Robert J. Levin/Reino Parking
in
-
-
eity of Miami Beach Office of the City Oerk
1700 Convention Center Drive, Miami Beach, FL 33139
Email: dtyderk@d.miami-beach.fI.us
LOBBYIST REGISTRATION FORM
(Oty of Miami Beach, Oty Code Chapter 2, Division 3, Section 2-'l81)
[J Check Box If an Amendment
LEVIN Rol3fff J:' /I /, /03
NAME OF LOBBYIST: (Last) (First) (M.I) DATE QUAUFIED AS LOBBYIST
II IV U DR uJrt y L/jPfR/9 j!,qNCfI. C4 <(dolo 'I if
BUSINESS ADDRESS: (Number and Street) (Oty) (State) (Zip Code)
94 q ;2, I S B 38c) Q'-/9 dig g'3 81 15ft II {{\oJ ~ /YJuLnBA7. ~
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
L LOBBYIST RETAINm BY:
7<~)rJO PrtR.K.,N(", 5Y5r~r"'~
NAME OF PRINQPAI./CUENT:
1 '7;;' 3 -r; JYU.0/-l,CA. .5n (!
BUSINESS ADDRESS: (Number and Street)
S"Jo S"'"33 '3:?;;?,3
TELEPHONE NUMBER:
O/'rJ<U'tNV
(Oty)
CA-
11-/bol
(Zip Code)
(State)
FAX NUMBER: (Optional)
EMAIL: (Optional)
Fill out this sec:tIan If principal" . CarpondIon, P8rtneI1Ihlp or Trust [Sec:don 242 (e)]
. NAME OF eHIEF OFFIeER, PARTNER, OR BENEFICIARY:
. LIST ALL PERSONS HOLDING, DIRECTl. Y OR INDIRECTLY, A S% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
n
m crTY AGENOES/INDMDUALS TO BE LOBBIED:
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Do 5P~ -::: LOBBY ISSUE: ..
P/tR.J<,If\1G Prl,/ .,,$rt'=rTiON (:ntrf/!.S) ~.pp
Issue to be lobbied (Describe in detail):
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A) Full Name dI IncIIvlduIII{I1tIe B) ReI8tIonshIp 1""1
fY),q Yof2 UE J<rn ~ 72 "JaNE
t20 TYl /Y) , S~, E:., AYB c -Z (
{! rr..j tlo ()I\J C!..) L ~
.l.Y. u.gu,J~.~::~~'~.'''''UlU'lUUnl;:t~ ~1"DI ~::IAIJ.un \1I.a.;:M UfOP ..nl:ln~ nUUKLJ,
FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE:
rJc
Cv''Y)Pf~S/1+'~AJ
It ~ t7
(.0131371$,'7""
"',.
B) PRINOPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION):
NeNt.
1)
Pursuant to Ordinance No. 2003-3393 Amendino Miami Beach City Code Chaoter 2. Article VII. Division 5
Thereof Entitled "Ca~aion Rnance R~form" Via The Addition Of Code Section 2-488 Entitled "Prohibited
Camoaion Contributions Bv Lobbvists On Procurement Issues":
or rana
2) Pursuant to Ordinance No. 2003-3395 Amendino Miami Beach City Code Chaoter 2. Article VII Division 5
thereof Entitled "Camoaion Finance Reform". Via The Addition Of Code Section 2-490 Entitled "Prohibited
Camoaion Contributions Bv Lobbvists On Real Estate Develooment Issues":
Are:YOibIM . na on a DeIICII~n:DDlic:ation for a DeveloDment AareBlHll1l: with the atv or
aD IIcati for chanae of zanI maD deslal1lltlon or chanae to the atv's Future Land l.... MaD?
Vi No
v. SIGNAtURE UNDER CM1H:
ON OCTOBER ISf OF EACH YEAR. EACH LOBBYIST SHALL SUBMIT TO THE CITY a.ERK A SIGNED
Sl'ATEMENT UNDER OATH, LISnNG LOBBYING EXPENDITURES IN THE CITY OF MIAMI BEAat 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 1"482 of Miami Beach City Code as amended, and all
reporting requirements. ~
Signature ofLobl;lyist" . ,',...~ -"'.. .- .,. .
Signature of Principal/Client:
VI. L08BYI5I' IDENTlflCAnoN:
" Produced ID &/ DPI'Jf.ic.. 5 l./c.'irJS Z:..
Form of lcentification
Personally Known
SIG~lJoIRE AND STAMP Of NWARY OR DEPUIY ~
~llro(J1lo-' (jfo.fJtI; r /)Jjr1
State o' . V<M
Swom to ~ subscribed befor*me
This 2.. day of J!lbvetn t."2003,
~. SHAWN R. CONN ~
f- COMM...1366286 n
U NOTARY PUBLlCCALIFOANlA -t
m 'I ORANGE COUNTY (il
I ~ My Tenn Exp. July 28. 2006 I
VD.
Signature of blic Notary State llJ rI IJ_ (/I, I
sb <,~
auJ{J fL !Ann
Print, stamp or type name of Notary Publie
fOR a.ERK'S l& ONLY
Registration: vr.;CCEPTED [ l REJECTED
If rejected, state reason: Li / III ~.
Registration fee paid: [ lve5TT No [ l Cash [~ MCR # r'
DATA ENTRY DATE: Ja4.:3 . 2003 ENTERED BY:
2nd Revision 3/18/03
DATE:
12-~-l) ..3>
Jl\Lobbyists\registrationa03.doc