Abigail Watts-Fitzgerald
"'i"mi 8COKh
b:ttd
mr
m
:.uU3
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, dedsion, 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, dedsion 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
tJUa~200f7~c~~ Alai ail
II"'"' 0""","5" ''"is AY<. ,,] II.
MlJ~U-i_~ LLl1 \\\, fI~t I Sur\:'" L~(}) 11l)~\ [,~
BUSINESS NAME AND ADDRESS (Number and Street) (City)
~\h-~O-J..51] 30:;'- SIO.lb4Cj
TELEPHONE NUMBER: FAX NUMBER:
c
(M.!)
33(51
(State) (Zip Code)
~~\J-{ (Q hVYrtOfl. [(fV\
EMAIL:
IrXJv~ISh~jBYM)~ ~~W> LLC
NAME OF PRINCIPAl/CLIENT:
If dlJ L~(OI 1\ RJ. )SU rlR.. \-lS) {Y1 iet 1M J} 0. ch F , .
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State)
305 S35 et~":} "305 53B 3iBe
3116?
(Zip Code)
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:
. IDENTIFY ALL PERSONS HOlDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
II. SPECIFIC LOBBY ISSUE:
te OtL~ CCl'(lljS l (JI)
Issue to be lobbied (Describe in detail):
III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
,~.t"j!I~~~ :r ~~i~!.~=~li!J,L., "
IV. 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).
1) Pursuant to Ordinance No. 2003-3393 Amendina Miami Beach City Code Chaoter 2 Article VII. Division S
Thereof Entitled "Camoaign Finance Reform" Via The Addition Of Code Section 2-488 Entitled "Prohibited
Campaign Contributions Bv Lobbvists On Procurement Issues":
2) Pursuant to Ordinance No. 2003-3395 Amendina Miami Beach City Code Chaoter 2, Article VII Division S
tbereQfEntitled "Campaign Finance Reform". Via The Addition Of Code Section 2-490 Entitled "Prohibited
Camoaian Contributions Bv Lobbyists 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, LISTING 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 HAQVPENDITURES OR COMPEN. SAn... DURING THE
REPORTING PERIOD. b .J C~ _, ~,..,
& Signature of 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 provo . ained in Section 2-482 of the Mia~each City Code and all reporting
reqUirements.) ..., J C~. t1
VI.
LOBBYIST IDENTIFICATION:
Produced IDlN ~ 1- OJ:J -- ~ - tb1
Form of Identification
PRINCIPAL IDENTIFICATION:
Produced ID
Personally known (Lobbyist)
Form of Identification
Personally known (principalJ
VII. SIGNATURE AND STAMP OF NOTARY:
State of Florida, County of Miami-Dade
Sworn a9d sUbscri~ be~ me / A
This L2-day of Wi!. , 200'(
dYJ/~~
Signature of Public Notary - State of FI rida
Notarization f Pri ci ai's. t
\\~Illl'", UlIAM R. HATFIELD
i1JW~>-!!' '~;:'i.~ PublIc . Stole of Flortdo
i . . !'""Ca,,,....,&paFeb 18. 2009
\? ~ CommIIIIon II 00 375299
~.. "'~' -..-...NaIIonaIu....-' A__
I,..,..,. .....~1iIJf .__.,I'WiMI.
@ /
/ FOR
Annual Registration fee; [~s [ ] No Amo .
LOb. byist Registration Form received and verified by:
ReVISed 02/10/04 F: lER\All\
ONMLci tt2E rJ (., Date Paid /2 ' I r O~