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Armando Gutierrez '" ., I r- P ; \, C,. l) tD - aty of Miami Beach Office of the aty Oerk 1700 COnvention Center Drive, Miami Beach, FL 33139 Emall: dtyderk@d.miaml.beach.f1.us LOBBYIST REGISTRATION FORM qn t""I:'P l_",.J. C Dr, 3: 3S ,,) \ 's On ICE (City of Miami Beach, City Code Chapter 2, Division 3, Section 2-481) . Check BOx If an Amendment C;;U-r/ efUUZ- NAME OF LOBBYIST: (Last) f ;:)",6 ( E R- [CkfLL 1l-tJF. SV /~ BUSINESS ADDRESS: (Number and Street) (City) () - :3.0:'-St, S- F NUMBER: 4~m liUJ fX::> (Rrst) ~/ f/ rr~ (M.I) DATE UAUFIED AS LOBBYIST 3.:u "."t'11U1 ,r'-l'f '3:}13/ (State) , (Zip Code) A/lftIP-Po~Grlt'/eaC zJ4lVJ>J4!;>oC/~~' com EMAIL: I. LOBBYIST RETAINED BY: :J ItS CD tf; III ~ f72.-.U c. T.,z7),J Co NAME OF PRINCPAl/CUENT: /33/ r 50}):J.1f SI-- BUSINESS ADDRESS: (Number and Street) u. Ft.. . '3 '")) }{ ( (Zip Code) EMAIL: (Optional) Fill out this section If principal is a Corporation, Partnership or Trust [SectIon 2-482 (e)l NAME OF CHIEF OffiCER PARTNER OR BENEFICIARY: .E S'f'E~ I?-tJ/ :5 v I9-fC Ii ?- " /4-t- r/U:tv 8/l'l-211i:C. fl- LIST ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: JE S III. /!11'f1J S l/M. /::--z- Ih-r--ttEifcJ ~/t';. 2 tiel.- tr II. SPECIFIC LOBBY ISSUE: '2-:) (It" S r I2c<= r tA/1'/ rE. rL r/bt/IZ..~ Issue to be lobbied (Describe in detail): F.z:71IS {;/,47F;crJ fr ~ III. CITY AGENCES/INDMDUALS TO BE LOBBIED: A) Full Name of Indlvidual/ntle B) Relationship ~(~~(VV-- IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSAnON (DISCLOSE WHETHER HOURL Y, FLAT RATE OR OTHER): A) LOBBYIST DISClOSURE: 1/.I6.()O 16!- If,JI'-- ItJ i-/{ h~/:V' ~ B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): / s-o / ;+0 Un.- / 1- ~n.vvb- Fcc v. SIGNATURE UNDER OATH: ON OCTOBER lIT Of EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED STATEMENT UNDER OATH, UmNG 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 "",Di" with the """,'00"' ro,,",,"'" '"/1""" h2 of the Mom1 Bea'" aty Code '" .meoded, ",d .11 reporting requirements. (JJ Signature of Lobbyist: ' Signature of Principal/Client: VI. LOBBYIST IDENTIFICAnON: ~~ V"Produced 10 Form of Identification ~ ~ ~3t':<-fX)O-(P1-417, _ 56 J 0-;1/.:1 -!:,-;J -;J R:J . 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 ~l)bh day of r,JVlpl1-' 20<9- f Florida Public FOR CLERK'S USE ONLY Registration: ~ ACCEPTED [] REJECTED If rejected, state reason: Registration fee paid: DATE: ~..l1\.O) DATA ENTRY DATE: 1 1 First Revision - 05/17/02