Art Edelstein/ Festival Produc.
(City of Miami Beach, City Code Chapter 2, Division 3, Section 2-481)
RECEIVED
04 JAN -1 PH I: 41
CITY CLER}\,S OFFICE
to
-
-
City of Miami Beach Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139
Emaii: cityclerk@ci.miami-beach.fl.us
LOBBYIST REGISTRATION FORM
Cl Check Box if an Amendment
(Last)
(First)
C.
(M,I) DATE QUALIFIED AS LOBBYIST
EDEl.ST€'I N
NAME OF LOBBYIST:
p..rz.,
311 'IN E=S;T 7'-\. r\ sn2.EET
BUSINESS ADDRESS: (Number and Street)
NEW YOelC...
(City)
N'"
(State)
, oaO} 3
(Zip Code)
0>\ @- 4q tp- q cx::D )( J3Cf\ I
TELEPHONE NUMBER:
~10?-7qq-3(Q 15
FAX NUMBER:
Gi-t. ede\~\n@_+:p\ n.y. COY()
EMAIL:
I. LOBBYIST RETAINED BY:
F="eST\VAL A200Uc...TlONS, l"-l~.
NAME OF PRINCIPAUCLlENT:
3\1 W5ST 74T:tl$'Teetr"
BUSINESS ADDRESS: (Number and Street)
~eWY~'L
(City)
N'f
(State)
I CX)cl3
(Zip Code)
~ I tX- L.j.q lQ- q 000
TELEPHONE NUMBER:
FAX NUMBER: (Optional)
EMAIL: (Optional)
Fill out this section if principal is a Corporation. Partnership or Trust [Section 2-482 (c))
. NAME OF CHIEF OFFICER, PARTNER. OR BENEFICIARY:
G:.E:Ol2.C:.E We I N
. LIST ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
II. SPECIFIC LOBBY ISSUE:
\JCAGeANT.j:Oe. 1l-\E .j'l/C-0p.;;zz FEST\\lAL- M'A.M\ 5EA.<!...H
Issue to be lobbied (Describe in detail):
III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
A) Full Name of IndividualITitle B) Relationship
t.A'AMt ~I-\ V\SIi~e.. AND QDl-J\I'ENTiDI\l
t>..\. .ITV \lCA,
.
IV. UI~"LU~UKr:.Ur IIt.KM314.NU 14.IYlUUnll;:) vr LUDDY.3. ....UMt"'r:.rt:>>I\IIVI.. \UI:>>l",LU:'IC. vvnl:.I nr:.K nVUKLr,
FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE: '$(")
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): 1> 0
1) Pursuant to Ordinance No, 2003-3393 Amendina Miami Beach City Code Chaoter 2 Article VII Division 5
Thereof Entitled "Camoaian Finance Reform" Via The Addition Of Code Section 2-4B8 Entitled "Prohibited
Camoaian Contributions Bv Lobbvists On Procurement Issues":
2) Pursuant to Ordinance No, 2003-3395 Amendina 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
Camoaian Contributions Bv Lobbvists On Real Estate Develooment Issues":
?
V. SIGNATURE UNDER OATH:
ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES 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 in Section 2-482 of the Miami Beach City Code as amended, and all
reporting requirements, ~ .h~ /' _
Signature of Lobbyist: ' ~
Signature of PrincipallClient: A-j:~ ~
VI. LOBBYIST IDENTIFICATl1 ~
[J Produced I D
)( Personally Known
Form of I d9ntification
SI~NI'~RE AND STAMP OF NOTA~Y OR DEPUTY CLERK:
N 7 W~-\: c..ko~
State of~, County of 1.L...i Btlfl...
Sworn to fl.nd subscribed before me
This t:Ji'h day of-:Y~ , 200~
DEBORAH H. ROSS
NobIry Publfo. State of New York
No. 01 R04978447
Qualified In Westchester County
Commi881on ExpIres March 4. 20 fW..
VII.
Signature of Public Notary - State of ~
e.W'lOrt
Print, stamp or type name of Notary Public
Registration: P1: ACCEPTED
FOR CLERK'S USE ONLY
[ ] REJECTED DATE:
\-l~O!f
2nd Revision 3/18/03
~ash [ ] Check MCR #
,~ ENTERED BY: ~
F' \CLER\HA TL \LobbYlsts\reglstratlona03,doc
~~(ooos-
If rejected, state reason:
Registration fee paid: }.:rYes [ ] No
DATA ENTRY DATE: -v\ - oJ,