Motorola c/o JOHN CALDWELL
.
in
~~I.l
City of Miami Beach Office of the City Oerk
1700 Convention Center Drive, Miami Beach, FL 33139
Email: cityderk@d.miami-beach.f1.us
LOBBYIST REGISTRATION FORM
(City of Miami Beach, Oty Code Chapter 2, Division 3, Section 2-481)
65 Check Box If an Amendment
ck 0 n .fij Q '" u..
NAME OF LOBBYIST: (Last)
dOl (.JJ.. f>.J J)(' ~ r}t u 61 . ,
BUSINESS ADDRESS: (mber and Street)
fnb
(First)
':)t" 4'- r::..Jni J
(City)
(.30$.,) 53b- \ II L.
FAX NUMBER:
~o=z.
(M.!) DATE UAUFlED AS LOBBYIST
YniQr\11, c:L ~~I~I
(State) . (Zip Code)
bd..f2l1J ~LJlll\..~
EMAIL:
(3DS) 5?:>lcr H\~
TELEPHONE NUMBER:
I. LOBBYI5T RETAINED BY:
..l:::illhtd Q (t In ..Jd)" ^ (' A~ & u L.LO....L.
NAME OF PRINCIPAl/CL~~ .
')~ q l.LPndu NJ. b I'VVl.. [) .)Mr 11 Inn (I... n ~. A" a . J ~(un{l.CJ.R. tl ~
BUSINESS ADDRESS: (Number and Street) ~(m;j(' ' ......~)1 (Zip Code)
..J.95~ \ I),~B -~ 0' (q):,<l\ bl.?>.llh2Cll./
TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAlL: (Optional)
fill out this ACtIon If prtndpall. a Col'JlCll'lllkln, Partnenhlp or TnIat [SectIon 2-482 (e))
NAME OF CHIEF OFFICER, PAR~ER, OR BENEFlOARY:
6vi.s~1W UaQ.u,^
? UST ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A S% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
t1-ttL &JIpDfa~
D. SPEaFle LOBBY ISSUE:
~ ~ rrYb flrOmit.!LJlA
Issue lobbied (Descri in detail):
....A)~
m. cnv AGENCIES/lNDMDUAlS 10 BE LOBBIED:
A) Full Name fIIlndlvldualJ11tle
B) ReIatlclMhIp
'--fJ/'~~ ~
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSAl1ON (DISCLOSE WHEIltER HOURL Y,
FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE:
d-l~l JUctJL ~lqS.OO
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): hh, II r <t1 (~~ Ila-t d CfY\ a Mnff1ft if
boJ<.:?
V. SIGNATURE UNDER 0A1H:
ON OCTOBER 1ST OF EACH YEAR,. EACH LOBBYJS1' SHALL SUBMIT TO THE CITY a.ERK A SIGNED
STATEMENT UNDER OATH, USTlNG LOBBYING EXPENDnuRES 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 con . ed i Section 2-482 of the Mia . Beach City Code as amended, and all
reporting requirements.
Signature of Lobbyist:
Signature of Principal/Client:
VI. LOBBYIST IDEN11FICA110N:
15 Produced ID
Form of Identification
~ersonally Known
YD. SIGNATURE AND STAMP OF NOTARY OR DEPUTY CLERK:
ANA M)IMINJlZ'
'Ar:tPUBUCsrATllOPFLOR1DA
ClOMMIlSION NO. CC8!l!Il17
ISSION EXP. Y28
State of Florida, County of Miami-Dade
Sworn t~d SUbscri}u~re me
This day of . 2002,
FOR CLERK'S USE ONLY
Registration: [] ACCEPTED [] REJECTED DATE:
If rejected, state reason:
Registration fee paid: [ ] Yes [ ] No
[] sh []Check MCR#
DATA ENTRY DATE: 2002
I
1 First Revision - 05/17/02
Sent By: MOTOROLA;
9647238779;
20 Jun 02 3:42PMjJob 936jpage 3/4
i
av. ..,... ..~... _.. "'II nlII' ~II\
FUTU71'OI O1'HS)c
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-_llnI_HOUILr.
A) LOIIIYJST OJSC' 0SI1Ul
~nl.4~~r ft.."" "'B Iq~.oo
') \IRJ1IICIP&'S DISQ.05UU (01' I.QN'fIliY' (XMOINSATION):
Pablo
1 do IOIwnnly vwwear UlIt ... ~ the fonIOIllnlJ fwd.:s .re true .nJ ClOt'I'ett end thlIt 1 "- .. or 1m
,.mlller with the prvvlslorq; . 204 of the CIly COdtt 8i5 amended, and III
~ requirements.
Slgnetu~ of I.obbylIt:
SlgNture (:A Prln
VI. UIlIIIIfIf
III Produc.l JD
Form of Idta ItIr1a1tiDn
., PersonIIItv Known
VllL _WUE___ lIDI'IIIIYoa...un-Q.IIIIMC:
st.\e d FIoricIil, County of Mtim/-Cilde
SWorn tg lIoct aut.;tlb.d l*bre me
'T1* ,.., or . 2002.
5IgnlIture d Publk; NotiIry - 5te\Je or ~
Print, amp or type ntme ~ NOtary PubIc
... ... - ura ... OILY
Rcg~ t] Au.,ao.w [J RI!JI!l:l"ED ~;
ff............ _
.~ boAon'" J*Cf: [ ] Yes [ J NO
[ ] CMII ( ] 0NcIc MClU
PAT~ ENTllY ~n:: . lOOZ lMStEO BY:
I fIfIIt........ -llfI17/01
.It-~ tOGIIOO'4 rrO-l
11I1.Chert
WB ~ lit... awlt... """'1-10
JIA.-GZ-ZVOZ IZ:SlN FROM-TEl CARL8A$ OK
STATE OF FLORIDA, COUNTY OF MIAMI-DADE
SWOIlN TO AND SUBMBEFOllE ME
nus 2 V\ d DAY OF . 2002.
+30153SII1S
T-'IS '.00(/007 F-553
~2Jt~ofnmwa
~~~~l~ Angela M Doyle
~: IJ:~ MY COMMISSION' 000<<732 EXPIRES
~. . 'Ii August 11. 2005
'~"'1L' . IOHDlDMl/IIOYFAIIIINIltJRANCf.IHC.
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Print, stamp or type name ot'NotarY Public