Jarosz Bleniew/Thiery Coulon
RECEIVED
aty of Miami Beach Office. of the aty aerk
1700 convention center OliVe, Miami Beach, FL 33139 03 APR 32 AM 8= 52
Emall: dtyderk@d.mlaml-bead1.f1.us
LOBBYIST REGISTRAnON FORM CITY CLERt{'S OFF ICE
(aty of Miami Beach, aty COde Chapter 2, DMsion 3, Section 2-481)
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a Check Box If an Amendment
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NAME OF LOBBYIST: (Last)
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BUSINESS ADDRESS: (Number and Street)
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(aty)
(M.!) DATE QUAUFIED AS LOBBYIST
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(State)
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(Zip Code)
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TELEPHONE NUMBER:
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FAX NUMBER:
I. LOBBYIST RETAINED BY:
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NAME OF PRINOPAl/CUENT:
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BUSINESS ADDRESS: (Number and Street)
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TELEPHONE NUMBER:
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(aty) (State)
(Zip Code)
FAX NUMBER: (Optional)
EMAIL: (Optional)
Fill out this section If principal Is a Corporation, Parb1ershlp or Trust [Section 2-482 (e)]
. NAME OF CHIEF OFFICER, PARTNER, OR BENEFIOARV:
. UST ALL PERSONS HOLDING, DIREcrLV OR INDIREcrL V, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
D. SPEaFle LOBBY ISSUE:
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Issue to be lobbied (Desaibe In detail):
10. CITY AGENQES/INDMDUALS TO BE LOBBIED:
A) Full Name of Individual/Title
B) Relationship
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RECEIVED
aty of Miami Beach omce of the aty Cerk
1700 Convention center Drive, Miami Beach, FL 33139 03 ~PR 32 AHa:~. 2
Emall: dtyderk@d.mlaml-beach.fI.us ;:1
LOBBYIST REGISTRAnON FORM CITY CLER;{'S OFF ICE
(aty of Miami Beach, aty COde Chapter 2, DMsion 3, Section 2-481)
o Check Box If an Amendment
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NAME OF LOBBYIST: (last)
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BUSINESS ADDRESS: (Number and Street)
~
~
IJ.
(Rrst)
K \ .c.M.\.
(aty)
(M.I) DATE QUAUFIED AS LOBBYIST
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(State)
~~l~~
(Zip Code)
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L:
~o S · 44~. OHJJf>
TELEPHONE NUMBER:
~o5.441 .l\..,1
FAX NUMBER:
I. LOBBYIST RETAINED BY:
U'~~'< Ccu~o~.
NAME OF PRINOPAL/CUENT:
'020 ~.~Ic'< ~~.
BUSINESS ADDRESS: (Number and Street)
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TELEPHONE NUMBER:
H:4IcM. ~ F\
(atv) (State)
(Zip Code)
FAX NUMBER: (Optional)
EMAIL: (Optional)
Fill out this section if principal Is a Corporation, Partnership or Trust [SectIon 2-482 (e)]
. NAME OF CHIEF OFFICER, PARTNER, OR BENEFIaARY:
. UST ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
II. SPECFlC LOBBY ISSUE:
\J .Ai, A I'\J d.. (i..eAQ..~ A ,~
Issue to be lobbied (Desaibe in detail):
III. CITY AGENCIES/INDMDUALS TO BE LOBBIED:
A) Full Name of Indlvldual/ntle
B) Relationship
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