
requirements.
Signature of Lobbyist:
Signature of Principal/Client:
VL lOllBYIST IDENTIFICAnON:
: Produced rD
Form d Identification
ypersonally known (Lobbyist)
.0, '0,
..:: Produced rD
Form of Identification
V Personally known (Principal)
CAROl VN DFlUSHEL
flY COMMISSION EXPIRES
~ lB.3lO8
FOR CLERK'S USE ONLY
Annual Registration fee: [ ] Yes [ ] No Amount Paid MCR # Date Paid
Lobbyist Registration Fe"" received and verified by:
Revised 02110/04 F: CLER\ALL\MARIA,M\LOBBYIST\LOBBYIST FORM 04