Estrellita Sibila/Daniel Latour
(g · MIAMI BEACH
City of Miami Beach Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139
Lobbyist means all persons employed or retained, whether paid or not, by a prindpal who seeks to encourage the passage, defeat
or modification of any ordinance, resolution, action or dedsion of any commissioner; any action, dedsion, 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 th, dly <omm'.,,", """ly b",,,, '" <omm'tto" Th, l&m "Odfioo"y '"dodos th, P"""""" W~,,, '"Y 'm~oy,,_
in lobbying activities. The term "Lobbyists" has specific exclusions. Please refer to Ordinance 2004-3435.
LOBBYIST REGISTRA nON FORM
NAME OF LOBBYIST:
.TIBI Lf/
VVf.1~5 C\
BUSINESS NAME AND ADDRESS
(Last)
~',~O
Jet\. 2525 POy)
(Number and Street) (City)
[S7f(E L LIT J'-)
(First)
.s
(M.!)
CSJ€>IL.
vv. GtJw\
I. LOBBYIST RETAINED BY:
D lV\ <' eJ lavt01A.f
NAME OF PRINCIPAL/CLIENT:
L 0 CCA en dYt..,e.
BUSINESS NAME AND ADDRESS
I\/\....LJA. ~
(Number and Street) (City)
FL
(State)
'3?J )'-/0
(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 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
II. SPECIFIC LOBBY ISSUE:
III. CITY AGENCIES/INDMDUALS TO BE LOBBIED:
A) Full Name of Individual/Title B) Any Financial, Familial or Professional Relationship
6aCtvd o{ AdiU5f-W)p~ VI J II
~ ,
IV, DISclOSURE OF "''''' AND AMOUNTs OF LD88YrST COMPENSAlIDN (DISCLDSE1NHfTHER HOuR! ~
" .FL.A T RA TE OR OTHER):
A) LOBBYIST DISCLOSURE: (ReqUired)
:n 11ft; ~
The fOllOWing information mUst be answered:
B) PRINCiPAL'S DISo.oSURE (OF lOBBYrsr COMPENSATION), (ReqU"ed).
it '~$ ~
DYes
1) PU,",uant to M~mi Beach City COde Section 2-488 Entitled "",ohibiled Campaign Conn-ibutions By Lobbyi""
On Procurement ISsues":
DYes
2) PU,",uant '" Miami BeaCh City Code 2-4g0 Entitied "Prohib"", Campaign Contributions By Lobbyi"" On Real
Estate Development Issues":
3) ",",uant '" M~mi BeaCh City Code 2,<... (h) Any pe""n (except those exempt from the dennition Of
"lobbyist" as sat forth in Section 2-481 above) who oniy appea,", as a "'P"'santative of a not,ro"p,o",
""PO"'tion 0' entity without SlJedai compensation 0' "'imbu""ment ro, the appea,anee, Whethec di'€Ct, 0,
indi'€Ct, '" exp"", suPPOrt of 0' OPPOsition to any item, shail "'9iste, with the deck as 'eqUi"'d by this
Section but, shail not be 'eqUi'ed to pay any "'9i"'ation fees..
V. SIGNATURE UNDER OATH:
ON OCT08ER 1'" OF EACH YEAR, EACH L08BYIsT SIfAU SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, lIsnJvG LOBBYING EXPENDITURES, AS WELL As COMPENSAnON
ReCEIVeD, IN THE CITy OF MlAMI BEACH FOR THE PRECEDING CALENDAR YEAJ<. A STATeMENT
SHALL BE FILED eveN IF THERE HAile BEEN NO EXPEND UR R COMPENSAnON DURING THE
REPORTING PERIOD.
I do Solemnly sWear that all of the fore
familiar with the proviSions Contain i
requirements.
Signature of LObbYist:
Signature of PrinCipal/Client:
Ing facts are true and COrrect and that r have read or am
ction 2-482 of the Miami Beach City Code and al/ reporting
VI.
LOBBYIST IDENnFICAnON:
PRINCIPAL IDENnFICAnON:
D PrOdUced IO --=----
Form Of~
D PrOduced IO ~
Form of Identification
~ PerSonally known (lObbYist)
VII. SIGNATURE AND STAMP OF NOTARY:
D PerSonally known (Principal)
State of Florida, County of Miami-Dade
Sworn and Subscribed before me
This _day of ___ 20_
FOR
1 No Am u
e and verified by:
F: \CLER\$ALL \MARIA-M\LObbYist\LOBBYIST fORM
Signature of PUblic Notary - State of Florida
Notarization of Principal's signature
---
I<'S Use ONLY Zf? VI.? . /_4_-;:;:::;
, MCR~atepald ~
ReVised 12/08/04
--
----
m ~ 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 dedsion of any commissioner; any action, dedsion, 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 dty 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.
[S7f.E f.. LIT JC)
NAME OF LOBBYIST: (Last) (First)
?\. ., <VO
W~~se..-ohJkHYY\C\~,et4\. 2525 P(jy1IL de LPI)'\A Blvd {.A)Y'tJ(-x.Jol.HI fL
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State)
~Oc:; ~5L/-0'600 ~Q5 <g5L/.231...3 Es Jf>1 qq (!j> WS.H-/({V\/. U5w\
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
+1'181 LfI
~
(M.!)
=1~ ~ 4
(Zip Code)
I. LOBBYIST RETAINED BY:
D /tY\ i eJ lovtO'\.if
NAME OF PRINCIPAL/CLIENT:
ilLl LO LlA en ~e ()y- f\J'\.LJA. \AA.-i
BUSINESS NAME AND ADDRESS (Number and Street) (City)
FL
(State)
3~JL/o
(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, DIRECfLY OR INDIRECfLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
II. SPECIFIC LOBBY ISSUE:
~t1YldJt\<.Q. fur{Y1M1 V):X)/ J,efhtll(;/<. ;IiY)~I{ f~~ ~
Issue to be lobbied (Describe in detail): '
III. CITY AGENCIES/INDMDUALS TO BE LOBBIED:
A) Full Name of Individual/Title B) Any Financial, Familial or Professional Relationship
~actyd Or AJjlAsfWlP~ VlJfI
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURL Y,
FLA T RA TE OR OTHER):
y .
. '
A) LOBBYIST DISCLOSURE: (Required)
$ J<6S ~~
<t I ~S kl\Ar~
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required).
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":
D Yes ~o: Are yOU 10bbvinQ on a present or pendinQ bid for Qoods, eQuipment or services, or on a
present or pendinQ award for Qoods, eQuipment or service?
2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real
Estate Development Issues":
DYes \l(NO: Are you 10bbvinQ on a pendinQ application for a Development AQreement with the City or
application for chanQe of zoninQ map desiQnation or chanQe to the City's Future Land Use
Map?
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 KNO: Are yOU representina a not-for-profit corporation or entity without special compensation
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, 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 EXPEND UR R COMPENSATION DURING THE
REPORTING PERIOD.
I do solemnly swear that all of the fore ing facts are true and correct and that I have read or am
familiar with the provisions contain i ction 2-482 of the Miami Beach City Code and all reporting
requirements.
Signature of Lobbyist:
Signature of Principal/Client:
VI.
LOBBYIST IDENTIFICATION:
PRINCIPAL IDENTIFICATION:
o Produced ID
D Produced ID
Form of Identification
Form of Identification
~ Personally known (Lobbyist)
D Personally known (Principal)
VII. SIGNATURE AND STAMP OF NOTARY:
State of Florida, County of Miami-Dade
Sworn and subscribed before me
This _day of . 20_
of Florida
ature
Signature of Public Notary - State of Florida
Notarization of Principal's signature
K'S USE ONLY ~ I(? f7/7 / A'"' r7
, MCR #L-O ~ate Paid ~ -() /
Revised 12/08/04