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Jimmy Morales/Loews?~ MIAMIBEACH City of Miami Beach Office of the City Clerk 170a Convention Center Drive, Miami Seach, FL 33139 LOBBYIST REGISTRATION FORM Lobbyist means ail persons employed or retained, whether paid or not, by a princpal who seeks to encourage the passage, defeat or modfication 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, derision or recommendation of any dty personnel during the time period of the entire decision-making process on such action, derision or recommendation that foreseeably will be heard or reviewed by the dty commission, or a dty board or committee. The term spedfically includes the principal as weA as any employee engaged in lobbying activities. The term "Lobtryists"has specific exclusions. Please refer to Ordinance 2004-3435. MORALES JIMMY L- NAME OF LOBBYIST: (Last) (First) (M.T) Stearns Weaver Miller Weissler Alhadeff & Sitterson, P.A. ern rATo~~- >;'l a.~l ar Si" r ~iri tP 22f1(l ~ Mi anti FL 331 30 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305-789-3200 305-789-3395 jmorales@swmwas.com TELEPHONE NUMBER: FAX NUMBER: EMAIL: I. LOBBYIST RETAINEDSY: ~~JJ* SEE EXH BJJ~~T A !~ a~~ f"''/14~,i /.SE'4~ ~Te/ /-~ ~- /2e~PPU@ ~orA.-, Pw7L (, d / ~~ ~~ ~ ~ V~ ~~g ~„ ~J P4 chi /~'/~ .3 .~ / -~J~ BUSINESS NAME AND ADDRESS (Number and Street) (City) (state) (Z~p Code) ads- ~ °y-/6~/ 3°~ - GAY-s~.~a 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 BENEFICIARY: IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: ~/~ II. SPECIFIC LOBBY ISSUE: NOISE ORDINANCE Issue to be Lobbied (Describe in detail): III. CITY AGENCIES/INDMDUALS TO BE LOBBIED: A) Full Name of Individual/Title B) Any Financial, Famiilat or Professional Relationship CITY COMMISSIONERS rr-: ~; CITY MANAGER rJl c-=; ~ ~ a T1 ~ ,•-~ v ~ -~~ '~ 'a ~ "Y1 n V IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLATRA7g OR OTHERt A) LOBBYIST DISCLOSURE: (Required) $ 4 ~ O HOURLY B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): {Required). $ 4 ~ ~ HOURLY 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": ^ Yes %I No• Are you lobbvina on a present or pendina bid for goods equipment or services, or on a Rresent or pendina award for goods eauiament or service? 2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues": C]Yes ~No Are you lobbvina on a pending application for a Develoament Agreement with the City or application for change of zoning maa designation or chance to the Citv's Future Land Use ~1au? 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 section but, shall not be required to pay any registration fees.. IlYes O No• Are you representing anot-for-profit coraoration or entity without special compensation or reimbursement. . V. SIGNATURE UNDER OATH: ON OCTOBER 1sT OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNEb STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES, AS WELL AS COMPENSATION RECEIVED, IN THE CITY OF MIAMI BEACH FOR THE PRECEDING GA ENDAR YEAR. A STATEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPENDITURES Oi~COMPENSATION DURING THE REPORTING PERIOD. / / I do solemnly swear that all of the foreg ng Facts a true and correct and that I have read or am familiar with the provisions ntained in coon 2-482 of the Miami Beach City Cade and all reporting requirements. Signature of Lobbyist: ~~ Signature of Principal/Ciien \ \ ~ ................ ~LiIUANA AOBBYI IDENTIFI TION: ~,~ C~1~ 0~11A _~° E~••~~I~lce~ ID - `~ V. ~,- 9«+dsd n+ti ieoo>432-425x: Form of Identification ... ~o``,..... Florida Notary~e.n., inr, e' Personally known {Lobbyist) PRINCIPAL IDENTIFICATION: rr'•., o Produced ID .:-~ SALLYAISi\i VALLADARE Form of Id is r1*= MY CO~r~','~,::~ION # DD779059 EXPIRES April 14, 2012 ~PersonaNy known (Princip 140» 398-0153 FbridaNotarySarvice.com VII. SIGNATURE AND STAMP OF NOTARY: State of Florida, County of r=~Ba~e Sworn toed subscri6 efore me ; This r` I day of / Imo- ZO ©~ ,/ State of Florida, County of Miami-Dade Sworn and subscribed before me C~ This ~ day~f ~~ 4 , 2 Signature of Public Notary -State of FJ6rida Notarization of Lobbyist's signature SignatGre of Pul7$rtluetary! State of Florida Notarization of Principal's signature FOR CLERK'S USE ONLY ~j Annual Registration fee: [ ]Yes [ J No Amount Paid ~~~_,~.,,. MCg #~ L ~~ ~ Date Paid ~ s a ~ D ~' Lobbyist Registration Form received and verified by: ~~-~-~,~==-- ~.~2a- F:\CLER\$ALL\MARIA-M\Lobbyist\LOBBYIST fORM o5.doc Revised 12/08/04 EXHIBIT A The Palms South Beach The Claridge The Ritz Carlton South Beach The Raleigh The National Hotel Gansevoort South Loews Miami Beach Hotel Eden Roc The Setai Fisher Island DoubleTree Surfcomber Sagamore The Anglers Resort Hotel Ocean Royal Palm Fountainbleu I:\W-AGT\36906\I,obbyist\EXHIBIT A.doc