Ocean Dr. Presv. Assoc.
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LOBBYIST MEANS ALL PERSONS EMPLOYED OR RETAINED, WHETHER PAID OR NOT, BY A PRINCIPAL WHO SE~ T~NC~GE
THE PASSAGE, DEFEAT OR MODIFICATION OF ANY ORDINANCE, RESOLUTION, ACTION OR DECISION OF ANY C<5eMIUlONER; ANY
ACTION, DECISION, RECOMMENDATION OF ANY CITY BOARD OR COMMITTEE; OR ANY ACTION, DECISION OR RECOMMENDATION
OF ANY PERSONNEL DEFINED IN ANY MANNER IN THIS SECTION, DURING THE TIME PERIOD OF THE ENTIRE DECISION-MAKING
PROCESS ON SUCH ACTION, DECISION OR RECOMMENDATION THAT FORESEEABL Y WILL BE HEARD OR REVIEWED BY THE CITY
COMMISSION, OR A CITY BOARD OR COMMITTEE. THE TERM SPEOFICALL Y INCLUDES THE PRINCIPAL AS WELL AS ANY AGENT,
ATTORNEY, OFFICER OR EMPLOYEE OF A PRINCIPAL, REGARDLESS OF WHETHER SUCH LOBBYING ACTIVITIES FALL WITHIN THE
NORMAL SCOPE OF EMPLOYMENT OF SUCH AGENT, ATTORNEY, OFFICER OR EMPLOYEE. EACH PERSON WHO WITHDRAWS AS A
LOBBYIST IS ~EQUIRED TO F(!J A 'fFfTIFICATE OF WITHDRAWAL"
1) Lobt1yist Name: l\obbcllS · II t.t\d- ~rrIJc,",",
Last Name ~ First Name
Business Phone Q{!$. S:3? - 0 Soo Message Phone (_)
Business Name ,nd Address: )(t,^,~o.(Yt S6i ~1:J,'~.s
J1.')..1-( W;"fu~kll Aut N1ta;v., ~ f'?l..
No. Street Suite 1 City I State
Email Address: I<:. h ro" ~&,e If SoV ft. . ~ Y\ ef
Oc.u.tI\ Dre V(., fJryX/t/t h~ IhJOcA..li;n
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CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
1700 Convention Center Drive
Miami Beach, Fl 33139
citvclerk(Ci)ci. mi am i-beach. fl. us
Middle Initial
Zip Code
Principal Retained by:
~5{jceo.V\
I ifferent from abov.
"3~/'3
Suite
Zip Code
(a) If a corporation, partnership, or trust, identify and provide the address for the chief officer, partner,
~~~i~l~~ntere Sf) -z-~tf-q
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4. Identify each individual (Commissioners, Board, Committee, Authority member or City staff)
,. to~t:rf:cf -E/GfJ,..,,.~pf ( ~ l t:>o '"
.
5. The subject matter in number three (3) above is to be considered at the meeting of (Identify each entity or
individual):
on .2001
on , 2001
on 2001
on ~O ~/tJji!e611 el-:>7"
on ~ t, 2001
on , 2001
Q The City Commission
Q City Commission Subcommittee
Q City Staff
~ity Board or Committee '2.. a 0 ~
SJ Personnel
Q Identify Others
6. State the extent of any business, financial, familial, professional or other relationship which exists with any
individua~tified in number (4) above:
on~
ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, U5nNG LOBBYING EXPENDITURES IN THE CITY OF MIAMI BEACH
FOR THE PRECEDING CALENDAR YEAR.
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 contain i ection - 2 f the Miam' a h City Code as amended, and all reporting
requirements.
Signature of Lobbyist:
~rSOnallY known
Q Produced ID
Identify
Q Did take an oath, or
Q Did not take an oath
State of Florida, County of Miami-Dade
Sworn t~ SUbscrt~.re m,e _"1
This ~ day of 20Ul...
.
CO~~
r Deputy Clerk
If Notary, print, stamp or type as commissioned
FOR CLERK'S USE~N Y I )
Registration: ~~ED [] REJECTED DATE: I ~ L> g-
I
If rejected, state reason:
Registration fee paid: ~s ( ] No ..-f-fNot-for-Profit Organization
( ] Cash [y-Check MeR #
DATA ENTRY DATE: ~ ENTERED BY: