Nat'l Outdoor Media Network Inc
. FROM :CITRIN FINANCIAL & INS., INC.
FAX NO. :305 674 4843
Jun. 27 2002 02:12PM P2
,N/M: 0= l.CSBYlST:
City of Mlam I Beach Offk:e ri the City clerk
1700 ConvEl1t!<n ~r Drive, Miami aeach, A. 331~
ElTl!ln: ~lt'lClclrkCicLmlaml-bllllT>.flU5
LD_YDr ........11011....
(City of Miami BelICh, City c:ode O1aiXer 2, DMslcn 3, Sectkln ~1)
#1 Chi" ...I.ft ...........,
CITRIN
(Last) (Frst)
757 41st street Miami Beach
(N.Jmber .rd snet) (City)
305/674-4843
FAX ~ER:
II,' ,
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O1arles
A. J~ 31, 2001
(M,I) !:lATe QJ~_JfIED AS LCSBYlST
FL 33140-3413
(Sale) (ZIp Cocl3)
chascitrin@aol.can
EMA1L:
BUSli'ESS !'ClOF.~:
305/674-0447
'TEI.EPt-OC N1.Mf3Bl.:
I. LDBBYlSTRETAIND BY:
NATIClItAL ClJI'IX:)(Ji MEDIA NJm<<:lRK INCCIU'ORATED
NAVE OF PRIN:JP/'LJUIENT:
5375 East 2nd street, fl3 IDng Beach
BUSIf\ESS POJRE$: (t\lJrrber .rd street) (City)
562/438-4004 562/438-7007
TELEPt-iO'E I\LMBER: FAX 1\lMl8l.: (Qltiorel)
C'A
(sta12)
90803
(ZIp Cede)
EMAlL: (Q:Jtlonal)
Fill out this ~ IfprtKlpolll a Cmporatbl, Pllrtnenhlp III" Dust [SI!l:tIDn 2-482 (c:)]
? NAVE OF a-l113' CJ'FlCER, PI'RThBl., OR IlfNTICII'RY: Jeff Jenkins
~ LIST JlLL P!:RSCl'S HClDII'G, DIREC1L Y CR II\DIREC1\. Y, A 5'16 CR M:RE ONi'B<SHIP INTEREST IN su:H
e<:RI=CAATlCN, P/'fl.ThERs-tIP CR TRL5T: Jeff Jenkins and Doug Miller
p.. !RCIF.lC lOBBY JSSlE: Enhancement of pay telephone sites including the
l1I1Pl~tation of telephone a&rertisiTIq in cont;1ion with sites ~tted
to ~~t ~ican TelrmmiC"J:lItinn~ ('rim nF r....lI~lA Flnrin..
1~ to lottlled (Descr1be In detal ,
m. CITV AQ:NCIES/.N)lVJDl.W.S TO II'; LOIlBIB):
^) Ful Named JndIvkUaI/TIIe B) ReIIItlm 1Ih1p
All City Camlissioners, Mayor and Staff, as None
necessary
FROM :CITRIN FI~NCIAL & INS., INC. FAX NO. :305 674 4843
Jun. 27 2002 02:13PM P3
IV. DUICl.O!Il.JlE Of TmMS IN) No<<JUIflS OF LClflIMST COll.nNM lION (DISCLOSE WtElMR HOUR! Y,
R.JlTItA710It07HfR)I, Agree4 fees in the amount of $10 000 already received. '!be fee
amount is to be ca= at $10,006 unless the project, as referred to
A) L06l\YISTD1SCLCSLRE: in Section II, is ~~, "'r!t"Ap+'..n ;1M ..mth......;~.A'I If so, the
additional amount of $5,000 is to be -paid, plus $20 mnthly per telephone unit
lilStaJ.J.ed, Which will recruire lobbyist to further represent the interests of princip;J
6) pp.rN:1P,Ill.:S DISQ.09..RE: (0' LCBBYIST CCM:>eNsATlCN): . . . .' .
SAME AS ABOVE
V. SI~1\A:lN)EROAlH:
ON Ge._I. S'" OF EACH ~ MCH ~IHALLIUlMJf'ID tHE CIl'YCLEIUC .__ED
lITAlnEIIT......OA'IM, 1..-...- LOB..,.. _ SJDITURIlIDl1HECI1YOfM:wG IDQt FOR
11I1! ,tlU l"'" .1. CALI!IIDAR VEAL
I do IlOlemnly &Wear thtt all of the (oNgOing facts are true and col1'eCt and that I have read or am
fitmillllr with the provisions contained in SectIon 82 of the Miami ch City COde as amended and all
reporting requirements. "
Signature of Lobbytst:
Signature of Principal/Client:
VI. LOBBYIST mENlIFICAllON:
I
~$L
~ Produced ID
,v(k
Form of Identiftcatlon
. ~OnallY Kna.vn .
YD. S1~l\R: IN) STA'IP OF NOTMY ORIlQUTY QfRC:
State of Florida, County of Mfami.Dade
Swom to and subscribed before me f!:t.-1 CL-M
ThIs e3 h, day of ...J (){..."f . 2002.
- ~Sinna
~1"", cAllMENM.D~
.l1IIl"'*' MY COMMISSION # a:: 164'712
,./ EXPlRES:AUlI9.-
l'illf\l: fIe.-~"
1.soo-3-NOTNI\'
fala.a'l" OIIILY
RtgIWIt/lln: [J ACCEPTeD (] REJECTEp DATE:
If rejldled, .. rellClt'l:
Reglstt.uon fee plIld: [ 1 VB [ ] No
[ ) Glsh [ 1 Check MCR#
DATA ENTRY DATE: 21102
1
I First RevISIcn _ OS/17,(l2