Graboski, Thomas/CasuarinaOW of Miami Beach Office of the City Oerk
1700 Convention Center Drive, Miami Beach, FL 33139
Emall: dtycJerk~cL miami-beach.fi.us
LOBBY[ST REGZSTRAT/ON FORM
(Oty o~ Miami Beach, Oty Code Chapter 2, D~0n 3, Section 2-481)
[] Check Box if an Amendment
Graboski Thomas
NAME OF LC~BYIST: (Last) (Flint) (M.[) DAq~ QUAL.[FZED AS LOBBYZST
4649 Ponce de Leon BouleVard, # 401, Coral Gables, FL 33146
BUSINESS ADDRESS: (Number and Street) (City)
305. 669. 2550 305. 669. 2539
(State) (Zip Code)
mail @tgadesign. com
TELEPHONE NUMBER:
1. LOBBYIST RETAINED BY:
A & R Sobe, Inc.
FAX NUMBER: EMA~L:
NAME OF PRINCIPA~CUEN/:
1 Casuarina Concourser
BUSINESS ADDRESS: (Number and Street)
305.665.9600
Coral Gables, FL 33134
(city) (State) (Zip Code)
TELEPHONE NUMBER:
FAX NUMBER: (OpUonal)
EMA[L: (Optional)
Fill out this section If prina~pal Is a Corporation, Partnership or Trust [Section 2-482 (c)]
· NAME OF CHIEF OFFICER, PARTNER, {DR BENEI=]C~ARY:
Allan Potamkin, Robert Potamkin
· L/ST ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A $% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
Allan Potamkin, Robert Potamkin, Jeffrey Berkowitz
SPEC~I~C LOBBY LqSUE:
Signs for 5th and Alton .
issue to be lobbied (Describe in del:ail);
~ AGENCZES/ZND/VZDUALS TO BE LOBBZED:
A) Full Name of ]~ndivldual/TIUe B) RelaUonship
City of Miami Beach, Planning Dept.
FLA T RA TE OR OTHER):
A) 'O.~O~URE: $130.00 per hour
8) PPJNC~PAL~DI~2LOSU~E(OFLOeBYISTCOMPEN~AT[ON): $130.00 per hour
Pursuant to Ordinance No. 2003-3393 Amendtn~ Miami Beach Cit~ Code Chaoter 2, Article V~. Division 5
Thereof E~tltled "Camoalon Finance Reform" Via The Addition Of Code SecrJon 2-488 Entitled "Prohibit~
Camaalon Contributions By Lobbyists On Procurement XsmJes":
2)
Are you Iobbvlnu mt a nmsent or ~endinQ bid for ~___~_s. eGuful:~It~or services, or on a ore~
or ;~r~lna .ward for ~o~ e~ulDment or ~ervice? Yes ~_~
Pursuant to Ordinance No. 2003-3395 Amending Miam~ Beach Cltv Code Chapter 2. Article VI! Division
thereof Entitled "Camoal~n Finance Reform", Via The Addit[on Of Code Section 2-490 Entitled "Prohibi~.f~~
Cameaian Contributions By Lobbvis~ O~ Real Estate Develooment [ssue~";
A~_ ~re~ Iobbvlna on a =endlne amtli~_H_on for a Devek~_ment Aareement with the crcv ~
~,~ation for chanae of zonlna mao desl~naUon or change to the City's Future [and Use
V, SXGNATURE UNDER OATH:
ON OCTOBER Is'r OF, EACH YEAR, EACH LOBBY/ST SHAU. sUBMiT TO THE Cz [Y CLERK A SIGNED
STATEMENT UNDER OATH, I/ST~NG LOBBY/NG EXPEND/TURES IN THE CI"TY OF H/AM! BEACH FOR
THE PRECEDING CALENDAR YEA~
! do solemnly swear that all of the foregoing facts are true and correct and that ! have read or am
f~miliar with the provisions contained In ~ 2-482 of the Hiami Beach City Code as amended, and a
reporting requirements. _ ,~ // .
Signature of Lobbyist: ~ ~ · Thomas W. Graboski
S,~~t:- -~'' ~t1~ - Jeffrey B erkowitz
V~. LOBSYL~' JDF..~ ~ zI-I, CAT/ON: - /
J
n Produced ~D , Personally Known
Form of ~denUficatlon
V'~. S~6NAI~RE AND STAI~P OF NOTARY OR DEPUTy CLERK:
State of Rodda, County of Miami-Dade
Sworn to and subscribed before me .
This ~(~ day of ..TA~J
~natu~5~~ Florida
Print, stamp or type name of Notary Public
FOR r~ mU('S USE ONLY
2nd R~on 3/18/03
F:\CLER\HATL\Lobbyist:s\registrationa 03.doc