301 Ocean Drive Condo
Oty of M1am1l11ach 0Ir1Cll of ctle City CJerIl
1700 Conventton Center onv., HJamlleach, FL 33139
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LOBBYIST RlGISTRATlON FORM
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(Oty of Miamllleldl, Cty Code ChaPler 2. DIvisIon 3, Section Z-4ll)
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NAME 011 LOBBYIST: (Last) (,nt) (M,I) DATE QUAUFIEO AS LOBBYIST
l~d~ W8S4'f\l6-;rnrJ frv'~, Ml~ r=L35y:r
BUSINESS ADDRESS: (Number and Sb'Iet) (~ (Stat.) (Zip Code) I
305 -5~t:Ff:$.) 605=- ~ 3/-0 /50 "" ~ ro~e.(;dj5tJ.>~, 1\0
TELEPHONE NUMBER: fAX NUMI!R: &tAIL:
L u.a'tlS'I' UTAlNlD .V:
*3 0/ Oce:.-t..... Or"/~ ~J.t)mIlUVh'\. ItSsl'Ju.ftin r",c.,.
NAME Of PIUNCIPAL/CUENT:
-301 Oc.e..,., nrlvt- ~/\l4""'{ ~f:A:tet. ,fi"rtJIJf -'3"3I:t:1'
BUSINESS ~s: ~ Ind street) (City) I (State) (Zip Code)
~os~,~1(ta6
Tl\.EPHONE NUMBER: FAX NUM8ER: (0pCI0nIl) EMAlL: (0DtJ0naI)
,. out Ita I4ICtIoft If prtnct,.. .. . CorpeqtIon, ".....,...... 01' Trust [Sldloft 242 (e)]
· NAMe OF OtJEf OfFICER. PARTNER, OR 8ENEIltCWlY:
Frq~" PelveeCJ\.o IPre~,Jf.vl-
· UST AlL PERSONS HOt.D\NG, DIRECTLY OR lNorbcn. V, A 5.,. OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PMTN!ASHIP OR TltUST:
nO""- Pt6nf CO()d~/lt(fI~ Itss~uJ,()"
D. SPfCl'IC LOllY ISSUE: La, d te pr e ~1I't1ie Iz..t "I- eo"J c C( '5t!j01:.~1l rc :
.1e~ roJ , 0'-" Q ,,, e $,A.{JtL It ..e<< It, U t'e ~/cJ I $S IC~
Issue to be ~ In de~i1):
m. CI1T AGlNClfS/lNDMDUALS TO.. LO..UD;
A) Full Name of IndMdual/ntle
.) .........lhip
.
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IV. OUCLOSU"I OP TlRMS AND AMOUNTS 011 LO.anST COMPENSAnON (DISCLOSl WHITH!R HOUIII."
I'IAT -..rr tJIt "THIII). ,
A) LOllvtST OISClOSUJt.f.: .JJ 5 J ()Ct) r~fa I~"'I '3501 h 0'"
.
. .
I) PRlNCJPAL'S DISCLOSURE (OF I.088YIST COMPENSAllON);
Y. SIGNATURE ""DElI OATH:
ON OCTO.R .- Of tACH YEAR, EACH LO"YJST SHALL SUBMIT TO THE crrt CLERK A SIGNED
Sl'ATEMINT UNDeR OATH, U5nNG LOBBYING EXPI!NDn'UUS IN THE em OF MIAMI IUCH FOR
THE "RECEDING CALeNDAR YEAR. '
I do solemnly swear thlt all of the foregoing fKtS are true and correct and that I have read or am
familiar with the provl5lOnS lned I on 2.482 Miami Beach crty Code as amended, and an
reporting requirements
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/A'eut ~C".
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SIgMture of lobbyist:
Signature or PrlndpaVCJlent:
VI.
o Produced ID
Form of Identification
~ Personallv Known
VII.
SIGNATURE AND STAM' OF NOTAIIY OR DE"'" CLDK:
I~ -" Liliam R Hatfield
. .~ ; My Commission 00002020
~-";",1 Expires February 1', 2005
State of Fforida, County of MiamI-Dade
Sworn to and SUbsaibedct.~e
This /l61~ day of 2002.
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[,'f/am fl. //4/ ,h~
Print, stamp or type name of Notary Public
FOR CURIC"S use ONLY
RegtStrltton: (] ACCEPTED
MCR "
,2002 !NTaWl8Y: ~
If rejected, state rHson:
Registration fee pald: ( ] Yes
(lCl (
DATA ENTRY DATE: If)/;; t--
I I
I ,.,. AIrvIsIan - 05/1'102
TOTFl.. P. 02