Bruce Weil - 136 Collins Ave.
OCT-22-2003 10:51
CITY MIAMI BCH CLERK DEPT
305 6737254
P.01
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Oty of Mlarnllleach Office of the Oty Clerk
1700 ConYenllon Center Drive, Miami Seac;h, FL 33139
EINII: dlydftOcI.mIilmi-beach.n.U5
LOBBYIST REGISTRATION fORM
(City of Miami Beach. Clly Code Chapter 2, DMslon 3. Settlon 2-481)
o Check Box if an Amendment
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NAME OF LOIl8YIST: (\.ast) (First) (M.I) DAn: QUAUFlED AS l.088Y1ST
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BUSINess ADDRESS: (Number and Street) (CI\y) (State) (ZIp Code) "'::>~ (\-<.. "'Z ~ ~ i:::l
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MJMIIER: FAX NUMBER: EMAl\.:
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L LOII8YJSr ItfTAlNED BY:
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NAME OF PRlNClPAl/CllENT:
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BUSINESS ADDRESS:
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(Number lInd Street) (Clly) (State) (Zip Code)
<..0 ~ '\ - CO ~ "::> 0
FAX NUMBeR: (0ptI0I!al) EMAl\.: (OpcIonal)
fIIf out this Il!dIoIIIf prInd1* Is. Cor1IOntloll, PllIbIerShIp orTru!lt (Section 2....2 (11:))
. NAME OF CH1Ef OFFlCER, PMlNER, OR IIENEFlCIARY:
\2--~~ ~ ~ONC.S I ('r\.~""'~J'.r," 1"h...........~
. UST AI.\. PERSONS HOI.DING, DJRECll.Y OR INDIRECT\. Y, A S'll. OR MORE ~P nm:REST IN SUCH
CORI'ORAlIOH, PAAlll/fRSHlP OR TRUST:
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u. SI'EaflC LOBBY 1S1IU1E:
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Issue to be IobIlIed (Desa1be In detal):
m. atY l.GI!NaES/lNDlVIDUALS TO MlOIBIEOl
A) Full....,. filludlvldwlf1llle .) RehltlonsbIp
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OCT-22-2003 H:l:51 CITY MIAMI BCH CLERK DEPT 305 6737254 P.132
...._...~....._.. wr I ..ft". _..... ......_v....... v. ..._..... ........ ..........".r" ...._. __.. ,__._... ........ ...- . ............ I,
RATUTEOIl OTHEIl~
... A) LOIBYIST OJSC1.OSURf: 10~ \K\ ~ fc'\c. ok ..... :::,., (j I \r r
B) PRINOPAL"S DISCLOSUAE (OF l.088YlSf COHPEN5Al1ON):
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1) Pursu.."tlo Ordinance No ,:lDO:'I-U9:'1 AmmIdina Miami J1eacb CitY ~ ChaDter 2 ArtidoP VII Division 5
Th@fl!Of Entitled .CJWnMkIn FiNlna! Itt!rorm" Via The AddItIon Of am SectIon 2-481 Entitled "Prohibited
Camoaian contributions BY LobbIIim On Procurement: Issues":
~;:I~::' a;:.:':=::i==::-~~torservk6. .pn a _nt
2) Pursuant to Ordinance No. 2003-3_5 AmMIdina Mlamllleach City Code ChaDler 2. AItIcIe VII Division 5
ttwMDf Fntitl~ -c..rnnaiGn FinanDl! IlRfarm- Via The AddItton C1 rltN ~ion 2-"'90 &\titIed -Prohibited
Canmaian Cantributionslly lobb~5tS On Real Estate ~ Js~.'
AN 1UUIIeMwi... en a.......... .,,11f2Iteft fer . n.w.Ift......nt Am .......lIt with tINl C~ e[
;~~ for chanae of _Ina .....D desianaliaft Dr dYllae ltt the CItl(II future Land Use Mall?
V. SlGNAlUllE UNDER OATH:
ON aerOBER 1st" Of EACH nAIl, EACH LO.BYIST SIW.L SUllMIT TO THE crrv CLEO A SIGNED
STATEMENT UNDER OATH, USTlNG LOIIYlNCi EXPENDnvRES IN THE CJ1Y Of MIAMI HAC" FOR
THE 'RECEDING CALENDAR V~R.
1 do solemnly swear that all of the foregoing facts are true and correct and that I have read or am
familiar with the provl$lons tontained in Section 2-482 of the Miami BelICh Oty Code as amended, and 1111
reporting requirements.
Signature of Lobbyist:
Signature of PrlndpaVCIIent:
VI. LOnYlSf IOEJf11FICA~:
~Produce(t-ID. I
Form of Identification
;s'"
~1Iy Known
VII. 51GIltATUIlf AltD SlAM" 01' NOrMY DR DEJlU1Y
MICHELE GONZALEZ
MY COMMISSION # DO 050913
: December 15, 2005
Bonded TIvu Budget Notary SeNl:es
state of Florida, County of Miami-Dade
SWorn to and subsaibed before me
This J- "-- day of G c.)~" . 2003.
fCIIlQ.ElUl"S\8 OILy
~olCiM; ~ ACCfI'TfO [ ) IWEcnD . 'DATE: (Q'~0-'l..-'03
rr~5UI.re_ 12.~II01^
~ fee pald: ~Yes II No [ I Cash ~ ~ '\ i:l .L..
DATA ENT1tY DATE: ~ 200) OOVtED 8Y:
lnd Rms/OIl 3111/03 F: Tl\l.Ollllyi5lS\rI9W~3.doc
TOTAL P. 132