Gordon Loader/Boris & Shura
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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
aty Manager or any city board or committee; or any action, decision or recommendation of any dty 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 indudes the principal as well as any employee engaged
in lobbying activities. The term -Lobbyists. has specific exdusions. Please refer to Ordinance 2004-3435.
NAME OF LOBBYIST:
Gordon B Loader
BUSINESS NAME AND ADDRESS
305 674 7665
TELEPHONE NUMBER:
Loader
(Last)
4220 Post Avenue,
(Number and Street)
305 674 7663
FAX NUMBER:
Gordon B
(First) (M.I)
Miami Beach, FL 33140
(Oty) (State) (Zip Code)
gbloader@bellsouth.net
EMAIL:
I. LOBBYIST RETAINED BY:
Boris & shura Pinhasov
NAME OF PRINCPAl/CUENT:
3025 Royal Palm Avenue, Miami Beach, FL 33140
BUSINESS NAME AND ADDRESS (Number and Street) (Oty)
3052168693
(State)
(21p Code)
TELEPHONE NUMBER:
FAX NUMBER: (Optional)
EMAIL: (Optional)
Fill out this section if prindpalls a Corporation, Partnership or Trust [SectIon 2-482 (cl]
. NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY:
. IDENTIFY AU PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
II. SPECIFIC LOBBY ISSUE:
Design review for'new house at 4265 Prairie Avenue, Miami Beach
Issue to be lobbied (Describe in detail):
III. CITY AGENCIES/INDMDUALS TO BE LOBBIED:
A} Full Name of Indlvldual/ntle B) Any Flnandal, familial or Pt ofosslonal Rellltlonshlp
Design Review Board None
Planning & Zoning Dept Staff None
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSAnON (DISCLOSE WHETHER HOURL~
FLAT RATE OR OTHER)
A) LOBBYIST DISCLOSURE: (Required)
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). Fixed fee of $1 ,500 plus presentation materials costs
Support Owners' proposed design for new house ~,
): WP~I
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":
o Yes E No: Are YOU lobbYInG on a Dresent or DeI1dina bid for aoods. eauiDment or services. or on a
Dre&ent or !lendinG award for Goods. eaulDment or service?
2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real
Estate Development Issues":
pYes Ill: No: ~~ on . peIIIIino aaallcatI9q for" DevIIIo~nt AarMmOntldb the (:Itv or
f ; d.;~ae of zonlna maD deslanatlon or chanae to the CItY's Future Land Use
!tD1
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 derk as required by this
section but, shall not be required to pay any registration fees..
DYes :M No: Are YOU reoresentlna a not-for-DI'OfIt comoratlon or entity without SDeClal comaensation
or reimbursement. ·
V. SIGNATURE UNDER OATH:
ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMn TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, UmNG 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 COMPENSAUON DURING THE
REPORJING PERIOD. .. ../ ~
.~I'/ L
.> Signa~re of tObbyist
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.
Signature of lobbyist:
Signature of Principal/Client: e '
VI. LOBBYIST IDENnFlCAnON:
)(- fL. ~ \.,"'" L?:>lt. ~- 'l-g~ -1\ 11 \ 4 <. .-1'
Produced 10 \J
Form of Identification
VII. SIGNATURE AND STA
o Personally known (Lobb
FOR CLERK'S USjPNL Y ,
Annual Registration fee: [~es [ ] No Amount Paid \F)C::). MCR # 2-1C1~T Date Paid -r:::,{'-=1-fOS-
Lobbyist Registration Form received and verified by: ~C2)
F:\CLER\$ALL\MARIA-M\Lobbyist\LOBBYIST fORM 0 . Revised 12/08/04
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