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Brandy N. Melton - Bergeron Land Development, Inc. ` • • it\A I At I P3 H City of Miami Beach Office of the City Clerk 1700 Convention Center Drive, Miami Beach, FL 33139 LOBBYIST REGISTRATION FORM Lobbyist means all persons employed or retained,whether paid or not,by a principal 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 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 or recommendation that foreseeabiy 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 lobbying activities. The term"Lobbyists"has specific exclusions. Please refer to Ordinance 2004-3435. f�10 Q A-c-1 4 �- 1 NAME OF LOBBYIST: (Last) (First) (M.!) 731eroin /a .1 ln� /n�. /y‘/,- : /.�� f Ram 1 /.fir r C- 7333 B S NAMEAND ADDRESS (Nu ber and Straet) (City) (State) (flip Code) f6-2/- 0-0,,7073 90i1-315-/V99 dizle1 .4_,Lb7veroninr.r_Ari/1 TELEPHONE NUMBER: FAX NUMBER: IL: Please notify this office if your contact information changes:address,phone,or e-mail address. I. LOBBYIST RETAINED BY: . giq -dn /...O r / vl en$ 1/7n R4426-4)&9' NAMFLgFP/BINCIPAUCLIENT: f 1Sr(�Ci BU S N D AO- (Number e •Stre ct) Ity (State) . , (Zi•Code) TELEPHONE NUMBER: FA NU BER:(Optional) EMAIL••plional) Fill out this section if principal Is a Corporation,Partnership or Trust[Section 2.482(c)] • NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARY: ►C(Jeti'fd ILt, '�G Ifs r. • PARTNERSHIP OR TRUST:Oj�Dm j4l�CT OR 5 CTKa/14210 MME OWNERSHIP i' iT GLz /U�1,8f'F7 ty 11/111�]t,p, ��CCpp !� V n.SPECi IC LOBBY ISSU : �J / 77?-7W7 issue to lobbied(Describe In detail): CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: Pursuant to City Code Section 2-482(a)(4)Include the commissioner or personnel sought to be lobbied,and whether tho lobbyist has entered 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 iggyor Pk? /..ewie Pursuant to City Code Section 2.482(g)Every registrant shall be required to state the extent of any business,financial,familial or professional relationship,or other relationship giving rise to an appearance of an impropriety,with any currant city commissioner or city personnel who is sought to be lobbied as Identified on the lobbyist registration form filed, Sec 2.482(g)Any Financial,Familial or Professional Relationship -Wade F:ICLERI$ALLIaFORMSILOBBYIST FORMS1Lobbyist Registration Form.doc L • . • Prieto, Silvia From: Amador Pastor[apastor @bergeroninc.com] Sent: Wednesday, December 18, 2013 2:28 PM To: Prieto, Silvia Cc: Nikki Melton Subject: Lobbyist registration form (Revised) Attachments: Brandy Melton First page.pdf Silvia, Please find attached the revision for Brandy Melton, Should you have any problems opening the file, please call me. I am CC'ing Brandy just in case. Thank you. Amador Pastor Project Engineer Bergeron Land Development(Field Office) 1220 6th Street Miami Beach, FL 33139 Cell: (954) 547-6621 LAN DEVE:LOPMEHT Is An Equal Opportunity Employer BLD Public Files • 1 L 11111 S Prieto, Silvia From: Amador Pastor[apastor @bergeroninc.com] Sent: Wednesday, December 18, 2013 4:26 PM To: Prieto, Silvia Subject: Re: Lobbyist Registration Brandy melton Thank you. 1220 6th st. (Field Office) Miami Beach, FL 33139 Mobile: 954-547-6621 From: "Prieto, Silvia" <SilviaPrieto @miamibeachfl.gov> Date: Wed, 18 Dec 2013 21:13:09 +0000 To: 'amador@ bergeroninc.com'<amador @bergeroninc.com> Subject: Lobbyist Registration Amador would you please verify the spelling of the lobbyist below. Melton Brawdy? MIAMI fIVEACH Silvia Prieto,Administrative Aide I CITY CLERK'S OFFICE 1700 Convention Center Drive,Miami Beach,FL 33139 Phone:305-673-7000 ext.6269/ Fax:305-673-7254 www.miamibeachfl.gov We are committed to providing excellent public service and safety to all who live, work and play in our vibrant,tropical,historic community. • 1