Hugh Johnson/Andrew Kramer
01-06-05 11:<<
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FROM-PATKMAN LEWIS.JIP
305-3T8Z420
T-770 PD3/04 F-833
lD
.......
aty of Miami Beach Office of the City Oerk.
1700 conventit)fl Center Drive, Miami Beach, FL 33139
LO"llBYIST IU:CISTRA TION FORM
Lobbyist _~ al f*'SOI'l5 I!l'Ilptlled or retain~, whether pakl 0< no!;. by a pIlndpal Who ~ !O _rage the passage, defeIt
or modIIIaKion rAiny onlinanc8, rISOIUCloll, a:Uon or deCISIOn d.., commIssfoIleI'; any action, cIecision. rec:ommellllalion of the
oty Manager or JIlY cIly board or commilllle, or .., actiOn, deCISIOn 0< _mencIIllOfI 01 any city pe_ "* IiJrtng the lime
period of \tle entire cleciSIOn-makln procIIS5 ClI',lUdI aaion, deciIion or ,ecommellda1lon lIMIt for-.abIr will be heard IIf revteweCl
by the city ~ or . city board or all'llmillIle. The term speci/IcaIly ilQICIes the pIlnCipII M well M any empicI'fee ItfP!II(I
In lobb\'Ing ildMlies. TIle term "'Lo..,"*'I_.-cIfic ud--. PIe8H refw to Ordifta_ 2004-1431.
Whnson fluf}. b. F.
NAME OF L08BYJST: '(FirSr[) (M.I)
v-tu "1'2.. w. VP-:-< fo d Fft .
BUSINESS NAMe AND AOORESS (NlImber ancr streeC) (CIty) (SUIte) (~3/5
OJf3lf,. '7tPlf-nso "SV'-7~Y.-~7 3/ Ii iti1n~h(3arch4. 7. fie
TELEPHONE NUMIlfR: FAX NUMBER: V EMAlL:
I. AnI;'W~er-
NAME OF PRlNOPAl,fWeNT:
~~ME~D~ (;;f4~!.!!J ~LLIN{~,. M/A-M ~~/7,~.~~~cr
77~ - ~-S3'f't 1)05"-53/-/87'1
TELEPHONE NUMBeR: FAX NUMBER: (0ptI0lIal) EMAlL: (0ptI0na/)
Fill out this Hdion if prind", ... Cor,.,....... ......._.... ... TNIt [SediOn z-4IZ (e)]
. NAME OF CH1Ef OFl'lCER.l'AATNER, OR BENEFICIARY: A-N~ /<.t<A.M~
. ~F'r All PERSONS HOlDING, OlRECTLY OlllNDlRfCTL Y, A ~ OR MOR! OWN!RSHIl' INT!AI!ST 1M SUCH (
CORPORATION, PARTNalSKIP OR TRUST:
II. SPECIFIC LOMY 15SUE: ~ F~"'" Z" 7..1- /1/ I ~ au. =r~ ~
H'fgroIZlD P~N 8~ , I!7U(YP(NtP ~
Issue !O be Iobbled (lleKribe in detail): I
m. CITY MiENc:lES/INDMDUALS 10 II U.IUID:
A) l'uIl NiNne of lndividull/T1t141
I) Any FinMCiill. F.-i1Nll or JIrofaaioHI RIAticHnhlp
01-06-05 11 :.. FROM-PATHMAN LEWIS,JIP 305-3792.20 T-770 P04/0. F-833
IV. DISCLOSURE OFTERMS AND AMOUNTS Of L08l1VIST COMPENSATION (DISCLOSI WHETHER HOURLY,
F1ATRATEOR 07HER): I f I ~ I
A) LOBBYIST DISCLOSURE: (RequIrId) ./J I -?tJ . rrhocAr- / bi l ~r\f)U~
R) PRlNCIP~'S DISCLOSuRE (OF LOBBYIST WMPENSATlON): (Req\Iired). S G k of ~ Q.~
The following Information must be al1swerwd:
1) Pursuant to Miomi lkach City Co:le Section 2-488 Entitled "Prohibited CamP. Contributions By lobllVists
On Procurement Issues-:
n Yes K No: Are VOUlohbwina.: =~~====1IIDInent 111'....,...... twon a
, DreSeIlt or "ndina _rei for!l!lllll. .lpmMt or servic:e?
2) Pursuant to Miami Beach City Co:le 2-490 Entkled "Prohibilled Campaign Contributions By lobbyl5ts On Real
Estate Development Issues-;
"""-- II'No: Are VOII Iobbvlna on a Dt!!ndina aDDIIatiDn fDr ;I DeveIoa~ __nt with the ~ Il!'
~ aaolleatlon for......... a' ftHIIna maD .--....-...=- .. ct....... ttw atvtc Future bnd Usa
ttul
3) Pursuant to Miami Beach City (:ode 2-484 (1'1) At"I perwn (except those l!ICempt from the definition of
"lobbyist" as set (Qr1h in Sec:ticn 2-481 aboYe) who only llPPCOrs as a lepleSeMlIti..e of il 11Clt.fot"jllofit
corporlltion or c:ntiy without special <XlhlPl!tlSiltlOn or reimbur5emenl: for the appearance, whIIher dlnld:, or
indirect, to l!llJll'I!SS support of C~ opposItIOn to any item, shall registl!!' with the clerk as required llV this
section but, shall not be required to pay any registnItion fees..
o Yes ~o: Are ~ ~~ alHlt-for-lll'Dfil: m1_8I:ion Dr Mtilv wiIIIaut "I COIII-~
I or ......~~ .
V. SIGNAnJRE ,,"DIEtl OAT"'
ON OCTOBER Iff OF EACH YEAR. fACII LOUYIST SHALl. SUBMIT 10 THE CI1Y CLERK A SIGNl!D
STATI!MENT UNDER OATH, U51DIG LOBIlVJJIIG ExPENDllURES, AS WELl. AS COMPlNSAnON
RECElYED, IN THE CITY OF MIAMI IEACIf FOR TIE PRECEDING CALENDAR YEAR. A STATEMENT
SHALL BE FILED EVEN IF THERE 1tA~ DUN NO I!XPENDIlURES COMPliNSAnON DURING THE
RI!POR11NG PERIOD.
I do solemnly swear that aI of the foregoing facts are true and
familiar with the provisions conta In SectIon 2-182 of the Miami Beat
requirements. /
Signature of Lobbyist;
Signature of Prindpal/Oient:
that I have read or am
Oly Code and all reporting
VL
L088VISr IDENnFlCATION:
PRlNCIPAL IDENTIFICATION:
o procluced ID
Form of Identification
~Personally I<nOWn (Lobbyist)
VII. SIGNATUH AND STAMP OF N01A1lY:
State of Florida, County of MHlmi-Dllde
~~+~ ~
~~~~
NatarIzIItIon of I.obIIybt's signature
o Produa!cI JD
Form of Identification
~ knOWn (PriIlcipal)
State of Florida, County of Miami-Dade
Sworn and subsaibed before me
".~~~
Signaliile of PublIc ry - Florida
NoIarb:MIon of PriRc:ipal'. signature
=:-..":':,";;.. ...'::.'..':... ~~~~<11--"".. J 'I'~I
f:\CLER\$ALl\MAAIA-M\I.ClbbvlSt\l..CT Q:M~___ =::::::: RaIIioed ,,1~ .
G) G) CHAISTOPEA LANSDALE
CHAISTOPEA LANSDALE MY COMMISSION (I DO 020701
MY COMMISSION (I DO 020701 EXPIRES: June 22, 2005
EXPIRES: June 22. 2005
'-<<X>3-NOTAAY Fl NollWI' SeMce & 1loncIIrQ. Inc.
1-800-3-NOT AAY FL Notary Service & Bonding, Inc.