Hiram Ruiz/Rob Schuler
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Mi<1llTll Bc;;w:h
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City 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
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.
J1 11< AM
(Last) (First) (M.!)
<)f); U LDCfjL 1.1 ~ 1(0 "60 lv1/c.N/b-{J,J AlE. tt:/}(J)1 Midt:1l 'EI=8~ FL ?5J 39
BUSINESS NAME AND ADDRESS ( mber and Street) (City) (State) (Zip Code)
:S(")<;'- (0 -, J.. - 9)01 hr u; z.~ Sei lJ I/.l>j
FAX NUMBER: EMAIL:
RUlL
NAME OF LOBBYIST:
?:DS-C07d-7oil
TELEPHONE NUMBER:
I. LOBBYIST RETAINED BY:
RDB SC~LJLEK
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NAME OF PRINCIPAL/CUENT:
LDC-AL- f I
BUSINESS NAME AND ADDRESS
"3 3 J 3q
(Zip Code)
3o~-07d- !07J
TELEPHONE NUMBER:
EMAIL: (Optional)
Fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (c)]
· NAME OF CHIEF OFFICER, PARTNER, OR BENEACIARY:
Ko13 Sc.HUlA=.lZ.
· IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, ARTNERSHIP OR TRUST:
NI1
II. SPECIFIC LOBBY ISSUE:
C01\Jf))MI1JJtJM ?EF.c:iKM ~ KELftr}rJ~ 17J ))~lIcL<.:92R)) PR.~-;y MJJJJAhCJlJ, JJNO
Issue to be lobbied (Describe in detail): GENGJ?A"-. c,.VVEJ...J\Jt:JrJCi AN:) )(cL,cJtA'/IDN),
III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
A) Full Name of Individual/Title
B) Any Financial, Familial or Professional Relationship
NO
c
NO
No
'c)..
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURL ~
FLA T RA TE OR OTHER):
A) LOBBYIST DISCLOSURE: (RequiredrrH~-rFl~M~ Of <-DMi7~N5m'J(")~ IJPe 'Ve)f:.JzJ...1IJ\fO gAsm {JpzJ ";'tE.
'PRo ~ J!A"1'A toR:rlON or -[He e/vlPLD"Iec.S' SAL./I'R'f RA~e.D (;,.J-riJc !JMoJ1JI of' -nj..{c. S?~NI 0'" LOiS8yo..16--. 'TNE F7>LL'O~H.Jt, Jf
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST CbrJlf>ENSATION): (Required).
A LI$l' or t!Ac-rl ~'?U::NC! W#.P J1A'I L08(Jy O~ II-Ic.. ~'NC.IPAL.'J 'BEfJALf') IJND }./JJ/JJtJ( J.b.JR.L.yRA1E: HIRAM RV1L
The following information must be answered: . 1<013 Sc,JiJL.E.R...-='
~) Pursuant to Miami Beach City Code Section 2-488 Entitled "Prohibited Campaign Contributions ~~ ~~b~~('tt -
On Procurement Issues":
DYes
2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real
Estate Development Issues":
DYes
3) Pursuant to Miami Beach City Code 2-484 (h) Any person (except those exempt from the definition of
"lobbyist" as set forth in Section 2-481 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..
DYes
V. SIGNATURE UNDER OATH:
ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, LISTING 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
REPORTING PERIOD.
~,~~~
Signature of Lobbyist J
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. /'>-4 . ~. \. ^ .....
Signature of Lobbyist: r- \. \ .<: ~ ~ "-
Signature of Principal/Client: ,'.i? \. .
VI. LOBBYIST IDENTIFICATION:
~ Produced IDF)) L '
Form of Identification
PRINCIPAL IDENTIFICATION:
)(produced ID r \j L
Form of Identification
Personally known (Lobbyist)
Personally known (Principal)
VII. SIGNATURE AND STAMP OF NOTARY:
State of Florida, County of Miami-Dade
Sworn to and subscribed before me
This 2'1 day ~i {'~ ' 2
/::;~7~~,
/,,-::;,/
;;::.,. Signature of Public Notary - State of Florida
Notarization of Lobbyist's signaJure
State of Florida, County of Miami-Dade
Sworn and subscribed before me
WIIIiM1 Sanchez This '2.? day of ~ . 20~
.; MvCommillionDDS1"~~/ L.-.-"-
, Expif'et M.y 12, 2001 0
Signature of Public Notary - State of F. I
Notarization of Principal's signat
fOR
Annual Registration fee: ] Yes [ ] No Ani un
Lobbyist Registration Form received and verified by:
F:\CLER\$ALL\MARIA-M\Lobbyist\lOBBYIST fORM 0 d
N;~R ,;211 [s <j foate Paid 9 60
Revised 12/08/04