Jonathan W. Cardello/Southgate Towers Apt_.
. ~ ~'~ f `mot ~ f
"City of Miami Beach Office of the-City Clerk III.,,
1700 Convention Center Drive,_ Miami Beach, FL 33139 Z~t~ ~Pr? -~ ,
. _ ~ 8: ~~
' LOBBYIST REGISTRATION FORM ~``~ T `f' r''r =,~ t t
Lobbyis4 means all persons employed or retained, whether paid or not, by a principal who seeks to encourage the passage, defeat or modification of ~ ! 1, t:
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 city personnel during the time period of the entire decision-making process on such
• action, decision orsrecommendation 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 employeg engaged.in lobbying activities. The'term "Lobbyists" has specific ezclusio_ns. Please
' referto Ordinance 2004-3435.
• : C"ARDFLIi) .T/~N~~I AN hl.
NAME OF LOBBYIST: (Last) (First) (M.I)
~4fJD- /NG . 2 S3/X'A~NF ~Ga/,Q, ~'/D7U, /'?lA-Ml GL .33/3/ : .
• BUSINESS"NAME AND ADDRESS Number and Stree y) ( ) (Zip Code) •
( ) (Cit ~ State
,3v3-~~~-. ~7~D ~~ 30~ ~ y6'a- g7~y. -~c~ROl~~d@~Q,~<<.~~
.. _ TELEPHONE NUMBER: FAX NUMBER: EMAIL:
1. ~ 'LOBBYIST RETAINED BY: '
,.
UU rtt G tE ?OHI E125 AP~M i S ~1v. R ~/Il 51N
NAME OF PRINCIPAL/CLIENT: -.
" 6~D0` /,cJfST ~RdAO S% - STZ ~~ ~iClfiM OND V'A ~ a3a3y
BUSINESS NAME AND ADDRESS (Number and Street) (Gilyl) (State) {Zip Code)
4/IIJ Boa .~n,i ~.,,i ~~~~' i~~1~1~J
Fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (c)]
• NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: .
NAIRR~I'-IUAS~
• IDENTIFY`ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN
SUCH CORPORATION, PARTNERSHIP OR TRUST:
" .ILSPECIFIC .LOBBY .ISSUE:.
100 (~i5TAV4+vu~
~U i7-tC~ ~C l oln/~25 ~ t~ rR'Wt Irv. r s r~4 y S5; ~FbR~E t l-t,~ ~R IB
Issue to be lobbied (Describe in detail): - .~..~ t,~t g~N ~ ~-`
_ 33139
• ut. CITY AGENCIES/INDIVIDUALS TO $E LOBBIED: Pursuant to City Code Section 2-482(g) 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 aaid 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
-tau ~ I ' Fr~~ ~ n ~~R D C'It1T ~w •
NNJ N ~U DRK G1 M q ~ ~- ` .
N I `~LiA-~ N N T D
-x
'IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT
•RATE'OR OTHER):.
• A) .LOBBYIST DISCLOSURE: (Required) ~ // , I •
~
. " T l
S DISCLOSURE (OF LOBBYIST COMPENSATION): ~~~~lQ~~
B) PRINCIP
L
'
AI1
-
~
,,
..
__
(Required). ~p2:ZO, 00D .^
The followirig information must be answered:. •
^
- ,. .
1) • Ptlrsuahf to'`Miami Beach City Code Section 2'-488 Entitled "Prohibited Campaign Contributions By Lobbyists
.
Procurement Issues'': ' .
ri
O
~
-~
/
^ Yes K1 Nor. Are you lobbying on~a present`or~pendinp bid for goods, equipment or services, or on a
.-t
• present orpending award for goods, equipment or service? ~`
-.
- ~
~,
2) Pursuant to Miami'Beach City Code 2=490 Entitled "Prohibited Campaign Contributions•ByLobbyists On
~"
• Real Estate Development Issues":
'3)•• Pursuaht to Miami,Beach City Code 2-484.(h).,Any persori (except'#hose exempt°from the definitioh of ,
"_
- "I'obbyist" :as` set .forth in Sec4ion, 2-481- above) who only appears: as' a representative of snot-for-profit
.
corporation "or entity without speciaCcompensation,ol-teimbursement.fo~ the appeararice, whether direct, or
"' indirect; to ex ress_su oat of or. o osition to ari ifem, shall re aster With the clerk.as re wired b this
P PP PP Y•-• 9• q Y
V
'
section-but,. shall riot 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,: ~ ' .,
- - -.
. .. ~ ..
bN.~OCTOBER''1sT OF ~EACM YEAR EACHLOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
-
• ~
- STATEMENT UNDER OATH' " LISTING _LOBBYIN NDITURES AS WELL AS COMPENSATION
- • -.
•. RECEIVED' IN •THE CITY• OF MIAMI $EACH FORT PRECE ING'CALENDAR YEAR. A STATEMENT SHALL - ' ` ,
~. '. BE FILED EVEN "IF THERE HAVE. BEEN-NO fXP DITURES COMPENSATION DURING THE REPORTING
PERIOD... .
:. Signatu o Lo b ist
.. _ ..
~do~solemnly swear #hat a ., f'the oregoing facts are true. and correc nd that 1 have read or am familiar with the .
,.
' provisioris contained in S tion 2-48 f the Miami Beach City Code an all reporting requirements
. ~ Signature of. Lobbyist:. ; ,
-• .. .._ •
Signature of Principal/Client. •
`.
,
. VL. ,LOBBYIST>.IDENTIFICATION: PRINCIPAL IDENTIFICATION:
. e
•m
~
•
• ~. , . ,
~ _
.,
^~
~ N
. ?
-
^ Produced ID
`
^ Produced ID "
~
C
°
`
° Y '
•
' ~` ~~ ° ~ ..
_.
.
- ... Form of Identification • -. _ Form of Identification o
N
z = a
" g N ~ • • • _
~ Personally known (Lobbyist) „ ~ ~~Personally known (Principal) ~» Z
~ o o ~ ~
.
X
~„•Q ~: -
VIL SIGNATURE AND STAMP OF NOTARY: W
~ . ~ S
'„ate u' vi z`
0 o a ~ ., • _
,State of,Flonda, County of Miami-Dade • State of Flonda; County of Miami-Dade
. k Yo _
<a"'~~ "
~-w ~
` Sworn to and subscribed before'me ~
. 'Sworn and subscribed before me - ` ' ~
-,f,°-
~ m This .5fh~ day of APRIL " , 2Bg~3afJl0 - This ~
day of ~L
' , 2989~oib , ,
,,,~
~'~
_
_
a dot
z.
~~ ~ - '~
~/' ~ . .
Signature of blic Nota
= ate of Florida '
• ~
Si
t
re of Publi
N
t
St
f Fl
t
i
.~-...-~,,
~~"'f~'~'' .
ry
.
.
na
u
c
o
g ry -
or
a
e o
da
Notarizatio of Lobbyist's signature- ~, . Notarization of Principal's signature:
" • - • . • _. `• ~ TO $E COMPLETED'BY CITY CLERK'S STAFF ONLY " < •- •
,•,_
. , Apnual Registration fee:: [ ]Yes [ , • ] No ,Amount Paid $ -- MCR # ~ ate Paid -,
Lobbyist Registration Focm.received and verified by: -
F:\CLER\SALL\aFORMS\LOBBYISTFORMS\Lobbyist'Registration Form 21109.doc - Revised 02/ 1/2009