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Christopher D. Adams/The Hampton on Washington Condo Assoc.~ MIAMIBEACH City of Miami Beach Office of the City Clerk 1700 Convention Center Drive, Miami Beach, FL 33139 LOBBYIST REGISTRATION FORM Lobbyist means ail 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 decision of any commissioner; any action, deasion, recommendation of the City Manager or any aty board or committee; or any action, deasion or recommendation of any aty personnel during the time period of the entire decision-mailing process on such action, decision or recommendation that foreseeably will be heard or reviewed by the aty commission, or a dry board or committee. The term speaficaliy indudes the prindpal as well as any employee engaged in lobbying activities. The term "Lobbyists" has spedfic exdusiaa:. Please refer to'Ordinance 2004-3435. ~ p~-~s ~ c~~ rs~ p~,~ ~ ~. NAME OF LOBBYIST: (Last) (First) (M.I) N~vF.,cr o~~, rc. .d.~ax yrGZzL ~~~ I~~AZN FI 331y! BUSINESS NAME AND ADDRE (Number and Street) (Gty) (State) (Zip Code) `~$~ ~ S3 ~ati~ ~d 5 G 55 Od'9/ !i/~ vEc o,vr ~ ,~;,~n rE-1 L~~vk , N~ TELEPHONE NUMBER: FAX NUMBER: EMAIL: I, LOBBYIST RETAINED BY: ~1~' ,~1~-Iti1~TbN oJV Wi!•s~iNG ~N . CaNQd lA~S• NAME OF PRINCIPALJCLIENT: BUSINESS NAME AND ADDRESS 3u~ G 33 JS TELEPHONE NUMBER: {Number and Street) ~ (Gty) 3~f G ~3 FAX NUMBER: (Optionaq EMAIL: (~P Code) ~7/~ Q~~G Es 1~-7~ _" ~on~! Fill out this section if prindpal is a Corporation, • NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: or Trust [Section 2-482 • IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: II. SPECIFIC LOBBY ISSUE: Ul~1/DOc~ /~~'nl~«'~ytrNl n,~'~rn ~~,~a ?io 1,a~c1.~~4~a+A~. Issue to be lobbied (Describe in detail): III. CITY AGENCIES/INDMDUALS TO BE LOBBIED: A) Full Name of Individuai~tle B) Arty Finandal, Familial or Professional Relationship ~~-1owJ,~ ,~. lyJo~N~ y ~,,~~ - Gf'/yvl~-ryr ~~-~2~ y ~voti~ ~/NG ~ N ,qv,~, !NI l~l~/ ~ 33 ~-,gsoNCs,