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Christina Labuzetta~.IMoN~ ~ofi~~ m MIAMIBEACN 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 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 city personnel during the time period of the entire deasion-making process on such action, deasion or recommendation that foreseeably will be heard or reviewed by the city commission, or a city board or committee. The term speaficelly inaudes the principal as well as any employee engaged in lobbying activities. The term "Lobbyists" has specific exclusions. Please refer to Ordinance 20043435. Labuzetta Christina NAME OF LOBBYIST: (Last) (First) (M.I) 301 Ocean Drive, Miami Beach, Florida 33139 BUSINESS NAME AND ADDRESS (Number and Street) (City) ~ {State) {Zip Code) (305) 794-2873 (305) 604-3993 christina@locationresources.com TELEPHONE NUMBER: FAX NUMBER: EMAIL: I. LOBBYIST RETAINED BY: Miami-Dade Preservation Planning Action Group, Inc. a non-profit charitable organization NAME OF PRINCIPAUCt_IENT: 1224 Washington Ave, Miami Beach, Florida 33139 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional) (305) 352-3614 MDPPAG@gmail.com Fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (c)) • NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: ChrlStlna Labuzetta • IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: u:SPECiFIC L08BY ISSUE:" Preservation of the Simone Hotel and related matters Issue to be lobbied (Describe in detail): Pursuant to City Code Section 2-482(g) include ail. C~YTYnAGENCf~ES/oNDiVbDUAsSi a~~aBi,Eami~BBIED onal or other relationship, giving rise 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 said City personnels' commencement of service with the City to the present date, stating the general nature of the subject contractual relation. A Full Name of Individual Title B) An Financial, Familial or Professional Relationship Historic Preservation Board None Building Department None City Manager's Office None r.lanning Department None ~JI .~ ~~ ~ ,~,,y _,~.~, ~ ) ~~ Mayor and Commission None ~D~aC ~d 8- ~~~ Q~oZ ~ -..d Li3 ...~} f V ~~ IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR OTHER): f LOBBYIST DISCLOSURE: (Required) Iratis B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST IReauiredl.Grat 1S 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 aresent or pending bid for goods, equipment or services, or on a present or pending award for goods, equipment or service? 2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On / Regl.Fystate Development Issues": Pursuant to Miami Beach City Code 2-484 (h) Any person (except those exempt from the definition of "lobbyist" as set forth in Section 281 above) who only appears as a representative of anot-for-profit c~prporation 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 facts are true and correct and that I have read or am familiar with the provisions contained in Section 2 4$,2 of the Miami Beach City Code and all reporting requirements. Signature of Lobbyist: ( ~e ~.~c- p~! ~" ~ Signature of Principal/Client: G-- VI. LOBBYIST IDENTIFICATION: 'j=L ~f! ~ q ~roduced ID L~o~~` ~ ~~]' S~o- 1 ~}'a~~ ~ Form of Identification ° "' ^ Personally known (Lobbyist) ~z~ ¢~ VII. SIGNATURE AND STAMP OF NOTARY: ~,~ State of Florida, County of Miami-Dade Sworn toted subscribed before me 201v #.,~ This _~day of Feb ,2889 - ~ s~.~ ~~ ~`~%".~ietis'~' Signatur of Public Notary -State of Florida Notarization of Lobbyist's signature PRINCIPAL IDENTIFICATION: ~ L ~ L. t:~ Produced ID L ~ a`3' ~ ~ ~ `56 ~~ ~a - Form of Identification ^ Personally known (Principal] State of Florida, County of Miami-Dade Sworn and subscribe be re me Zp/d This ~/~}day of ,, 2A88 r-~S c+.c-C_J V Signatu of Public Notary -State of Florida Notarization of Princiaal's signature ~ ~' i t~ ~ ~j ~o~ ~~ ~ ~~ I mi TO BE COMPLETED BY CITY CLERK'S STAFF ONLY Annual Registration fee: [ ]Yes [ ] No Amount Paid $ MC # ~ Date Paid lobbyist Registration Form received and verified by: F:ICLER~;AIL,aFORMS\t.OBBYIST Fi7i2MS\lobbyist Registration Form 21109.doc Revised 02/11/2009 ,(~D /l' ~ ~/o_ ~ ..~ e~p~~~ PERIOD. ~• ignature of Lobbyist