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Nina L. Boniske/Waste Services, Inc.~"!"~~ City of Miami Beach OfFce 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 derision 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 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 city commission, or a city board or committee. The term specifically includes the principal as well as any employee engaged in lobbying activities. The term "Lobbyists" has specific exclusions. Please refer to Ordinance 20043435. II -- AA '' ~DIf~15 K2 IV i h .. L . NAME OF LOBBYIST: (Last) (First) (M.I) asas Pone de. ~ 6t~~., •~,+-e goo ~~~rl C~Abtes ~~ 334 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 554- O~foO 3o.S' $ 4-a3a3 N don~ske, f' I~<h-law c TELEPHONE NUMBER: FAX NUMBER: EMAIL: I. LOBBYIST RETAINED BY: L(~ ,.5~. S C~iG ~ ,TNG• ~0 IV.~. 3'1 Cow~t'• ~.~ct,rvit ~L 33 [ MME AND ADDRESS (Number and Street) (City) (State) (Zip Cod -(~~8.3R'~o X~..~-3 Jgabc~e,l ~ -s~cP~ NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional) m 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: n.SPECIFIC LOBBY'1SSUE: Issue to be lobbied (Describe in detail): nl. CITY AGENCIES/INDIVIDUALS TO BE LOBiBIED: (Pursuant to City Code section 2-482(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 Clty personnel to be lobbied.) A Full Name of Individual Title B) An Financial, Familial or Professional Relationship 1 t u. r t ' b `` ~ W ' (3 ~ t ~.rti,~ ~nano~.ec ~r~ol t}ss-t. C~-1-~ 1f~lctn45er.s 3:~i ~~0 S.'~~~~13 A11~ Z Z ~Z tad 0 Z OOtl 8002 t~~~;S~J:~~i IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE: (Required) CT~V~C1.y Q,~~~ ~ b~ep~e~-e~m~ne~ ~, Y [~uv~nb~r' o~ B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): ~OU•Cf , (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": ^ Yes fd"No: Are you lobbvinq on a present or pending bid for goods eauipment 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": ^ Yes LJ No: Are you lobbvinq on a pending application for a Development Agreement with the City or application for change of zoning map designation or change 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: I do solemnly swear that all of the foregoing provisions contained in Section 2-482 of the D Signature of Lobbyist: Signature of Principal/Client: / ~ 1 VI. LOBBYIST IDENTIFIC,ATION: ^ Produced ID Form of Identification .Personally known (Lobbyist) VII. SIGNATURE AND STAMP OF NOTARY: State of Florida, County of Miami-Dade 5~ia ~, . P _.~ c.naas NOY true and Correct and that I have read or am familiar with the :h City Code and all reporting requirements. PRINCIPAL IDENTIFICATION: ~ Produced ID Form of Identification ^ Personally known (Principal) State of Florida, County of Miami-Dade Sworn and subscribed before me This day of , 2008 Signature of Public Notary -State of Florida Notarization of Principal's signature ~-~'" TO BE COMPLETED BY CITY CLERK'S STAFF ONLY Annual Registration fee: [ ]Yes [ ] No Amount Paid $ MCR # Date Paid Lobbyist Registration Form received and verified by: F:tCLER~LOBBYI5T~Lobbyist Registr.~stion Form 3270$.doc Revised 03/27/2008 ~.~_.e...._ Signature of Lobbyist Page 1 of 1 Prieto, Silvia From: Monique Sarraff-Ravelo [msarraff@wsh-law.com] Sent: Wednesday, September 10, 2008 12:02 PM To: Prieto, Silvia Cc: Mitchell Bierman; Nina L. Boniske; Lydia Pimienta Subject: Lobbyist Registration Form for Nina L. Boniske Dear Silvia, As a follow-up to our conversation, the hourly rate for Ms. Boniske on the Renewal of Solid Waste Franchise Lobbyist Registration matter is $500.00. Should you need anything further, please do not hesitate to contact me. Sincerely, ~~~. __ ~y~ V~~~J ~~~~ HELFM.~' P~T~~~. i.a~l~`'+t~.~~~i.t'.,~ ~.L. Monique Sarraff-Ravelo Legal Assistant to Laura K. Wendell, David M. Wolpin and Mitchell A. Bierman Weiss Serota Helfman Pastoriza Cole &Boniske, P.L. 2525 Ponce de Leon Blvd., Suite 700 Coral Gables, FL 33134 www.wsh-law.com Tel: (305) 854-0800 Fax: (305) 854-2323 This message, together with any attachments, is intended only for the addressee. It may contain informafion which is legally privileged, confidential and exempt from disclosure. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution, use, or any action or reliance on this communication is strictly prohibited. If you have received this a-mail in error, please notify the sender immediately by telephone (305) 854-0800 or by return a-mail and delete the message, along with any attachments. 09/11/2008 IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE: (Required) B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). The following information must be answered: -F-~y' t h Q ~ '' v~ ~pr,-tl~ . 1) Pursuant to Miami Beach City Code Section 2-488 Entitled "Prohibited Campaign Contributions By Lobbyists On Procurement Issues": ^ Yes L7 No• Are you lobbvina on a aresent or aendina bid for goods equipment or services or on a aresent or pending award for goods, equipment or service? 2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues": aaalication for chance of zoning map designation or chance to the Citv's Future Land Use Maa? 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 sectior) but, shall not be required to pay any registration fees. reimbursement. . V. SIGNATURE UNDER OATH: Signature of Lobbyist I do solemnly swear that all of the foregoing facts provisions contained in Section 2-482 of the Mii~ correct and that I have read or am familiar with the ode and all reporting requirements. Signature of Lobbyist: Signature of Principal/Client: VI. LOBBYIST IDENTI ^ Produced ID Form of Identification PRINCIPAL IDENTIFICATION: ^ Produced ID /" Form of Identification ^ Personally known (Lobbyist) VII. SIGNATURE AND STAMP OF NOTARY: State of Florida, County of Miami-Dade Sworn to and subscribed before me This day of , 2008 Signature of Public Notary -State of Florida Notarization of Lobbyist's signature Personally known (Princip .°'~~'`ir FLOSSIEM.,pRDAN .: .- MY COMMISSION # DD 519949 ~• o;= EXPIRES: March 22010 ''~„ j; ~ ;a: •• bonded Thru Notary P~Iic Underwriters State of Florida, County of Miami- a e Sworn an~subscrib d before me This `'lit day of I` , 2008 ~- Signature of Public No ry -State of Florida Notarization of Princiaal's signature TO BE COMPLETED BY CITY CLERK'S STAFF ONLY Annual RegNtration fee: [ ]Yes [ ] No Amount Paid 3 MCR # Date Paid Lobbyist Registration Form received and verified by: F:\CLER\LOBBYI5T\loobbyist Registration Farm 32708.dx Revised 03/27/2008 m City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, vaww.miamibeachfl.gov CITY CLERK Office CityClerk@miamibeachfl.gov Tel: 305.673.741 1 ,fax: 305.673.7254 LOBBYIST NAME: _ IU.n~ L, I~o~~S~~ 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. \_ Signature: Date: F:ICLERtLOE3BY1STt1*obbyist ftegistra~ican Firm 32708.dac