Christina Labuzetta (2)s. ~tE~
m MIAMIBEACH
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 prinripal who seeks to encourage the passage, defeat or modification of
any ordinance, resolution, action or derision of any commissioner, any action, derision, recommendation of the City Manager or any rity board or
committee; or any action, derision or recommendation of any dty personnel during the time period of the entin; derision-making process on such
action, decision or recommendation that foreseeably will be heard or reviewed by the rity commission, or a rity board or committee. The term
sperificelly indudes the prinripal as well as any employee engaged in lobbying activities. The term "Lobbyists" has specific exclusions. Please
refer to Ordinance 2004-3435.
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 Historic .Neighborhood Preservation Coalition, Inc.
a non-profit charitable organization
NAME OF PRINCIPAUCLIENT:
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) 352-0501 MDHNPC@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: Christina Labuzetta
• IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN
SUCH CORPORATION, PARTNERSHIP OR TRUST:
u:SPECIFIC LOBBY ISSUE:
Preservation of the Simone Hotel and related matters
Issue to be lobbied (Describe in detail):
ul. CITY AGENCIESIINDIVIDUALS TO BE LOBBIED.: Pursuant to City Code Section 2-482(9) Include
a statement of the extent of any business, financial, familial, professional 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
Planning Department
Mayor and Commission
None
None
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT
RATE OR OTHER):
A) LOBBYIST DISCLOSURE: (Required(!
Gratis
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION):
(Required).Grat 1S
The following information must be answered:
1) Pursuant to Miami Beach City Code Section 288 Entitled "Prohibited Campaign Contributions By Lobbyists
On Procurement Issues":
^ Yes ®No: Are you lobbying on a present or sending bid for goods, eguiament or services. or on a
aresent or pending award for goods, eguiament 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 lobbying on a pending aaalication for a Development Agreement with the City or
a~~lication for change of zoning maa designation or change to the City'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 snot-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 facts are true and correct and that I have read or am familiar with the
provisions contained in Section~2 of the Miami Beach City Code and all reporting requirements.
Signature of Lobbyist:
Signature of Principal/Client: ~ ~
VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION:
^ aProduced ID ~ ~ L-'
Form of Identification
^ Personally known (Lobbyist)
VII. SIGNATURE AND STAMP OF NOTARY:
State of Florida, County of Miami-Dade
Swom to nd subscrib t~ fore me ~
This _~day of ~~~G'euC~,se, 20 9
Signature of Public Notary -State of Florida
Notarization of Lobbyist's signature
Produced ID ~/ ~ L~
Form of Identification
^ Personally known (Principal) \`\\~\~\~1MIRfo~~T ~i,
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State of Florida, County of Miami-Dade W ~' ~
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Sworn and subscrj)~d before me (a
This day of OO , 2009' ~ °=~ ~Dp83~s~ ~ ~-
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Notarization of Principal's signature
TO BE COMPLETED BY CITY CLERK'S STAFF ONLY
Annual Registration fee: [ ]Yes [ ] No Amount Paid $ R ~ Date Pald
Lobbyist Registration Form received and verified by: .:~.Y.r, a ~~
F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form 21104.doc Revised 02/11/2009
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Signature of Lo yist