Maxwell Joel/El Ad Group FL LLC
~
,
Oty of Miami Beach Office of the Oty aerk
1700 Convention Center Drive, Miami Beach, FL 33139
LOBBYIST REGISTRATION FORM
I.dlbylst means II persons empICJyed or retained, whether paIc:I or not, by a principal who seeks to erlCXIU"IIge the passage, derut
or modIIc:ItIon d Wtt Clfdkance, resolution, Id:Ion or decision rllny commissioner; any lld:Ion, decision, recommendation of the
CIty MInIger or InY city board or commft:tee; or Iny 1CtIon, dedslon or recarnmendatIon of any city perSOMeI du'lng the time
perIocI of the mtIre decIsIan-rnaldng process on sudllld:lon, decision or reconvnendItfon that flnreelbly wI! be hunt or reviewed
by the city awnmiSSIon, or a city board or CXlIMlittee. The term speclflcaiiy Includes the principii IS well . lIny empIovee etPIJIId
In lobbying Id:MtIes. the term .~ .... .,.cIftc uduslons. PluM reIer to Ordlnanm 2004-3435.
MAXWELL
JOEL
NAME OF LOBBYIST: (Last) (FIrst)
ONE S.E. THIRD AVENUE, 28th FLOOR, MIAMI, FLORIDA
BUSINESS NAME AND ADDRESS (Number and Sb'eet) (ety)
(M.I)
33131
(State)
(Zip Code)
":ln~_":l"..d._I::;.&..nn
TBDHONE NUMBER:
'1nC;_"2iA_c:.nOr;
FAX NUMBER:
EMAIL:
L LOBIYIST RlTAlNED IY:
EL AD GROUP FLORIDA, LLC
NAME OF PRINOPAl/alENT:
l:tJ 0 {U () IJ'-A'- ~
BUSINESS NAME AND ADDRESS (Number and Street)
Lj1lJf~~~-r~ i-L
) (State)
8'2/31
(2Ip Code)
TB.fPHONE NUMBER:
FAX NUMBER: (Optional)
EMAll: (Optional)
FlU out thls.-ctkNIlf principal Is . ~ Partnership or Trust [SectIon 2-412 (e)]
. NAME OF 0iIEf OFFICER, PARTNER, OR BENEFIOARY:
. IDENTIFY ALL PERSONS HOLDING, DIRECTlY OR INDIRECTlY, A 5~ OR MORE OWNERSHIP INTCREST IN SUOi
CORPORATION, PARTNERSHIP OR TRUST:
0. SPECIfIC LOllY ISSUE:
BOARD OF ADJUSTMENT APPLICATION
Issue to be lobbied (DeIa1be In detaII):
ID. CITY AGENCIES/INDMDUALS TO II! LOIIIED;
A) Fun Name 01 JncIlvlclual/TItIe
.) Ally Flnanc:81, Fllll'ln... or Prof....ouI R..tIonshlp
BOARD OF' ADJUSTMENT
...
IV. DISCLOSURE 01' TERMS AND AMOUNTS OF LOalYlST COMPENSAnOH (DISCLOSI WHETHER HtJIIIU.Y,
RAT~"" OIl D'1HIIO
A) LOBBYIST DISO.OSURE: (...........)
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST OOMPENSATION): C....uIred).
HOURLY RATE
HOTT1:/I,Y :R1I~
S350.00
The following InfonMtlon must be answered:
I) ~ = CIty QxIe SeclIon 2-488 EnlIIlod -_ CampoIgn ~ons By LabbyIsIs
~ =: Iobbvlna an a .......nt ar aendlna bid for aaads. I!aUIDment ar _rul,... ar an a
...-esent ~r aendlna IIWIIrd far aaadL eaulDm.nt Dr ...-vIm?
2) Pu~ to Miami Beach CIty Code 2-490 EntlUed "ProhIbited Campaign ContrIbutIons By LcbbyIsts On Real
~ 0eveI0pment Issues'":
nY_ .l"t Ant vaulabbvlna an a ..ndlna aDDlbtlan far a DevalaDment AanNHllf!nt with the CItv ar
~ aDDlleatlan for chan. of zanlna maD deslanatlan ar chana. to the! CIlv's 'utu,.. Land u..
HIRZ
3) Pursuant to Miami Beach CIty Code 2-484 (h) Any person (except those exempt from the definition d
"'lobbyist'" as set forth In Sed:Jon 2-481 above) who only appears as a representative of a not-for-protit
corporation or entity without special compensation or reimbursement for the appearance, whether direct, or
IndI to express support d or oppcsItJon to any Item, shall register with the clerk as required by this
but, shaD not be required to pay any registration. fees..
Dr reimbursement. .
V. SIGNATURE UNDER OATH:
ON ocroBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY a.!RK A SIGNED
STATEMENT UNDER OATH, USTING LOBBYING EXPENDITURES, AS WELL AS COMPENSAltON
RECEIVED, IN THE CITY OF MIAMI lEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT
SHALL IE FILED EVEN IF THERE HAVE BEEN NO EXPENDITURES OR COMPENSAltON DURING THE
REPORTING PERJOD. tJ:? ~
and that I have read or am
Oty Code and all reporting
VI.
o Produced ID
o Produced 10
Form fA IdentJftcatJon
It.. PersonaBy known (Lobbyist)
Form 01 IdentIftc:atJon
o Personally known (PrIncipal)
AMuII RegIstrMlan fee: [ ] Yes [ ] No
LobbyIst Reglstratfon Farm raMld and verIIed br:
F:\Cl.ER\$ALL\MARIA-M\LobbvIst\LOB fORM
ON~ ~76"r/! Date PaId
Revised 12/08104