Vladimir Issaev/Arts Ballet Theatre of Florida
(9 . MIAMI BEACH
City of Miami Beach Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139
LOBBYIST REGISTRA nON 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, 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, dedsion or recommendation that foreseeably will be heard or reviewed
by the dty commission, or a dty board or committee. The term specifically indudes the principal as well as any employee engaged
in lobbying activities. The term "Lobbyistsn has specific exclusions. Please refer to Ordinance 2004-3435.
13SA-6 V V Ut--DI /YJ I R--
NAME OF LOBBYIST: (Last) (First) (M.!)
ARJS BA-LLE:T ~ or::-FWR.iDIt .'")..b40 Nt; - {'gq 1err-nJ'QrYli'J=i,33/eO
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
;305 9.353232 ..30593,51035 abt(./or"t'da @aol.Com
TELEPHONE NUMBER: FAX NUMBER: EMAlL:
I. LOBBYIST RETAINED BY:
hIS 8A-U.E~ ~-r Il.€ () f2 tLO tUDA
NAME OF PRlNOPALjCUENT:
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BUSINESS NAME AND ADDRESS
(Number and Street) (Oty)
30s 93S-/035
FAX NUMBER: (Optional)
'2.b'l b N..f,. lc?1-r\::.lYl. MI~Jft B/~
(State) (Zip Code)
o.b+f/o r; ~@.. 0.0/.. LOIl-1
EMAIL: (Optional)
30~-'B5""~ 2.'3'2-.
TELEPHONE NUMBER:
Fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (c)]
NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: 'Jlacionu- f SSa e VI D1R.Et.:rott.
. IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
~ON - rl2-of"l7" Ofl.6ArJ Ie,ATION
II.
SPECIFIC LOBBY ISSUE: D
~ ( a ('\+- ~ ht1 ue.. re..r ~'J.rr ~
Issue to be lobbied (Describe in detail):
.~~I~ ~Q:(I~
III. CITY AGENCIES/INDMDUALS TO BE LOBBIED:
A) Full Name of Individual/Title
B) Any Financial, Familial or Professional Relationship
CI-f"
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tJo,..1E:
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURL Y,
~ FLA T RA TE OR OTHER). \
A) LOBBYIST DISCLOSURE: (Required) to> \ ~ ~
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":
2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real
Estate Development Issues":
DYes
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..
Yes D No:
V. SIGNATURE UNDER OATH:
ON OCTOBER 1 Sf OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURE S WELL AS COMPENSATION
RECEIVED, IN THE CITY OF MIAMI BEACH FOR THE PREC I G LENDAR YEAR. A STATEMENT
SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPEND S 0 COMPENSATION DURING THE
REPORTING PERIOD.
@
-
Signature of Lobbyist
I do solemnly swear that all of he ~ re oing facts are true and correct and that I have read or am
familiar with the provisions con Section 2-482 of the Miami Beach City Code and all reporting
requirements.
Signature of Lobbyist:
Signature of Principal/Client:
VI.
LOBBYIST IDENTIFICATION:
PRINCIPAL IDENTIF CATION:
.::K Produced 10 f1.... ~Il. '-I c.. I. "0 ,ilt:lo, S't-ou., ~ Produced 10 .,.
Form of Identification Form of Identification
D Personally known (Lobbyist)
'S( Personally known (Principal)
VII. SIGNATURE AND STAMP OF NOTARY:
Notary Public State of Florida
ar n Vital
om mission D0454200
09
FOR
Annual Registration fee: [ ] Yes [ ] No Amount
Lobbyist Registration Form received and verified by:
F:\CLER\$ALL\MARlA-M\Lobbyist\LOBBYIST fORM 05,doc