James Rauh/SB Realty Investors, LLC
hollnml ~'Cl.o..t1
btftd
~iiP
>00.
lQ
-
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 no~ 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 tenn spedfically indudes the
principal as well as any employee engaged In lobbying activibes. The term "Lobbyists" has specific exclusions. Please refer
to Ordinance 2004-3435. .
rgAuv!-
NAME OF LOBBYIstr:
-9 DI (yv[oL-N
BUSINESS NAME AND ADDRESS
60S) Cj>,"-f - Y 117 7
TELEPHONE NUMBER:
(Last)
fW.>t () 'P L-t
(Number and Street)
..::JItI\1I?S
(First)
Sf? MIAMI
(City)
P64lJ1 f L
(State)
C-
(M.I)
-; 31 .39
(Zip Code)
FAX NUMBER:
EMAIL:
I. LOBBYIST RETAINED BY:
S ~ fZ. l? 1ft. T'/ I IU IJB-Slea( , L--LC-
NAME OF PRINQPAL/CUENT:
i l( 51? OCe--t,.v
BUSINESS NAME AND ADDRESS
))(U Vi> P If Ll
(Number and Street). (City)
.M I-"vv/ I -bc,;'4C IT
(State)
H
'53/S7
(Zip Code)
~()5 7f16 Lfqr;LJ
TELEPHONE NUMBER:
FAX NUMBER: (Opbonal)
EMAIL: (Optional)
fill out this section if principal is a Corporation, Partnership or Trust [5ection 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 I55UE:
(n tJ 0 ITWrJ-t-<- U.~b
Issue to be iobbied (Describe in detail):
III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
A'f'Pw LA j{() IV
fo f2- , L{ 6 J 0 U?"f,..J Dfl-l V~T
A) Full Name of Individual/Title B) Any financial, Familial or Professional Relationship
plA-IV"" ,,.,, '" (),o~() NO
.
IV. DI5CL05URE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DI5CLOSE WHETHER HOURLY,'
FLAT RA TE OR OTHER):
A) LOBBYIST DISCLOSURE: (Required) $ d ~)U {2...o=-r- tt I--.J~.(\ A 7 $ d?S ~/ ir"'<r
(
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required), 11;) ?; <-'0 (l..~ -;-c( ,..u.--
No: Are 0 re rese ti n n -for- rofit r rati
reimbursement, Pursuant to Ordinance No. 2004-343S.
1) Pursuant to Ordinance No. 2003-3393 Amendina Miami Beach Citv Code Chaoter 2, Article VII, Division 5
Thereof Entitled "Camoaian Finance Reform" Via The Addition Of Code Section 2-488 Entitled "Prohibited
Camoaion Contributions Bv Lobbvists On Procurement Issues":
. I I .
5 CI com ensa 1 n or
,,-I!/fCl; W ~
,
ui or e ic or on a e n
2)
Pursuant to Ordinance No. 2003-3395 Amendina Miami Beach Citv Code Chaoter 2, Article VII Divi~ion 5
thereof Entitled "Camoaian Finance Reform", Via The Addition Of Code Section 2-490 Entitled "Prohibi ed
Camoaian Contributions Bv Lobbvists On Real Estate Develooment Issues";
DYes ~o:
Are YOU 10bbYino on a oendino aDDlication for a DeyeloDment Aoreement with the City or
aDDlication for chanoe of zonino maD desionation or chanoe to the City's future Land Use MaD?
V.
5IGNATURE 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 BEEN NO EXPEND URES OR COMPENSATION DURING THE
REPORTING PERIOD.
a true and correct and that I have read or am
2 of the Miami Beach City Code and all reporting
I do solemnly swear that all of the foregoing fa
familiar with the provisions contai d in Section
requirements.
Signature of Lobbyist:
Signature of PrincipaljC
VI. LOBBYIST IDENTIfICATION:
D Produced lD
~ Form of Identification
Personally known (Lobbyist)
VII. SIGNATURE AND STAMP OF NOTARY:
PRINCIPAL IOENTIFIC~TI~. .
>.toduced lD 7/c...\.U-L.
1'\' Form ofIdentification
D Personally known (Principal)
Signature of Public No Sta e of Florida
Notarization of Lobbyist's signature
Signature of Public Not State of Florida
otarization of Principal's signature
\111111, C tanza T th _.......,,'...'.'.",,;~ Coostanza Toth
...\~~~v.~"4?~... ODS 0 ....~~..,,_
L<:'~'r-~ Coffi!Jlission #00287204 f#;~~"':. Commission #00287204
"'''''' '. '1!:.O.~ ExpIres: Feb 03, 2008 ~~.. 'J,i} Expires: Feb 03. 2008
....':?OFFt.~~'.... Bonded Thru "ll"'6~~,'''' 8ond. Thru
"Irlll' Atlantic Bonding Co., Inc. IllA111 t" AtImtIoBondJnaCOl,ltilt1
. / ~~~~OO~ . . L
Annuai Registrationfee:.[ vfYes [ ] No AmountPaldL~"" MCR # ~g:r~Date Paid \'1<3.J:5~
Lobbyist Registrabon Fonn received and verified b~~ I '
Revised 02/10/04 F: CLER\ALL\ 'M\LOBBYIST\LOBBYIST FORM 04