Kent Harrison Robbins/Hugo Cleaning Services, Inc.m M~ann~BEACH
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 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 princpal as well as any employee engaged
in lobbying activities. The term "Lobbyi~ ha¢ specific exclusions. Please refer to Ordinance 2004-3435.
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NAME
(M.I)
BUSINESS NAME AND ADDRESS ~ (Number and Street) (City) (Stat~j (Zip Code)
305 -- 532 -OSoo y 3oS-S 3l --olsy:; ~G~trv,66i~s r~ kcl~~
I. LOBBYIST RETAINED BY:
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NAME OF~INCIPAL/CLIENT: V
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BUSINE S NAME AND ADDRESS (Number and St et) (City) (State) (Zp Code)
TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional)
Fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482
• NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY:
• IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP R TRUST:
ler~ro ~~ peftr-" ~ 1 ~.~.j. Ca r rn~~a ~i ~o~~o~y ~ ~ lay.
II. SPECIFIC LOBBY ISSUE: t-~i2~+~~~~~ ~ / rj
to
III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
A) Full Name of Individual/Title 8) Any Financial, Familial or Professional Relationship
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY,
FLAT RATE OR OTHERf
A) LOBBYIST DISCLOSURE: (Required)
B) PRINCIPAL'S DISCLOSURE (OF LOBBY
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":
V. SIGNATURE UNDER OATH:
ON OCTOBER 1~ OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, LISTING LOBBYING EXPEN ITURES, AS WELL AS COMPENSATION
RECEIVED, IN THE CITY OF MIAMI BEACH FOR THE P CEDING CALENDAR A STATEMENT
SHALL BE FILED EVEN IF THERE HAVE BEEN DITUiR~{~'R COM SA ~ DURING THE
REPORTING PERIOD. / / )'/
nature of LoblSyist
I do solemnly swear that all of
familiar with the provisions ont
requirements.
Signature of Lobbyist:
Signature of Principal/Client: ~
VI. LOBBYIST IDENTIFICATIOI
VII.
in
facts
e e and correct and that I have read or am
of e,~Miami Beach City Code and all reporting
PRINCIPAL IDENTIFICATION:
jl Produced ~~~L ~~'eQ- 47g - ~9--~jltfr~j_p
Form of Identification
State of
Sworn subscribes fore me
This day of , 20(~r
ignature of Pu is - -fate of orida
Notarization of Lobbyists signature
Personally known (P cy~ '•• r. Rwc~rn ar+vF
:° ~;: Notary f'ubIIC - StafQ
Ar DD 376468
State of Florida, Count
Sworn and subscrib ore me
This 1~~laye~f 2
Signature of Public Notary' Stafe~erf F1br
Notarization of Principal's signature
FOR CLERK'S USE ONLY ~
Annual Registration fee: [ ]Yes [ ] No Amount Paid 1~ MCR #~ ~ ~~ - Date Paid •~ ~® ~~
Lobbyist Registration Form received and verified t-y: ~ - ,
F:\CLER\$ALL\MARIA-M\Lobbyist\LOBBYIST fORM 05.doc ^"zi<- ..~7.~`~-% Revised 12/08/04
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 anot-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
sec~{pn but, shall not be required to pay any registration fees..
Prnriurari Tf)
This matter relates to a disqualification protest matter (Miami Beach RFP
No. 04-07/08). If you require further details, please let me know.
Marie Jorczak
Legal Assistant to Kent Harrison Robbins
1224 Washington Avenue
Miami Beach, Florida 33139
Telephone: (305) 532-0500
Facsimile: (305) 531-0150
Silvia Prieto, Administrative Aide I
CITY CLERK'S OFFICE
1700 Convention Center Drive, Miami Beach, FL 33139
Phone: 305-673-7000 ext. 6269 / Fax: 305-673-7254
www. miamibeachfl.gov
We are committed to providing excellent pub/ic service and safety to all who live. work and play in our vibrant, tropical, historic
community.
From: Hatfield, Liliam
Sent: Wednesday, February 20, 2008 4:24 PM
To: Prieto, Silvia
Cc: Martinez, Maria
Subject: Lobbyist Kent Harrison Robbins
Silvia,
Under item, RFP 04-07/08 should be entered instead of Pedro "Peter" etc...
Also, change "genitorial" for "Janitorial"
Thanks.