Lastra, Aldo
m
City of Miami Beach Office of the City Oerk
1700 COnvention Center Drive, Miami Beach, FL 33139
Email: dtyclerk@ci.miami-beach.fl.us
LOBBYIST REGISTRATION FORM
(City of Miami Beach, City Code Chapter 2, Division 3, SectIon 2-481)
6 Check Box if an Amendment
NAME OF LOBBYIST:
LA S\tZ.A
(Last)
2420 5W
A L-f)O
(Rrst)
qq cr. ~{tWl, PL- '
(Number and Street) (City) (State)
.3:l~ zzS"- 5'1 qg
AX NUMBER:
(M.I)
,}Jer
I. LOBBYIST RETAINED BY:
~ELr
NAME OF PRINOPAl/CUENT:
BUSINESS ADDRESS:
(Number and Street)
(City)
(State)
(Zip Code)
TELEPHONE NUMBER:
FAX NUMBER: (Optional)
EMAIL: (Optional)
Fill out this section if prlndpal is. Corporation, Partnership or Trust [SectIon 2-482 (c))
NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY:
UST ALL PERSONS HOLDING, DIRECTlY OR INDIREcrL Y, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
II. SPECIFIC LOBBY ISSUE:
ISSU::OO!~~!1~~;;tail):VOwPp{27 1JJ9J/2.6tJa feJerrfS
IU. CITY AGENCES/INDMDUALS TO BE LOBBIED:
A) Full Name of Indivldual/TIUe
B) Relationship
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURL Y.
FLAT RATE OR OTHER):
A) LOBBYIST DISClOSURE: LoB671~ \<? NJ ItJ.Q)UtJCE ~'7Jf MJr? WiLL- e,e
rMf'aJSb-~-o /31' <(f.oUvtI Gs(OIJ~ (!)~ 11-f& SA ce5 Of [J.J 9JJ2MJce: .
B) PRINCIPAl'S DISCLOSURE (OF LOBBYIST COMPENSATION): Y" -
As A L06gYI~ IJD C<>I.-1PtaJ:;A~. AS A PRrtiJaA4L-
5.: 1 r&>HfEIJ~OSl If; A f8Z~ 0:. S',4te5J. ~5e:O _
V. SIGNATURE UNDER OATH: Q p.~JJ~ ~l&"~ [37' fJtC.Cf'T'T. ~
VAP-7' I~% ~l? 40%.
ON OCTOBER 1 sr OF EACH YEAR, EAC LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, USTING LOBBYING EXPENDITURES IN THE CITY OF MIAMI BEACH FOR
THE PRECEDING CALENDAR YEAR.
I do solemnly swear that all of the foregoing facts are true and correct and that I have read or am
familiar with the provisions contained in Section 2-482 of the Miami Beach City Code as amended, and all
reporting requirements.
Signature of Lobbyist:
a~
~~
Signature of Principal/Client:
VI.
LOBBYIST IDENTIFICATION:
.
Produced ID f:bL- - L ;)..-:st-, - (')l57'J - 55' - 37 S--- 0
Form of Identification
.
Personally Known
VII.
SIGNATURE AND STAMP OF NOTARY OR DEPUTY CLERK:
State of Florida, County of Miami-Dade
Sworn to and subscribed before me
This d-,vcA. day of ~2002.
OTARYSEAL
LJLLIAN BEAUCHAMP
NOI'AKYPUBUC srATE OF FLORIDA
COMMlS510N NO. DDl09289
MY COMMISSION EXP. ~~?.2006
FOR CLERK'S USE ONLY 4 rz,
Registration: [~EPTED [] REJECTED DATE: I ~/.2--/tJ 7.-
If rejected, state reason~. ,. )l1~
Registration fee paid: ] No _'J 7/3 C7
sh [ ] Check MeR #C/rl~ I
C) '5 7/~
DATA ENTRY DATE:
1
.2002
ENTERED BY:
I First Revision - 05/17/02
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