Bob De La Fuente/BoyMelgreen
lD
Mimni B.,iId1
1lll!I)
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 .LobbylstsW has specific exclusions. Please refer
to Ordinance 2004-3435.
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NAME OF LOBBYIST: (Last) (First) (M.l)
Levu..!) Ie /'Ielree~ Wt.f {'Ie-e/I lieS~,h/P5o /l1/~",. f-l- .n
BUSINESS NAME AND ADDR S (Number and Street) (City) (State) (Zip Code)
3D5 :171 '7;).l{(p 305 s71-9QIi>/ jJeJ""fl/Je~f-e. e hcyt>'le.l~ree,vduTl-/of~rs.
TELEPHONE NUMBER: FAX NUMBER: EMAIL:' C- ';) M
I.
LOBBYIST RETAINED BY:
/3o~A~./ ~('ee,.J
NAME OF PR CIPAljCLIE :
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BUSINESS NAME AND ADDRESS
5.35
JY7/a-l'1i f] eo.ck
(Number and Street) (City)
FL
(State)
33/3 9-630~
(Zip Code)
TELEPHONE NUMBER:
FAX NUMBER: (Optional)
EMAIL: (Optional)
Fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (c)]
NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: S j,(L.'/ r;. B~ y 1'1 e/ g ret!/O/
. IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A S% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST: 5 h (}... If ~ Eo y 1'1 e.-I 9 r e OJ ~
uc ~ er-
Des'~,J R.~i;e."; 8ct>1' . fp'NVt>' for
II. SPECIfIC LOBBY,ISSUE:.. 1/ f';" I'c. e.s' P, ilL ~c..e 'Ct/ll""tf~ e-
Pr,t(\''''''' fof\ S~-rb4-c"- Q. J .. .
f'_,~ ~",""J<:,,,,~ CiJlP"" vA-l r;tJ. /kill}. 'f reloca.hv'</
Issue to be lobbied (Describe in detail): .
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f"1' a. 7/ey rd.Cc.f,,,.
III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
A) Full Name of Individual/Title
B) Any Financial, Familial or Professional Relationship
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~o
O~T-26-2004 TUE 04:48 PM
FAX NO.
P. 03
'""
IV. DISClOSURJ; Of TeRMS AND AMOUNTS OF lOBBYIST COMPENSATION (DISCLOSE WHETHER HOURL Y,
FLAT RATE OR OTHER):
S~/ltry
A) LOaaYlSi DISCLOSURE: (Required)
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required).
ensation or
Yeli
1)
Pursuant t.o ordinance No. 2003.3393 AmendlnCl Miami Bead1 City Code Chapter 2, Artide VIl, Qjvision 5
Thereof Entitled "CampaiQn Finance Reform" Via The Adgltlon Of Code Section 2-488 Entitled ~Prohibited
CamoalCln Contributions By Lobbyists all Procurement Issues":
Are YOU lobbvinq on a present or Dendina bid ~~r :oods. eouiDment or services, or on a present
or Dendlnq award for aoods, eauiDment or service?
Yes
6J
2) Pursuant to Ordinance No. 2003.3395 I\ltl~ndino Miami Bel'lr:h Clt:v COde Chaoter 2. Article VII Division 5
thereof Entltlp.r1 "C:aITlD~lcm..ElDance Reform", Via The Addition of Code Section 2-490 EntltlP.d "~r.cblbltP.d
Camoaion Contributions By I ohhYIst&.Q1J Real Estate Development Issues"'
V. SIGNATURE UNDER OATH:
ON OCTOBER 1ST OF EACH YEAR, EACH LOBI!IYIST SHALL SUBMIT TO THE CITY CLERK A SIGNEO
STATEMENT UNDER OATH, LISTING LOBBYING l:XPIONDITURES, AS WELL AS COMPENSATION
RECEIVED, IN THi CITY OF MIAMI BEACH FOR THE PRECEDING CAl.ENOAR YIiAR. A STATEMENT
SHALL BE FILED EVEN IF THERE HAV!'! BEEN NO EXP 0 ES OR COM PEN" N DUIUNG TliE
REPORTING PERIOD.
)(
I do Solemnly swear that all of the foregoing facts are true and correct and
familiar with the provisions talne In Section 2-482 of e Miami aeach City
requirements.
SignabJre of I-obbyist;
SIgnature of Principal/Client:
VI. LOBBVIST IDENnflCATION:
o Produced ID
I)(,ProducedID ,\)'\\\l\'N>. L\'r~I""~ ~
Form of Identification
Form of Identification
.~ersonaIlY known (Lobbyist)
VII. SIGNATURE AND STAMP OF NOTARY:
~ Personally known (Principal)
State of Florida, COunty of Mlami-oade
Sworn to a subsaibed befO~ me
This dflY of rJt,. to (JII; 20121f
FORe
Annu~1 Reglrttiltlon fee: [ es [ ] NO Amount P
I.obbylst Registration Form I'llcolved and verified by:
Revised 02/10/04 F: C
Signature of Public ry - State of Florida
Notarization of Principal'lll s1gnatu€\'tl
"LLi' M\LSH; New'iorl<
,.. ublic Slate 0
Notat'/ ~ 0","\6026590 '" 7
,,0. ...' n~ COUll., 0
aualified in I',n.;:;;,. 11.. 20 ~-
. . on EltP\f.S
comm\S~\
*;cit # 2--7 ? K? Roaee Paid