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Kent H. Robbins Michael Festam MIAMIBEACH City of Miami Bea h Office of the City Clerk 1700 Convention Cente Drive, Miami Beach, FL 33139 /`7 y~ -17TH To~~n1G LOBBYIST EGISTRATION FORM Lobbyist means all persons employed or retained, whether paid or ot, by a prinripal 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 rity board or committee; or any action, deasion or recommendation of any rity rsonnel during the time period of the entire derision-making process on such action, derision or recommendation that foreseeably will be hex or reviewed by the aty commission, or a city board or committee. The term specifically indudes the prinripal as well as any employee engage in lobbying activities. The term "Lobbyists" has speciftc exclusions. Please refer to Ordinance 2004-3435. ROYJ}J1riS KF?nt uarri inn NAME OF LOBBYIST: (Last) (First) ~ (M.I) Law Offices of Kent Harrison Robbin 1224 Washington Ave, Miami Beach, F1 33139 BUSINESS NAME AND ADDRESS (Number and treet) (City) (State) (Zip Code) (305) 532-0500 (305) 531 0150 khrnhhin~ta~kant-lharri cnnrnl~,},in~ n;,m TELEPHONE NUMBER: FAX NU I. LOBBYIST RETAINED BY: Michael Festa NAME OF PRINCIPAUCLIENT: Beach Towing Services of Miami, BUSINESS NAME AND ADDRESS (Number and S (305) 534-2128 TELEPHONE NUMBER: FAX NU (State) (Zip C EMAIL: (Optional) out this section if principal is a Corporation, Partne hip or Trust [Section 2-482 (c)] • NAME OF CHIEF OFFICER, PARTNER, OR BE EFICIARY: .Michael Festa, President • IDENTIFY ALL PERSONS HOLDING, DIRECTL OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TR ST: II ~~~C~~~~° L~~B~ ~~5~~ Legal representation concerning land use at 1747-1 59 Bay Rd., Miami Beach F1 33139, Land use matters in the Miami Beach Li ht Industrial District and towin and ar in uses throu hout Miami Beach Issue to be lobbied (Describe in detail): III. ~~ 1d1~~~~:R~~/~~~~~j~~~~jt~~~ '~Q:;° ;,E L~~'~r'~~d: Pursuant to Ci Code Section 2-482 ty (g) include a statement of the extent of any business, financi I, 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(x)(4) include a statement of any contractual rel tionship (paid or unpaid) from 12 months preceding said City personnels' commencement of service with the Ci 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 Zoning Board of Adjustment one Planning Board None N ne Land Use Board / Caw.sr• ~ ~C . None . City Commission None arming a Mayor Cit Mana er's Office one None r.,}... TLi___~___. .. ,-. __ ---1 ~-tivv+~+av.r ..7 V11.lL.r. (city) 1V V11Ci r ~t0 =h d LZ d3S 0l~Z „w..,.r» L: nc. 1349 Dade Blvd, Ste B Miami-Beach, F1 33139 ~y ;f ~ IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE: (Required) 5475.00 / tier hour B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required):. $ 4 7 5. 0 0 / be r hour 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 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 Estate Development Issues": ^ Yes ~ No: Are you lobbvinq on a pending application for a Development Agreement with the City or application for change of zoning map designation 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 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. ^ Yes ~ No: Are you representing anot-for-profit corporation or entity without special compensation or reimbursement. . V. SIGNATURE UNDER OATH: ON OCTOBER 1ST OF EACH YEAR EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED STOTGMGIUT I IIU11C~ AATLJ ~ IQTI~1/- ~ n~w,~,~ w......~.~..--- _ . ___-- _ I do solemnly swear that a provisions contained in SSE Signature of Lobbyist: Signature of Principal/Client: ect and that I have read or am familiar with the and all reporting requirements.` Personally known (Lobbyist) ^ Personally known (Principal) VII. SIGNATURE AND STAMP OF NOTARY: State of Florida, County of Miami-Dade State of Florida, County of Miami-Dade Sworn to d subscrib d before me Sworn and subscribed before me This day o , 20~ This ay of , 2~~d ign ture of li to State of Florida ~ Y. ~~~ ~ rY - Sign ure of ti cry - alb p~k . 8t~e ~ Notarization of Lobb fist's ignature Notarization of Principal's MI- Otc 9, g+A1! TO BE COMPLETED BY CITY CLERK'S STAFF ONLY C~RI~s!-i0d ~ ~ ~~~ Annual Registration fee:. ( ]:Yes MINONry~, [ j No Amount Paid $ MC # Lobbyist Registration Form received and verified by ' `d~.~~.~,~~d~ts~;,+~ssY~T ~c~s1Lz~vi~~`~~tr°~~ ~~ ~~.o .d~~ Revised 02/11/2009 ^ Produced ID ~ ~"` Produced ID ~ ~fGI'~ l.t~~g, Form of Identification Form of Identification