Loews Hotel
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City of Miami Beach Office of the Oty Oerk
1700 Convention Center Drive, Miami Beach, FL 33139
Email: dtyderk@d.miami-beach.f1.us
LOBBYIST REGISTRATION FORM
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(eity of Miami Beach, Oty eode ehapter 2, Division 3, Section 2-481)
.s Check Box if an Amendment
Sansbury ,
NAME OF LOBBYIST: (Last)
?1ichael
(First)
(M.I) DATE QUALIFIED AS LOBBYIST
6800 Iakewood Plaza Drive. Orlando. Florida 32819
BUSINESS ADDRESS: (Number and Street) (Oty) (State) (Zip Code)
(407) 503-9001
TELEPHONE NUMBER:
(407) 503-9003
FAX NUMBER:
msansburv(cl1oews . can
EMAIL:
L LOBBYIST RETAINED BY:
Loews Hotels. Inc.
NAME OF PRINCIPAl./Q.IENT:
667 r-1adison ~venue. New York. New York 10021
BUSINESS ADDRESS: (Number and Street) (Oty) (State)
(Zip Code)
(212) 521-2000
TELEPHONE NUMBER:
FAX NUMBER: (Optional)
EMAIL: (Optional)
Fill out this section if prindpal is a Corporation, Partnership or Trust [SectIon 2-482 (e)l
? NAME OF CHIEF OFFICER, PARTNER, OR BENEFIOARY: Jack Adler, President
? LIST ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN sueH
CORPORATION, PARTNERSHIP OR TRUST: Loews Hotels, Ine..,;is an indirect wholly-own
subsidiary of Loews Corporation, a publicly held corporation. Laurence A.
Tisch and Preston R. Tisc..h own an aggregate apT?roximatelv 31% of the corrmm
s oc 0 J....oews Corporatlon.
n. SPECIFIC LOBBY ISSUE:
Anv and all mat-:t".p-rs rp-lat; nq rn r hp T,()p~ ~"i ....mi RD....~h J.frIt-P'
Issue to be lobbied (Describe in detail):
m. CTY AGENCES/INDIVIDUAlS TO BE LOBBIED:
A) Full Name of Indlvidual/Tltle B) Relationship
z..tiami Beach Redevelopnent Agency None
Cit" Cc:mnissioners and Mayor None
City Manager and Assistant .t1anagers None
Board of Adjustments, Hotel Selection Ccmnittee None
and Planninq AdVisory Board "
City Staff
None
. ./~.. ~
..
.
4. Identify each individual (Commissioners, Board, Committee, Authority member or City staff)
to be lobbied:
City Cornnissioners and ~1ayor, City Manager and Assistant Managers, City Staff,
Board of Adjustments, Hotel Selection Conmittee, Planning Advisory Board, Redeveloprent
Agency .
5. The subject matter in number three (3) above is to be eonsidered at the meeting of (Identify eaeh entity or
individual):
Unknown .
a The Oty Commission
a City Commission Subcommittee
a City Staff
a City Board or Committee
a Personnel
a Identify Others
.2001
.2001
.2001
.2001
.2001
.2001
on
on
on
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6. State the extent of any business, financial, familial, professional or other relationship which exists with any
individual identified in number (4) above: None.
ON ocrOBER 1 sr 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 foregoing facts are true and eorrect and that I have read or am familiar
with the provisions contained in Section 2-482 of the Miami Beaeh Oty Code as amended, and all reporting
requirements. ~ ~~.-"~
5ignatureofLobbyist~"'YV 0 ---- I
~ ~~~:rI~own JIL i)~ Ue,,r,,,,,tJ' SfLI m FL 'lIt, tJ
f Identify
a Did take an oath, or
a Did not take an oath
OR~"\a.-
State of Florida, County of Mienli Dade
Sworn to and subscri~ before me
This..:} t.:llA. day of 6.o~2001. ~
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,
Notary or Deputy aerk
'inLcnIne T 0II0n
. . ~ nnM8l100
If Notary, prin~ ~.,!!_mmissioned
Registration:
[~PTED
FOR CLERK'S USE ONLY ~ fi
[ ] REJECTED DATE: / () R 0;;;>--'
I '
If rejected, state reason:
Registration fee paid: [ ] Yes [ ] NO/1 ] Not-for-Pr It
[ ] Cash [ l1'Check MCR It
DATA ENTRY DATE:
.2001
ENTERED BY: