HomeMy WebLinkAboutAtlantic Vue Towers, Inc.
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City of Miami Beach Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139
Email: cityclerk@ci.miaml-beach.fl.us
LOBBYIST REGISTRATION FORM
(City of Miami Beach, City Code Chapter 2, Division 3, Section 2-481)
Cbeck Box if an Amendment
McDowell. Carter N.
NAME OF LOBBYIST: (Last)
(First)
4/ 25/02
(M.I) DATE QUALIFIED AS LOBBYIST
200 South Biscavne Boulevard. Suite 2500. Miami. Florida 33131
BUSINESS ADDRESS: (Number and Street) (City) (State)
(Zip Code)
(305) 350-2355
TELEPHONE NUMBER:
(305) 351-2239
FAX NUMBER:
cmcdowell(@bilzin.com
EMAIL:
I. LOBBYIST RETAINED BY:
Atlantic Vue Towers. Inc.
NAME OF PRINCIP AUCLIENT:
135 Ocean Drive
BUSINESS ADDRESS:
(Number and Street)
Miami Beach. Florida
(City) (State)
33139
(Zip Code)
(305) 672-6646
TELEPHONE NUMBER:
N/A
FAX NUMBER: (Optional)
EMAIL: (Optional)
Fill out tbis section if principal is a Corporation, Partnersbip or Trust [Section 2-482 (c)]
? NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: Edwin C. Bliss
? LIST ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP
INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: Edwin C. Bliss and Aida Bliss
II. SPECIFIC LOBBY ISSUE:
RPS-4 District Modifications
Issue to be lobbied (Describe in detail):
111. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
A) Full Name ofIndividualffitle B) Relationship
City Conunissioners
Planning Board and Staff
Planning Department Staff
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER
HOURLY, FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE: $365.00 DIh
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): $365,00 DIh
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.
Signature of Lobbyist:
I do solemnly swear that all of the foregoin
contained in Section 2-482 of the Mi .
Signature of Principal/Client:
~/{.
T~tJ lSf../f5 1\
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Form ofIdentification
VI. LOBBYIST IDENTIFICATION:
~ Produced ID
X Personally Known
VII. SIGNATURE AND STAMP OF NOTARY OR DEPUTY CLERK
State of Florida, County of Miami-Dade
sworn. to and SUb~ me
Thil.3 day of . /....L/L 2002.
FREDA c: BUICI
NOTARY P\f81 ,Ie irATi Of FLORIDA
COMMIS::NON NO. DD1S21S5
Y COMMISI1ON EXP. S 26
rint, stamp or type name of Notary Public
FOR CLERKS USE ONLY
Registration:
M
REJECTED
DATE:
(to!,'2-?; -0'2-
ACCEPTED
[ ]
Ifrejected, state reason:
Registration fee paid:
f><l
[ ]
No
Check MCR #
[ ]
9{
Yes
Cash
'L~b<11C1
DATA ENTRY DATE:
I
,2002
ENTERED BY:
I First Revision - 05/17/02
Doc.#568594 v.l