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Andrew W. Frey/E.D.Y. Inc. ,... "I"""" SO",," ~ fijiP ;:;;;03 lD --- - Oty 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 Oty 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 exduslons. Please refer to Ordinance 2004-3435. Frey Andrew W. NAME OF LOBBYIST: (last) (First) (M.!) Gunster, Yoakley & Stewart, PeA., 2 South Biscayne Blvd., Suite 3400, Miami, FL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 331 31 (305) 376-6069 TELEPHONE NUMBER: (305) 376-6010 FAX NUMBER: EMAlL: L LOBBYIST RETAINED BY: E. D. Y. rnc. NAME OF PRINCIPAL/CLIENT: 1051 Washington Avenue, Miami Beach, FL 33139 BUSINESS NAME AND ADDRESS (Number and Street) (City) (305) 538-2273 (305) 538-5309 TELEPHONE NUMBER: FAX NUMBER: (Optional) (State) (Zip Code) EMAlL: (Optional) Fill out this section if principal Is a Corporation, Partnership or Trust [Section 2.482 (c)] NAME OF CHIEF OFFICER, PARTNER, OR BENEFIOARY: . IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: Do SPEOFIC LOBBY ISSUE: Temporary Parking Lot 1155 Collins Avenue Issue to be lobbied (Describe in detail): m. CITY AGENOES/INDMDUALS TO BE LOBBIED: A) Full Name of Individual/Title B) Any Financial, Familial or Professional Relationship Planning Board Planning Department City Managers Office ;~ IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURL Y, FLAT RATE OR OTHER): A) LOBBYIST DISa.OSURE: (Required) B) PRlNOPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). $180.00 Hourly $180.00 Hourly nor 1) Pursuant to Ordinance No. 2003-3393 Amendina Miami Beach Otv Code Chaoter 2. Artide vn. Division 5 Thereof Entitled "Campaian Rnance Reform" Via The Addition Of Code Section 2-488 Entitled "Prohibited Campaign Contributions By Lobbvists On Procurement Issues": Yes or on a 2) Pursuant to OrdinanC2 No. 2003-3395 Amendina Miami Beach Otv Ccxle Chaoter 2. Article vn Division 5 thereof Entitled "Camoaign Rnance Reform", Via The Addition Of Ccxle Section 2-490 Entitled "Prohibited Campaian Contributions By Lobbyists On Real Estate Development Issues": Yes V. SIGNATURE UNDER OATH: ON OCTOBER 1 Sf OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED STATEMENT UNDER OATH, UmNG 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 REPOR11NG PfRIO~ ~~ f /' Signa e of LO~ 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 contained in Section 2-482 of the Miami Beach City Code and all reporting requirements. ~ .../ ~ Signature of Lobbyist: U~ ,,~ Signature of PrinCipal/Oient" ~ ~../'" ' VL LOBBYIST IDENTIFICATION: PRINQPAL IDENTIFlCA~ON: I r. Produced 10 Produced 10 Yt<.\ V ~S ~ ~p ~-e Form of Identification Form of Identification ~IY known (Lobbyi"D Personally known (Principal) VII. SIGNATURE AND STAMP OF NOTARY: NYDIA R. MARTIN MY COMMISSION # DO 031308 EXPIRES: July 17, 2005 Bonded Thru Notary Public UndelWJi1ers ^ Annual Registration fee: [~] No Lobbyist Registration Fonn received and verified Revised 02/10/04