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Robert Hingston .!J ~, . " .. m aty of Miami Beach OffIce of the aty Oerk 1700 Convention Center DrIve, Miami Beach, Fl33139 Emall: dtycIerk@cl.mlaml-beach.f1.us LOBBYIST REGISTRA110N FORM - (aty of Miami Beach, aty Code Chapter 2, Division 3, SectIon 2-481) II! Check Box If an Amendment (Last) HINGSTON BUSINESS ADDRESS: (Number and Street) (aty) 901 PONCE DE LEON BLVD., PH SUITE (M.l) A. (State) GABLES FL DATE QUAUFIED I>S LOBBYIST NAME OF LOBBYIST: (First) ROBERT CORAL (Zip Code) 33134 TELEPHONE NUMBER: (305) 441-8900 I. LOBBYIST RETAlNm BY: FAX NUMBER: (305) 441-2255 EMAIL: rhingston@welbaum.com NAME OF PRINOPAl./CUENT: CAZO CONSTRUCTION CORP. BUSINESS ADDRESS: (Number and Street) 3461 SW 8TH STREET (aty) MIAMI (State) FL (Zip Code) 33135 EMAIL: (Optlonal) TELEPHONE NUMBER: (305) 448-1898 FAX NUMBER: (OptIonal) (305) 448-4199 FlI out thl818d1on If prlndplll" . CarpcntIoI.. Putnenhlp or Tr1IIt [SectIon 2-482 (e)) 7 NAME OF CHIEF OFFICER, PARTNER, OR BENEFIOARY: A4L~.fl.a u.~ 0 7 UST AU. PERSONS HOLDING, DIRECTLY OR INDIRECTl..Y, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: ACl.foo'fll..s'k. lA..o', ttSU: U't::iZA c.'/\.O Do SPECIFIC LOBBY ISSUE: BID NO. 02-02/03 - ADA RENOVATIONS FOR THE MIAMI BEACH CONVENTION CENTER Issue to be lobbied (Describe In detail): m. CITY AGENaEs/INDMDUALS TO IE LOBIIIED: A) FuI .... fIIIlndlvldlllll{11lle B) IWdIanIhIp CITY COMMISSION .. .' ..... IV. DISCI OSURE Of TERMS AND AMOUNTS Of L08BYJSI' COMPENSATION (DISCLOSE WHElHER HOURL Y, FL.ATRATEOR OTHER): . . A) LOB8YIST DISCLOSURE: $225.00jhour B) PRINClPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): '2.'1. \." I Ii.... . Y. SIGlNATURE UNDER OATH: ON OCTOBER lIlT OF EACH YEAR,. EACH LOBBnsf SHALL SUBMIT TO THE CITY CLERK A SIGNED STATEMENT UNDER OATH, LISnNG 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 c~n ined in Section 2-482 of the iami Beach ty Code as amended, and all reporting requirements. Signature of lobbyist: . Signature of Principal/Client: VI. LOB8YIST IDEN11fICATION: 6! Produced ID Form of Identification 'i Personally Known VII. SIGNAtURE AND Sl'AMP Of NOTARY OR DEPUTY a.ERK: State of Florida, County of Miami-Dade Sworn ~~d subscri~~'?~lfvn;te This --8..1ll-day of ~ 20'S- Print, Registration: FOR CLERK'S USE ONLY [ ] REJECTED DATE: ~ -Cf '- 03 If rejected, state reason: Registration fee paid: [\ryes [ ] No [f) Cash L)Q Check MeR # pATA ENTRY DATE: !J. J .:5 ~ ENTERED BY: 1 Rrst RevIsion - 05/17/02