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Royal Court Villas Limited GY&S,P.A. raJ002 05/18/04 10:17 FAX 13053766010 Nk~k..." W _! to ~ City of Miami Beach Office of the City Clerk 1700 Convention Center Drive, Miami Beach, FL 33139 LOBBYIST REGISTRA'rION FORM LobbyiSt mean. ;II' ponon$ ~ Qr rt\8ined, ..._or paid or nOl, by a Pr;ndpal ...no snks to erlCOur'9'! ttle ~ ~ Q/' modifiCll1ion of any ordinance, resoMJon, action Of dedsion of any ~c""r; any acllol1, deci5ion, recotl'lllll!lldalion oIll1e Oly !'1anager Qt any city boald Qt commlttl!e; or anv actiQn, ded,on or recommendadon of a~y lily per1llnnel ~ned in any manner in lhls Mttion, cUing me lime period or me endre dec:islon-mak;ng prote5S Qn sU<h ac:llon, deelolon or recommendalJon that Iilr......-blv wiU be herd or ",.,;ewe!i by the City commls!lion, or a oty bllard or committee. The term speci~dllly Include; tl:Ie prirlcipal as well IS any .mpI~ """,gild In lobbying ac:livlties. TII. term "tAlbbyists"lias Ipedtlc exclusionS. Please refIIr t<I Ordinance 2004-3435, NAMe OF LOllBYrST: Gunater yoak.ley 2 BUSlrlESS NAMe AND ADDRESS (305) 376-6062 TELLPHONE NUMBER' Kasdin Neisen O. (UJst) (First) (Ml) s. Biscayne Blvd. SUite 3400, Miami FL 33131 (NUlTIber and Street) (Clty) (Stale) (Zip Code) (305) 376-6010 nkasdinSgunster.com FAX NUMBEP.: EMAIL: L LOllnsr RlTADlEU IY: * * Payal Court Villas Limited / l\&o Collins Averme [;.orporation NAME OF PlUNCIPALJQ.lENT: 1111 Li.nCOln !bad Suite soo, Miami Beach, FL 3313~ (Number and SlI'eet) (QtyJ (305) 532-1531 FAX NUf'lBER: (OptiOnal) (State) (tip Code) eUSINESS Nt3MfD~~6~61 TELEI'HClNE NUMIlfIl.: eMAlL: (OptiOnal) nl_ tl\..lIIdion if prlnc;p.lIS it Corparat;on. hrtnersNp lIrTrvK [section 2....21(n NAME OF 0l1EF OffiCER, ~AATNER. OR BENEFlClARV: IDENT1FY ~ peRSONS HOWiNG, DIRECfLV OR INDIRECT\. Y, A 5% OR MORE OWNeRSH!~ INTEREST IN SUCH CORPORAilON, PAATNeASH.lP OR TRUST: D. IPKlflC LOUYlSSUE. Rit.. l'lan APProval for: Q-leen Elizabeth an::! IUyal court pro~ies Issue to be lobbied (De$Ctl1Ml1n dela~): IU, CRY AGENClU/UlDMDUALSTO B'E lQUlED. A) Fun ....... of IndiYidu.l/Tltle B) /4rIY Financial, Fam,"al Dr Pro~lII RellltIllIIIlhlp ',' ~.1.a,..........';l """'J:-""Ly..;u.... I 10:17 FAX 13053766010 r<"U S ..,i& .P.A. ---.... .-.-...-.....--'..- @003 05/18/04 1\1. _ DJ$l:LOsuRI OF Tl!RMS AND ~OUNTS OIF LOaaVlST COMI'ENSAUON (DISCLOSE WtlmilR HOl/IlLY, FLAT RAn; OR OTHER): A) LOBllVlST DiSClOsuRE: (Reelui.-) Hourly $375.00 per hour 6) .,PRINCIPAL'S Dlsa.o5Ull.E (OF L08B'(I$T COMPENSAnON): (Ilequirwd). Hour lv, $375 . 00 per hOllT Yes ~ All! YOU raa.....umna. ~rofit CXM~atIon Dr Antitv ..,lthDut saedaI ClOma~ or !:Ii!.nbunem..nt.. Pursuent tc Ordinal1Clll\lO. 2004-3435. 1) ~nt lD or~-::, No. ~~=:~d~ r:~:ilCh ~ ('ndl! Cha~r :>Er;~::e:: D~~on 5 Q..;;,;;~~rtitlO!d _ign r _ __" __ _ d''':_ Of _ '<<lion 2~88 ErltitlM "Prohibit.(! ____ ;::.;t,;butiOr\<i By I Mhvt'll!; on Procurement ~ AnI vou loblwlnq an. D.-nt or aendina ~~ fa:.. eauiDment or' JeIVIo-- or on. -- or .....dIna _I'd for _lis. _uiDnwnt or serviat? ~=~~':'.:aNo, ~=~~dl~ Mia,": atvCodl! C1wlter 2. Artici! VD ~ 5 . n Fi . VIa Add' . ex C~ Section 2 Entitled "PrOhibltecl ;:;;';;i~~ C';;';"M~-;RV 1.nbb\As\]; On Real I'lhte DeveI~ tWIllS"' YIIS @ 2) Yes t.::0 ~ =-:.~~;.:.:r:::;:~..:~~~,:,::~::,~=:e~~ MaD? V, stGNATURE UNDSt OAT1l: ON OCTOBER 1 n OF !ACH YI!AR, EAOl LOIBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNeD STA1!MlNT UNDER OATH, LISnNG LOBlnNG EXPENDrT\JRES, AS WELL AS COMPENSATION R!CEIYED, IN THE an' OF MIAMI RACH FOR THE PIlEa!DlNG CALENDAR YEAR. A STAlD4ENT SHALL BE I'IL!D EVEN IF THERE HAW BEEN NO EXP~NDITURES OiJjNSAUON DURING THE AlPDR11NG PERIOD. ~_ S19nlblre of 1st I do solemnly swear that all ci the foregoing facts are true and corTeCt and that I have read or am f<lmiliar with the provisions n' ed' Section 2-482 of the MIami Beach City Code and all re requirements. Signature of lobbyist: Produald 10 ~- Signature of PrInCipal/Client: VL LOBBYIST IDEN'm'ICAnON: Form of Identification Pe110nally known (LoIIbyia) VIL SIGNATURE AND STAMP OF NOTARY: Produced I~ DRIVERS LICENSE Form of Identifil2tion ~~'''''~;:b Slate of florida. County of Mlamj.[)ede Sworn and S1Jbsgibed before me ThI!i tJay or /'^ 1\1 .200 Jj Sign ture of Public NctiIry - state of Ronda ~ o.~ ~~iSt's sigl1llture ,. ..-. ,"""-.._._-~~- ! ~ LOURDES VALDES MY COMMISSION # DD 091786 , EXPIRES: Febru.rt 26. 2006 ~ ~- Fl.""""YSoMOO8i'lonOlng,Jnc. ~_.---- I Annual RegiotraliOn feel: 1t,/1~ ] No A..': ~Jl5 ~~ON~~, /I:J W oy Dote Paid -...12..1/0 cJ I I lobbyist Regi$Cl'ation FQrm retllived and ....ified by' I ' Il.QVIsed ~2ilO/01_, _. f: UE~\ALl \MAAlA-M\108BYIST\lOileYlST FORM 04 I