BSG Development Corp. City of Miami Beach Office of the City Clerk
1700 ConvenUon Center Drive, Miami Beach, FL 33139
LOBBYIST REGZSTRATZON FORM
(Oty of Miami Beach, City Code Chapter 2, Division 3, Set,on 2-481)
R/Check Box if ,n,A mendment
~ ~ LOBS~ST: ~ {L~st) ' ' (n.rst) ~'~ QUAU~i.-O)S Loem'ZST
BUSZNES$ ADDRESS: (Numi(M and Street) /(t~ty) ' (State] I [Zip Code}
~a~E NUMBER: F~Q( NUMBER: EMAII.:
NAME OR i~AUCUENT:
BUSINESS ~'O[~SS: (~umber ~ Strict) (Oty) (Siai~) (Z~o C~)
305 -
TELEPHONE NUMBER: FAX NUMI~R: (Optional) EMA~L:
out I~M M~on i~ prMclpal k · ~ Palm.hip or Tn~t [Section 2-4~2 (c)]
LZST ALL PEPYS NKN. DING, DIRELY OR INOIRECTLY, A $% OR MORE OVVNEP.~ I~ IN SUCH
A) Full N~m M' Zn(livtdual/TIUe / I) RelatlmmhJp
FLATRATEOR OTHER~. ~~
A) LOBBY[ST DLSCLOSURE: 6 ~a ~'
B) PRZNCZPAL'S DLSCLOSURE (OF LO6BY[STCOMPENSAT~ON):~P~/'~
pursuant to Ordinance No. __~__~-3393 Amendlna Miami __ne?h CRv Code Ohaoter 2. ArUde VI2. Division 5
Thereof EntiUed '~amnai~ finance Reform~ Via The AddlUon Of Code Section 2-488 Entitled ~Prohibited
Camoai~n Contributions By Lobbyists On Procurement [ssues":
2)
Pursuant to Ordinance No. 200:3-_~_~__~ Amendlna Miami Beach Cltv Code Chaoter 2. ArUcie VII Division S
thereof Entitled ~7.am_na!~_~ finance Reform~. Via The Addition Of Code Section 2-490 EnflUecl "Prohibited
~am_na_)nn ConOlbutions By Lobbyists On Real Estate Develooment Issues~:
Are you ~vina on a uendina a_n~_!_~u~eian for a Develoement Aumement with the atv or
Off OCTOBER 1sT OF EACH YEAI~ EACH ~ S~'IALL SUBMIT TO THE C2TY ~"~ ~JC A S~NED
STA'I'~4EKT UNDER OATH, LZSTZNG LOBBYZNG EXPENDZTURES I'N THE C~Y Of: HZA/q! BEACH FC~
THE PRECEDZNG CALENDAR YEAR.
! do solemnly swear that all of the~oregoing fact~ are true and correct and that ! have read or am
familiar with the pmvision;~,ee~afned in S/acting-482 of the Miam~ch City Code as amended, and all
rep°rtlng requirements' ~Z
Signature of Lobbyist: /L///~i ~._,,~, ~,~/~ .6~,,~-------~. ,/7/ ~ -
Form of
S~GNATURE AND STAHP OF NOT.~Y OR DEPUTY ~'~ K'D.K:
State of Rodda, County of Miami4)ade
Sworn mend subscribed before me
This~ day of ~ 2003.
Signature of Public Notary - State of Rodda
Print, stamp or type name of Notary Public
Registration: [ L,]/ACCEF~ tO [ ] RE3EC~ eD DATE: 2' ~'/' ~
Registration fee 10aid: [ ] Yes [ ] No [ ~ [ ] ~ MCR #
2nd Revision 3/~.8/03 F:\CLER~lA'll.~oM~yls~egtslr*~k~)3.doc
Bloomberg, Ronald
420 Lincoln Road Ste 448
Miami Beach F1 33139
Sieger, Charles
5996 SW 70th Street
Miami Fl 33143
Suarez, Jose
5996 SW 70th Street
Miami F133143
Gaines, Ron
5996 SW 70th St
Miami F1 33143