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Ira Elegant/Bar Brothers Inc. ". M_SIliMll to City of Miami Beach Office of the City Clerk 1700 Convention Center Drive, Miami Beach, FL 33139 LOBBYIST REGISTRATION FORM 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. NAMEOFLOBBYIST:f\e<)Cl\l\"(Last) \,~) M ~M.I) S)\U:,^'o\ \J,&eC\- t \e..d6V\t- ~~ , "b S\l) \S\- ~e6 "''''' r\C()(" I "" ~ 0vVV\~ J\. "t>~\ =0 BUSINESS NAME AND ADDRESS ..J (Number and Street) (City) 1 (State) , (Zip Code) '?:loS, ~S8,- \S \5 ~5'~S~'~202- ~e\~Q\I,;\-@\;e\/L..U' cc TELEPHONE NUMBER: FAX NUMBER: EMAIL: I. LOBBYIST RETAINED BY: &." Qx-oi'ne.c-S \~ c ' NAME OF PRINCIPAL/CUENT: v\.. ~ ~\2f\ (Zip Code) ?:>oS' S'"b\ ' \.\61~ TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional) Fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (c)] II. SPECIFIC LOBBY ISSUE: See \\e\lf\ ~ 5 Issue to be lobbied (Describe in detail): ~\"""~I/\~S III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: A) Full Name of Individual/Title B) Any Financial, Familial or Professional Relationship C\\: ~o\l\ "- IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURL Y, FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE: (Required) \i\l)~\" U~ ~'WI 6... \ffi \11\ '1I~\f1j\ ~ . B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). See- r... 4.\:o\le . ~~'\s I~f' W?:l1S (\\1'. 1) Pursuant to Ordinance No. 2003-3393 AmendinG 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 CamoaiGn Contributions Bv Lobbvists On Procurement Issues": Yes or on a 2) Pursuant to Ordinance No. 2003-3395 Amendina Miami Beach City 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 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, UsnNG LOBBYING EXPENDITURES, AS WELL AS COMPENSATION RECEIVED, IN THE CITY OF MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPEN ITURES OR COM ENSATION DURING THE REPORTING PERIOD. 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 and all reporting requirements. VI. LOBBYIST IDENTIFICATION: .. Signature of Lobbyist: Signature of Principal/Client: ~\e ') . Produced ID Produced ID FL Dl D.;>1'5':1CSO.Cc4 ':3Tl'O Form of Identification Form of Identification GsonallY known (Lobbyi~ VII. SIGNATURE AND STAMP OF NOTARY: Personally known (Principal) (;;: 0 MY COMMISSION # DO 134560 EXPIRES: Saptember 8. 2006 BoOOodTlwN_NllicU_ State of Florida, County of Miami-Dade swor/~ subscribed before me -v' / This A~~:'(j~:6/U / Signature of Public Notary - State of Rorida Notarization of Principal's signature fL==J " " ElopiIw7_ iIf~ """'(IlllII!'w" ......'.*f~T~~~ FOR CLERK'S USE ONLY (j ~ Annual Registration fee: [~es [ ] No Amount Paid . MCR #c?~ Date Paid -It! . Lobbyist Registration Form received and verified by: Revised 02/10/04 F: CLER\A Regular Agenda April 14, 2004 City of Miami Beach R5 - Ordinances (Continued) R5B Signs For Vertical Retail Centers An Ordinance Amending The Land Development Regulations OfThe Code OfThe City Of Miami Beach, By Amending Chapter 138, Entitled "Signs," By Amending Article VI, Entitled "Specific Use Signs," By Creating Section 138-205 To Establish Regulations And Criteria For Signs For Vertical Retail Centers; Providing For Inclusion In The City Code; Providing For Repealer, Severability And An Effective Date. 10:30 a.m. Second Readin9. Public Hearing (Page 268) (Planning Department) (First Reading on March 17, 2004) R5C Conditional Uses In The MXE, Mixed Use Entertainment District An Ordinance Amending The Land Development Regulations Of The City Code By Amending Chapter 142, "Zoning Districts And Regulations," OfThe City Code; Division 13, "MXE Mixed Use Entertainment District," Section 142-542, "Conditional Uses," To I nelude Public And Private Cultural Institutions Open To The Public And Banquet Facilities, As Conditional Uses In This Zoning District; Providing For Codification, Repealer, Severability And Effective Date. 11 :15 a.m. First Readina. Public Hearina (Page 275) (Planning Department) R5D Eliminating Dance Halls & Entertainment Establishments In Certain Districts An Ordinance Amending The Code Of The City Of Miami Beach, By Amending Chapter 142, "Zoning Districts And Regulations," Article I, "District Regulations," Division 5, CD-2 Commercial, Medium Intensity District, Section 142-302, "Main Permitted Uses"; Division 11, 1-1 Light Industrial District, Section 142-485, "Prohibited Uses"; And Division 18, oopS Performance Standard District," Section 142-693 "Permitted Uses," By Eliminating Dance Halls And Entertainment Establishments Also Operating As Alcoholic Beverage Establishments And Restaurants With Full Kitchens And Serving Full Meals As Permitted Uses In Certain Areas Of The CD-2 Commercial, Medium Intensity District, The ~1 Light Industrial District, And The PS Performance Standard District; Providing For Repealer, Severability, Codification And An Effective Date. 11 :30 a.m. First Readina. Public Hearina (Page 282) (Planning Department) R5E An Ordinance Of The Mayor And City Commission Of The City Of Miami Beach, Florida, Amending Chapter 102, Artiele V, Of The Code Of The City Miami Beach, Florida, Entitled "Occupational License Tax," To Define Adjudicated Violation, To Define Habitual Conduct For Purposes Of Occupational License Denial And/Or Suspension Or Revocation, And Defining Habitual Conduct For Promoters Occupational License Denial And/Or Suspension Or Revocation And Providing For The City Manager's Designee To Undertake A Hearing In The Suspension Or Revocation Process And Providing For Factors To Be Considered In Determining The Length Of A License Suspension; Providing For Codification Repealer, Severability, And An Effective Date. First Readina (Page 293) (City Manager's Office) R5 - Ordinances (Continued) ii