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Stephen E. Tunstall~ MIAMIBEACH City of Miami Beach Office of the City Clerk 1700 Convention Center Drive, Miami Beach, FL 33139 LOBBYIST REGISTRATION FORM '-5~~s ~ ~ ~, b zas Lobbyist means all persons employed or roteinecl, whether paid or not, by a prindpal who seeks to encourage the passage, defeat or modification of any ordinance, reeolutfon, action or decision of arty commissioner; arty action, dedsion, recommendation of the City Manager or any diy board or committee; or any action, decsion or recommerxlation of any city personnel during the time period of the entire decision-making process on such actor, dedabn or reconKnendatbn that foreseeabty will be heard or reviewed by the dty commission, or a city board or committee. The tens specKicaly includes the principal as well es arty employee engaged Jn bbbying adivftbs. The term "Lobbyists" has speclnc exclusions. Please refer to OMinsnw 2004.3136. Tunstall Stephen E. NAME OF LOBBYIST: (Last) (First) (M.q Stephen E. Tunstall P. A. 2655 S. LeJeune Road, PH 1-C, Coral Gables BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) FL 3 31 3R .305- 567-9192 305-447-0405 Lawfishset(~aol_com TELEPHONE NUMBER: FAX NUMBER: EMAIL: Please notify this olnce /t your contact lnforn-atlon changes: address, phone, ore-mail address. 1. LOBBYI>9~RETAINED BY: Stepkfen Roadruck President NAME OF PRINCIPAUCLIENT: Miami Beach Rod & Reel Club 208• S.Hibiscus Dr., Miami Beach, FL 3 BU81NE83 NAME AND ADDRESS (Number and Street) (Cky) (State) (Zip Code) 305-531-1233 33139 TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional) a or • 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: Potential desicrnation Issue to be lobbied (Describe in detaiQ: H I S t0 r 1 C S l t e III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: Pursuant to City Code Section 2.482(8) 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(ax4) include a statement of any contractual relationship (paid or unpaid) from 12 months preceding acid City personnel' commencement of service with the City to the present date, stating the general nature of the subject contractwl relation. A Full Nama of Individual Title B An Financial, Familial or Professional Relationshi Plannin De t. Plannin None Board Cit Commission - zs : ~ wn Zz i~r o~nt u~~~~J~~ s~ .. ~ IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE: (Required) $100.00 per hour B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST C~6AoEN$ATloper hour (Required). $ 0 UU UU The bllowing Informatlon must be answered: 1) Pursuant to Miami Beach City Code Section 2~48a Entitled "Prohibited Campaign Contributions By Lobbyist On Procurement Issues": ^ Yes (~NO: Are you lobbving 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 Real Estte Development Issues": ^ Yes ~. No: Are you lobbvlnp on a pending applkatlon for a Development Aanement with the Cltv or apolicatlon for change of zoning map deslgnatlon or change do the Cltv's Future Land Use m~ 3) Pursuant to Miami Beach City Code 2-484 (h) Any person (except those exempt from the definitlon of "lobbyist" as set forth in Section 2-481 above) who only appears as a repreaenttive of snot-for-profd corporetlon or entity without special compensation or reimbursement for the appearance, whether direct, or indirect, to express support of or opposition bo any item, shall register with the clerk as required by this section but, shall not be required to pay any registration fees. 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 2-482 of ~e Miami Beach City Code and all reportijlg requirement. Signature of Lobbyist: Signature of Principal/Client: tpRY P~ O~VA VI. LO 1~1 *q~~~fVD823118 EXPIRES: December 18, 2010 ^ Pro BonoM Thru 9ud0et Notary Sarvbea ,.,~ Form of Identification L'J Personally known (Lobbyist) VII. 8IGNATURE AND STAMP OF NOTARY: Stt of Florida, County of Miami-Dade Swom m r~d subscri fore me This / Y _ ~y of , 2010 of PRINCIPAL IDENTIFICATION: NOTARY)?UBLIGSTATE eF F]AR]DA Produced ID '••a t~9$!9fl # DD 88544 •~ Expires; MAY 14, 201E I~Peraonally know~i~~~g('~resoxnrxG co., ixa Stet of Florida, County of Miami-Dade rn and 'b d before me This day of , Si lure of Pu is otry Stt of Florida Notarizatlon of Principal's algnature Annual Registration fee: [ ]Yes [ ] No Amount Paid i MCR # Date Paid Lobbyist Registration Forrn received and verified by: ~I;.Y~'7Y~'~ ~ - Sig lure of bbyist ~,_ ~ , ?~ ,M~AM!BEACH City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov CITY CLERK Office CityClerk~miamibeachfl.gov Tel: 305.673.7411 ,Fax: 305.673.7254 Acknowledgement of fines/suspension from lobbying for failure to comply with City of Miami Beach lobbying Laws LOBBYIST NAME: Stephen F_ Tunstall I understand that no later than October 1st of each year. lobbyists subject to lobbyist registration requirements shall submit to the city clerk a signed statement under oath listing all lobbying expenditures, as well as compensation received, for the preceding calendar year with regard to the specific issue on which the lobbyist has been engaged to lobby. A statement shall be filed even if there have been no expenditures or compensation during the reporting period. The statement shall list, in detail, each expenditure by category, including food and beverage, entertainment, research, communication, media advertising, publications, travel, lodging and special events. FAILURE TO TIMELY FILE THE EXPENDITURE AND FEE DISCLOSURE REPORT WILL RESULT IN A FINE OF $50.00 PER DAY. ANY LOBBYIST WHO FAILS TO FILE THE REQUIRED EXPENDITURE REPORT BY DECEMBER 1, SHALL AUTOMATICALLY BE SUSPENDED FROM LOBBYING UNTIL ALL FINES ARE PAID, UNLESS THE FINE HAS BEEN APPEALED TO THE MIAMI-DADS COUNTY COMMISSION ON ETHICS AND PUBLIC TRUST. In the event a lobbyist fails to either file the report and/or pay the assessed fines, the Clerk shall notify the Miami-Dade County Commission on Ethics and Public Trust. IN ADDITION, ONCE AN ISSUE I HAVE REGISTERED TO LOBBY ON HAS BEEN RESOLVED, I AM REQUIRED TO IMMEDIATELY NOTIFY THE CITY CLERK'S OFFICE OF LOBBYIST WITHDRAWAL IN WRITING. ~_ ~ ~ ~d/v Si ature: ate: