Rodriguez Miguel/Miami Dade C
MAY-12-2,*
111:1.
~qp
I, as
17:05
CITY M I AM I BCH CLERK DEPT
305 6737254 P.01
n.I
~
..
-'
atv of MiamI Beach omce of tile CAyOe!'1
1700 Convention CentB" OrNe, Miami Bead'l, FL 13139
LOBBY1ST UGlSTllAnON IlOD
LAlbIlyIIf I",,,.w JIIldllftS ~ or ~ VIINtIler ~III fII'''' fJr iI priICiPJI who.-lc, D m..uu,ay,. the pasggIr,'"
<iF modIl;.1tIQC\ f8 an, 0rGClIl'Q. NSOIudon. don or dtcbIan Of.." a....,~ fIllY 1dIaI! dI!d*lrI.~ ol tile
Oty Mar i~ or _ Cay ~ ar ~Clr ;any aatcn, ~ Dr ~Of .'1 r tIy~ ~ I2le Qmt
~o: .1Ie enUrt cIIdIIan-lnI1dng pnlllI!SS en SllCh don. cledIItlIl tlr ltlCOl'ftmendllon thlt Ill/I ~ WIll be heard Dr IDIeMd
by"'C :. ClDII'lfI__. or, d/t!t 0aiRd or COl'MlItIiIt. ",. IlIrm ~ IncUSe the plftdpi,l at well. arww ""~ ~
bfobl)yll ,lKtl1riUeS. 1M...... """r~,,"____.~rllll" _............11 _3DM-:MS5.
...!2S. i'iquez
NAME Q' ~OUYIST:
(Last)
Miquel
(AI1t)
(MJ)
.a~.:. t~ Dadt't~ Rap
: NAME AND
lOO HE 2r:1)Ave - ,
(Nufnber -S ~
305-237-3109
m PUIB.:
Suit..:: l44n. M; -''''lJ" FL l3132
i~ CD> Code)
mi'il1eL ~Qd~igue:dmdc. edu
awL:
....lQ3. :i J 1- 3 9 4 4
TB..EIlH: I ~;
,~ ,
L L,G.,........Y:
~.!,~ o-l$de Colleae'
lUME O''NNaPMJtUBft':
~>,
. .;1
~j;aJl., DT"~. r.9~leqe
JUSINe..: NAtE IH) ADDRei5
300 m:: 2n<1 Ave. Miami, !: ~ 3-3132
(Nu- and keet) (Qr) (Stlne)
(ap COlle)
~i:]'-H44
~.'IIEMHB:
30~-7~7-11nq
fAX NUMBI!R: (0s*nII)
miauel.: ['od~iaupz timdro pdn
BWL: (Opllanal)
.. i~...... .__ II . c.........., ,.... .....~ ., 'Il'lIIt PitdiM 242 (4:: I
. 'W'IE Of" 0.18' 0fRCD, PARlNB\. OR BENERCARY:
. tDI!NT1fY' AU. ~ HOLDlNCi, DlRfC'I1.TQRlMmUOl.Y. A ~ORMOIU!OWN'J SHIP JNlBESTIN SUCH
;QfUICMnoN.~ ORlRUST:
. :
IL ~LaeM'-=
.t!.Lt!:;41/ ;6o~~".,e IN!';,wi) Ih"""~NI'/ 7:: ~LH h~~ VA~
.... tD 1.1lIbllMd . In ...):
DI. CITY MIIICIU,.DMIMM18,.. U..11ED:
A) ... t, "'" ., In4I A A.!uI/liIIe
"
I)AIfr .......... ....... I ~'I n"lWlIUHIIIlp
~I,,,-v ~
.'
I
~
1 - d
OOOO-1..E:2-SOE:
::mw
dl..~:SO SO 21 ~ew
MRImi ~h
tqIt1-
J.U1I3
m
-
City of Miami Beach Office of the City Oerk
1700 Convention Center Drive, Miami Beach, FL 33139
LOBBYIST REGISTRATION FORM
Lobbyist means all persons employed or retained, whether paid or not, by a prindpal 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
atv Manager or any city board or committee; or any action, decision or recommendation of any city personnel during the time
period of the entire decision-making process on such action, dedsion or recommendation that foreseeably will be heard or revieYied
by the dty commission, or a dty board or committee. The term specifically includes the principal as well as any employee engaged
in lobbying activities. The tenn "Lobbyists" h_ specific exclusions. PleBSe refer to Ordinance 2004-3435.
Rodriquez
NAME OF LOBBYIST:
(Last)
Miquel
(Rrst)
(M.!)
Miami Dade College
BUSINESS NAME AND ADDRESS
300 NE 2nd Ave.,
(Number and Street) (ety)
305-237-3109
FAX NUMBER:
Suite 1440.
(State)
Minmi FL 33132
(Zip Code)
305-237-3944
TB..EPHONE NUMBER:
migue1.rodriguez@mdc.edu
EMAIL:
I. LOBBYIST RETAINED BY:
Miami Dade Col1eqe
NAME OF PRINCIPAL/CUENT:
MialTIi Dade C9::_1ege
BUSINESS NAME AND ADDRESS
_ 300 Im 2nd Ave. Miami, FL 33132
(Number and Street) (atv) (State)
(Zip Code)
305-237-3944
TELEPHONE NUMBER:
~Oc;-?~7-11()q
FAX NUMBER: (Optional)
miquel.rodriauez@mdc.edu
EMAIL: (Optional)
Fill out this section if principelis a Corporation, Partnenhip or Trust [Section 2.....2 (c))
. NAME OF CHIEF OFfICER, PARTNER, OR BENEAOARY:
. IDENTIFY AlL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
II. SPECIFIC LOBBY ISSUE:
Issue to be lobbied (Describe in detail):
III. cnv AGENClES/INDMDUAlS TO BE LOBBIED:
A) Full Name of Individual/Title
B) Any Financial, Familial or Professional Relationship
N~
_ _~ ____ ____...._._ __. __..~___..........Bealea....ftM 'nTCr.~ 1MM~I!R ~lilLr.
~.~
\t9
Iii
llS'
8il
. .
IV. DISCLO$URE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSAnON (DISCLOSE WHETHER HOURLY,
RAT RAtE OR OTHER):
A) LOBBYIST DI5a.OSURE: (Required) 5"4# V
,
B) PRINOPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). S /9'-/ /t'Ct t:'j)
C;I(",4, ye.a-
, ,
The following InforlMtlon must be answered:
1) Pursuant to Miani Beach Qty Code Section 2-488 EntitJecl "Prohibited Campaign ContrlJutlons By Lobbyists
On Procurement Issues":
DYes 00.0: Are YOU lobbYIna on . _esent or uencllna bid for aoocIs. eaulDment or services. or on .
, --...
oresent or __na awn for aoocIs. eauiDment or service?
2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaigl ConbibutionS By lDbbyists On Real
Estate Development Issues":
rIVes .~o: :: YOU lobbYina on . aendina ._IClltIon for . DeveIoDment AGreement with the a~ or
~icetion for chanae of zonina ....D desianation or chanae to the Citv's Future Land Use
Hm!l
3) Pursuant to Miami Beach Qty Code 2-484 (h) My person (except those exempt from the defi1ition of
"lobbyist" as set forth in Section 2-481 above) who only appears as a representative of a not-tor-profit
corporation or entity without special oompensation or reimbursement tor the appealCl1Ce, whether direct, or
indirect, to express support of or opposition to any item, shall register with the clerk as required by this
section but, shaD not be required to pay any registration fees..
)lYes 0 No: Are YOU reuresentina a not-for-DI'OfIt COI"DOI'8tion or entitY without SDedaI comaensation
or reimbursement. .
V. SIGNATURE UNDER OATH:
ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, UmNG LOBBYING EXPENDITURES, AS WEU AS COMPENSATION
RECEIVED, IN THE cnv OF MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT
SIlAU BE mED EVEN IF THERE HAVE BEEN NO EXPEN~ COMPENSAnON DllRING THE
REPORTING PERIOD. ~.. )
Signature of Lobbyist
I do solemnly swear that all r:J the foregoing facts are true and correct and that I have read or am
familiar with the provisions contained in . n 2-482 of the Miami Beach City Code and all reporting
requirements.
Signature r:llobbyist:
Signature r:I Principal/Client:
VI.
LOBBYIST IDENTlFlCAnON:
PRlNQPAL IDENTlFICAnON:
~~~j
Inu
~ilJJ
""f""
"'fi~C. . ~.
:~ ~
;~ 3i
~~ ~
~,~. ~~.,.
.",....,,"
u Produced ID
u Produced 10
Form of IcJentification
Form of Identification
V'Personally known (lobbyist)
VII. SIGNATURE AND STAMP OF NOTARY:
}!YPersonaIIy known (Principlll)
State of florida, County of Miani-[)ade
Sworn and Sl.bsaibed before me
This -=t-day of /J14Y . 2~
FOR CLERK'S USE ONLY
Annual Registration fee: [ ] Yes [ ] No Amount Paid MCR #
Date Paid