Clear Channel - Martina Schmidt
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City of Miami Beach Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139
Email: cityclerk@ci.miarnl-beach.f1.us
LOBBYIST REGISTRATION FORM
(City of Miami Beach, City Code Chapter 2, Division 3, Section 2-481)
Check Box if an Amendment
Price. Stanlev B.
NAME OF LOBBYIST:
(Last)
(First)
Mav 20. 2002
(M.I) DATE QUALIFIED AS LOBBYIST
200 S. Biscavne Blvd.. #2500. Miami. FL 33131
BUSINESS ADDRESS: (Number and Street) (City)
(State)
(Zip Code)
(305) 374-7580
TELEPHONE NUMBER:
(305) 351-2204
FAX NUMBER:
sprice@bilzin.com
EMAIL:
I. LOBBYIST RETAINED BY:
Clear Channel - Martina Schmidt. Senior Vice President Business Develooment
NAME OF PRINCIPAUCLIENT:
110 East 42nd Street. 18th Floor. New York. NY 10017
BUSINESS ADDRESS: (Number and Street) (City)
(State)
(Zip Code)
(212) 972-0515
TELEPHONE NUMBER:
(212) 818-0618
FAX NUMBER: (Optional)
martinaschmidt{@clearchannel.com
EMAIL: (Optional)
Fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (c)1
? NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY:
? LIST ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP
INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST:
II. SPECIFIC LOBBY ISSUE:
Approval for Street Furniture Prolrram
Issue to be lobbied (Describe in detail):
III. CITY AGENCIESIINDIVIDUALS TO BE LOBBIED:
A) Full Name of Individual/Title B) Relationship
Design Review Board on May 21, 2002; and
Historic Preservation Board on June 6, 2002; and
Any Subsequent Meetings Needed
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER
HOURLY, FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE:
$425 per hour
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSA nON):
$425 oer hour
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.
t and that I have read or am familiar with the provisions
ed, and all reporting requirements.
Signature of Lobbyist:
Signature of Principal/Client:
VI. LOBBYIST IDENTIFICATION:
Q Produced ID
X Personally Known
VII. IGNATURE AND STAMP OF NOTARY OR DEPUTY CLERK
Form ofIdentification
State of Florida, County of Miami-Dade
Sworn to and subs bed befor me
This & day of , 2002.
FOR CLERKS USE ONLY
Registration:
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ACCEPTED
[ ]
REJECTED
DATE:
Ifrejected, state reason:
Registration fee paid:
\
Yes []
Cash ~
No
Check MCR #
,2002
DATA ENTRY DATE:
I
584006.1