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Michael L. Hyman/Il VillaggioOb/of Miami Beach Office of t~e Oty Clerk 1700 Convention Center Drive, Miami Beach, FL 3313g Emall: cib/clerl~ci.mla mi-beach.fi.us LOBBY[ST REGISTRATION FORM (City of Miami Beach, Ob/Code Chapter 2, Division 3, Section 2-481) = Check Box if an Amendment HYMAN MICHAEL NAME OF LOBBYIST: (Last) (First:) (M.I) DATE QUALIfier) AS LOBBYIST 150 West Flagler Street, Miami, Florida 33130 BUSINESS ADDRESS: (Number and Street) (City) (State) (Zip Code) " 305-371-4244 305-371-5930 Michael~hykap.com TELEPHONE NUMBER: FAX NUMBER: EMA~L: LOBBYIST RETAINED BY: IL VILLAGGIO CONDOMINIUM ASSOCIATION, INC. NAME OF PRINCIPAL/ClIENT: 1455 Ocean Drive, Miami Beach, Florida 33139 BUSINESS ADDRESS: (Number and Street) (City) (State) (Zip Code) 305-673-1381 TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional) Fill out thi~ section if principal Is a CorporaUon, Partnership or Trust [Section 2-482 (c)] President of Association - Charles "Chuck" Nabit · LIST ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OE MORE OVVNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: II. sp~=c~[~[~g¥ e~fiqn~taiment in close proximity to residential use. Issue to be lobbied (Describe in detail): CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: City~t'~91~l~ ~J~ ~Jl~I~dual/Tit:lc ?ianning Dept. B) Relationship W. DI'SCLOSURE OF TERHS AND AHOUNTS OF LOBBY/ST COF4PENSA'rZON (DZSCLOSE WHETHER HOLfRL ~ FI. AT RATE OR OTHER,):. A) LOBBYIST DISCLOSURE: Attomeys' fees being paid hourly ($250.00 per hour) B) PR~NCIPAL~ DISCLOSURE (OF LOBBYZS-r COMPENSATION): Hourly compensation $250.00 per hour V. SIGNATURE UNDER OATH: ON OCTOBER 1~ OF EACH YEAR, EACH LOBBYZST SHALL SUBMTr TO THE CTW CLERK A SIGNED STATEMENT UNDER OATH, I./ST~NG LOBBY]NG EXPENDITURES ZN THE CITY OF M~AH! BEACH FOR THE PRECEDING CALENDAR YEAR. ! do solemnly swear that all of the foregoing facts are true and correct and that ! have read or am familiar with the provisions contained in Section 2-~82 of the Miami Beach CIb/Code as amended, and all reporting requirements~ ~ Signature of LobbYisk'''- ---- -= '~ Signature of Principal/Olent: V/. LOBBYZST ZDENTZFZCATZON: Produced ID Form of Identification li]-~e~nally Known VZt', SZGNATURE AND STAMP OF NOTARY OR DEPUTY CLERK: State of Florida, County of Miami-Dade (~ ~ Swo__m to{Ind subset, before me Il ~,. LYNN E ROBIN ,,r ii Sig~tureyf Public Notary - State of Florida UYCOMUISSION#DD117559 II I1~ EXPIRES: j~ e, ~0e II Jl '~,,Ym"- ....... ~.T~N.~,~U~,~,. IJ or type name of Notary Public Registration: ~CCEFTED If rejected, state mason: Regls13-aUon fee paid: [ )Yes [ ] No 2nd Revision 1/27/03 V! ON OCTOBER 1 ! do familiar OF EACH YEA~ EACH LOBBYXST SHALL SUBMI'T TO THE CTrY CLERK A SXGNED LOBBYING EXPENDITURES YN THE CITY OF MTn, M1' BEACH FOR confined il facts are true and correct and that ! have read or am 2-482 of the Miami Beach City Code as amended, and all Signature of Pdncipal/Client: vzx. or type name of Notary Public Registration: If rejected, Registration fee DATA 2nd Revision/[/27/03 []No [] [ ]Cash [ ]Check 2002