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Frank Russo, Jr./Todd Glickman.~. ,~4~: 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 teen specifically includes the principal as well as any employee engaged in lobbying activities. The term "Lobbyists" has specific exclusions. Please referto Ordinance 2004-3435. /~ NAME OF LOBBYIST: (Last) (First) (M.I) BUSIN/ESS NA//ME AND ADDRESS (Number and Street (City) (Sta ) (Zip Code) I'J [Y ~ (D S > > ~© '` ~ ~~ / ~`'(,c .!' Td ca' q to ~~ lr ec 'fYC.IM~ . ~ O''y TELEPHONE NUMBER: FAX NUMBER: E L: I. LOBBYIST.R/E/TAINE/D BY: ~~!! NAM/E~ OF PRINCI~PAUCLIENT: BUSINESS NAM AND ADDRESS (Number and Street) (City) (State) (Zip Code) 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 FICER, PARTNER, OR BENEFICIARY: ~ ~~o ~~ ~e ~~~u~ TAG T- Cr -./ r'~i v ~~ • IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5°~/yOR LMOR_E OWNERSH11P INTER/EST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: ('"~ ~ ,(/G f'~L~4~~rin (/t OTC ,Uf(~~'1P u.SPECIFIC LOBBY ISSUE: Issue t be I bled (Describe i detail): n~ ~,,,,~~ ul. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: (Pursuant to city code s ce tion 2-as2(g) include a statement of the extent of any business, financial, familial, professional or other relationship, giving raise to an appearance of an impropriety, with any City personnel sought to be lobbied; further, pursuant to City Code Section 2- 482(a)(4) include a statement of any contractual relationship (paid or unpaid) from 12 months preceding the commencement of service of City personnel to be lobbied.) A F u ll N ame of Individual Title B) An Financial , Fa m ilial or Professional Relationship / ~ / (/ ~ / ~, ~ ~ IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR OTHER): A) LOBBYIST B) PRINCIPAL'S DISC~SI[~~(OF LQ B~I~ COMPENSATION): (Required). gyp,,(( ~~ 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 ^ No: Are ou lobb in on a resent or endin bid for oods a ui ment or services or on a present or pending award for goods eauipment or service? 2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues": u Ica ... ~.... .-._~~ ____ ___ __ a lication for chanae of zoning map designation or chanae to the Citv's Future Land Use Map? 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. reimbursement. . V. SIGNATURE UNDER OATH: of Lobbyist:_ re of Principal/Client: LOBBYIST IDENTIFIC~AT,1 ON: Produced ID ~ ~ ~~~ ~v/ Form of Identification r A~a ~ S gis~~' ~~° s ~~~ ^ Personally known (Lobbyist) SIGNATURE AND STAMP OF NOTARY: S to of Florida, County of Miami-Dade S orn to subscrib befo a me ~s day of ~~~~ 2008 f Signature of Public Notary -State of orida Notarization of Lobbyist's signature PRINCIPAL IDENTIFICATIO -'',Y R2 SS/~O ~roduced ID (~~~ ~~ ~ ~ '~ •• '~~• I ' Form of Identification i '31 ~ n Q 3 ~ ~ ^ Personally known (Principal) ~ ~ State of Florida, County of Miami-Dade g ~ Sworn subscribed efor me ~ ° 6 This day of , 2008 R ~ 1~J Signature of Public Notary -State Florida Notarization of Principal's signature TO BE COMPLETED BY CITY CLERK'S AFF ONLY Annual Registration fee: [ Yes [ ] No Amount Paid $ MCR # Date Paid D Lobbyist Registration Form received and verified byc F:\Ct.ER1LOBBYISTItohhyist Registration Form 327E18.doc Revised 03/27/2008 I do solemnly swear that all of the foregoing facts are true and ect and that I have read or am familiar with the provisions contained in Section 2-~ the Mia~xf' B^ach~~~ti!~and all r orting requirements. m City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov CITY CLERK Office Tel: 305.673.741 1 ,Fax: 305.673.7254 CityClerk@m iam ibeachfl.gov LOBBYIST NAME: ~i~~~'~ ~~ ~u.1'.1'a I understand that no later than October 1st of each year, I must file the following forms, pursuant to Section 2-485 of the Miami Beach City Code, with the City Clerk's Office for all active lobbying issues. 1) Lobbyist Expenditure Form 2) Disclosure Form Failure to file these forms on a timely basis will result in my name being transmitted to the Miami-Dade County Commission on Ethics and for code violation evaluation. In addition, once an issue I have registered to lobby on has been resolved, I am required to immediately notify the City Clerk's Office of lobbyist withdrawal in writing. c_-- Signature: ~~1~~ d~ Date: F:ICL.ERILOBBYiSTtLabbyist Registratian Farm 32708.doc Global Spectrum, LP Partnership Disclosure Statement Global Spectrum, LP is a limited partnership and its partners are as follows: 1. Global Spectrum, Inc. (General Partner), 3601 South Broad Street, Philadelphia, PA 19148 2. Comcast-Spectacor Ventures, LLC, 3601 South Broad Street, Philadelphia, PA 19148 3. Globe Facility Services, Inc., 111 Second Avenue NE, Suite 517, St. Petersburg, FL 33716