Bruce Arthur/Byron Hall Apts
MiomiS_
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RECElvCQ
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City qf~~il~a~H Of.f1liof the City C1erlf+ MAR 10 AMII: 09
1700 Convention Ce.rlt~~ pri'lle'l Miami Beach, FL 33139
CliY GLt.HK ';; Ort CE GITY CLERK'S OFFICE
LOBBYIST REGISTRATION FORM
RECEIVED
Lobbyist means all persons employed or retained, whether paid or not, by a principal who seeks to encourage the passage, defeat
or modification of any ordinance, resolution, action or decision of any commissioner; any action, decision, recommendation of the
City Manager or any city board or committee; or any action, decision or recommendation of any city personnel defined in any
manner in this section, during the time period of the entire decision-making process on such action, decision or recommendation
that foreseeably will be heard or reviewed by the city commission, or a city board or committee. The term specifically includes the
principal as well as any employee engaged in lobbying activities. The term "Lobbyists" has specific exclusions. Please refer
to Ordinance 2004-3435.
NAME OF LOBBYIST:
A~
(Last)
?:r2or~
(First)
yA
(M.!)
~~-3JOO
TELEPHONE NUMBER:
~'~/.I960
FAX NUMBER:
"CocaAL~ ft.
(City) (State)
"'f=2\Xe@ ~..l~ ~
EMAIL:
~J~
(Zip Code)
~"'l:A",",ce.~ $~
BUSINESS NAME AND ADDRESS (Number and Street)
I. LOBBYIST RETAINED BY:
'B"1' Uou. u.c - B'ftZoJ ~ ~>>'l:IMeJ.".6~(;, ':;.t:i~"~ QlJ~...1). ~"i
NAME OF PRINCIPAl/CLIENT: ~
401~
BUSINESS NAME AND ADDRESS
Mi-oMi P;.~~
(Number and Street) (City) (State)
~'4(
(Zip Code)
~~.47.S22
TELEPHDNE NUMBER:
~.4~'4bG\5
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: --.. _ _ _ . I
Er.>\,.Y~c.O ~
IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A S% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
EYJ~ ~~- Ceo%.
II. SPECIFIC LOBBY ISSUE:
~~ P~al1'b (b~L
Issue to be lobbied (Describe in detail):
III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
A) Full Name of Individual/Title
B) Any Financial, Familial or Professional Relationship
~ &\.J ~O
Nc.Js
.,
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURL Y,
FLATRATEOR OTHER):
Yes
1tIt~ ~rj-~ fter~
1) Pursuant to Ordinance No. 2003-3393 Amendina Miami Beach City Code Chaoter 2. Article VII. Division 5
Thereof Entitled "Camoaign Finance Reform" Via The Addition Of Code Section 2-488 Entitled "Prohibited
Camoaian Contributions BY Lobbyists On Procurement Issues":
2) Pursuant to Ordinance No. 2003-3395 Amendina Miami Beach Otv Code Chaoter 2. Article VII Division 5
thereof Entitled "Campaian Finance Reform". Via The Addition Of Code Section 2-490 Entitled "Prohibited
Camoaian Contributions BY Lobbvists On Real Estate Develooment Issues": .
Yes
V. SIGNATURE UNDER OATH:
ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMn TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, LISTING LOBBYING EXPENDnURES, AS WELL AS COMPENSATION
RECEIVED, IN THE CITY OF MIAMI BEACH RECEDING CALENDAR YEAR. A STATEMENT
SHALL BE FILED EVEN IF THERE HAVE B N R COMP NSATlON DURING THE
REPORTING PERIOD.
Signature of Lob
VI.
Produced ID
Produced ID
Form of Identification
Form of Identification
Personally known (Lobbyist)
VII. SIGNATURE AND STAMP OF NOTARY:
Personally known (P!incipal)
State of Florida, County of Miami-Dade
Sworn and subscrib before me
This JQ:!b:;ay of
Signat
Nota
MARTA M. HERRERA
MY COMMISSION' CC 982158
EXPIRES: November 16, 2004
Bonded Thru Notary Public Underwriters
MARTA M. HERRERA
MY COMMISSION' CC 982158
EXPIRES: November 16, 2004
Bonded Thru Notary PubIc Undefwrhrs
FOR CL~'S USE ONLY L L () -f) ")
Annual Registration fee: .k1 Yes [ ] No Amount Paid 5() ,- MCR # a. '(,/ P <, L-- Date Paid ;; -( 0 ~ ot
Lobbyist Registration Form received and verified by: \.P{.1 If b~
Revised 02/10/04 F: CLER\ALL\M -M\LOB Y LOBBYIST FORM 04