Kent Harrison Robbins/World Waste Services, Inc.
m ;VIIAP,P,IBEACH
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 Cily 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 principal as well as any employee engaged in lobbying activities. The term "Lobbyists" has specific exclusions. Please
refer to Ordinance 2004-343b.
Robbins Kent Harrison
NAME OF LOBBYIST: (Last) (First) (M.I)
Kent Harrison Robbins, 1224 Washington Avenue, Miami, FL 33139
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305) 532-0500 (305) 531-0150 khrobbinsQkentharrisonrobbins.com
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
LOBBYIST RETAINED BY:
World Waste Services, Inc.
NAME OF PRINCIPAUCLIENT:
4701 NW 35 Avenue Miami FL 33142
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305) 636-4434 (305) 633-8226 edamaso@worldwasteservice.com
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: Michael Adams
• IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN
SUCH CORPORATION, PARTNERSHIP OR TRUST: Michael Adams, Martha Saroza., Robert Saroza
ii.SPECIFIC LOBBY ISSUE:
Legal representation of World Waste Services, Inc. concerning RFQ 49-07/08
Issue to be lobbied (Describe in detail):
iii. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: (Pursuant to City Code section 2-x82191
Include a statement of the extent of any business, flnanclal, 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(x)(4) Include a statement of any contractual relationship (paid or unpaid) from 12 months precedin~he
commencement of service of City personnel to be lobbied.) ~~~ A
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A Full Name Of Individual Title B An Financial, Familial or Professional Relations
Procurement, Gus Lopez Cam` n
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT
RATE OR OTHER):
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A) LOBBYIST DISCLOSURE: (Required) $ 4 7 5 . 0 O /hr
B) PRINCIPAL'S DISCLOSURE ((O~F LOBBYIST COMPENSATION):
(Required). $475 00/hr
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 you lobbvina 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 ~ No• Are you lobbvina on a pending application for a Development Agreement with the City or
application for chance 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.
^ Yes L1N0' Are you representing snot-for-profit corporation or entity without special compensation or
reimbursement. .
V. SIGNATURE UNDER OATH:
Signature of Lobbyist:
Signature of Principal/Client: f/!,.
VI. LOBBYIST IDENTIFICATION:
PRINCIPAL IDENTIFICATION:
^ Produced ID
Form of Identification
~rsonally known (Lobbyist)
VII. SIGNATURE AND STAMP OF NOTARY:
State of Florida, County of Miami-Dade
Sworn to arld subscri gd befor me
This ~[~day ofd;; a 008
Signature of Public Notary - Sta a orida
Notarization of Lobbyist's signature
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Annual Registration fee: [ J Yes [ ] No Amount Paid i MCR # Date Paid t
Lobbyist Registration Form received and verified by: ~'
F:~CS.ER~L066YIST~LOblayist Registration Form 327p8.cltsc Revised 03/27/20
Notarization of Principal's signature
I do solemnly swear that all of the foreg ng facts ar true and corre nd that I have read or am familiar with the
provisions contained in Section 2yR'87~ he Miarr}i'~~ch City Cod n~/ lreporting requirements.
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City of Miami Beath, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov
CITY CLERK Office CityClerk@miamibeachfl.gov
Tel: 305.673.741 1 ,Fax: 305.673.7254
LOBBYIST NAME: Kent Harrison Robbins
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
2J 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~ity Clerk' Office of lobbyist withdrawal in writing.
Signature:
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F:tCL,ER11Mt~313BYI~Ti1_obbyist Fa~;gi;~tratios~ Form 327t)8.doc