301 Ocean Dr. Condo Assoc.
Clly of Miamllltlch OMaI of lhe City CJerM
1700 Conventton Cenlw DrIve, MIamllleach, FL 33139
Emili: cItvdIIlcOd.mltmI-MIch.ll.us
LOBBYIST REGISTRADON FORM
, t ,
(City of MlIrllI 8ucII, Cily Colle Chapter 1, Division J, Section 2-411)
o ChKk BoX If.n Amendm8l'lt
1 Q-tSO ,J
^ (First) (M.I) DA~ALIFlED AS LOII8YIST
nVE- (vu +<<\MI /3i3;tdJ, t-l- -33/3 9
(Number and Street) (City) (State) (Zip COde)
305-::;3/- OtSo L~-tRd3B~ftI,NL(
FAX NUMBER: EMAIL:
L La..YlIT ...,AlNfD .Y:
30 I O~ t)f2.L VE (l~/'l1bf\11 N luM ks-c. TrvG
NAME OF P1UNClPA\JCUENT:
3:>
Oe-l \If;-
(Number ancl Strtel)
33L<3
(Zip Code)
T!l.!PHONE NUMBER:
FAX NUMJIER: (Optional)
!MAIL: (0CltI0naI1
IlIIIlIUt thbI tectIoIt I' prtnc/,.. Is . c:or,or.tIon, 'IIIUIvsh/p or Tr\IIt [s.ctIon 2....2 (c))
.
NAM! OF OfIEF O!(ICER. PARTNER. OR 8eNEFlCLUY: . L
t'ra.f\ I( Ve Ivc~ \ 0 1 pI" c...!>( e( e", I
uh-'AU. PERSONS HO\.DING. DIRECTlY OR INDIR!C1\ Y, A 5.... OR MORE OWNERSHIP INTEREST IN SUCH
(X)RIlORATlO/'l, PMTNWHIP OR TlW5't:
N(JA {>roA ( c:.o"..tO ""ltIIlv N\. A 5-<7l>C-.tdfrO"\
SPEC'ICLOIIYlSSUEI l..~?a( t'~'(J"'e~hfal-rc" eO-1C_F',?,"! 3'1tfOCt"'lf",D.r.
P~k.t1J()J3
.
DI.
CITY AGENCIfS/INDMDUALS TO .. Loa.,IED:
A) Purl Name fit Indlvldual/Tltle
I) 1leI1tI0IIIhI,
IV. DUCLaSUR. 01' Tn"'S AND ""'DUNTS Of LO..YlST COMPENSATlON (DISCLOSE WHETHER HtIUIfI. r,
1II.A T IIA Tt! tNt QTHIII~
A) LOI8Y1STOISCLOSUllf: ~ r-t..k"'('l/3~() /t,COUI'
') PIlINCIPAL'S DISCLOSURE (OF lOBBYIST COMP!NSAllON):
wr
V. SlGNATUU UNDEIl OATH:
ON oc:ro.. ,- Of IACH YEAR, EACH LOaaYJST SHALL SUIMn TO THE crTY CLERK A SlGN!D
STATEMINT UNDI!R OATH, U5nNG LOIIYlNG EXPENDITURES IN THE CITY OF MIAMI lEACH FOR
THE PRECI!DING CALeNDAR WAR. .
I do solemnly swear that all or the ~
fIImll", with the provisIOns
reporting requirements.
Slgrnlture or Lobbylst:
signature of prlnclpaVCllenr:
VI, LD..YlST IDlNflflI
o Produced IO
Form of Identification
,. Personallv Known
VII. UlINA-nJIq AND STAM' Of' NGTAltY OR DEPUTY CURIC:
State of Florida, County of MiamI-Dade
Sworn to and SUbsai~~e .a
This (I day of 200p
~:'of~~A~'-
" ~ ; My Commiaalon 0D002020
10~.' ~.J' S:up:._ e 'l:~1.1118. 2005
Print, stamp or type name of Notary Public
Reglstrarlon: ~D
[ ) REJEcrED
fOR CLERK'S usr ONLY
DATE: :J.-//-Q ~
Jf rejected, state rNson:
Reglw.tlon fee ~ld: [ ) Yes [ ] No
J)-~ ~ ];: He"
DATA ENTRY DATE: ~ !NTeRE
I
I fIIrst RevIsIClIl - 05117/02
_ TOTAl. P. 02