Kent H. Robbins - Simone HotelCity 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 dty 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 Uty commission, or a Uty board or committee. The term
spec'rfically inUudes the princpal as well as any employee engaged in lobbying aGivilies. The term "Lobbyists" has specific exclusions. Please
refer to Ordinance 20043435.
Robbins Kent H.
NAME OF LOBBYIST: (Last) (First) (M.I)
Law Firm of Kent Harrison Robbins, 1224 Washington Ave, Miami Beach, F1 33139
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305) 532-0500 (305) 531-0150 khrobbins@kentharrisonrobbins.com
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
I. LOBBYIST RETAINED BY:
Christina Labuzetta
NAME OF PRINCIPAUCLIENT:
301 Ocean Drive Miami Beach, Florida 33139
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional)
(305) 794-2873 Christina@locationresources.com
Fill out this section if principal is a Corporation, Partnership or Trust [Section 282 (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:
•u.SPECIFIC LOBBY ISSUE:
legal representation concerning the preservation of the Simone Hotel and related matters
Issue to be lobbied (Describe in detail):
w CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: Pursuant to city code section z-be2(g- mcmde
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 72 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 Tide B An Financial, Familial or Professional Relationshl
Historic Preservation Board None
Building Department None
City Manager's Office None
Planning Department None _~.~I apt() S•~'si~l~,l ~ li J
Mayor and Commission None hO:S !~d 8-
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT
RATE OR OTHER):
oN
N
~$~
~~
~~
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q) i naRYIST DISCLOSURE: (Required)
_ ~~ ~ a
8) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION):
(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 ®No: Are you lobbvinp on a present or oendina bid for ooods. equipment or services. or on a
present or pendino award for ooods. equipment 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 lobbving on a oending application for a Development Aoreement with the City or
application for change of zoning map desionation or chance 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 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.
^ Yes ®No: Are you representing anot-for-profit corporation or entity without special compensation or
reimbursement. .
V. SIGNATURE UNDER OATH:
Signature of Lobbyist:
Signature of Principal/Client: C -
VI. LOBBYIST IDENTIFICATION:
^ Produced ID
Form of Identification
Personally known (Lobbyist)
VII. SIGNATURE AND STAMP OF NOTARY:
State of Florida, County of mi-Dade
_ TO BE COMPLETED BY
Annual Registration fee:~Yes [ j No Amount Pald t
Lobbyist Registration Form received and verified by: _
F:\CLERI'SALLIaFORMS\L06aYIS7' FORMS\LnbEwich Rmiahalin
Swom nd subscrib of a me
This ay of , 20911 /V
r
Signat of Pu4{i -State of Florida
Notarization of Lob vist's signature
~P,R/INCIPAL IDENTIFICATION:
L~ Produced ID f~~ ~ L~
Form of Identification
^ Personally known (Principal)
Nq
O•'- ery 1B ~'• ;
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p :_ #DD 832367 : Q.
State of Florida, County of Miami-Dade
Sworn and subscrib efore me rr~O
This~day of1~, 2009 ,
Signature of Public Notary -State df Florida
Notarization of Principal's signature
21104.dOC
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~~
I do solemnly swear tha t foreg ~jcts are tpa~anrrect and that I have read or am familiar with the
provisions contained in .t?t~io -482 o~M' mi Bea C' a and all reporting requirements.