American Leisure Resort, Inc.
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City of Miami Beach Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139
Email: cityclerk@cLmiaml-beach.fl.us
LOBBYIST REGISTRATION FORM
(City of Miami Beach, City Code Chapter 2, Division 3, Section 2-481)
Check Box if an Amendment
Adler. Brian S.
NAME OF LOBBYIST:
7/15/02
(M.!) DATE QUALIFIED AS LOBBYIST
(Last)
(First)
200 South Biscavne Boulevard. Suite 2500. Miami. Florida 33131
BUSINESS ADDRESS: (Number and Street) (City) (State)
(Zip Code)
(305) 350-2351
TELEPHONE NUMBER:
(305) 351-2206
FAX NUMBER:
badler@bilzin.com
EMAIL:
I. LOBBYIST RETAINED BY:
American Leisure Resort. Inc. - Leon Cohen Levv
NAME OF PRINCIP AUCLIENT:
r
5875 Collins Avenue.
BUSINESS ADDRESS:
Miami Beach.
(Number and Street)
Florida
(City)
33140
(State)
(Zip Code)
(305) 695-8400
TELEPHONE NUMBER:
(305) 695-2800
FAX NUMBER: (Optional)
EMAIL: (Optional)
Fill out this section If principal is a Corporation, Partnership or Trust [Section 2-482 (c)]
? NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: Leon Cohen Levy
? LIST ALL PERSONS HOLDING, DiRECTLY OR INDiRECTLY, A 5% OR MORE OWNERSHIP
INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: N/A
II. SPECIFIC LOBBY ISSUE:
AODroval for Construction of a New 22 StorY Condominium Buildine on a Vacant Lot
Issue to be lobbied (Describe in detail):
III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
A) Full Name ofIndividualffitle B) Relationship
Design Review Board
And Any Subsequent Meetings Necessary
Doc.#568594 v.J
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER
HOURLY, FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE: $270.00 nib
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): $270.00 nib
V. SIGNATURE UNDER OATH:
ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES IN THE CITY OF MIAMI BEACH FOR THE
PRECEDING CALENDAR YEAR.
I do solemnly swear that all of the foregoing facts are true and correct and that I have read or am familiar with the provisions
contained in Section 2-482 of the . ach . Co as ended, and all reporting requirements.
Signature of Lobbyist:
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Signature of Principal/Client:
VI. LOBBYIST IDENTIFICATION:
Produced ill fOL- ..f.:=. \ 10 4$"). Lf q y b 3 - U
Form ofIdentification
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X Personally Known
VII. SIGNATURE AND STAMP OF NOTARY OR DEPUTY CLERK
State of Florida, County of Miami-Dade
Sworn to and subscribed before me
This~ day of JvL-, , 2002.
GISEllE PACHECO
MY COMMISSION t DO 016885
EXPIRES: Aprt110, 2006
BondodTl1nlPlohaRlI_.IQoncy
Print, stamp or type name of Notary Public
FOR CLERKS USE ONLY
Registration:
~]
7-1&-~'2-
REJECTED
DATE:
ACCEPTED
[ ]
If rejected, state reason:
Registration fee paid: ~ Yes [ ] No 2.,
[ ] Cash ~ Check MCR#
DATA ENTRY DATE: ilrb ,2002
I l
I First Revision - 05/17/02
Doc.#568594 v.1