Clear Channel Adshel, Inc.
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City of Miami Beach Office of the City Oerk
1700 Convention Center Drive, Miami Beach, FL 33139
Email: cityclerk@d.miami-beach.f1.us
LOBBYIST REGISTRATION FORM
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(City of Miami Beach, City Code Chapter 2, Division 3, Section 2-481)
.oS Check Box if an Amendment
Diaz de la Portilla, Miguel
NAME OF LOBBYIST: (Last) (First) (M.!) DATE QUAUAED AS LOBBYIST
Duane Morris LLP, 200 S. Biscayne Blvd., Suite 3410, Miami, FI 33131
BUS1NESS ADDRESS: (Number and Street) (City) (State) (Zip Code)
395-960-2244 305-960-2201 mdportilla@duanemorris. com
TELEPHONE NUMBER: FAX NUMBER: EMAlL:
I. LOBBYIST RETAINED BY:
Clear Channel Adshel, Inc.
NAME OF PRINClPAljCUENT:
110 East 42 Street, 18th Floor, New York, NY 10017
BUSINESS ADDRESS:
(212) 972-0515
TELEPHONE NUMBER:
(Number and Street) (City) (State) (Zip Code)
(212) 972-0515 MartinaSchmidt@clearchannel.com
FAX NUMBER: (Optional) EMAlL: (Optional)
Fill out this section If principal Is a Corporation, Partnership or Trust [Sectlon 2-482 (e))
NAME OF CHIEF OFACER, PARTNER, OR BENEACIARY:
Douglas Watts, President
? UST ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
Public Company
U. SPECIFIC LOBBY ISSUE:
In opposition to phone booth advertising
Issue to be lobbied (Describe in detail):
IU. CITY AGENClES/INDMDUALS TO BE LOBBIED:
A) Full Name of Indlvidual/litle
B) Relationship
Elected Officials and City Attorneys
11/08/2002 08:17 FAX 3056042059
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IV. DIIlCLOSUU 01' 1l!RMS AfIII AMOUNTS OF 1:(,_._. COMPINSAnoN (DISCLOSE WHETHER HOURL Y,
FLATRATl!OR. OTHER);
A) LOBIMST DISCl..05URE: Hourly
II) PRlNCIPAl.'S DISCLOSURE (OF LOBIMST COMPENSATION): Hourly
V. SIGNATURE UNDMl Oa.ntl
A'!f',A4dy
ON OCI'OBER 1- OF EACH veAR.. acH LOBBYJST SHALL SUBMn TO 'lifE CITY CLERK A SlGNI!D
srATI!M!NT UNDER OAm usnNG LOBBY.ENG EXPENDI'nIRES IN THE CITY OF MIAMI BEACH FOR
THE PRECEDING CALENDAR YEAR.
I do solemnly swear that all of the foregoIng facts arE! true and oorrect and that I have rei!ld or am
familiar with the provisions contaIned In 5ed:ion 2--482 of the MIami Beach Oty Code as amended, and all
reporting reqUirement!!.
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Signature of lobbyist:
(AttomllYl
SignatlJre of Pr1ndpaJJClrent:
.,T'f'(plh
VI. LOBIIYUT}bbll....AATlON;
ill Produced ID
Fonn of Identiflcation
IS Personally Known
VIE. .eNATURII AND STAMP 01' NOTARY 0IlmPU'1'Y Q.ElUCl
State or FIorDI, County gf MIami-Dade
Sworn ~nd subscrfbed befbre me
This Y day of JJ 0 V . 2002.
(Q) SHARON S WILBUR
~ MYCOMMISSION#00144274
EXPIRES: AUG 21, 2006
Bonded 1II1D11th Ad'lII1lIO' _
/' FORCI.ERI('S USI! ONLY ! )6 ~
,=~te[lA"7[ J~lLIBJ DATE: /I(! ~
Reglslrallon fee p~u [ ]~
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DATA ENTRY DAlE: ' 2002 ~ BY:
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I I'ht R8YIIIon - 05/17/112.