Sobe USA LLC
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City of Miami Beach Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139
Email: cityclerk@ci.miami-beach.f1.us
LOBBYI5r REGISTRATION FORM
E!VED
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2: 59
(City of Miami Beach, City Code Chapter 2, Division 3, Section 2-481) ti<lfS OFF ICE
Q Check Box if an Amendment
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NAME OF lOBBYIST: Last)
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(First) (M.!) DATE Q AUFIED AS LOBBYIST
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(Number and Street) (Ci (State) (Zip Code)
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EMAIL:
I. LOBBYIST RETAINED BY:
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NAME OF PRINCIPAL/CUENT:
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BUSINESS ADDRESS: (Number and Street)
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TELEPHONE NUMBER:
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(City)
F"I,
(State)
-?,~13q
(Zip Code)
FAX NUMBER: (Optional)
EMAIL: (Optional)
Fill out this section if prindpalls a Corporation, Partnership or Trust [SectIon 2-482 (e)l
. NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY:
. UST ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
II. SPEaFIe lOBBY ISSUE:' I
~r::~.,1be~~ ~ ~~ - B~I!E' p~~ ~. 91 ~1'Ol.
III. CITY AGENCIES/INDMDUALS TO BE LOBBIED:
A) Full Name of IndMdual/ntie
B) Relationship
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURL Y,
FLAT RATE OR OTHER): .
A) LOBBYIST DISCLOSURE: '1: ~ (.~~~ c...\)~~ ~ h't /]
~.o.;;t ~;L6It v1, 6~ff~~ ~ ~O~.
B) PRINOPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): ~f\'1A \... eo ~'WI/IJ~61~
6 t.\..A. L4'M ~A-"'i-~t b; II" cw c(t ~~ ~ fl.:1,rs<tY p.L l\.ou.V
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V. SIGNATURE UNDER OATH:
ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, USTING LOBBYING EXPENDITURES IN THE CITY OF MIAMI BEACH FOR
THE PRECEDING CALENDAR YEAR.
I do solemnly swear that all of the foregoin
familiar with the provisions contained' S
reporting requirements.
SignatUre of Principal/Client:
are true and correct and that I have read or am
-482 iBeach City Code as amended, and all
Signature of Lobbyist:
VI. LOBBYIST IDENTIFICATION:
Q Produced 1D
Formof1dentiftcation
';6.J Personally Known
vi. SIGNATURE AND STAMP OF NOTARY OR DEPUTY CLERK:
State of Florida, County of Miami-Dade
Sworn to and SUbscribetf~e
This .)... '1 day of . 2002.
_BETH A. WEINBERG .
. - .. MV CCMMISSION " CC 1134234
EXPIRES: May 7. 2004
1~v PL NelIry hNtoe & SondIng,lnc.
f2?I;Iv /CJ' ~
Signature of Public Notary - State of Flonda
Bei-h JCj, UJe-(nber7
Print, stamp or type name of Notary Public
FOR CLERK'S USE ONLY
Registration: t?Q ACCEPTED [] REJECfED
DATE:
~-~s -02-
If rejected, state reason:
Registration fee paid: MYes [.] No
WCash heck MCR #
(/O~ 2002
DATA ENTRY DATE:
1
2. SS t
1 First RevIsion - 05/17/02
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