Scott Mitchell/Stan Ray
[t~OL ON XH/X~] 8t:91 NOW to/LZ/60
09/27/04 .O~ 15:18 FAX 3053786010
GY&S,P.A.
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City of Miami Beach OffICe of the City Clerk
1700 Convention Center Drive, Miami Beach, R. 33139
LOBBYIST RECISTRAnON FORM
lotltJvlst meinS III pllt50nS employed or retained, wtII!ther IlIld or not. ~ I princlpil who seeks to encour.se the lNaage, det..
or modIfklbQl'l Of InY Qfd1naftCle, resolution, iICtSoo Cll' decision fA any cammiSsioner, '/IY action, clec5iCln, recommendation of the
CIty Millagei' or illY city baird or committee. or in1 dlln, decision Ql' FlXlOmmet'ldallorl of any city f)4l'SOt1l'1e1 defIrwd In .".,
milnner In this &ection. during the time period CII the entire decision-malclng p~ on Mh Ktiun, dadSlOl'l or recommendation
that fareseeebIy wit be heItd or reviswcd by tM dty comml!llSiOn, or I clty ba'cI or commltalt. The term 5pcQfiClllI/y includes the
pnndpal is Wllll as any lI~yee im!1fged in ICltlbylng KtMties. ftll f8rm .1.aIa~ INs spadfk: eKe'...n.. Pi.... rlller
..---..... (!JJ-c~e;LI Se;tt ~
NAME OF LOI8V1ST: . ( (first) (M.I)
All out tlu. 1ec:tiDn if prlnciDIII is . Corpgr.doa, ,isllMrlhlp . nwt l....... 2-41i (c)J
. NAME OF OIIEf' OFFIaR. PAI\TN(R, OR IEN!flctARY:
. IDeNTIFY AI.I. PEAS0N5 HOLDING, DllUc:rLY OR INDIRECTLY. A 5' OA MOR! OWNERSHIP INTER!ST IN SUCH
CO~TION. PARTNERSHIP OR TRUST:
D.
"Ea~.BJ ISSUI:
I I tf~
Issue tlD be lobbied (Daaibe In deQil):
IlL CITY AGEllaU/INDMDU"... TO 81 ..ceBIED:
!
A) ,.,11 ....... 1II'lndl'fIclUllfnae
') Any ,....nciM, hmmel tM' ProfeAlIOMl Relati....lhip
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Or.'nT nr.r.7 17 N~~
7 J OOTC"COCO. Y'P.J
..,U I T ILl..... ~ In..,UAU
[tZOL ON XM/X~] 8t:91 NOW to/LZ/60
09/27/04 ION 15:18 FAX 3053168010
CY.S.P.A.
fiI 003
IV. DlSCLOS~E Of' TERMS AND AMOUNTS Of LOUVUT COMPIlfSATlOfI (DISCLOSI WHETHER HOUlfl Y,
R.ATRATEOIC OmIR): ~
') LClIIm51' _,.: 1_0) $ :l '1 0 ~ ~
f AI. 'S DISClOSURE (OF L08BYlST COMPENSATION): (...1Ntf) . 2 ~
I
Pursuant to OrdInance Ito. 2aG"M1L
o / IJ,,-
,
n
1) Pursuant tel 0nI..1KB 1iIID. ':HMd-!:193 Amending Miami .......'" CI:y Code ~ 2. Artide VIl. DilIlllan 5
Therecl !nHl'!.rl "Cam~jgn FiMl'lC8 Retorm- Via .". ~1tIcn Of COde S8ct1an 2-488 Entlded "fIrehibit8d
~ ;;':;;:'~=--"__."OD.'-
2) PUl9Jarl to DrdiMlUll No. aa~313g!!lAJ:nendln9 Miami Beach City COd. Chaotl!lr 2.. Artk:le VllDIvi&ian 5
__ ~:""'_. "",Tho _Qt~_ ,_ _ .............
.JJL{);~~~:'~~~=~;;~..~
V. SlIItA1U1lE UNDIEIt OATIl;
ON OCTOIIIR s.'" OF EACH YEAR, IACH LOBIYU'f ..uLL
STATlHlNT UNDER OATH, USTlNG LOIBVJNG IXII!N
RBCI1VED, IN l1'II cnv OF MJ4MI IllACH FOR THE
SHALL BE PILED EVIN IF THERE HAVE llEEN NO EXP
RIPORTlNG "RIOD.
I do solemnlv swear that all of the
familiar with the provIsIons c:ontaln
requirements.
Signature d lobbyist:
Signature r:I P!incipal/Oient:
VI. LOa8YJST IDEJtI'I1lICATlON:
read or am
all reporting
Produced to
Folm fA ldenltt1cit1on
~~Y~(L~
VII. SlGNATUM AND STAMP Of NOTARY:
Produced m
~rm dIQPV'
~CIlIy known (Pri';;;""
!tete of Florid., County or Miami-OlCle
SworIJ.t~ ~bscrIbed me J'oU.
ThIS:KLday of 2~
~"'I''''
"Ii ..i "'~lIj.rA.IlIIII"J'
" ., ....~a.._
,.fc1(\\c-
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re te of Flcrlda
Notarization of LoIIbyiat'. IIignMlon
r-------- -,
i Annuli Regt5trtt'ion fee: (~/ J No Amounr
Lobbvtst I'egIl1r1tion Form rlC8ived and verified by:
Revised 02/10/04 F: CL
N~ a7:;)')~'1 ~..DiltO Paid 9'/2If/ D if
.M\LOBBYIST\LOBBVIST FORM 04
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