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HomeMy WebLinkAboutSeacreat Apts of MB, Inc. w , .. City of Miami Beach Office of the City Clerk 1700 Convention Center Drive, Miami Beach, FL 33139 Email: cityc1erk@ci.miaml-beach.f1.us LOBBYIST REGISTRATION FORM (City of Miami Beach, City Code Chapter 2, Division 3, Section 2-481) Check Box if an Amendment McDowell. Carter N. NAME OF LOBBYIST: (Last) 4/ 25/02 (M.!) DATE QUALIFIED AS LOBBYIST (First) 200 South Biscavne Boulevard. Suite 2500. Miami. Florida 33131 BUSINESS ADDRESS: (Number and Street) (City) (State) (Zip Code) (05) 350-2355 TELEPHONE NUMBER: (305) 351-2239 FAX NUMBER: cmcdowell<q)bilzin.com EMAIL: I. LOBBYIST RETAINED BY: Seacrest Apartments of Miami Beach. Inc. NAME OF PRINCIPAUCLIENT: 121 Ocean Drive BUSINESS ADDRESS: Miami Beach. Florida (City) (State) 33139 (Zip Code) (Number and Street) (05) 672-6646 TELEPHONE NUMBER: N/A FAX NUMBER: (Optional) EMAIL: (Optional) Fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (c)l ? NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: Ted Bliss ? LIST ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: Ted Bliss and Irene Bliss II. SPECIFIC LOBBY ISSUE: RPS-4 DistrictModifications Issue to be lobbied (Describe in detail): III. CITY AGENCIESIINDlVlDUALS TO BE LOBBIED: A) Full Name of IndividuallTitle B) Relationship City Commissioners Planning Board and Staff Planning Department Staff Doc.#568594 v.1 t IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURL Y, FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE: $365,00 o/h B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): $365,00 o/h V. SIGNATURE UNDER OATH: ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES IN THE CITY OF MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR. Signature of Lobbyist: Signature of Principal/Client: ~ IZ. .> TeD & l./!'J VI. LOBBYIST IDENTIFICATION: ~ v::J ' ~roducedID ~ ~ "'~~4"'-4-A ~- orm ofIdentification rrect and that I have read or am familiar with the provisions ended, and all reporting requirements, I do solemnly swear that all of the foregoi contained in Section 2-482 ofthe Mi X Personally Known VII. SIGNATURE AND STAMP OF NOTARY OR DEPUTY CLERK State of Florida, County of Miami-Dade Sworn to and sU~be~ Th~ day of t(!. , 2002, o FREDA C 8RIICI NOI'ARY P'U8lJC STATE OF FLORIDA COMMISSION NO. ODt521SS Y COMMISSION EXP. SEPI' FOR CLERKS USE ONLY Registration: ~ ACCEPTED [ ] REJECTED DATE: ~o ~ 1l?,",O~ If rejected, state reason: Registration fee paid: DATA ENTRY DATE: 1 Kf - Yes [ /: C$h to;?-3 [ ] ~ No Check MeR> iShi:J~ ENTERED BY: ,2002 1 First Revision - 05/17/02 Doc,#568594 v.1