Safar, Gaston
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6172673686
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City of Miami Beach Office of the City Clerk
1700 Convention Center Drivel Miami Beach, FL 33139
LOBBYIST REGISTRATION FORM
Lobbyist means ail persons eITIpioyed or retaIned, whether paid or not, by a prlndpal who seeks to encourage the passage, defeat
or moditkation of any ordinance, resolution, action or deds!on of any commissioner; any attion, decision, recall1Tlendation of the
Cit'! ~lana9cr or any dty board or committee; or any actlon, decision or recommendation of any city personnel during the lime
Period of the entire decision-making pmass on such actlon, decision or recommendation that roreseeably wiU be heard or reviewed
by the city commission, or a city ~oard or committee. The term speciflcaUy Includes the principal as well as any employee (!ng~
in ro~bylng activities. The term "Lobbyists" has specllil; eJ<c/lIsl11n'il, PlellSu nilfor to O,/fiIl811.:e: 2004-34,):;;.
NAME or LOSSYJST:
2 South Biscayne
BUSINESS NAME AND ADOR.3S
KASOIN NEISEN
(Last) {FlI'St}
Boulevard, Suite 3400 Niami,
(Number and Street) (City)
(305) 376-6010
FAX NUr~BER:
(M.I)
FL 33131
(305) 376-6062
TELEPHONE NUMBER:
(State) (Zip Code)
nkasdin~gunster.com
E~lAIL:
L LOBBYIST RETAINED BY;
Safar, Gaston
NAI'1E Of PRINOPAl/OlENT:
Miami Beach, LLC
BUSINESS NAME AIIID ADDRESS
132 Newberry Street
(Number and Street) (Oty)
(517) 267-3686
FAX NUMBER: (Oplfon~l)
Boston,}~ 02116
(State) (Zip Code)
gastonsafa~earthlink.net
er-WL: (Oplion~l)
(857) 891-4262
TElEPHONE NUMBER:
Fill out this section If principal!s it Corporation, Partnership or Trust [Section 2-482 (c:)]
NAME OF CHIEF OFf1CER, PARTNER, OR. llfNEf1OARY:
Gaston Safar
IOE~mFY AU PERSONS HOLDING, DlRECTL V OR INDlRECIl V, A S% OR. MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PART/oIERSHIP OR TRUST: Gaston Safar 60~; Alexander Safar lOll;;
Noelle Safar 10~; Allison Safar 10~n Stephane Safar 10%.
U. SPECIFIC LOBBY ISSUE:
Dis ute regarding access across a city parcel.
!ssue to be lobbied (0e5aibe In detail):
m. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
A} Full Name of lridiyidualJTitle O} Any Finandal, Familial Or Professional Reliltlollship
City Manager No
Planning Board No
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IV. DISCLOSURE OF TeRMS AND AMOUNTS OF LOBBYIST COI-IPENSAUON (OlSClOSE WHETHER HOURLY,
FLATRATEOR OTHER).
A) L08SYlST DISCLOSURE: (Required) Hourly - $400.00
a) PRlNCI?l.l'S DISCLOSURE (Of lOBBYIST COMPENSAllON): (Required). $400 - hourly
The fOllowing information must be answered:
1) Pursuant to Miami Beach City Code Section 2.488 Entitled "Prohibited Campaign Contributions By Lobbyists
On Procurement Issues":
n Yes rXNo: Are YOU lobbvin(l on a llre...ent 01" llendin9 bid for (loeds. eouiDment or services. or on a
present or pending award for (loads. eQuioment or service?
2) Pursuant to ,.liami Beach City Code 2.....90 Entitled "ProhibIted Campaign Contributions By Lobbyists On Real
Estate Development Issues":
"':Yes ;;:; No: Are you lobbvina on a pendinq <IDDlicrttion for a Development Aareement with the City or
application for chance of zoninQ mall desianatinn or change to the City's Future Land Use
MaD?
3) Pursuant to Miami Beach City Code 2-4&:l (h) Any person (except those exempt from the definition of
~robby;st" as set forth in section 2-'181 above) who only appears as a representative of a not-for-profit
corporation or entity without special compensation or reimbursement for the appearance, whether dIrect, or
indirect, to express support of or opposition to any item, shall register with the clerk as required by this
section but, shall not be required to pay any registration fees..
n Yes Yl No: Are YOU representin<1 it not-for-orofit corporation or entity without sllecial compensation
or reimbursem~nt.
v_ SlGNAnJRE ONDER OAllf:
ON OCTOBER 1ST OF EACH YEAR. EACH LOBBYIST SHALL SUBfoUT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, USTJNG LOBBYING EXPENDITURES, AS WEll. AS COMPENSATION
RECEIVED, IN THE CITY OF MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT
SriALL BE r.1.U::D EllEN !r 1HeRE hAVe BfEN JlfO fXPfNOITURES,JliI J\C~MPENSATION DURING THE
REPORTInG PERIOD. f /I JI Vi
- Signature of La byist
r 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 Sectio 482 of the 1'11ami Beach City Code and all reporting
requirements.
Signature of Lobbybl:
Signature of Prlndpal/Client:
VI.
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lOBBYIST IDENllFICAll0N:
PRINOPAL IDENnFICA nON:
LJ ProducedID
. Form of Identification
~ Personally known (Lobbyist)
VII. SIGNATURE AND STAMP Of NOTARY:
i: Produced ID
Form of Identification
:: Personally known (Principal)
State of Florida, County of Miami-Dade
Sworn and subscribed before
This n.....day of "'^ ()::s- \
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Signature of Pubnc Notary - Stale 0 - .
Notarization of Principal's signature
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51 ature of Public Nomry - f
Notarization of LobbyjSt'~
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I - .... j.. FO R ClERK!S .usE ONLY
.'1 Annual Re9istration ree; l )<J.JYes [ ) No Amount P~id -l.:::s ,.,m #.:2.. ~C
lob!J',list Registration Form received and verified by: a ~~
I F:\ClER\$All\MAR/A-M\lobbyist\LOe1lYlST roRM OS.do('
I
Revised 12/08/04
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