Tiramesu, Balans, etcOb/of Miami Beach Office of the Ob/
1700 Convention Center Drive, Hlami Beach, FL 33139
Ema[l: db/derk~d.mlaml-beach.fl.us
LOBBY/ST REGZSTRATZON FORM
(Ob/of Miami Beach, Ob/Code Chapter 2, Division 3, Section 2-481)
a Check Box If an Amendment
ROSEN HAROLD
NAME OF LOBBYIST: (Last) (first:)
MIAMI BEACH,
407 T.T~nT.~ ~n~n p~l,,'~munr,~ q ~
BUSINESS ADDRESS: (Number and Street) "(CI~)
(305) 534-4757
TELEPHONE NUMBER:
(M.I) DATE QUALJJ-u:u AS LOBBYIST
FLORIDA 331 39
(sta~) (Zp co~)
(~Nfi) ~_~n~
FAX NUMBER: EMA[I.:
LOBBYT. ST RETAZNED BY:
NAME OF pPJNCZPAL/CLIENT: ' /
721 LINCOLN ROADr MIAMI BEACHr FLORIDA 33139
BUSINESS ADDRESS: (Number and Sheet) (Ob/) (State) (2]p Code)
TELEPHONE NUMBER:,
FAX NUMBER: (Optional)
EMAIL: (Optlo~a;)
Fill out bgis secUon If prlndpal Is a Corporation, Partnership or Trust [SecUon 2-482 (c)]
· NAME OF CH~F OFFICER, PARTNER, OR BENEFICIARY:
GRAZIANO SBROGGIO
· I.[ST ALL pERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP IN I tJ"EST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
SPEC~FZC LOBBY ZSSUE:
Issue b~ be lobbied (Describe in detail):
,[,.3, m ( AGENC~ES/TNDZVZDUALS TO BE LOBBZED:
A)FullName~Z~dual/Tlfle B)Rdatton~ip
FINANCE COMMITTEE CITY OF MIAMI BEACH
CITY COMMISSION
D~CLOSURE OF TERMS AND AMOUNTS OF LOBBy'r-ST COM~'ENSATJ[ON (D~.qCLOSE WHETHER HOUJU.Y, *~
FLAT RATE OR OTHER):
A) LOBBY~DISCLOSURE: $2: 500 FLAT FEE
E) PR/NC~PAL~DISCLOSURE(OFLOBBY~STCOMPENSATLON): $2,500.00 FLAT FEE
V. S~GNATURE UNDER OATH:
ON OCTOBER 1; OF EACH YEAR, EACH LOBBY[ST SHALL SUBM~'r TO THE ~.~ i ~' CLERK A S][GNED
STATEMENT UNDER OATH, LTbi~NG LOBBYZNG EXPENDTrURES IN THE CZTY OF M~AMX 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~-Section 2-482 of the Miami Beach City Code as amended, and all
Signature of Principal/Client:
V~. LOBBYIST TDEN'I~I~CATZON
[3 Produced ID E~'Personally Known
Form of IdenUficafion
V~. S/GNATURE AND $TAHP OF NOTARY OR DEPUTY CLERK:
State of Florida, County of Miami-Dade
Swom to and subscribed before me
This I ~.~ .day of ~ 2003.
P~giWatio~: A~~D
If rejected, state reason:
Registration fee paid: ~[ ½ NO
2nd Revision U27/03
FOR CLERK'S USE ONLY
· 2003 ENTERED BY:
F:\d:L'1~HATL\LobbylstsYegistration03.doc