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Wurst, James Villa Luisa ~.iOO1i Beo>r-h ItI:t.b:t 'fiW Z01l3 RECElVED m City of Miami lBfiaHM-cAAcJ5~ tte42ity Clerk 1700 Convention C~7t~ eC't~~tl~mr~mt{:h, 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 City 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, 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 exclusions. Please refer to Ordinance 2004-3435. NAME OF LOBBYIST: (Last) JAMES (First) P. (M.!) WURST NICHOLS BROSCH WURST WOLFE & ASSOCIATI3:S, INC. BUSINESS NAME AND ADDRESS (Number and Street) (305) 443-5206 (305) 443-3168 TELEPHONE NUMBER: FAX NUMBER: 161 AUmRIA AVENUE CORAL GABLES, FL 33134 (City) (State) (Zip Code) jwurst@nbww.com EMAIL: I. LOBBYIST RETAINED BY: MICHAEL SAMUEL NAME OF PRINGPAljCLIENT: BR - VILLA LUISA HOIDINGS LLC 3110 NE SECOND AVENUE MIAMI, FL 33131 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (305) 757-0001 TELEPHONE NUMBER: (305) 757-0017 FAX NUMBER: (Optional) EMAIL: (Optional) Fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (c)l NAME OF CHIEF OFFICER, PARTNER, OR BENEFIGARY: IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECfLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: n. SP=~ PM'l~.o/fI~ IJ()~(J _ Ul\~ kv'Sv.. Issue to be lobbied (Describe in detail): III. 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