Richard Gurevitz
m
-
City of Miami Beach OffIce ofttle City Cerk
1700 ConventIa1 Center CriYe, Miami Beach, R. 33139
EmaII: cIlydertt@d.mIaml-beach.f1.us
LOBBYIST REGISTRATION FORM
('I <a "1l
(City of MIami Beach, City Code Olapter 2, D\vIsIon 3, Secticn 2-41) ~ A'\
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rMOF~ENT: ().. +J oj ... p~ rf ~CX P ,
~~!J!:&1-ftt!2a~LfS ~t/ 51 )12~~f1b nt~)1/;;JI13Z.
3D5.... 314 -/110 ~ ~l ,1111/ ()&-r!:Ltf&~aJo"()L
TB.EPHONE f'f.MI:R: FAX' ( J ~: ~ {J t"J
FlI out.. secIion Ifprtnclplll.. COll'poratlon,.............porTru8t (SectIon 2-482 (e)]
. NAME OF OilEF OFFICER, PNm'ER, OR BEN:RCIARY:
(1 U ~ t\.~9\.J .sG,4({A~fCS j"e.....>'~ '" C4""J-(.R,.e t>f rt ,1f.l-' '.~ 'L.,
. usr ALl ~ HOlDING, DIRECTlY OR IM:lIRECTl Y, A 5% OR MORE Q\MIIERSHIP II'lTERESf IN SUOi
CX>RPORAlIqN, PAJme&IIP OR lRUST:
k) O,J e.. .
D. ~ u.Y ISSUE:
&~~.:!et/'f.t::,1< ~O J1IQJtr~\U5 & PIPIt,'f' - 40 I h - l{tfJJd'
detaII). R Ot.-r fA L- P Pi ~rt r;rVe 14/ ~, 661llA1
m CITY AGENClES/IMDVIDUALS 10 BE LOBBIED:
A) FIll Name f1I JncIwIduaI/11IIe
B) 1WIIIIoI....1p
D/)u~
1) Pursuant to Ordinance No. 2ID03-3393 Amend/no Miami Beach atv Code Cl"Iaoter 2. Artide VII. D1v1s1m 5
1llereof Entitfed "Camoalm Anance Reform" Via The AddItim Of Code section 2-438 Entitled "Prohibited
CamoaiCll ContrIbutJons BY Lobbvists On Procurement Issues":
:e.=.=:. o::~e:.=rJkl~:ror"""" oron. Dr.lnt
2) Pursuant to OrdInance No. 2003-3395 Amendlno MIami Beach atv ("triP 0laDb!r 2~ Artide VII DIvlsIon 5
thereof EntItled "Camoaian Anance Reform". Via The Addition Of Code Sectlal 2-490 Entitled "Protlblted
C8moaim CCln~butlons BY L.obbvIs1s On Real Estate DeveJooment 1sJes":
Are YOU IobbvIna on . aendlna ......1adIon for. DewIoDmfnt Aan!lIIment with the CItv or
~ for dI8nae of zanIna m8D.....anIdton or dI8nae to the ~. Fub.- land .... MIlD?
V. "'11IRI1MDIR~1H:
ON OCTOBER lIlT OF EACH YEAR,. EAOt LOIS8YIST SHALL SUIIMITTO nlE aTY a.ERK A SIGNED
Sl'ATEMENT UNDER 0A1H, LJS11NG 1DISIJYING EXPENDI1URES IN 1ME aTY OF MIAMI lEACH 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.
Signature of lobbyist:
Signature of Pl1nclpaVCI
VI. LDBBYIST IDENTIFJ
~ Produced to j)t,V' ~ \ c...
Form of IcEntification
o Personalty Known
State rJ ROrida, County of Miam~Oade
Sworn tnaDd SUbscri~~ ~ me
This ~ Pay rJ ~ 2003.
VB. SlGNATURlIIfD sr". OF NOTMY OR DEPUTY a.ERK:
Print, stamp or type name d Notary Public
l/
Registration :
FORCURK'S .. ONLY ) /
[ ] REECJB) DATE: E 5' 03
I I
If rejecbld, st:ale reason:
Registration fee paid: [ ] YT [
DATA ENTRY DATE: q' I cS .2003 ENTERED BY:
I
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2nd Revision 3/18103