Armando Gutierrez/Gomero
Jun 04 04 04:11p
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REGOSA ENGINERING
3054&a60El2
305 5767096
LAW OFFICE
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aty of Miami Beach Office of the at'{ Clerk
1700 Convention Center Drive, Miami Beach, Fl33139
LOBBYIST REGISTRATION FORM
l.Obby;S1 means all persons emplOyed or retained, ....ether poid or not, by a principal who _ks I1l oncoul'lglt the PIstage, defeat
or modlflcatlon of any ordl~_, resolClllon, ~ion or de<i.lion of any ...mmiHioner; Iny Ktfon, decision. retomm"",,"'llion of tho
City "...age< or IIOY oty board or commi~; ... anv .cUon, decision or ....commendatlon of anv el1y personnel del. nod In Iny
manner In thi. oO<lio., during tile II,", period of the enlire de<ision-mlking process on such i<llon, decision or lce..,,,,,.ndltion
"h" foreseelbly wIll be heard or re.iewed by lIle clry commission. or a clr,- board or .:cmmIttee, The term specif;a>J1'f in;hlelts the
prl""ipaJ IS ..ell.. Iny employee _aged in I~ng 1C11ville<. l1>e IllI'm "LabbvI5llO" US specitk .,.duslonJ;. Pitas. refllr
to Oldi..nce 2004-3435.
bv.-herre-:c AmAAdD
NAME OF l08IlYlST: (~) (firSt) (MJ)
b\l1ier....& 4 ~(t~ IQoll3ric.k3l1 AuentAe Su.i-le 5JD, f)Uc.r1liJ Fl ~jl?l
BUSINESS NAME AND ADDRESS (N&Jmller aI\d Street) (City) J (Sliile) (~Code)
Z,llS-39J-ISig '9lJ5- 35'2Z - 5l9~ Wv'YlOJ}dD@6<!i1:e.r(Utmd
TflEPHONE NUMllER: FAX NUMBER: EMAIl: ~S'JJ-iaieS. C1>+'>1
L L08IIYISf IWTAlNIP JY. ~~ .
T)(OJ) sa... I(D1.fJ --iLO
~tdwALJCUENT:
F L '33(21
(Slare) :Zip Code)
EMA;ll: (Optlo".n
Fill out this HCtion if prindpal is a ~ti,,1I, PaJtnerSlllp or TrUISt [Section 2-482 (c))
NAME OF CHl!f OFfiCER, PARmER" OR BENEl'IClARY:
m!N'I1FY ALL PfRSONS HOlDING, DIRECTLY OR INDIRECTLY, A ~ OR MOllE OWNERSHIP IIlTEl\EST IN SIKH
CORPOAATlON. PAIlTNERSHIP OR TRUST:
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I....e to btt lobbied (Desatlle in dttlll); '---rJ'
DL CJ1V AGENCIISf1NblVIDIIAI.$ TO IE LOIIISED:
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A) Fill ..._ uf Individulll/'Tille
B} An, Fi_, ""mi~... Prof.DionIIlll.eIatlDlls.ip
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\..1 IV MIAMI BCH CLERK !:CPT
3053585645
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trwllftt fftU!l8tt ~ 'Fin~~" In. 'ft. Alfft.w. or C&df! r-.....o.lA,ff 2-400 ~"1.Dd ~';;;btIIQd
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0lIl ocniIII!.. 1'" 01' e&Of y~ eM:" I.oClaIrtZn SIUU. SlI~ TO DlI CIlY CU!IUt A SJG10alP
lITATlNI!NT ""NIl 0",,", LISIDfC Loea~ IltPeNDJT1IWIE_, A5 WIEU. AS CDOlIPI!l~
AIlEZlW.U, IN lHI! QlY' 01' MING IIeAQI F'l* TN: ~I'IG ClILf-. wu.. A SJI\~1IfJ'
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TOTAL P.e2
Jun 04 04 04:11p
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REGOSA ENGINERING
3~54GllG~El2
305 5767096
LAW OFFICE
p.5
PAGE 135/135
1M. DIsa.o!IURE OF lftMS AND AMOUNTS OF LOBIYIST COMPEJllSATDlN (DISCLOSI WHITHER HC'URl Y,
FLAT RATEOR OTHfiR.J.
A) LOllllYlST DISCLOSURE: (Requ....d) t.\OUI ~
8) PRlNOPAL'S DISCLOSURE (OF LOBBVlST COMI'EN$ATICIN): (ReCllllred)
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No: Ani YOU reDl'l!S@ntina a nat-fDr-DI1Ifit CGl'DOI'3tion or entitv withGol: SlM!dal cnmaensati!!!Ul[
,.;mbursement. Pursuant lXl Ordinance No. 2004-3435.
Pursuant to Ordinanao No. 2003-33n _dina Miami Bea~h CIlv ("Nt<> a-.a~r' ArtI~ll! vrt, OiII~on S
Then!Dr Ent~kod 'camDilign Fina~ RBolTTl" Via "Tho! Addition Of' COlle Section 2-488 Entml!d 'Prehibitl!d
Camoaign C"-Of\tributinn~ Bv I nbbv~ an Prnrorem~nt Issues";
Yes
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Yes ~DC
2)
Yes No:
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Are vilu lahbvinn an . D.......~ or Dl!rdna bid for aaods.. eoulDII'M!!!nt: or SI!IIrvI~ ar ftII :I: n....nt
or lIItNtiftCI award for croods. eGuiDment or .service'
PUl'SUZlnt to Ordinal1Cle No. 2003-3395 Amendino Miamlllloach Cilv Code ChaDter 2 /V'lfde VII OMskln 5
tf:1A1'P-nf F~d -Camoaion Finantl! R@form/ Via Tha Alfdrtion Of Corte 5ed:ion 2-490 Entitled 91Pr[j'~
C".amoalan Contributions Bv Lobbvists On Real Estate DevelODment l!~es":
Are VDU ....lIvina on a Delldina aDGlcation far it DevflIaIllftlMt Aareement with the City !![
aDDIiCltian for.nae of mninG maD dsianation or chanae to the atv9. F~ ~ l_ l'4ao?
UGNATURlUHDEll ClAm.
ON ocrOe!R 1ST OF U01 YeAR,. EACH LOIl8YIST SHALL SUBMlT TO TIlE CITY CLERK A SIGNED
STATEMENT UNDER OATH, LI511NG LOBBYING EXPENDnuRES1 AS WELL AS COMPEI.5AnON
REaIVED, IN mE C1TY Of MIAMI BI!AOf FOR THE PlIECEDINCii CALENDAR YEAR. A STaTEMENT
SHALL BE FILED EVEN If 1HERE HAVE BEEN NO exPENDITURES OR c:cr.PEr;""~N DURtNG THE
REPORTIItG PERIOD. ~ ~
Slgnlltull! at Lobby;st
I do soIl!I11nfy swear that all d the foregoing facts are true and correct and that: ] have ~d or am
familiar With the provisions to -rIed in Sect' n 2-482 of the Miami Beach City Code and all reporting
requirements.
Signature of Lobbyist:
Signature of Print:ipaf/Oient
VI.
LOIIYIST IDIN1TI'ICATION
Produced 10 fi) J--
Form oIldentlf1catlon
Personaly I<nown (Lobbyfst)
VII. SIGNAtuRE AND STM4P OF NOTARY:
SI:ate of Floridil, County of Mlami-DcIlle
Sworn to and subscribed before me /l ;1
This "1 clay ~D'" -.
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Signature of Public: Notary - state of F1orid1f
NGtiviRtion of Lubbyist's signature
~1\. Pedro R. C8IIIIo
. ~ j My CommIsIian OO1l11104
\......, ExpireaAprU 12.2007
FOR
Annu.\ R"IJislrIlion fee: ( lYe. ! ] No Amount P ,
LollDVi't R<!giStra\jon Form =eived II>d verified by:
Revised 02/10/04 F; CLER
P1UNClPAL IDeNTIFlCA11ON.
ProdUGed 10 P 0 L-
form of Identification
Personally known (Prlnclpal)
State of Florida. COunly of Mlami-DHe
SWom anti subsa'1bed be10re me
~~~~ -
Signature of PUblic: Notary - State of Florida
NtM:arizatiDl'l of PrindlNlrs s1gllillture
'if; Pedro R, CIII1IIo
. . My Comn\IIIIOIl 00'18804
\.. ":.I Expires ApItl , 2,2007
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.f1\LOBBYISl\L0II8VIST FORi'l 04 ~