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HomeMy WebLinkAboutVilla Luisa \ City of Miami Beach Office ofthe City Clerk 1700 Convention Center Drive, Miami Beach, FL 33139 Email: cityc1erk@ci.miaml-beach.fl.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) (F irst) 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) (05) 350-2355 TELEPHONE NUMBER: (05) 351-2239 FAX. NUMBER: cmcdowell(@bilzin.com EMAIL: I. LOBBYIST RETAINED BY: Villa Luisa NAME OF PRINCIPAUCLIENT: 125 Ocean Drive. BUSINESS ADDRESS: Miami Beach. (Number and Street) (City) Florida (State) 33139 (Zip Code) (05) 439-9200 TELEPHONE NUMBER: (305) 673-9737 FAX. NUMBER: (Optional) EMAIL: (Optional) Fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (c)] ? NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: Raffaele Pigg ? LIST ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: Raffaela Ph!:!! II. SPECIFIC LOBBY ISSUE: RPS-4 DistrictModifications Issue to be lobbied (Describe in detail): III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: A) Full Name of Individualffitle B) Relationship City Commissioners Planning Board and Staff Planning Department Staff Doc.#568594 v.1 . . IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE: $365.00 olh B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): $365.00 olh 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. I do solemnly swear that all ofthe fore oing facts are true and correct and that I have read or am familiar with the provisions contained in Section 2-482 of the . Beach 'ty Co amended, and all reporting requirements. Signature of Principal/Client: V\-\. I 'O~ Signature of Lobbyist: VI. LOBBYIST IDENTlFIC => Produced lD Form ofldentification '",,- Personally Known AMP OF NOTARY OR DEPUTY CLERK State of Florida, County of Miami-Dade Sworn to and su~e ThiQ3 day of , 2002. Print, stamp or type name of Notary Public Registration: N ACCEPTED [ ] FOR CLERKS USE ONLY DATE:_t~- ~J...'J.lL REJECTED If rejected, state reason: Registration fee paid: ~ Yes [] .. }.J..-v-. Cash N pATA ENTRY DATE:~' 2002 No Check MCR# ENTERED BY: I First Revision - 05/17/02 Doc.#568594 v.I