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James Gran - Philips So Beach aty of Miami Beach Office of the City aerie: 1700 Convention Center Drive, Miami Beach, FL 33139 Email: citycIertc@ci.mlami-beach.fl.us LOBBYIST REGISTRATION FORM RECEIVED m - 03 AIJG 26 PM 12: 02 ClTY CLERK'S OFF ICE (aty of Miami Beach, Oty Code Q1apter 2, Division 3, Section 2-481) a Check Box If an Amendment Gran James NAME OF LOBBYIST: (Last) (First) 10 N.W. 42 Avenue, Suite 200, Miami, FL 33126 BUSINESS ADDRESS: (Number and Street) (aty) 305-448-5955 305-448-5466 (M.I) DATE QUALIFIED AS LOBBYIST TELEPHONE NUMBER: FAX NUMBER: (State) (Zip Code) cwi@civilworks.com EMAIL: L LOBBYIST RETAINED BY: Philips South Beach LLC d/b/a The Shore Club NAME OF PRlNCPAl./CUENT: 1901 Collins Avenue, Miami Beach, FL 33139 BUSINESS ADDRESS: (Number and Street) (aty) (State) (Zip Code) 305-695-3236 305-695-3255 matt.pargament@ianschragerhotels.com TElEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional) FIll out this section If prtndpalls . Corpontlon, PlII1:nershlp or Trust [5ectIon 2-482 (e)] . NAME OF CHIEF OFFICER, PM.TNER, OR BENEFICARV: See attached. . UST All. PERSONS HOLDING, DIREcn.V OR INDIREcn.V, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR lRUST: See attached. Do SPECFIC LOBBY ISSUE: SkyBar Issue to be lobbied (Describe in detail): m. CITY AGENCIES/INDMDUALS TO BE LOBBIm: A} Full N.me of Indlvldual/11tIe B) Relationship City Administration, City Attorney's Office, Mayor & City None Commission, City Boards and Committees, if permissible ~ 5 ':t ~ ~ - 0. i5 lV. U.&:K.Lu:MI_ ur I CK"'~ ,,"U Al"lUUNI~ ur LU_' DI \"U"'II'I:N:::tAllUN \U~~ wnc I nCK nVUKL r, FLATRATEOR OTHER): $500.00 flat rate A) LOBBYIST DISCLOSURE: B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): $500.00 flat rate 1) Pursuant to Ordinance No. 2003-3393 Amendina Miami Beach Otv Code Chaoter 2. ArtIcle VII, DMsion 5 Thereof Entitled "Camoaian Finance Reform" Via The Addition Of Code SectIon 2~88 Entitled "Prohibited Camoaian Contributions BY Lobbvists On Procurement Issues": :rre oe~~I:::=~ 0:: :=.nte:~i==~~=~:~ or services. or on a Dresent 2) Pursuant to Ordinance No. 2003-3395 Amendina Miami Beach City Code Chaoter 2. Article VII Division 5 thereof Entitled "Camoaian Finance Reform". Via The Addition Of Code Section 2~90 Entitled "Prohibited Camoaian Contributions BY Lobbvists On Real Estate DeveloDmert Issues": Are you lobbYinG on a oendlnG aDDllcatIon for a DeveloDment AGreement with the Citv or a;::~ for chanae of zoninG maD desiGnation or change to the CItY's Future Land Use MaD? v. SIGNATURE UNDER OATH: ON OCTOBER 151 OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED STATEMENT UNDER OATH, US11NG LOBBYING EXPENDITURES IN THE CITY OF MIAMI BEAOt 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 contained in Section 2-482 of the Miami Beach City Code as amended, and all reporting requirements. ~ Signatu,e of lobbyist: -.....- ~~ Signature of PrindpaVOlenl: . ~ VI. LOBBYIST IDEN11FICAll0N: a Produced ID C:rfo'3)-4 5'1-55- b I ,-0 Form of Identiflcatlon o Personally Known Signature Sylvia [li8Z Print, sta~~Jj_~~ Public , OJ'" FOR CLERK'S USE ONLY Registration: k:fACCEPTED If rejected, state reason: Registration fee paid: J::;!ies [ ] No DATA ENTRY DATE: --l.f2. g' 2nd Revision 3/18/03 DATE: 3 -'J..0 --03 ~ b 3?l\ L(-- [ ] REJECTED [ ] Cash -'<(Check M~CR" . 2003 ENTERED BY: F:~ \HAll\lObbylsls\registratiOna03.doc .... ! I I, It .Ii!. II . I 1=11 111 "I ~Jlt III 1'li!llllUiI1ih I 11=11~11,111~~lll I sl !U,I II i i I !!d 11111111" I I' ~i I ~ II ~. III ~ j# fl=11 ~lli 1'111 1"11,' I II If I _;lih 3' I' ;' I I I' - c ~ .) .) . . r "