Hope Calhoun/Normandy ShoresMAY-27-2005
16:41 CITY MIAMI BCH CLERK DEPT 305 6737254 P.02
City of Miami Beach Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139
LOBBYIST REGISTRATION FO1L~I
Lobbyist mean5 all persons employed or retained, whether paid or not, by a prlnOpal wllo seeks to encourage the On~_,;age. defeat
or modification of any ordinance, resolution, actio~ or decision of any commissioner; any action, decision, recon'.'nendaUon of the
City Manager or any city beard or committee; or any acUon, decision or recommefldatiofl of an'/ Oty pe'sonnei defined in any
manner In Il'ds sectlort, clurlng the Ume perlo~ ~ the entire de~slorrmaldng proceas art such action, decL~on or recommendaUon
that rereseeabl¥ vdli be heard or reviewed by [he dry commlssJc~o or a db/board or cc~'nmRtee. The term sbeclflcall¥ Includes ~e
prlndpal as well as any employee e.-xj~ajedtn lobbying aci;ivJUes. The ~ VLoblaqfists" has r. peclflc exclusions. Please refer
to Ordinan;e 2004-343S.
NAME OF
l~aden,
B~ N~E AND ~D~S
~E NUM~:
c&.u~a__ ~oPE , w.
(Last) (erst) (~u)
B~ovard Bou.levn~, Fm-t Iauder4ale, ~ 33~01
(Num~ and S~) ...... (Q~) (~) " (~p ~e)
~ NUM~: E~k
I. LOBBYZSI' REr,UNED BY:
NAME OF PRZNCIPAL/CI~.ENT:
Norm-n4.T b~nores, LLC~ 1'[19 Weston
~eston, FL ~ 33326
BUSINESS NAME AND ADDRESS
(~)757-8~oo
¥'E~-PHoNENUM BER:
(Number and Stree~ (ab/')
FAX NUMBER: (Optlonat)
(State)
' Bq~'L: (Optional)
(zLo
Fill out this ra~Uon If prle~lpal I~ a r.~3mraUon~ Parlamrahila or Truat [SecUon 2-48:3 (c)]
· NAME OF CHIEF OFFICER, PARTNER, OR BENErqC,[ARY;
· IDENTIFY ~ PER~$ HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE I~NERSHIP INTERESt IN SUCH
CORPORA'r[ON, PARTNEILSH]P OR TRUST:
[ssue to be lobbied (Describe In de~tall): -'
lXl, crrv AGENCZES/~IDE'~DUALS TO BE LOBBZED:
SPECIFIC LOBBY ISSUE:
L~d 1,1,Se a~d ZO~i~& ISS%%eS associa%~l with
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MAY-2?-2005 16:42 CITY MIAMI BCH CLERK DEPT 305 673725~4 P.03
~: A) LOBBY[ST DISCLOSURE: (n. quimd) ~~ ~o~
~ B) PmNCIP~'S DI~LOSURE (OF LOBBYIST COHPEN~ON): (Required). Bo~ ~. O~o~ ~q. (~lO/~)
~ Y~ ~No: Am you reoresentlnq a not-for-g~fit ~tion or enti~ wi~out s~cial ~ompen~on or
- -' ~ PurSuant Co O~inan~ No. 2004-3435.
Pursu~ ~ ordinan~ No 2003-3393 Amendinq ~mJ Be~ ~e_C~D~~- A~e~, DivJsJ~. S
~~ "~mD~ian'FIn~n~ Re,mm- ~a T~e AdditiOn Of code ~0.~ 2~n~ EntiCed 'Prohib~ed
Campion ~tbu~o~ By ~bbvJ~ On p~emenC ~ues';
[] Yes &o: Are you Iobb'~ina on a or--=':.~t or_aendina_ _k}~ for aoods, eq_ui_ament or _.seXY_ ices. or on a
or r~e_ndtna award_ for _aoods. eq_ui_gment or servlce. Z
' 2) Pursuant tq Ordinance No, 2003-3395 Amendina. Mlami B. each City Code.Chadcer, 2. Article VI_I.Division
t_hereOf Entitted ~'Cam~aian Finan_ce Reform". Via .T~e.. Add(tion Of Code Section 2-490 EntJEed 'Prohibited
Camoaic~_n Contributions By Lobbyists On RFai Esta.te Deve!00ment Issues"'.
DYes i/No'._ Ar~_ _you Iobbvina on a r, endine aDi~lication for a Develoament A_oreement with the Cit~ or
-'- aouli~L;on for ch_a~_~e-of zonin-a-ma_D du~,=nation_ or ~_hanoe to the City's Future ,_Land U~ Hap?
v, ~-ZGNATURE UNDER OATH:
ON OCTOBER Isr OF EACH YEAI~ EACH LOBBY*JS'r SHALL 5UBIiII'r. TO, THE.CZ~/' CLERK A $]:GNED
STATEMENT UNDER OATH~ LiST/NG LOIIBY[NG EXPEHDI'TURES, AS WELL ,AS COHPENSA'ITON
RECEIVED~ ZN THE CI'TY OF HLP, H][ BEACH r-OR THE PRECEDt'NG ~M..ENDAR Y. EAR. A ~FI'ATEHE .N?
SHALL BE F/LED EVEN ]:F THERE HAVE BEEN NO,EXPENDt'TURES OR COMPEN.~I,I'ZON DUR/NG THE
REPORI'JNG PER.tOD.
I do ~olemnl¥ ~we~r that ,!1 o[ the foregoin~ fac'~ ~are true and mrrect ,nd th~: I have read or am
~amiliar with the pro¥i~ion~ contained in $~ion 2-482 of t~e ~iami 8each Ci~ Code ,nd all
r~quirement~. C~ ~
Signature of Lobbyist: _ ~ ~- '
Signature of Principal/CJient:
VII. LOBBYZ~r IDENTIFICATION;
13 Produced ID
Form of Identification
[Y//~rsonally known (Lobbl~iSt)
V~Z. SIiGNA'rUIU: AND ~-rAMP OF NOTARY:
~;t~te of/Florida, County of~
· Sv~?rn,/co and subscribec~.l;~=fo.re me .--
Signature ~f Yubl~ Notary - State of Florida
PPJNCT,.P&L
[] Produced ]D ~L..--
Form o1' Zd~ntiflcatJon
O Personally known (Principill)
State of Florida, Count7 of Miami-I~de
Sworn and subscribed befor~ me
Thls~_~da¥ of ~20..~i~..~--'
Signature o,f~iblic Nq~y - State of Fiorida
Notarizatt~ of Prin~pal'~ signature
.Oate P~ld
F: CLF--I~f~U~LL~I~IArlJ, JA-M\LOSBY~[S'r~,LOBBY]~T F-'C)RI~I ~
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