Kasdin, Neisen / Terra Inv.
GY&S.P.A.
I4J 002
11/05/04 10:26 FAX 13053766010
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City of Miami Beach Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139
LOBBYIST REGISTRATION FORM
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L.gbbyist means an pef5Ql\S empIllyed or retained. whether paid or "or.. by a prindpal who seeks to encourage the passage, defeat
or modi~ of iII1Y ordnal1te. resolution. KtiOn or decision gt any l;ommissiol'lel'i iIf1Y amDn. decision. recommendillion of the
CIty Manager or MY d\y baiIrd or eammiltel!i or MfY ildion, dedSlon or recommendation of any Of!f personnel defined in ilny
maMef' io this se<;tion, during !he lime periCld af the entire decision-making p~ on such aet;an, deCislon Dr ~
that foreseeebly will be h8i1rd or nNiewed by ltle city <;OlMlission. or a dty board or committee. The term iiJ)e'dfic:il1ly Includes the
princip;ll as well iI$ any emQIoyee tmgaged in lobbyiog activitieS. The term -Llll)byistS" hilS specific ndusioru. PlIIaSe refer
tv OnIinanCII 2....3435.
JU\-?,p J rJ
NAME Of lOBBYlSf: (last)
o.
(M.I)
BUSINESS NAME AND ADDRESS
30S~51&~ (PO~)..
TElEPHOItE NUMBER:
1. LOIIYIST RETAlftED IY:
:r~A. I tJf(Z;,6TNf.,N~S ( (t0C-
NAME OF PlUNCIPAU'OJENT:
50~"5 Co ~IrJ S A1r~. :Jl-Z,:30Q rvuirnJ f!:xA.d\ (:L 3"3 Jet 0
BUSINESS NAME AND ADDRESS (Number and Street) (aty) (State) (Zip Cede)
305. 3&lo w770, 305 . fSloG, - qSq tf
TELEPHONE NUMBER: FAX NUMBER; (Optlonal) EMAlL: (Opdonal)
Fin out this sectiOn If printip8llls II eorp.tation, PiJrt11ershlp or Trust [SediOn 1....2 (e)]
. N,lV4E OF OUeF OFfICER, PAl{fNER, OR. BENEFICIARY:
. lDetmFY ALL p~ONS HOLDING. DIRECT\.Y OR INDIRECTlV, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPOAAl1ON. PARTNERSHIP OR. TRUst:
D. SPECIflC LOBIY JSSUE:
~OLh~ s-arI\JDS ~k1 5t~ NtU'l ~vctL
Issue to be lobbied (Describe In detail): P
III. CI1Y AGENClES/INDMDUAlS TO IE LOI8IED:
A) F. Nilme 0' JndmclualJlltle
II) Any fi".nciill, Filmilial or Proressio".1 kellltian5llip
NOf\J~
rJONE-
11/05/04 10:26 FAX 13053766010
i'
GY&S,P.A.
@003
IV. DISCLOSURE OF TRMS AND AMOUMTS Of' LOI8Y1ST COMPeNSATION (DISCLOSE WtlElHER ~OURL y,
FLA T IlA TE 011 OTHER.):
A) LOBBYtST DISClOSURE: (Required)
B) PRlNCPAl. 'S DISCLOSURE. (OF L061MSr COMPENSATION): (lleqUired).
e .=,:OU reansentlna a not.for-drofit mnKlnltion or entitv wItha< saeaal comlH!!Mation ar
bu nto Pursuant to ordinance No. 2004.3435. .
Pursuant to Ordinance No. 2003.33'3 AmendlnQ Miami Beach Oty Code Chaoter 2. Article vn. ~ S
Thereof EntltlEld "Carnpalon Anance Reform" 'Ira The Addition Of Code Section 2-488 Entitled "Ptohibiled
Camnaign CDnrrll;!utions BY Lobbylsts On PnnJO!ment Issues":
Yes
Yes S
2)
Yes ~
Y.
J 875,0'0
4f. 375,0-0
1)
Are YOU Jobbvinq on a Dresent CH' _ndind bid far aoods. _uiDment or services. or on a Dr ~
9r Dendina @Ward for 9DOdS. eauhllnent or set'Vic:e?
PI.Irwant to Ordinance No. 2003-3395 Amendlna Miami Beach my rmp ChaDter 2. Article vn Division 5
~ Entitied ~CamDaian Finance Reform" Via The Addition or Code ~on 2-490 Entitle:! "Prohibib!d
Campaign Contnbutlons B\I Lobbvists On Real Estate DevelODrTEnt ls!aJes":
Are YOU lobbying on a pendina apalimtion for a DeveIoDment AGreement with the C1tv or
.QDlkation for chanae Dr zonina maD desiGnation or chanae to the City's Future 'JInd the Maf?
SIGNATURE UNDER OA1M:
ON OCTOBER 1" OF EAOt YeAR" EAot LOBBYJST SHALL SUBMIT TO ntE CITY CLERK A SIGNED
STATEMENT UNDER OATH, usnNG L088YING EXPENDtTlJRES, A5 WELL AS COMPENS&1l0N
RECEIV!D, IN THE CITY OF MJAMJ BEAOI FOR THE PRECEDING CAlENDAR YEAR. A STAlEMENT
SHALL IE FILED EVEN IF THERE HAVE BEEN NO EXPENDrru~!7/rPENSATJON DURING THE
REPORIlNG PERIOD. 'f!f!':( _
Sigl1ilture of lobbyist
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 contain in Section 2-482 of the Miami Beach aty Code and all reporting
requirements.
Signature of Lobbyist:
Signature c;I Prindpal/Oient:
VI.
LOBBYIST lDEN1IFJ:CATlON:
PRlNQPAL IDENTIFICATION:
:: Produced ID
:: Produced ID
Form rI Identification
'f Personally known (Lobbyist)
vn SIGNATURE AND STAMP OF NOTART:
Form of identification
v"rsonally known (Prindpal)
Slate of Florida, County of Miami--Oade
Swam and subscribed before me ,/
This ~ay of ;V tilJF'/I/,bGiflO.!?. Lf
0). ~ NYDlAR. MARTW
. . ~ MY COtM.tSSION # DO m13l1l
- . . - EXPIRES: July 17, _
8IMHTfmI~ P....llIlde_
~~ MY COMMISSION II DO 053918
EXPIRES: AugUSl29, 2005
lIondecI Thnl NcltiJy Pub/lQ Undllw11lerl
____ FOR
MllU~ R.eglstratiOl1 I'ee: ( ] Yes [ ] No Amgunt
Lobbyist ReglstratiOll Form receiYl!d and verified by:
Revised 02110/01 F: ER:
~~ "~te P~id lIl816 ~
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M\I.OeaVlST\I.OeavIST FOR.M 04