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City of Miami Beach Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139
Email: cityclerk@ci.miaml-beach.f1.us
LOBBYIST REGISTRATION FORM
(City of Miami Beach, City Code Chapter 2, Division 3, Section 2-481)
Check Box if an Amendment
McDowell. Carter N.
NAME OF LOBBYIST: (Last)
(First)
8/23/01
(M.!) DATE QUALIFIED AS LOBBYIST
200 South Biscavne Boulevard. Suite 2500. Miami. Florida 33131
BUSINESS ADDRESS: (Number and Street) (City) (State)
(Zip Code)
(305) 350-2355
TELEPHONE NUMBER:
(305) 351-2239
FAX NUMBER:
cmcdowellfa2bi1zin.com
EMAIL:
I. LOBBYIST RETAINED BY:
MIA-Com Private Radio Svstems. Inc.
NAME OF PRINCIP AUCLIENT:
3901 DeITY Street
BUSINESS ADDRESS:
Harrisburl!.
(Number and Street)
(City)
PA
(State)
17111
(Zip Code)
(717) 565-1206
TELEPHONE NUMBER:
(717) 565-1210
FAX NUMBER: (Optional)
EMAIL: (Optional)
FiII out this section if principalls a Corporation, Partnership or Trust [Section 2-482 (c)]
? NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY:
Charles Shaughnessy, General Manager
? LIST ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP
INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST:
A Wholly Subsidiary of MIA-Com, Inc., A Wholly Suhsidiary of Tyco International, A Publicly Traded
Comnanv
II. SPECIFIC LOBBY ISSUE:
RFP 800 MHz Trunked Dil!ital Simulcast Radio Svstem. Dilrital Multinlex. Tower. Shelter. and
Services for Citv of Miami Beach
Issue to be lobbied (Describe in detail):
UI. CITY AGENCIES/INDMDUALS TO BE LOBBIED:
A) Full Name oflndividualffitle B) Relationship
City Commissioners
City Manager
Internal Review Committee and its Staff
Doc.#568594 v.l
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER
HOURLY, FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE: $365.00 o/h
B) PRINCIPAL'S DISCLOSURE (OF LOBBYI~ ~PENSATION): $365.00 o/h
'-15 _tAJ.. /? F;L+-
V. SIGNATURE UNDER OATH:
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
contained in Section 2-482 ofthe Miami Be
aye read or am familiar with the provisions
rting requirements.
Signature of Lobbyist:
Si.,,,,...fPrio,.OJC1i_ V!).l p,;;e t:;X
VI. LOBBYIST IDENTIFICATION:
~ Produced ID
Form ofIdentification
X Personally Known
VII. SIGNATURE AND STAMP OF NOTARY OR DEPUTY CLERK
State of Florida, County of Miami-Dade
Sworn ~o and SUb~ed before me
This ~ day of i-, t) , 2002.
Print, stamp or type name of Notary Public
FOR CLERKS USE ONLY
Registration:
[l1"
DATE: dtdr 9,:lt?tfl2
ACCEPTED
[ ]
REJECTED
If rejected, state reason:
Registration fee paid:
MCR#
;2 tJD d5'1 (1//~=1;b;)
ENTERED ~
[.-1 Yes
[ ] Cash
rfirq
[ L/ No
[~~
.2002
DATA ENTRY DATE:
it'
1 First Revision - 05/17/02
Doc.#568594 v.1