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Landmark Companies Received: 6/ 3/02 13:59; JUN. -03' 02(MONl 14:46 BILZ~UMBER. ET, AL _> LANDMARK COMPANIES. INC.; page 2 ,A.., P.002/003 ~ . Cily of Miami Bea~h Office of the CitY Clerk 1100 Convention CenlCr Drive. Miami Beach, FL 33139 Email: cityclerk@..j.millml.beaeh.tl.~s LOBBYIST ItEGISTRATION FORM (City of Millnn Be~ch. Cily Code Chapler 2, Division 3, Seclion M81) Cheek BII:C If III A.mendment Saland. ~obert NAMe OF LOBB"lST: (Last) (First) A,pril 29. 2002 (M,!) DATE QUALIFIED AS LOBBYIST 1130 Washin~on Avenue. 4th Floor, Miami Beaoh. Florida 33139 BUSINESS ADDRliSS: (Number Ilnd Slreet) (CitY) (Slate) (Zip Code) (305) 538-95~1: TELEPHONE NUMBER: I, LOBBYIST RETA.INED 8Y1 (305) 538.9553 FAX NUMBER: EMAIL: Landmark: Companies NAME OF PRINCD'AUCLJENT: 1130 Washinl!ton Avenue. 4Jh Floor. Miami Beach. Florida 33139 BUSINESS ADDRESS; (Number lllId Streel) (City) (Stille) (Zip Code) (305) 538-9552 TELEPHONE NUM.3ER: (305) 538-9553 FAX NUMBER: (Optional) EMA1L: (Optional) Fill out this .cetion If princlpallJ a CorporltloD, )lal1llenhlp Or Trull [Sectloll 2-41% (e)) ? NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: ROBERT SAJ.AND ? L.lST ALL PERSONS HOLOING, DIR6CTL Y OR INDIRECTI. y, A S% OR MORE OWNERSHIP lNTBREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST; FHANCIS ROJO U. SPECIFIC LOBIIY rSSUE: Mitintion or Code Enforcement Fines Issue to bo lobbied (D'lscnoe in detail): III. CITY AGI~CJJS/rNDJVlDUALS TO PE LODBIED: A) Fqll Name of Indlvldulvritle D) Relationship City Commissioncl'll City Mlllllllcr's Officic City Attotlllly's Offioc Codc BmorcclMJlt; lUld MY Subsequent Mlletlnrs Needed 1JoQ.1JI570J44 Jun-10~ 9:22; Page 2/2 305 538 9553; pace 2 By: LANDMARK COMPANIES, .INC.~ ___ v'_'~~~ .~ ~ANUMAHK COM IeS,~N~~2S4 P.02 JUN-10-2002 09:41 ~_.f MIAMI BCH CLERK DEFT r. UUSfUU3 \1\11\. \1111 V.,!'IUI.1' ,,''tu DjjJ'll1. .)U.,.,DCI\. Dl.IUJ ..- - -- - Sent ..- IV. DJ5a..osvJU or n""5~. AMOUNTS 0' J,ODIVIST COM I'I:HBATlOH tDrSCI.O.SI WHETHItR BOOlU,V. ......T 1I4TlO. Otln.ll)! ^) l,OB8yrs-r PJ:ICL05W: 1\t1 ~ ~ G\,JrI(f B) I'RINClJ'lAL'S [IJ.I:~UIUI (OF LMIIYlSTCOMJ'.e~s.urO'N): ~ (A~,.,.., ~~~ V. SIONATlJUllJllDD OATH: ON OcrOIIRlft' 0' IACIl YId, ~CR LOIIVIIT IHALL SUBMIT TO 1'8& CIn' CUB A SIGNID n'4'rlMbn' UNDER OATB, J"IIl'DfG LOIJV1NG IDCPlNDI'1'URI8IN TIlE OTV or MIAMIBUCR POW TlI!. rllIlCEDf"'C CAl.il:NDAa YLU. r do soIlIIl1IIllI...... tlllC III CIInlllin.d "' SrctIOl'I 2-412 a Signsture o( L.....# j in, Q* lit I/1jC IIIll CGIrlIa IIId,IMtl hive I'flld ar 11m fal'lllU.. with me provlJlorw IIINh City CCNIa '" Immdllll. Illd 11/1 nportin. nquinmenl5. Slplllln ofPrlndp.aIlClIIlll: VI. LOII.VIS'!' IOINTaICA11C)N1 ~ Pntduud ID P......6(~iOI\ X 1'II'IDllJII, ICIlavm vII. s.GNAnn AND STANJI OF'HO'r"IV OIl DEPUTY C"JR~ SWc at P\lt. c..u"1I 01 MiImi-DItde 'W~.""M"'ibedllefbrelllf c~ 'I1Ilr.;C~~.........r ..1001 ..,~ 'i'; """'......... -.- r"'';;N';''-'''''~ !oO'OOWNIIlOtI'CC-1 ....,.,...~ 1l..1UUIII_ '2o'~ ~~~!:d.- I~AJ" ..L"-7_a_c. ,"n'llImpor'YlW'nalllutN)laryPuhllc llesllTflliGtl: I J ACCePTlll JfrejellNd...... fIIIIIOIt; / llegl.....dIln fee paid: h V YIII t) l1 CIIIl I) DATA IlNTIlY DAm ~/JO -6Y 2Gtl1 I .",. lilt: ON1- V WECTeD DAn:kJ JD/{);:y/ ~ MCU~ LI'I'~Q It !HnlUlD8V: I Pi", Revi.,len . OS,\7/1l2 1)ae.1S1ll.)U T("I~^' 1:1 t:Il... Received: 61 3/02 13:59; JUN. -03' 02 (MON) 14:46 BI[l""'l, SUMBER. ET, AL _> LANDMARK COMPANrES. rNC.; Page 3 ~ P. 003/003 IV. DISCLOSUJU: OF TERMS ANP AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLV, FLAT RATI!: OR OTIIER): A) LOBBYIST DlSCLOSUJU!: B) PRINCIPAL'S mSCLOSURB (OF LOBBYIST COMPENSATION): V. SIGNA TIURE VNDER 0.-\ TH: ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SVBMIT TO THE CITY CLERK A SIGNED STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES IN THE CITY OF MIAMI BMCH FOR THE PRECEDING CAUNDAll nAll. I do solemnly swear milt 1111 contained in Section 2-482 0 Signature ofLobbyi,lt: j going racts are \rUe and correcl and that J have read or 11m famil iar with the provisions i Beach City Code as amended. ond all reporting requirements, SignaNre ofPrincipllllClienl: VI. LOBBYIST IP!NTIFrCATlON: => f'roduced 10 Fonn of Identification X Pcnonally Known VII. SIGNATt:RE AND STAMP OF NOTARY OR PEPUT\' CLEaK Stale of Florida, COllllty of Miami-Dade SwolJ; ta lll1d subscribed before IIlll ThisIdayo~ .2002, ~'~ :V.. ~'lOF\," \.IOO4.NOTARV ZOLA DELANEY MY COMMISSION /I cc 766381 I!XPIRES: 08111/2OOZ '""- Signalll rpublic NOlary- Srate ofF "Zole.. -r:::-.~~~ Print, stamp or lYPe name ofN tary Public FlL NO1m)' S".;ca .t BondiIIJ Co FOR CLERKS USE ONL\' Relliltrlllion: [ ) ACCBPTED [ ] IWBCTao PA TB: ~- / /).- tJ;2- Jfrejeclcd,lwe IllIIOI\: ReBisn!ion fee paid: [ ] Yes [ ] Cash t-/O ~NO ChllCk DATA BNTRY OAn~: I 2002 E!IITaRBD BY' I First ~ision .05/17102 Doc,II'7D3~4