Linda D. Murray - J.P. Morgan Chase. ~~~~
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' ~ ~ City of Miami Beach'.Office of the~City Cleric -
' `' 1700 Convention Center Drive, Miami. Beach, FL 33139.
LOBBYIST.•REGISTRATION :FORM
'. Lobbyist means all persons employed or retained, whether paid or not, by a prindipal who'seeks to encourage: the passage, defeat or modification of
any.ordinance, resolution, action br decision df 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
actidn, 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 ldbbying activities. The•term "L'opdyists" .has specificexclusions. Please
"` referto.Ordinance 2004-3435.- ;~ '
NAME OF L{O'BBYIST .. . (Last) j~ (Fiirst) /~ O (~M`, )
' •~ (1~ +~~] ~_ a h' 'YN i~i!' ~~Tr.,r-~a~ ~~JQ~-Lli1iA ~~1[/e /l Y-~ l~-f/i ~(~/1 /'~~ ~ ~ ~ ~~ •
• :.BUSINESS NAM~AND AADDRESSr ~(Num er and Street) (City) {State
- ) (Zip Code) ,
TELEPHONE NUMBER: FAX NUMBER: EM L: ~ ~ ~7
.. -
Please notify this office if your..contact information, changes:. address, phone, or a-mail address.
,. ,-.
. , L " .LOBBYIST RETAINED BY:',
NAME OF I?RINCIPAL/CLIENT: -_
-C'1.~ ~ ~~~ ~~~-~ A~,~ y ivy ~o~~~a LL ..
• BUSINE .NAME A_ ND ADDR SS (Numbe ,and .Stye t) ( it
3V -' bs.~ ~ Y) (State) . (Zip Code) ,
- . 'TELEPHONE NUMBER; FAX NUMBER: (Optional). E AIL: (Optional).
Fill out this ection~`if principal is'a Corporation;'Partnership or Trust [Section 2=482 (c)] '
• ~ NAME OF CHIEF OFFICER,'PARTNER, OR BENEFICIARY: - ~ "
• • ~ • IDENTIFY ALL. PERSONS HOLDING, DIRECTLY,~OR INDIRECTLY, A 5°/u OR MORE OWNERSHIP.INTEREST IN
'SUCH CORPORATION,.PARTNERSHIP OR TRUST. ,
' ~ •. ~ .. i(~SPECIFiC LOBBY ISSUE: ~. .
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y issue to lobb d (Describe,in detail): S ~'•v~. KS - CS-~L L .. :. '
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u1.:CITY AGERICIES/INDIVIDUALS TO BE LO' IED: Pursuant to City Codes tion 2-482(g} include • " /
a statement of-the extent of an business,` financial, familiai, ~`~'~.u."`*`
Y professional or other relationship, iving rise to an` "' ~~
appearance of an impropriety with any City. personnel ought to be lobbied -- further, .pursuant to City~Code Sectwn 2- `''
- 482(a)(4) include a statement of .any ,contractual .relationship (paid .or ..unpaid) .from 12;`fmonths •prece g said ~Crty°? ~
personhel' commencemerit~`of-"service`'with the City to the ,present ;date; .stating ,the :general nature . of . e sub ect"•=t ~ (`r
- confractual.rela4ion.: ``• , ~• .: - .~ ., ._ . , . , k - •. ~,~ ~';
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•A FuIFName of Individual Title B) Any Financial, Familial or Professional Relationship-\ 4 F:
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT '
RATE OR OTHER): ~' ,
A} LOBBYIST DIS LOSUR : (Required) ~ d~ ~ - ~~ ~
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B) PRINCIPAL'S DISCLOSURE (OF L(~$YIST COMPENSATION):,
(Required). ~r~~~ ~ ..
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 lobbying on a present 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
~R,e/al Estate Development Issues":
^ Yes L~ No: Aye you lobbying on a pending application for a Development Agreement with the City or "
~glication for change of zoning map designation or change to the City's Future Land Use
Map?
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3) Pursuant to Miami Beach City Code 2-484 (h) Any person (except those exempt -from.the.definition of
"lobbyist" .asset 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.
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va-~v~- ~vn~ t.v~ ~n auun ut GnuL wtt.nVLai 5 eCtal COm enSailOn'Or
reimbursement.' . ~ -
v. SIGNATURE UNDER OATH: -
YCKIVU.
Sig ure Lobbyist
I do solemhly 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 2-482 of the Miami Beach. City Code and all reporting requirements.
Signature of Lobbyist: ~~ f /%,L 1G'~ '
Signature of Principal/Client:
.LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION:.
FL DL>'E T~k~S ~~
~roduced ID /~~~ -5a~-~~ ~~ ~ ~~Produced ID /~~.2~3 g~
Form of Identification /- Form of Identification
^ Personally known (Lobbyist)
SIGNATURE AND STAMP OF NOTARY:
tate of Florida,, County of Miami-Dade
worn to ~d subscribed before me
his, ,~~day of unl+~ .2010
CL
Signature f Public ary -State of Florida
Notarization of Lobbyist's signature
TO BE COMPLETED BY CI CLERK'S STAFF ONLY
Annual Registration fee: [ Yes [ ] No Amount Paid $ bb A~-MCR
.Lobbyist Registration Form received and verified by: ~i...wi~
F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form 2010.doc
^ Persona-ly known (Prin •"""""""""' - ""-'
~q~~v''~g ~ ISABEt. SATCHELL
• _~, MY COMMISSION # DD 879891
:~:, ~ -
EXPIRES:Apri413,2013
•~~~ ~d`' 8oadedThNNM~tyPublicUn~erwriters
State of Florida, County of
Sworn and subscribe before me
This ~da of ~yiL~,P ,.2010
a~ ~ ~ '
Signatur of Public otary -State of Florida '
Notariza ion of Principal's signature
Paid
Revised OS/.~~2010
," ~.
. . ,
"City of Miami'Be6ch, _1700. Convention Center Drive, Miami :Beach, Florida 33139, www.migmibeacfifl:gov '
`CITY CiERK:Office ~ - CityClerk@miamibeoch'fl.gov
e ~ Tel; 305.673.2411 ,Fax: 305".673.7254 - _ ~.
e4cknowledgement ®f fines/suspensi®n from lobbying f®r`failure to
comply with City _of iHliami :Beeech lobbying L®ws
L®B~V9ST:6Vi4A16E: cc ~
..
t.understand theat no .later thin October i st of each die®r~ lobbyists subject to "lobbyist ~~
' registration-.requirements shall submit to the city: clerk .a signed. tatement under oath
Iist'ing all aobbyirig; expenditures; as .well as compensation received; for .the preceding
calendar year with .regard to the specific issue on which the lobbyist has been engaged.'
t'o lobby. ~A statement shall be fi ed even: if-where have been no •expenditures or
= compensafion during 'the reporting. period: The statement shall. list;' in .detail,` each ~_
~~ expenditure by category, including food ~qn'd beverage, 'entertainment, research, '
' :communication, media advertising'; publications, Gravel, lodging and special .events.. ,:
FAILURE TO TI~IIELY ~ FILE THE EXPEf~IDIYURE AND FEE DISCLOSURE REPORT ':
WILL. RESUd.T III .A -FINE ~AF '$50.00'pER :®~.Y. AIVY :LOBBYIST !A/HO FAILS
PTO FILE THE ~ REQUIREt~ EXPEINDITURE REPORT BY :DECEMBER `.1, SHALL - ~ ~ -
_ ~ : .A-UTOMA~ICALLY BE :SUSPENDED .~FRONi LOBBYING .IDI~ITIL /ALL FINES ~4RE -
PAID, UNLESS THE FINE HAS ?BEEN APPEALED TO THE MIAIIAI-DARE -COUNTY ,
COMIVIISSIOIV ON ETHICS AND, PUBLIC TRUST. In the -event a lobbyist fails to
' ,either file the report...and/or,pay=the assessed fines,~the Clerk sha11 notify'the Nliami=Dade
County Commission on Ethics"qnd Public Trust. - '. ~:'
IIlI .ADDITION,.. ONCE AN ISSUE I HAVE ,REGISTERED TC~ LOBBY: OI~1 -HAS -
' BEEN 'RESOLVED,. I A'M REQUIRED :TO: IMMEDIATELY NOTIFY THE CITY
.~ 'CfiEItK'S OFFIGE OF LOBBYIST WITHDRAlNAL IN oA0RIT9NG:.
C f:.
`. Si'gnature~ ~ Date:
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