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Clear Channel Adshel, Inc. . .. <.'.1', ,/ F., '-,.' .. ~+' , \/...,) tQ City of Miami Beach Office of the City aerk 1700 Convention Center Drive, Miami Beach, FL 33139 Email: dtyderk@ci.miami-beach.f1.us LOBBYIST REGISTRATION FORM 8 l 3: 55 - : ,.S OFFICE .....'4" - (aty of Miami Beach, City Code Chapter 2, Division 3, Section 2-481) C Check Box if an Amendment Rojas, Luis E. NAME OF LOBBYIST: (Last) (First) (M.!) DATE QUAUAED /lS LOBBYIST Duane Morris LLP, 200 S. Biscayne Blvd., Suite 3410, Miami, FI 33131 BUSINESS ADDRESS: (Number and Street) (City) (State) (Zip Code) 395-960-2244 305-960-2201 Irojas@duanemorris. com TELEPHONE NUMBER: FAX NUMBER: EMAIL: I. LOBBYIST RETAINED BY: Clear Channel Adshel, Inc. NAME OF PRINCIPAl/WENT: 110 East 42 Street, 18th Floor, New York, NY 10017 BUSINESS ADDRESS: (Number and Street) (City) (State) (Zip Code) (212) 972-0515 (212) 972-0515 MartinaSchmidt@clearchannel.com TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional) Fill out this section If prlndpalls a Corporation, Partnership or Trust [SectIon 2-482 (e)l ? NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: Douglas Watts ? 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 oppposition to phone booth advertising Issue to be lobbied (Desaibe in detail): m. CITY AGENClES/INDMDUALS TO BE LOBBIED: A) Full Name of Individual/Tltle B) Relationship Elected Officials and City Attorneys , 11/08/2002 08:17 FAX 3058042059 .. ~~/~J i",UU<: ~u:,,~ l':ILI. aUl>>IIIlUZZUl ,.4 ~. ROYAL.PAIJI CP VUAN~ MORRIS MIAMI 1ilI002 1lJ 002 ...../ ,~ N. I\DClOIURE OP '1QM5 MD AMOUN'1'S OP LOII'iUT COMPENIATJON (DrseLaSE WM~I!R HOURL Y, RATIUl~OR OTHER): A) LOElBYI5T DISCLOSURe: Hourly B) PRINOPAL'S DISa.OSURE (OF LOB8VJST COMPENSATION): Hourly v, SIlIilRATUIU! UNDE" DAm: ON ocro.R lsr OF ~ YEAR. Mat LOBBYIST SHALl. 5UBMlTTO mE CITY' CLERK A SIGNED STATEMENT UNDI!R OArn, LIS11"G LOBB'YING !)QIiNDlTURI!S IN THE c:ny OF MIAIG BEACH FOR THE PRECEDING CALl!NDAR YEAR. I do solemnly swear that all of the foregoing facts are tnJe and correct and thllt I have read or am familiar with the provisions contained in SectIon 2-482 of the Miami Beach aty Code as amended, and all reporting requlrel1N!l'lts. SlgnatLIre of lobbyist: (Attorney) Signature of Prlndpel/Olent: VI. LOBIIYJS1' lOIiN1JFlCATlON: I1Q"rf-ina. fen rn ('d~J 5r I/P t3u I' 2kv Clea f C tv::c. rt. ~ A a .rtuA L Produced 10 Form of Identification c Personally Known YD. SIGNATURE AND lITAMp 01' NOTARY OR DIlPVTY a.ERK: State of Florida, County of Miami-Dade ~ Swom tn..,and subscribed Qefore me . ThIs )l day of NO / I .2002. !t.J ~ /Signature of P\J c Notary - Sl:cte of Aorlda SHARON S WILBUR ~~ 1M COMMISSION #00144274 EXPIRES: AUG 21.2006 Bonded throu;. Advantage Notary 5 n Pr (uu) 5 . (JJ l L,~ uf!-; Print, stamp or type Mme of Notary Public ~/ FOR CISUC'S U5I! ONLY / _ / Registration: ~t'It:U .--1,.] REJECTBl DATE:,1 ~/'rf/'d'd:) If rej~, state 11liISCIl: ~ RII!1lstrlliorJ re, paid: ['rYes [ ] No [ ] OIsh r ] Oleck Mat III DATA ENTRY DATE; 1 2002 ENTERED BY: :':,,;1 I PlI'llt IliMilXl- r15/17/02