Harold Rosen/The Company
r.l>l>ml ~",,,~tl
b:tt.:d
~nTi
m
2003
-
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 defined in any
manner in this section, 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. '
ROSEN HAROLD
NAME OF LOBBYIST: (Last) (First)
ROSEN SWI~EES & ENTIN 407 LINCOLN ROAD, PHSE,
BUSINESS NAt>1E AND ADDRESS (Number and Street) (City)
(305) 534-4757 (305) 538-5504
TELEPHONE NUMBER: FAX NUMBER:
(M.!)
MIAMI BEACH, FL33139
(State) (Zip Code)
EMAIL:
I.. LOBBYIST RETAINED BY:
THE COMPANY
NAME OF PRINCIPAL/CLIENT:
1691 MICHIGAN AVENUE, MIAMI BEACH,
BUSINESS NAME AND ADDRESS (Number and Street)
(305) 798-7658
TELEPHONE NUMBER:
FLA
(City)
331.39
(State)
(Zip Code)
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:
SEAN SALADINO
· IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
II. SPECIFIC LOBBY ISSUE:
HAND BILL ORDINANCE
Issue to be lobbied (Describe in detail):
III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
A) Full Name of'Itltlivldual/Tltle ' ,., . ,,:, t,,-, i~'~~ B) Any Financial, Familial or Professional Relationship
. : '.
CIDTY COMMISSION "
~
.
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER 'fOURL)j
FLAT RATE OR OTHER).
A) LOBBYIST DISCLOSURE: (Required)
RF.~ATNF.R $S,OOO.OO
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required).
RETAINER
DYes
1) Pursuant to Ordinance No. 2003-3393 Amendinq Miami Beach City Code Chapter 2, Article VIr. Division 5
Thereof Entitled "Camoaiqn Finance Reform" Via The Addition Of Code Section 2-488 Entitled "Prohibited
Camoaiqn Contributions Bv Lobbvists On Procurement Issues";
o Yes No:
2)
Pursuant to Ordinance No. 2003-3395 Amendinq Miami Beach City Code Chapter 2, Article VII Division 5
thereof Entitled "Campaiqn Finance Reform", Via The Addition Of Code Section 2-490 Entitled "Prohibited
Camoaiqn Contributions By LobbYists On Real Estate Development Issues":
DYesX[XNo:
Are yOU lobbvina on a oendina aoolication for a Develooment Aareement with the City or
aDolication for chanae ofzonina mao desianation or chanae to the City's Future Land Use Mao?
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 EXPEN. DI:r~ .OR CO...MPENSATION DURING THE
REPORTING PERIOD.. /.. .... ~ ..%.... ..
~- // ~ .
,C??//'C/'/;/ ,.. ~/2~--
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 containe 1n Section 2:482 of the Miami Beach City Code and all reporting
reql,Jirements. 'J
Signature of Lobbyist: . 7-
Signature of Principal/Client:
VI.
lOBBYIST IDENTIFICATION:
PRINCIPAL IDENTIFICATION:
o Produced 10
o Produced 10
Form of Identification
Form of Identification
B Personally known (Lobbyist)
C!J-1fersonally known (Principal)
VII. SIGNATURE AND STAMP OF NOTARY:
State of Florida, County of Miami-Dade
Sworn 1~nd subscrib~g before me
Thi.s ~ day of O':),~ , 20D-v
,~. f\r"~\
J L\A..J.... )[~. ~J\\. 9,.')
Signature of Public Notary - State of Florida
Notarization of Lobbyist's signature
..................... .... ....1.... ...... .....,
: LAURA CANO i
: ;';i~'pll~",~ Comm# O~280111 :
: $"'~ l Expires 1/13/2008 :
.!0iIt . _ .
: ii, -.j/ Bonded thru (000)432-4254:
: 1-";tBf,~\\,"'~ Flon'da Notary p.,ssn., foe :
I... .... ...................... 'II" III .,.. ... .....
State of Florida, County of Miami-Dade
sworn...~nd. \s ubscrib~ bef9re me .~
This . day of \~'\ , 20.\..l:J
'di . Co"
.J ~i 1 (~ I\-sJJ
Signature of Public Notary - State of Florida
No . F3r0'~l..s.sig~ture
~'\\'~~""'" Comm# 000280111 !
: (~~~ ~ Expires 1/13/2'.lCa :
:. . =., , .." ...,,.. :
: ;''!l ~i Bonded lhnJ {..-_1.,.,._-~1..:54:
: ':tef,~;~'" Flor.<;a Nci:.L" :: :
I................. ......... ~.... ~. . ~ > - -" ...11..1