Stuart Kapp / North Fork
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JAN-19-20I1lS 111l:132
CITY MI~I BCH CLERK DEPT
311lS 6737254
P.11l3
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City of Miami Beach OffICe of the City aerk
1700 Convention Center Drive, Miami Beach, A... 33139
LOB8YIST REGISTRATION FORM
Lobbyist _ all perIOM empJgyeCl 01' reIiIIflell. .vhelher pald Ot nar, by . princ:IJgI who ... III enc:DUI'lll8 the PHUge, defett
or madlfleallan at any arcIIrI8nce. resdutlcm. action or cIecIslan of any commlsiloner; any aaian. dedslan. ~lMII!lIdatlOl\ at !he
OIY Milnl9" or any dty IlCIIIreI or __. lII' any IICIlon, dlCislon III' ",Cl)llIIIleIldatiarl of any dtY personnel defiMd In any
manner In lhi5 MCtiOn. dlA'illll the time ""nod of !he Ill1Iire decillion-making prclaIS on suc:h Ktion. dedslo" 01' l'KOlI\/T1~n
lhat ~V will be hNreI or re'o'illWed by thCI CitY c:ommillian, llI' a city bOard or CCJl11II1llIK. The term spedfi~lv Includes t!1ll
{IIlndlllll as well .. any etnpIoywt fII9M9Od itIlClObying KtivitfeS. The term -LoIIlIybtll- IIu spec:if\e uc:Iu5io.... PIe.... rere.
1IO Ordin,"a1 ::I1I04-:M35.
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(first)
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(ZiP Calle)
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NAME Of' LOIl8Y1Si: ~ ~LaSt)
---p(ef.twf~(t. LL-P 2"ls.r61,,,kJ p.,..,(
BUSINESS NAM! AND ADDIl.ESS (!lumber and StnItlt) (OIYl (Stille) '~
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. LEPtlONer~IJMIIER: FAX NUMBER: S1 f - ft,;.J.. <(I 7ivr
L LOUYDT RETAINED .VI
NAMEOF~~~~K~:.~~t( M ~.f.or W~~
C/O r/o.$'f'.f.vtr. ~.i~' l-t..-P )..t..':I-~- 6/~/(lJ fl.,)" XC: 3VG~.
8USlNfSS NAME AND ADORfSS (N..... and Sll'ltl) (OM (St,m) (Zip Code)
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fAX.I'l\JMBEIt: (Optiol1all EMAIL: (Op&l""")
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Tl!LEPHONE NUMBfA:
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.fill aut d1........ if ''''c1J111I is I ~ I'UtMnhlp II' "A'uat [5ectIoII 2.-48::1 len
- NAME OF OfleF 0Fl'ICER. PAI(TPlfR, OR BENefICIARY: t,AJ; l! ( r.. - s: '" ~e """ ~ ~ """
. lOErmI'Y AU. PERSONS l1OI.DING, DIRECTLY OR INOIIlECTLY. A 5" OIl MORE OWNeASHlP INTER!ST IN SUO!
CQRPOAAUON. PARTNERSHIP OR TIWST:
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I) loA, Pllllllldel" F.miIIllI ... '!'O''''''''' Relatlonclllp
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TnTAI P _ A'I
JAN-19-2005 10:03
CITY MIRMI BCH CLERK DEPT
305 6737254
P.0i/01
N. ..............................~ _......,........ ""..... HOlI" Y.
PLATRA,"OR OTHEtI.): it ...-........_~ <<. 3.e ,r-
A) LOIIIIY1ST DlSCLOSIJlle: (Required) -. .. 0-
.........
H) P1UNCIPAL'S DJSCLOSllA! (OF LOI.lBYIST COMPENSATlON): (Requlnd). '.
V_ 61 =~ __I'ltina a nDt-fo.....rofit t:anIClrlItIon or entity wItho~~.. mmHnsatian or
II PurlUllnt to Ordillilnc:e No. 2lIOol-343S. '"
1)
Pursualll: to OrcIIl'Ian~ No. 2003-33931 Amendlna Mlaml &lad! CitY Cede p.aater 2.,AitlcIe VII. Divt5ion 5
Therl!lo/' Entitled "Camoailln FlnllllO! Refann. VllI ~ Addition Of Code Sectlcn 2-488 Enbtled ftPmhlbiled
~moalg,n awrtllutlons fly lnIlI1YIsrs On ProQImml!nt Issues": '--,
~:: ~= Dn . If-r- 6r -..dlnD bid for CIIIDd!I. eaulDlIHlnt Dr _...a-.. 6r tin _ D_nt
.'aendlna ..ani lot ClfItMI&. eaulDment ar _Nice?
v.{9
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2) Pursvanl: to Orlllinana! No. .3-3395 Amendlno Miami Bead! City l"'tvIoo ChIlDtl!r 2. ~e VII DIvision 5
~ Enlllled ftCllQ)nalgn Flnllnat Reronn". VIa The Addltton Of Code c:..tflon 2-490 Enlit1ed ftPrcl\ibited
CamDlllgn Olntributlons BY Lobbvists On Real EsI:Jlte ~1IIT1l!IIt ~.;
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v. SlO"ATURE UNDER OAlltl
'. '.. ON ~~ 1";'''0; W:H' YuR,. ~'LoDv:isT Stw.L SUBMIT TO THE' ~ ctiu. A ~D
STATlMINT UN.DER Wi''', usnNG I,O"~ EX'JNDn\IRES, AS WfU. AS COMPENSATION
RECEMD. IN lHE;CTY OF.MiaMX'.81ACH.l'DR THE PItlCEDING CALENDAR YIAR. A STAnMENT
SHALL BE PILED 'EVEn 'If THERE HAYE BEEN ND EXPENDIIVRES OR COMPINSAnON DURING THl<
REPORTING "ERIOD,
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. ',..' -',\~, I do ~1'I,^swear'that' all of It1l! foregoing faC\$'t life true 1111lf correct ..
familiar witti the provlslons contal In Sec:IlOn 2-482 of the Miami Beach
t . . requirements. .
SlgnabJre of LobbyIst:
Signature of Prlncipal/CIient
VI, ~nsT IDENTlJIJ~1lOJt: .'
! '. ';0 ~ , .,' 1 to... v. : ,.t . ,".' " .
Produced 10 F/ on; //~P~rG
Form d Identj1laltilln
at i ~f! read or am
Code and all reporting
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PltIIft:lPAL IDENnI'Ic;ATIOII:"..- ~
Produced 10 V Y e ~
I'onTJ of Identlllcation
per9Cll'llllly known (Lobbyist)
vu. SJGNAnJRE AND STAMP OF NOTARYI
, ..:' $tate dr. ~, County Qf:H~r:nl-Dade' ;,
, Sworn to . e me rv I
This . . fJ.11t. p . ~O.i.{1'" . .
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Personally known (PrIncipal)
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fORClE~LY '/
Amualllolglslrlllan fee: [ y~ ( 1 No Mlourlt PaId MCR /I I Date P .
Lobbyist ReglslJ'a~Qt\ Fonn ~ ..nCl vw'&d by: .
IloIYlsed IlVlOf04 F, Q.ER\ALL\ - aElYIST\LOBBYlST fORM lH
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