HomeMy WebLinkAboutBeach Towing, Inc.
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City of Miami Beach Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139
Email: dtyclerk@d.miami-beach.ft.us
LOBBYIST REGISTRATION FORM
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(City of Miami Beach, City Code Chapter 2, Division 3, Section 2-481)
D Check Box if an Amendment
ROSEN
NAME OF LOBBYIST:
HAROLD
(Last)
(First)
(M.!) DATE QUAUFIED AS LOBBYIST
407 LINCOLN ROAD. PENTHOnSF.
BUSINESS ADDRESS: (Number and Street)
(305) 534-4757
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(City) (State) (Zip Code)
(305) 538-5504
TELEPHONE NUMBER:
FAX NUMBER:
EMAIL:
I. LOBBYIST RETAINED BY:
BEACH TOWING, INC./MARK FESTA
NAME OF PRINCPAl/CUENT:
1349 DADE BLVD., MIAMI BEACH, FLORIDA 33139
BUSINESS ADDRESS: (Number and Street)
(305) 534-2128
(City) (State)
(305) 534-6328
(Zip Code)
TELEPHONE NUMBER:
FAX NUMBER: (Optional)
EMAIL: (Optional)
Fill out this section If prindpalls a Corporation, Partnership or Trust [Section 2-482 (e))
. NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY:
. UST ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
II. SPECFIC LOBBY ISSUE:
TOWING FEES and REGULATIONS
Issue to be lobbied (Describe in detail):
m. CITY AG~NCES/INDMDUALS TP BE.LOBBIED:
A) Full Name of Individual/Title
B) Itelationshlp
ALL
N. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURL Y,
FLAT RATE OR OTHER):
A) LOBBYIST DI50.0SURE:
$450.00 hour
B) PRlNOPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION):
$450.00 hour
1) Pursuant to Ordinance No. 2003-3393 Amendina Miami Beach Crt.v Code Chaoter 2. Article VII. Division 5
Thereof Entitled ~Camoaion Finance Reform- Via The Addition Of Code Section 2-488 Entitled ~Prohlbited
Camoaion Contributions Bv Lobbvists On Procurement Issues-:
Are YOU lobbyino on a Dresent or Dendino bid for ooods. eGuiDment or services. or on a Dresent
or DendinG award for Goods. eGuiDment or service? DYes xvNo
2) Pursuant to Ordinance No. 2003-3395 Amendino Miami Beach Citv Code Chaoter 2. Article VIi Division 5
thereof Entitled ~Camoaian Finance Reform-. Via The Addition Of Code Section 2-490 Entitled ~Prohibited
Camoaian Contributions Bv Lobbvists On Real Estate DeveloDment Issues-:
Are YOU lobbyinG on a DendinG aDDllcation for a DeyeloDment Aareement with the City or
aDDlication for chanGe of zoninG maD desiGnation or chanGe to the City's Future Land Use MaD?
DYes ~ No
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.
Signature of Lobbyist:
Signature of Prindpal/Oient:
VI. LOBBYIST IDENl1FICA
./
~IY Known
tJ Produced 10
Form of Identification
VII. SIGNATURE AND STAMP OF NOTARY OR DEPUTY CLERK:
i)o.VanI~'"
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State of Florida, County of Miami-Dade
Swoml"~Ubsa1F~; _J.
This ~day 0 200.:r
,;
FOR CLERK'S USE ONLY
Registration: [~ACCEPTED
[ ] REJECTED
DATE:
/'15-04
If rejected, state reason:
.Reglstration fee paid: [t:pfes [ ] No [ ] Cash. [ ~eck MeR l .p t'd L> n 15
""TA ENTRY ""T<, .~..... """"" B" ~
2nd Revision 3/18/03 F:~ \HATL\Lobbylsts\registrationa03,doc