Miles Copeland/ Firstars, Inc.
.
RECE\VED
03 NO~ \ 1 PM 2: 42
CITY CLERK'S Off ICE
.'
City of Miami Beach Office of the City Clerk
1700 Convention Center Drive, Miami Beach, Fl 33139
Email: cityclerk@d.miami-beach.fI.us
LOBBYIST REGISTRATION FORM
(City of Miami Beach, City Code Chapter 2, Division 3, Section 2-481)
1:1 Check Box if an Amendment
TELEPHONE NUMBER:
mILGS'
(First) (M.I) DATE QUALIFIED AS lOBBYIST
PfPrUO~e S~ OAKr CA- 9/403
(State) (Zip Code)
~De~ Iflt/es. Cop~JQrd 0>~~2/. CD,.,..
EMAll:
C OPfLANP
NAME OF lOBBYIST: (last)
jj7M. VVlfu((A Bl,v'p
BUSINESS ADDRESS: (Number and Street) (City)
32s 51l. 4Oceo ~2J ~/2-
FAX NUMBER:
I. 6;;;mRi~:BY:
NAME OF PRINOPAljCLlENT:
V RJrfufa
~ $"{ 2-
lEPHONE NUMBER:
/47
e~VD ~1If/lJ't
(Number and Street) (City)
'3~3
~Jl<<mAtJ OAJcr C q/L}::>J
(State)!ll/!e.r. ~codela eV/kK.ZI, ~
EMAIl: (0 tional)
Dee>
Fill out this section if prindpalls a Corporation, Partnership or Trust [Section 2-482 (e)]
. NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY:
m/t4S COPbtA1Vc>
LIST ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A S% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
/nIL'S CoP'LAND
U. SPEaFle LOBBY ISSUE:
GfA-N-r reo/^. IYlta/Yl1 ~c.h VGA ~e {1/bI}- CtJ- tfllOfJIl f<~ch G1/"~II+fO/"\ C~
Issue to be lobbied (Describe in detail):
m. CI1Y AGENOES/INDMDUALS TO BE LOBBIED:
A) Full Name of Individual/Title
B) Relationship
,,~-h(Jl1
.I.v. U.I.~L.Uo:tUKC ur . CKPI" ftnU IU"'IUurt.., ur LUDDI' .I.". \",U.......cn~..I.un \U.a.;:M...LU.,C "'"1:. ncl'\ nUUKL. r,
FLAT RATE OR OTHER):
f. ott't1J11t(J] /10 I kctl'J"J
GI1'IJ>.e/lSqfID.....
,
A) LOBBYIST DISCLOSURE:
.
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION):
/VIA
1)
Pursuant to Ordinance No. 2003-3393 Amendina Miami Beach City Code Chaoter 2. Article VII. Division S
Thereof Entitled "Cam~aian Finance Reform" Via The Addition Of Code Section 2-488 Entitled "Prohibited
Camoaian Contributions Bv Lobbvists On Procurement Issues":
2)
?
V. SIGNATURE UNDER OATH:
ON OCTOBER lSf OF EACH YEAR, EACH LOBBYIST SHALL SUBMrr TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, USTlNG LOBBYING EXPENDrrURES IN THE CITY OF MIAMI BEACH 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 i ection 2- Miami Beach City Code as amended, and all
reporting requirements.
Signature of Lobbyist:
Signature of Principal/Client:
VI. LOBBYIST IDEN1lFICATION:
J4.. Produced lD n i>~vaJ., C((:.e;~~tf
Form of Idlntification
ZORICK PARSANIAN
Commission # 1383523
Notary Public, California ~
Los Angeles County -
My Comm. Expires Nov 5. 2006
~
CJ 0
-i W ?J
-< :z:
n 0 rn
r .c:: (')
rn
:::0 -.l rn
';':: ,-
cr> " <
::J:
0 ~ rn
-., 0
-n
.:;:-
CJ N
lT1
Personally Known
vn.
SIGNATURE AND STAMP qF NOTARY OR DEPI11Y CLERK:
CAUPPfljJ',4 t..~ AN6.6~
State of rlorida', County of ~1iaFfli Dade
Sworn to nd subscribed before me
This 'fI1 da of /JJJt/. , 2003.
Sig ture of Public Notary State of flu I idd .d
CA-{.J~I'"rT
~ra< /1wtSMIAft.,(
Print, stamp or type name of Notary Public
Registration: ~PTED
If rejected, state reason: /'
Registration fee paid: ['1Yes [ ] No
DATA ENTRY DATE: 4 7. / \
2nd Revision 3/18/03 .
FOR CLERK'S USE ONLY
[ ] REJEcrED DATE:
./
[ ] Cash [l,9led< MCR
. 2003 ENTERED BY:
~\Lobbyists\registrationa03.doc