Kent Harrison Robbins - Michael Festa `
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(]hv of Miami Beach Office of the City Clerk /' (
17OO Convention Center Drive, Miami Beach, FL3313S
LOBBYIST REGISTRATION FORM
Lobbyist means all persons employed or etainou,whether paid or not, by o principal who seeks to encourage the paosaoo, defeat or
modification of any onminunce, neoo|minn, action or decision of any commissioner any action, uao/oinn, recommendation of the City
Manager or any city board or committee,or any action, decision or recommendatio;i of any city personnel during the time period of the
entire uou|eiun'mamng pmoeaa on such acmon, decision or recommendation that mnvseeamv will be heard or reviewed by the city
nommioo)on, n,acity board or committee. The term specifically includes the principal as well as any employee engaged in lobbying
activities. The term^Loubviomy^has specific exclusions. Please refer u,Ordinance cnn4-o4no.
Robbins Kent Harrison
NAME OF LOBBYIST.- (Last) (First) (M.1)
1224 Washington Avenue Miami Beach Florida 33141
BUSINESS NAME AND ADDRESS (NUrnber and Street) (City) (State) (Zip Code)
�305) 32-0500 (305) 531-0150 khr hriawoffices.com
TELEPHONE NUMBER: FAX NUMBER: EMAIL.-
Please notify this office if your contact information changes:address,phone, or e-mail address.
/. LOBBYIST RETAINED BY:
Michael Femtm
NAME OF PRINCIPAL/CLIENT:
Beach Towing Services of Miami, Inc. 1340 Dade Blvd., Ste. B Miami Beach Florida 33139
BUSINESS NAME AND ADDRESS (Number and Street) (City) (Stale) (Zip Code)
(305) 534-2128
TELEPHONE NUMBER: FAX NUMBER:(Optional) EMAIL.--(Optional)
t this section if principal is a Corporation,Partnership or Trust[Section 2-482(c)]
• NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARY:
Michael Festa, President
• IDENTIFY ALL PERSONS HOLDING.DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION,
PARTNERSHIP OR TRUST:
x.SPEC|F|C LOBBY ISSUE:
Legal representation concerning development related to 1861 Bay Road Miami Beach, FL 33139
Issue to be lobbied(Describe in detail):
III.CITY AGENCUES1UM\DIVUDUALS TO BE LOBBIED:
Pursuant to City Code Section 2-482(a)(4) uo the commissioner mm sought toma lobbied,onuwhemo,ummmuveuhoaomemu
into any contractual relationship (paid or unpaid) with said city commissioner or personnel from 12 months preceding such person's
commencement of service with the city to the present date,stating the general nature of the subject contractual relationship.
Sec 2-482(a)(4)Full Name of Individual and Contractual Relationship(Explain) YES NO
title of person to be lobbied
Planning Board None X
'"and Use Board None X
Pursuant to City Code Section 2-482(g)Every registrant shall be required to state the extent of any business,financial,farnilial or professional
relationship,or other relationship giving rise to an appearance of an impropriety,with any current city commissioner or city personnel who is
sought to be lobbied as identified on the lobbyist registration form filed.
See 2-482(g)Any Financial,Familial or Professional Relationship
Uy Attorney's Office None X
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR
OTHER):
A) OBBYI T DISCLOSURE:(Required)
MX
M5.00/ per hour
B) PRINCIPALS DISCLOSURE(OF LOBBYIST COMPENSATION).
(Required). ,$4q5_ n / per hin lr
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 pendinq
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 N No: Are you lobbying on a pending application for a Development Agreement with the City or application_for
change of zoning map designation or change to the City'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 a not-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 a not-for-profit corporation or entity without special compensation or reimbursement. .
V. SIGNATURE UNDER OATH:
ON FEBRUARY 28th OF EACH YEAR EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED STATEMENT UNDER
OATH LISTING LOBBYING EXPENDITURES AS WELL AS COMPENSATION RECEIVED IN THE CITY OF MIAMI BEACH FOR
THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPE DITURES OR
COMPENSATION DURING THE REPORTING PERIOD.
JjEf
Signs re of Lobbyist
do solemnly swear that all of the forego facts nd correct and that have read or am fa ili the pro i s con d
in Section 2-482 of the Miami Beach Cit all reporting requireme
Signature of Lobbyist:
Signature of Principal/Client:
Vl. LOBBYIST IDENTIFICAT PRINCIPAL IDENTIFICATION:
❑ Produced ID 0 Produced ID
Form of Identification Form of Identification
�toa�araaa` ` EP M/ ,Vk
Personally known(Lobbyist) vie !-14 Personally known(Principalj�
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VII. SIGNATURE AND STAMP OF N Rq��,9 / *.-'w PPR
° r0—e n State of Florida, County of MiSnj?i* 'erne O®
State of Florida, County of Miami-Dade I � e m rye e Sworn M49\s, ubsc K ed before me ®® Q a v Sworn an subs 'bed be` re 0. s
T day o 2 013 �,9��/y, a o This "fi a°°'psi* °
let
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Signs re of Public Notary—State of Florida �e�js'Tq�OF fl,OQ``����� Signs re of Public Notary—State of Flcrida �/1111111111���
Notarization of Lobbyist's signature Mill Notarization Notarization of Principal's signature
TO BE COMPLETED BY CITY CLERK'S STAFF ONLY
IV
Annual Registration fee: [ ]Yes[ ]No Amount Paid$ MCR# Date Paid
Lobbyist Registration Form received and verified by:
Revise 1/11 2011
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MIAMIBEACH
City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miamibeachfl.gov
CITY CLERK Office CityClerk @miamibeachfl.gov
Tel: 305.673.741 1 ,Fax:305.673.7254
I L
LOBBYIST NAME: /Cvv� �
I understand that no later than February 28th ®f each year, I must file the following
form, pursuant to Section 2-485 of the Miami Beach City Code, with the City Clerk's
Office for all active lobbying issues.
1) Lobbyist Expenditure and Compensation Form
Failure to file these forms on a timely basis will result in my name being transmitted to the
Miami-Dade County Commission on Ethics and for code violation evaluation.
In addition, on a an issue I have registered to lobby on has been resolved, I am required
to im iate notify the City Clerk' ffice of lobbyist withdrawal in writing.
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