Robert John Graboski/Mark & Lisa Sanders
G' 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 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 inc!ud2s the principill JS well JS any em;,lr}';,,"" eng,;gcd
//) lobbying activities. The term "lC:j~I:_,L;" h~o _~c~if;~ Lxd.J~;0 <.. "", . c' ' " :~ ;_": i _
(-j~~o~~.__. ..Y~~ c')8~_
NAME OF LOBBYIST: (Last) (1IIJc) (1'1.1)
CUSlN~~~~~f~~S~~~'=~f)~~~~2)~D~..~1~) ~~Mr
~. "3CO(. ~B6 Dc6.3~/' 5~ fL, 2:{)1ff
TELEPHONE NUMBER: FAX NUMBER: EMfllL: t /.:\ "l( a I.' I L
I2o~Y\L~ \Jl Q.~Q ytlo\l tc'CJr:
Co 0"-1
I. LOBBYIST RETAINED BY:
M.~~. Ll~A
NAME OF PRINCIPAL/CLIENT:
~~\)rilSl
l~'1
BUSINESS NAME AND ADDRESS
1-..3~~ \5,ev
(Number and Street)
bit.. 1r\A.\.~1 ~-\
(City) (State)
~
32lDl
(Zip Code)
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 BENEFICIARY:
IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A S% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
II. SPECIFIC LOBBY ISSUE:
~<&C:: ~-tMG t>elA,J~ ! Aoi0( t7 f),..:)
Issue to be lobbied (Describe in detail):
f:o( /.J{)t4# Ute.J (:yL
.
III.
CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
A) Full Name of Individual/Title B) Any Financial, Familial or Professional Relationship
b~l~ ~\~ OO4d) J\~\~t
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURL Y,
FLA T RA TE OR OTHER):
A) LOBBYIST DISCLOSURE: (Required)
~\~
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required),
t\~\..)olu.....H
125.00
//'20,0"0
I
The following information must be answered:
1) Pursuant to Miami Beach City Code Section 2-488 Entitled "Prohibited Campaign Contributions By Lobbyists
~ Procurement Issues":
D Ye~~o: Are you lobbvinq ()napresent or pendinq_bictfor qoods, eouipment or services, or on a
"
,.1,-,',.
Estate Development Issues":
'./
_".' '.l-","
_*', ,",__ I.
'... "". .~.
Map?
I -, -'.....;.... .'1 I . I
to express support of c:- vl;--()si~;Ci' tJ .~.lY it~~nl, si~ i:: rc~:;~ __;- \'..-iU\ ""'! _r< CiS rc
2iOI~bcU~' ~i.::r~;~~ be c .~" '~~J' ::J'" ' . .
or reimbursement.
i r.y L11::';
V. SIGNATURE UNDER OATH:
\., >~j,-., ',STC .1 ,~"K,EA('HL>,", ubMll 101 ....SIGNE:.D
5 EHll..1 UNDER 01';, .:>TINC LC .NC "PfS, A::' , ....~I...~TT
RE.CEIVED, IN THE CITY Ot ..1AMI BEACH FOR 1 lL LC.E:D' nl:.i ,)' R M
~~::'~~~~'~~~,~~N IF n;eRE 1,'[ B[[N NO EXP~"'OI' c".NL .He
...- Signature of Lobbyist
I do solemnly swear that all of the foregoing facts are tn'" -,nn rnrrert anrl that I h:,,"" rrnn or am
familiar with the provisions con',dilled in ectio 2~4n2 or cli Beach City Cuje and all reporting
requirements.
Signature of Lobbyist:
Signature of Principal/Client: .
VI. LOBBYIST IDENTIFICATION:
~~uced ID t~ ~
/' /) ~ '.,. Form pf Jgentification 0
(.!J (p t7' I '70-&1 6'" - 3() tJ-
[J Personally known (Lobbyist)
PRINCIPAL IDENTIFICATION:
~cedID ~ ~~
/' '/ Form of Idel).tif~ation ,
(::lIP ;2 ,,'!, O~(Pt!... 3 ()O - 0
Personally known (Principal)
VII. SIGNATURE AND STAMP OF NOTARY:
State of Florida, County of Miami-Dade
Sworn to and sUbscribe~~:'..~?"",,,>,...:,,~,~,,.
This b b1 d f ,,';;::'~':i)m1JJ-.1, ",:n"
, ~I i:J';,\:':j:; 'ii
Signature ,~~;E1Qri!ia;
Notarization of Lobbyist's signature
;"f.'?!;~".:.l~ ~i'.''.:.~'':"
, FOR cLER~JbONL Y
Annual Registration fee: [V] Yes [ ] No Amount Paid \ . MCR #
Lobbyist Registration Form received and verified bY~ ~
F: \CLER\$ALL \MARIA-M\Lobbyist\LOBBYIST fORM . oc
2.0f\8"\Date Paid 9(6/06
Revised 12/08/04
Miscellaneous Cash Receipt
CITY OF MIAMI BEACH
o Cash ~edit Card DCheck#
287'184
No.
$
9 ~ OO'l,:;t
,-"-..)2 ~t.
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^
Received of ~s-'-t- "'- h~ (J1I?A.trb<:\.(',
Address
ForJ(~Ul.~~~ r~gIS-\-\c~cf\
(THIS INFORMATION MUST BE COMPLETED)
Account Number: C') \ I -2fyy:.:> -3l61 ""4:4~
Preparer: ,_ \CA.-Ke~ Dept:
..
By
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