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Pargament, Mathew / Philips Sou Oc.t 21 04 07: 1510 BureautiCllue 00000000000000 10.2 ~'iilRri Be....h ~ 'ijfr .2UU3 lD - City of Miami Beach Office of the City Clerk 1700 Convention Center Drive, Miami Beach, FL 33139 LOBBYIST REGISTRA nON 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 exdusions. Please refer to Ordinance 2004-3435. Y?A~ ~AM(::.NI M J+TH-E \tV / ~E..OF LOBBYIST: (Last) , (Rrst) (M.I) r~t l'r~ b.oL.t.'f1..t. ~L"-~ LLC- ! . iA ^ d t?"'-. I~ r ~ 6.-rfl. CG.........fo . I ., f:) I G, I ( ~ 'i. ~ I' ,- 1 {Ct ~. r~d, ( Fe.. 3!J /39 BUSINESS NAME AND ADDRESS - (NumWand Street) (aty) (State) (Zip Code) ;3 D S -(p 75"""- 3 I &-0 3 0 r;:- (PC; ~- - .,.;J. 5"..$ - f111l11fG'vJ- PIf-/l('ItME,J:f ~IUANfflvrfi... TELEPHONE NUMBER: FAX NUMBER: EMAIL: ~ COW\ I. LOBBYIST RETAINED BY: ft., of IpS" 50 u.- ~ &.1i.e..4 I L LC- NAME OF PRINOPALjCLlENT: I (jot Coil,",.,. ~ !lv.etV.U1 /t/~ ~- BUSINESS NAME AND ADDRESS (Number and Street) -3 () 5'-&q t;'- 3/00 TELEPHONE NUMBER: c/-/t / A- , ~ ~hOV'L C-~ /!;.u-cL, (aty) Ire- ~ 3/-) 7 ( State) (Zip Code) FAX NUMBER: (Optional) EMAIL: (Optional) Fill out this section if prindpal is a Corporation, Partnership or Trust {Section 2-482 (e)) NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: M Il'T ItfM) I'I/t(6M 6Vr, G?-E:/'JGtz ffL MIfIJNiEte... . IDENTIFY ALL PERSONS HOLDING, DIRECTlY OR INDIRECTlY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: SE-G. DI SCU;f'U.ll-tf ;l4flrc4-E~ b/EICC70 /'f7II.P /JU..D,e-Pt>IZfi"'I€'D H6QJ;.ol . S"'~1fIC l.08BY ISSUE: CG!)rc!;;...H Cf"C:lI , U~ perm 1'+ No rr {,,( ~ r-a (l J' J::.y8t1 re:.. II. -rifE 5Ho/lK. Cl.v<.S /NC'{-4 ooJ(" ftJ f..(<t Issue to be lobbied (Describe in detail): III. CITY AGENCIES/lNDIVIDUALS TO BE LOBBIED: A) Full Name of Individual/Title B) Any Financial, Familial or Professional Relationship f\t4.f 0 r t.i h~ ""-/loll S S I 0,., e..rs: ) IJ 0 11 <:- t::~.-l.. ~ If.., ~' t!J t~ &~ .Ald.MU'"! ,rfn.;b;'" (~ fb(J --n/-f NOne-- ~ C--e>'"'1.... r ."...~ e..f L ;vvt".( Y\ T f.L/1. '"rV\. l-t.S I" b 0 Oct 2104 07:16p BureautiClue 00000000000000 p.3 .. Yes 1) Pursuant to Ordinance No. 2003-3393 Amendina Miami Beach Oty Code Chaoter 2. Article VII. Division 5 Thereof Entitled "Camoaign Finance Reform" Via The Addition Of Code Section 2-488 Entitled "Prohibited Camoaiqn Contributions Bv Lobbyists On Procurement Issues": Yes 2) Yes Q v. Pursuant to Ordinance No. 2003-3395 Amendina Miami Beach Oty Code Chaoter 2. Artide VII Division 5 thereof Entitled "Campaign Finance Reform". Via The Addition Of Code Section 2-490 Entitled "Prohibited Campaian Contributions Bv Lobbvists On Real Estate Development Issues": Are YOU lobbvinQ on a pendina aPDlication for a DeveloDment Aareement with the City or aoplication for chanae of zoninq ma~ desiqnation or chanae to the City's Future Land Use MaD? SIGNATURE UNDER OATH: ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED STATEMENT UNDER OATH, LISTING 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 EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD. ~ f2 , Sf9~lst 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. -R Signature of LObbyist: Signature of PrindpaljOient: VI. LOBBYIST IDENTIFICATION: I J Produced ID I. I Produced ID Form of Identification I t' Personally known (Lobbyist) VII. SIGNATURE AND STAMP OF NOTARY: Form of Identification L~erSOnallY known (Prindpal) State of Aorida, County of Miami-Dade Sworn a~d s I fore This~d of 11; Sylvia. Dlaz . My Commission CC817S30 \;Of~ Expires October 25, 200' 1lJ SylvIeDlllz . . MyCommlsslon CC977530 ~.,~ Expires 0eI0ber 25, 2094 / FOR CLERK'S USE ONLY 9 Annual Registration fee: [ \I'l Yes [ ] No Amount Paid 1.'5~{) .MCR # ;Z 12- 00 Date Paid Lobbyist Registration Form received and verified by: ~ ~ Revised 02/10/04 F: ClER\ALL\MARIA-M\LOBBYIST\lOBBYIST FORM 04 11/ u./ tJlf 0'~ Page 1 of 1 Calderon, Paula From: Aitachmes@aol.com Sent: Tuesday, November 23,2004 11 :11 AM To: Calderon, Paula Cc: Christinaoffice@aol.com Subject: Shore Club lobbyist registration Pursuant to your conversation with my assistant, with regard to the lobbyist registrations for Mathew Pargament and I regarding Shore Club, please change the subject of the lobbyist registration to read the following: "conditional use permit regarding SkyBar". If there is any problem with the above, please contact me promptly. OthelWise, we will assume the registrations are acceptable. Thanks. Alexander I. Tachmes, Esq. Alexander I. Tachmes, P.A. 2 South Biscayne Blvd., Suite 2630 One Biscayne Tower Miami, Florida 33131 Tel: (305) 350-1940 Fax: (305) 350-1890 E-mail: aitachmes@aol.com 11/23/2004