Lynn Dannheisser/Touch of Class
.<9' MIAMIBEACH
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 dty board or committee; or any action, dedsion 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 dty commission, or a dty board or committee. The term specifically indudes the prindpal as well as any employee engaged
in lobbying activities. The term 'ALobbyisa- has specific exdusions. Please refer to Ordinance 2004-3435.
NAME OF LOBBYIST:
Dannheisser
(Last)
Lvnn
(First)
M.
(M.!)
Ganster, Yoakley & Stewart, P.A. 1 Biscavne Tbwer. 2 S.-Bisc9YTI~ Blvd.,
BUSINESS NAME AND ADDRESS (Number and Street) (Oty) (State)Miami, FL (Zi~~jl
(305) 376-6000 {305) 376-6010 LdannheisserlGunster.cam
TELEPHONE NUMBER:
FAX NUMBER:
EMAIL:
I. LOBBYIST RETAINED BY:
Tbuch of Class Paint and Body Shop, Inc.
NAME OF PRINOPAl/CUENT:
Tbuch of Class Paint and30dy Shop, Inc. 1824 West Ave., Miami Beach, FL 33139
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
~~(lC;) C;~?-QQ(\O
TELEPHONE NUMBER:
FAX NUMBER: (Optional)
EMAIL: (Optional)
Fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (c)]
· NAME OF CHIEF OFFICER, PARTNER, OR BENEFIOARY:
· IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
II. SPECIFIC LOBBY ISSUE:
Appeal fran denial of Q::cupational License
Issue to be lobbied (Desaibe in detail):
m. CITY AGENQES/INDMDUALS TO BE LOBBIED:
A) Full Name of Individualrntle B) Any Financial, Familial or Professional Relationship
Staff None
NJA None
N/A None
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLIi
FLAT RATE OR OTHER):
$350
A) LOBBYIST DI50.OSURE: (Required)
B) PRINOPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). $350
The following information must be answered:
1) Pursuant to Miami Beach Oty Code Section 2-488 Entitled "Prohibited Campaign Contributions By Lobbyists
On Procurement Issues":
D Yes ~ No: Are YOU 10bbvinG on a Dresent or .ndinG bid for GOOds. eauiDment or services. or on a
Dresent or .ndinG award for GOOds. eauiDment or service?
2) Pursuant to Miami Beach Oty Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real
Estate Development Issuesn:
DYes ~No: Are YOU lobbyinG on a .ndinG aDDlication for a Deyelooment AGreement with the City or
aDDlication for chanGe of zoninG maD desiGnation or chanae to the CitY's Future Land Use
Mu1
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..
D Yes &No: Are YOU reDresentinG a not-for-DrOfit corooration or entitY without soecial comoensation
or reimbursement. .
V. SIGNATURE UNDER OATH:
ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, USTING 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 BEE~NDrruRES OR COMPENSATION DURING THE
REPORTING PERIOD. C2.
~ L
, Signature of Lobbyist
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:
VI.
o Produced 10
o Produced 10
Form of Identification
\K Personally known (Lobbyist)
VII. SIGNATURE AND STAMP OF NOTARY:
Form of Identification
~rsonally known (Principal)
State of Florida, County of Miami-Dade
Sworn 0 an sUbscri~re me ~
This day of . 2t.\,b..J
" ''"I
Signature of Public Notary - State of Flori a
Notarization of Lobbyist's signature
Signature of Public Notary - State 0 F
Notarization of Principal's signa
Annual Registration fee: [ es [ ] No
Lobbyist Registration Form received and verified by.
F: \CLER\$ALL \MARIA-M\Lobbyist\LOBBYIST fORM 0 .doc
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Date Paid
Revised 12/08/04