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James Rauh/Sunset Parking Systems, Inc. . .- 1>1Inoml ~'C"~,, ~ ~ _"1l:30~ " \ 111'.' 2.CJU3 - 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. ' KALAI1 SAN\tS NAME OF LOBBYIST: (Last) (First) .1ZVSf'N SVJ /T)(.eS ~ ~IIJ~II\/ ? C. 4-07 [--,,,,[el-/\) j2.0w 'Nt SE /VIt1.-Y11 Be-9<-1-{ 'Fe. 3.3/.s? BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (305) S'?,Lf -4-757 (36.5) 53g :5/) Q Lt. TELEPHONE NUMBER: FAX NUMBER: f:. (M.!) EMAIL: I. LOBBYIST RETAINED BY: S U {1 ~ (!. -t ? Ct r k. ,:'-' 7 NAME OF PRINCIPALjCUENT: J S 7 ~ Ie NtJ L~tV~ I rVl L. .~'bgs {6rYlM~~ BUSINESS NAME AND ADDRESS (Number and Street)' SO VI- rH M I.4vv1.:r (City) f( (State) 3 '3 {L(J (Zip Code) 305 b 7t.f r~ (- 7 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: R,tf- F A ~ LAN D (2/1 D-C · IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: II. SPECIFIC LOBBY ISSUE: CO^"DlrVI"'+L lASf (~lr0>1L e;ff?'lLtTLwV Of vl'rl--(?i fAfLl'4,.Jb 4.-vD ':fe.{:: Issue to be lobbied (Describe in detail): P4-f--"L(I"vb LeT A+le-tt- .N'\IDA;I(P{-(T 4''(' L./oO CcLc-Ir/J III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: Jl-J t?',.,j I.{ \? . A) Full Name of Individual/Title B) Any Financial, Familial or Professional Relationship PLA,\/,f'lIN (, ~ 0 ~P-l) /'10 . I ,'" $' J 50 . ~o IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR OTHER). A) LOBBYIST DISCLOSURE: (Required) B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). (t d- t;o . oc. D Yes ~o: Are YOU reoresentina a not-for-orofit corooration or entity without soecial comJensation or 'reimbursement. Pursuant to Ordinance No; 2004-3435. 1) Pursuant to Ordinance No. 2003-3393 AmendinG Miami Beach City Code Chapter 2. Article VII. Division 5 Thereof Entitled "CampaiGn Finance Reform" Via The Addition Of Code Section 2-488 Entitled "Prohibited CampaiGn Contributions By Lobbyists On Procurement Issues": ui ment or services or on a resent 2) Pursuant to Ordinance No. 2003-3395 AmendinG Miami Beach City Code Chapter 2. Article VII Division 5 thereof Entitled "CampaiGn Finance Reform", Via The Addition Of Code Section 2-490 Entitled "Prohibited CampaiGn Contributions BY Lobbyists On Real Estate Development Issues": DYes ~: Are vou lobbvina on a oendina aDolication for a DeveloDment Aareement with the City or aDolication for chance of zonina mao desianation or chance 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 P G CALENDAR YEAR. A STATEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXP S ENSATION DURING THE REPORTING PERIOD. Signature of Lobbyist: VI. lOBBYIST IDENT D Produced ID ~ . Form of Identification Personally known (Lobbyist) VI . SIGNATURE AND STAMP OF NOTARY: hJ ignat e of Public No State of Florida No -arization of Lobbyist's signature , ':llll "0:) 2lUJpu08 :l!lU1!llV ,,~I ~~/" I1ll!.L Jl:lPU08 _~o. . . . ~':" 800Z 'to qa,.J: :sal!dx'il ~::'(}.. ":";~ vOU8WO# ~O!ssjUIUloJ ----&~~f qlDl trilrnlSUO:::> """ltm~"- r true and correct and that I have read or am ~82 of the Miami Beach City Code and all reporting PRINCIPAL IDENTIFICATION:. o Produced 10 \1 Form of Identification AersonallY known (Principal) Annual Registration fee:'{ vG-es [ ) No N~~R #~50 Date Paid v""\/' h~ Ira. Lobbyist Registration Form received and verified by: ~' Revised 02/10/04 F: CLER\ALL\MARIA-M\L BBYIST\LOBBYIST FORM 04