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City of Miami Beach Office of the Oty Oerk
1700 Convention Center Drive, Miami Beach, FL 33139
Email: dtyclerk@ci.miami-beach.f1.us
LOBBYIST REGISTRAnON FORM
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?O~- 3"7l.(- S'3t{S
TELEPHONE NUMBER:
(Oty of Miami Beach, City Code Chapter 2, Division 3, Section 2-481)
~k Box if an Amendment
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NAME OF LOBBYIST: (Last) (First) (M.!) DATE QUAUFIED AS LollBYIST'
I() 0 ~g a.'N~ St-. ~ :3 oM (~ 1'5
BUSINESS ADDRESS: (Number and Street) (oty) (Zip e) (
'"3 0 S - 37 t.f- q o:r<1' f4:rrM ~'pG
FAX NUMBER: EMAIL: Ll '-
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LOBBYIST RETAINED BY:
AJ I tJl+ fr2-fJ p~
NAME OF PRINCIPALJCUENT:
L ( ~e rV'\~rJ
!J.o L Dl Aj(; r. L Tr::::..
.
C( [) M A tee.
(oty)
1m a..v~. :N. rVl~~ F
(State) , (Zip Code) ~. <;.....
"3 ~ 1G,"t.
EMAIL: (Optional)
/ {p'L{ (
BUSINESS ADDRESS: (Number and Street)
3())-qtf 5- <.fIr;
TELEPHONE NUMBER:
N~
FAX NUMBER: (Optional)
Fill out this section If prlndpalls a Corporation, Partnership or Trust [SectIon 2-482 (e)]
. NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY:
fZesL'F N ~R-
. UST ALL PERSONS HOLDING, DIRECTlY OR INDIRECTlY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
(2.ol-F )Jf\~
II. SPECIFIC LOBBY ISSUE:
Issuet~1:cDescri~i~~ ~ ~~.~'..~..~S"l'~
III. CITY AGENCIES/INDMDUALS TO BE LOBBIED:
A) Full Name of Individual/TItle
B) Relationship
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURL Y,
FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE:
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r~
i :S6'D ~ ~
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION):
V, SIGNATURE UNDER OATH:
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 contained in Section 2-482 of the Miami Beach City Code as amended, and all
reporting requirements.
Signature of Lobbyist:
~O~. (5?2-
Signature of Principal/Client:
VI. LOBBYIST IDENTIFICATION:
o Produced 10
~OnallY Known
Form of Identification
VII. SIGNATURE AND STAMP OF NOTARY OR DEPUTY CLERK:
State of Florida, County of Miami-Dade
Sworn to and SUbscri~e me
This I ('/.V day of .2002.
.&
j) CIvlIlIne CoIInI .'
~ ,.,; at{ CommIaIIan DOll I III I
" ~ SepIember 23. 2001
Signature of Public Notary - State of Florida
Cff((.,ST/N.4. ~L4"'.s
Print, stamp or type name of Notary Public
FOR CLERK'S USE ONLY
1/;/liJ /03-
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Registration:
[ ] ACCEPTED
[ ] REJECTED DATE:
If rejected, state reason:
Registration fee paid: [ ] Yes [ ] No
[ ] Cash [ ] Check . MCR #
DATA ENTRY DATE:
1
.2002
ENTERED BY:
1 First Revision - 05/17/02
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City of Miami Beach Office of the Oty Oerk
1700 Convention Center Drive, Miami Beach, FL 33139
Email: cityclerk@cLmiami-beach.f1.us
LOBBYIST REGISTRATION FORM
(Oty of Miami Beach, City Code Chapter 2, Division 3, Section 2-481)
~k Box if an Amendment
l-E\( 41\Jl:> ~
(First)
St-. S'l€ 3) M ( tbvl l~
~ ~C~ ~(
'"3 0 S - 37 <I- q O;r<-( t4::cTM ~ j')Gl
FAX NUMBER: EMAIL: It '-
O(.~
( .
Or
?O~- 37L(:" S'3l(s
TELEPHONE NUMBER:
I. LOBBYIST RETAINED BY:
A) IAJt+ f~p~ IJoLb/A.JGr. LT/'::,..
NAME OF PRINaPAljCUENT: .
LI~eiV\f\-tJ !tp"L{C N~ 1m a...v~
BUSINESS ADDRESS: (Number and Street) (Oty) (State)
C(.o MARC
TELEPHONE NUMBER:
FAX NUMBER: (Optional)
;N. 1Vl1'''' ~ c<-.
. (Zip Code) \.. '"
3-=S/G,1.
EMAIL: (Optional)
Fill out this section if prlndpalls a Corporation. Partnership or Trust [Section 2-482 (e)]
. NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY:
rz e;, L'F N ft R..
. UST All PERSONS HOLDING, DIRECTlY OR INDIRECTlY, A S% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
l'2-oLF ~A~
II. SPECIFIC LOBBY ISSUE:
c...o~ ~~~ J- ~\.L':f~. \S'S"~
Issue to be lobbied (Describe in detaif;; -
III. CITY AGENClES/INDMDUALS TO BE LOBBIED:
A) Full Name of Individual/Title
B) Relationship
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CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
1700 Convention Center Drive
Miami Beach, FL 33139
citvclerk(Cilci. miami-beach. fl. us
AFFIDAVIT
LOBBYIST MEANS ALL PERSONS EMPLOYED OR RETAINED, WHETHER PAID OR NOT, BY A PRINOPAL WHO SEEKS TO ENCOURAGE
THE PASSAGE, DEFEAT OR MODIFICATION OF ANY ORDINANCE, RESOLUTION, ACTION OR DECISION OF ANY COMMISSIONER; ANY
ACTION, DECISION, RECOMMENDATION OF ANY OTY BOARD OR COMMITTEE; OR ANY ACTION, DEOSION OR RECOMMENDATION
OF ANY PERSONNEL DEFINED IN ANY MANNER IN THIS SECTION, DURING THE TIME PERIOD OF THE ENTIRE DEOSION-MAKING
PROCESS ON SUCH ACTION, DEOSION OR RECOMMENDATION THAT FORESEEABLY WILL BE HEARD OR REVIEWED BY THE OTY
COMMISSION, OR A CITY BOARD OR COMMITTEE. THE TERM SPEOFICALL Y INCLUDES THE PRINOPAL AS WELL AS ANY AGENT,
ATTORNEY, OFFICER OR EMPLOYEE OF A PRINOPAL, REGARDLESS OF WHETHER SUCH LOBBYING ACTIvrnES FALL WITHIN THE
NORMAL SCOPE OF EMPLOYMENT OF SUCH AGENT, ATTORNEY, OFFICER OR EMPLOYEE. EACH PERSON WHO WITHDRAWS AS A
LOBBYIST IS REQUIRED TO FILE A 'CERTIFICATE OF WITH~WAL." rl
1) LObbYistName:_~t.(,<.{~~ ~ -L,
Last Name First Name Middle Initial
Business Phone ~ S) '"3 Y'71.. "3 ft( Message Phone (_)
Business Name and Address:, ~ ~ I. ~ { fo 7+-.
tT;lO S' ~ ~ Jf-. ~ 5'72.0 ,~l fL "3~I'31
No. Street ( Suite Citl ' State
Email Address:~;:~e.CL.*t .,.".,....
2) Principal Retained by: Dc^-", p~ ~+ r L+J ..
/ 10 "Zl( rJ 'E I g~ ~
If different from above Street
IJ.~' ~L F<-
City Sta'te Zip Code
(a) If a corporation, partnership, or trust, identify and provide the address for the chief office\~,bartner,
beneficiary or intereiZolf' ~~
Zip Code
Suite
33ft,2...
3)
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4. Identify each individual (Commissioners, Board, Committee, Authority member or City stafft '
tobeIObb;ed~ ~ ~e.v.........~. c~.......r~
C~~ ~_~ ~~ e:<h.. ~ -t ~,_<_tlfu€k"
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5. The subject matter in number three (3) above is to be considered at the meeting of (Identify each entity or
individual): do ~ ~,~
o The City Commission
o City Commission Subcommittee
o City Staff
o City Board or Committee
o Personnel
o Identify Others
.2001
,2001
,2001
,2001
,2001
,2001
on
on
on
on
on
on
6. State the extent of any business, financial, familial, professional or other relationship which exists with any
individual identified in number (4) above: n ~
-
ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, LISTING 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 contained in ction 2-482 of the Miami Beach City Code as amended, and all reporting
requirements.
sign~re of Lobbyist:
0ersonally known
o Produced ID
~ake an oath, or
o Did not take an oath
Identify
State of Florida, County of Miami-Dade
sw~nd sUbscri~e m,e
Thi day of 2001.
f1Q,~~
If Notary, print, stamp or type as commissioned
Registration:
~D
FOR CLERK'S USE ONLY h
[ ] REJECTED DATE: 6/ ! flu (
If rejected, state reason: ~
Registration fee paid: ~ [ ] No [] Not-for-Profit Organization
[ ] Ca'~ Chod<ClC-MCR .
DATA ENTRY DATE: 41, (. 2001 ENTERED BY'
..Jfi
06/11/02 TUE 12:10 FAX 305 3749054
~
LAW OFFICES
I4i 001
IV. DISCLOSURE OF iERMS AND AMOUNiS OF LOBBYIST COMPENSA110N (DISCLOSE WH!THER. HOURL Y,
FLATRATEOR OTHER):
-1:r 3 Do
r~
A) LOBBYIST DISa.OSURE:
B) PRINCIPAL'S o1SCLOSURE (OF LOBBYIST COMPENSATION):
il 3.~~ f' L-)- ~..r
V. SIGNATURE UNDeR OATH:
ON OCTOBeR 1~ OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SlGNED
STATI:MENT UNDER OATH, UmNG LOBBYING EXPENDfiURl:S IN THE CITY OF MIAMI BEACH FOR
THE PRECEDING CALeNDAR YeAR.
1 do solemnly swear that all of the foregoing facts are true and correct and that I have read or am
familiar with the proVisions contained in Section 2-482 of the Miami Beach Oty Code as amended, and all
reporting requirements.
CI Produced 10
~nallY Known
Signature of Lobbyist:
Signature of Principal/Client:
VI.
VII. SIGNATURE AND STAMP Of NOTARY OR DEPUTY CLERK:
State of Florida, County of Miami-Dade
Swam to and SUbScri~re me
This I ('k./ day of , 2002.
.&
j) ClvlslIna CdIInI
. . 1ti~llDoml8
'\; ~ Elopiras~ 21.2001
Signature of Public Notary - State of Florida
C (+11., ~T/N.A CQ/.I.-,....;
Print, stamp or type name of Notary Public
FOR CLERK'S USE ONLY
Registrntion: [) ACCEPTED [] REJEmD DATE:
If rejected, state reason:
Registration fee paid: [ ] Yes [ ) No
[ ] Cash [ 1 Check MCR #
DATA ENTRY DATE:
1
.2002
ENTERED BY:
..
1 First Revision - 05/17/02