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Trustee for Shops @ Ocean Court ~.- lD ~~ CIty of Miami Beach OffIce of the City Cieri< 1700 Convention Center Drive, Miami Beach, FL 33139 Email: cityclerl<@d.miami-beach.fl.us LOBBYIST REGISTRA110N FORM (City of Miami Beach, Oty Code Chapter 2, Division 3, SectIon 2-481) AS Check Box If an Amendment rh Oa ~u DEb "\0 I NAME OF LOBBYIST: (Last) (First) (M.I) DATE QUA~74ED AS LOBBYIST ~ol .JJ. ~ .Il1'f1~ J!llA,JcJ ~l ~b CJ::. .f.UJ1fJ1 J P-fc.arui R :3310, { BUSINESS ADDRESS: (Num and Street) (Oty) (State) (ZIp Code) tt:,o~ 53'- Ill~ eOn 53f9-lll" ~;J~..~ TELEPHONE NUMBER: FAX NUMBER: EM : I. LOBBYISf RETAlNm BY: JOI\.RD:::t p ~ 1(/11.11;0..,., j"'""flll.l><lu ro'1fl+~g . D.... ~nf' viA ~~...u.tt) NAME OF PRINCIPA~ ~ Bu~S~D~R~S: ~~~an~ I .52,,~ ~., Ft. ~;~e~A~" Oo..~.Z>:3:lI" (am f)(P(-IIO( (9~y)/{PI-{O~1 TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAlL: (Optional) FIll out till. RCtkm If prlnclpIIl Is. CorponItIon, PlIrtnenhlp or TruR [SectIon 2.....2 (e)) ? NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: Jo~~ UST AlL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: D. SPEaFlC LOBBY ISSUE: j.p1/\..D-bl}.p~rd- ~ (DJ.J.~ a~LUltlD/l 'POVtJod h IOU I {)tla, (oJ2. Issue to be lobbied (Describe in de ): , aru::t ( 0 ~ D-<.u.Jfi... .. m. CITY AGENCIES/INDMDUAlS 10 BE LOBBlm: A) Full N.me of IndlvldUllI/Tltle B) IleIlIIIcIMhIp , , '- ~~ '. IV. DISCLOSURI! OF RMS AND AMOUNTS O' LOBIIYJSI' fXJMPEN5A1ION (DJSCLOSE WHmtSl HOUIf.L Y, FLII T RA TE OR OTHER)I A) LOB8YlST tl1SCLOSUIl.E: B) PRlNCIPAL'S OJSQ.OSURI! F LOI!SVrsr COMPENSATION): YEAR, EACH LOBBYIST SHALL SUBMIT' TO THE CITY a.ERKA SIGNED LISTING LOBBYING EXPENDIrURES IN THE CITY OF MIAMI BEAat FOR YEAR. v. I do solemnly swear that II of the forego as are true and correct and that I have read or am familiar with the provisio s contained on -4 2 of the Miami ch City Code as amended, and all reporting requirements. " Produced ID Fonn of Identlflcatlon Signature of lobbyist: Signature of Prlndpal/CII nt: VI. VII. SIGNATURE AND state of Florida, Coun Sworn tR,and subscri This I~ day of ~~ of Public Notary - State of Florlcla Print, stam~ PubliC \';.~ ExpII1IIAuguIt 12. 2002 FOR QJ!RK'S USE ONLY Registtetlon: l' tejetted, steW Registration fee pel ACCEPTeD [] REJECTED DATE: DATA ENTRY D~ I son: :[]Yes[]NO ~7~ ]~k MeR. # r 2002 eNTERED BY: 1 ~Irst ~ICIIl- 05/17/02 vll-d vOO/200'd S82-! 91 I lmS02+ ~V83H SVN3aHV~ M!1-MOHd ndZO:SO ZOOZ-81-Nnr '. . SIATE OF FLORIDA, OUNTY OF MIAMl-DADE SWORij, ~D SUB C ED BEFORE ME THIS 'L DAY OF . 2002, vll-~ vOO/vDO'd SeE-! 91119ESSOE+ Print, stamp . of Public Notary - State of Florida YOHAMI LAM GUERRA '}.v r:OMMISSION t DO 087535 ~ XV93~ SVN3a~V~ M3!-MO~~ WdZO:SO ZODZ-el-Nnr