Robbins Kent/Sobe USA LLC
\:.~'nl H".lft'l
m
--"~
'iiii'
-
~u,
City of Miami Beach Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139
LOBBYIST REGISTRATION 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
Cty Manager or any dty 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 foreseeabiy will be heard or reviewed by the dty commission, or a dty board or committee. The term specifically indudes the
principal as well as any employee engaged in lobbying activities. The term "lobbyists- has specific exdusions. Please refer
to Ordinance 2004-3435.
NAME OF LOBBYIST:
,(o~ 5
(Last)
~t
l2Z
BUSINESS NAME AND ADDRESS
305 532. 0500
TELEPHONE NUMBER:
(First)
lYJiM1f 1& C(
ber and Street) (Cty)
3b5 'O3l 0(50
FAX NUMBER:
\t-
(M .I)
351
(State) (Zip)
Kh( obb @. ~ ~+il" fl2..,+
EMAlL:
I. LOBBYIST RETAINED BY:
~Obe- U~A~
NAME OF PRlNOPAL/WENT:
",':
1
quo OCtaYl D'I vL
BUSINESS NAME AND ADDRESS (Number and Street)
rn \a r\'\ ~ ~Ctch
(Cty)
'Fl-
(State)
3~1~
(Zip
TELEPHONE NUMBER:
FAX NUMBER: (Optional)
EMAlL: (Optional)
FIll out this section If prlndpal is a Corporation, Partnership or Trust [SectIon 2-482 (e))
. NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: C~~ne... A r (\ 0h\ - M40J It\q ~ ea.....-
Yt\:x.a l Coo02ttlt.c) MAAt:\.lilnq ~
. IDENTIFY AlL PERSONS HOLDING, DIRECTlY OR INDIRECTlY, A 5% OR MORE OWNERSHIP INTERESlPIN 6lJCH
CORPORATION, PARTNERSHIP OR TRUST: 'Jl (L CA+tr.tC hl.c\ \io i'
U. SPEaFIe LOBBY ISSUE:
Co'i\Cer" t
IU. CITY AGENCIES/INDMDUALS TO BE LOBBIED:
A) Full Name of Individual/Title B) Any Flnandal, Familial or ProfessIonal Relationship
\-h~)roY;~ ~ft.O~(v'o.hon ~oaro\ N \)l\L-
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURL Y,
FLAT RATE OR OTHER):
A) lOBBYIST DISCLOSURE: (Required) ~5,600 r'~ I .?J15/~
, I
B) PRINaPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). . t;(D-ob ~ t 315 ~
I
D Yes l~: Are YOU reDresentlnG a not-for-Droflt corooration or entity without soecial comoensation or
reimbursement. Pursuant to Ordinance No. 2004-3435.
1)
Pursuant to Ordinance No. 2003-3393 Amendina Miami Beach Citv Code Chaoter 2. Artide VII. Division 5
Thereof Entitled "Camoaian Finance Reform" Via The Addition Of Code Section 2-488 Entitled "Prohibited
Camoaian Contributions BY Lobbvists On Procurement Issues":
D Yes ~o:
Are YOU lobbyinG on a Dresent or oendlnG bid for 90ods. eaulDment or services. or on a Dresent
or DendinG award for Goods. eauiDment or service?
2)
Pursuant to Ordinance No. 2003-3395 Amendina Miami Beach Citv Code ChaDter 2. Article VII Division 5
thereof Entitled "CamDaian Finance Reform". Via The Addition Of Code Section 2-490 Entitled "Prohibited
CamDaign Contributions Bv Lobbvists On Real Estate Development Issues":
DYes ~o:
Are YOU lobbyinG on a DendinG aDplication for a DeyeloDment AGreement with the City or
aDDlication for chanGe of zoninG maD desiGnation or chanGe to the City's Future Land Use MaD?
v.
SIGNATURE UNDER OATH:
ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE arv CLERK A SIGNED
STATEMENT UNDER OATH, USTING LOBBYING EXPENDITURES, AS WELL AS COMPENSATION
RECEIVED, IN THE CITY OF MIAMI BEACH FOR THE PRECEDING CALENDAR R. A STATEMENT
SHALL BE FILED EVl!N IF THERE HAVE BEEN Nt.?jZiE Dro/.t. S R CO NS ON DURING THE
REPORTING PERIOD.
---i
Signature of lobbyist
I do solemnly swear that all of e foregoing facts are true and correct and that I have read or am
familiar with the provision ont ined in '0 -482 Miami Beach City Code and all reporting
requirements.
Signature of Lobbyist:
Signature of Principal/CI
VI.
LOBBYIST IDENTIFICATION:
PRINCPAL IDENTIFICATION:
o Produced ID
o Produced ID
Form of Identification
/ Personally known (Lobbyist)
Form of Identification
c1Personally known (Principal)
VII. SIGNATURE AND STAMP OF NOTARY:
State of Florida, County of Miami-Dade
Sworn to and subscribed before me 5
This 10 day of ~p Y .20Q.
~~~
Signature of Public Notary - State of Florida
Notarization of Lobbyist's signature
State of Florida, County of Miami-Dade
Sworn '0' subSCribedJf!?~e me
This day of ~ 20f!!}
e;..e:t;l t:l#1Kv ~
Signature of Public Notary - State of Florida
Notarization of Principal's signature
t)~ BETH ANN BARASH
~ MY COMMISSION # D0332547
~ EXPIRES: June 24, 2008
1-800-3-NOTAIlY FI. NOllUy Discount Assoc. Co.
Date paidS)I(Jf~5
ill
1 ;(
, II
.____.w_._..... . '__'_'w' '-- - -- -1+~--- -.-- - - - - .- - .----. -- _.- -- - --.---.-.----.-.---.-------....--------.--------.---------------
_m____. ow _ _ ____. -1J Co. -f^~ ( I: f\_(___._ftK?- ':'.QrLL_. ~_!.. ~
--il( grJ1 ~"-'JJl gp,i6.tlJ_~i "I-:ii- -~------- -~-~---~~---
Hl th~ .._(..pp~_____Ele-&J:i~n_____2..~_.
..___H______.. .~nCI...ll.. 0.,)... nKQflttgJO.w_ .._._Lj_1~L__. _ .._..____..__ . -. ..----.----------..--.---.--.--------..
.jl..Lg~~~.I- _C:o_a.<.<:t.,/t?:J_____O_L.(t~_C_.._
:; : /
I' i ________.____.._._.___________.__..._.__._____.___...__...._...._.._..____.____._._._____.___.________.
-----.-.--..-.--... --.o- -W------. - --- -..- ..-
------ -lu-
----.--.----.-.-.-..--.-.. . ~+~._.. -.. -.-..-.... ....--.-. -.--...----..--. ....--. .._.. .-.-.-. --.-.--.---.......-..--......------....--.------......--.-.-----.--..--..---- ------.-.- ...-..-- ..--
.J~.
---.-.-.....--..-"-'''- .~ll..- ...n._.______._....___...
.---- -... H ~Jj.
------ -- - - -- -l~- ---- - ---- - ---- ------ ------- -- -- --- ------ - ----- ----- ----------- ---- - ---------~--
f ~...
I
....-._._-~----_..,~---._-----_.._._._._-_._---~---_.._~._._._-"."------'".~._._-' .._-_._-_.--------_._---_.~~.__._-_._-'----
._._------~_....~~._~--_..__.._-------~,--,-_._,_._.,-----~_.~-_..._-_.._---_.-._._,_._,----_.._._--------------~---~.,.---,._------~-
-_._-..--._._,--------~-_.._-_._.._-_._-----,._--------,-_.__._,~---~--~_._._._-_._..._",.__.~._..._--_..~--~--~_.,..-
- ,-_..-.._--,_._...,_.~------~-._..,.._----,._._-~--_.-._..._-_.~._-_._".~.,~-~,..--------------~._----,-----~_.
..",...~.."......,....,,~....,>...- .
I ~I
, I
;r
tit
...m-
'll'
--~. ...
'Ii
1~...
Iii
I 'j
.{+ ..
"1
! i
Wp
::1
t+r
, l'
Ll.
II
ill
. ill
.Ht.
111
" ..._.___'~'_T.._"__..____~.._.._"_.~,_,.___.*...___.____T_..~.~_._..__~___._____~~_.__.__~_._~_._______
....-.--..-.-->-.-. _._--~-----~---".."--"._----_..._-----_.__."*-_._-----.__._-,._,----,_.~..._"--~'--
._._____.___~.__..____*_..._..._,~_~..._,_~._~__._______,______.__,__._._.....___.<0.____
., ...--'-"-'.~ .--..-.--"". -_..__.."--"....~-_...--_.~._~_._.---_._..- -~.. _.~~--_._~--"......_.__.-.._._-_._--_._..~-_._---------_._-----. ~,_.~.~..~_.__..
..__.~---_.,~---_.__.__._~._..._._-_..,--------,.__._-,.~----
_..~__..._,._"._.,__._....".___p._.__,_,~____.,~..._.~.__.'-.__...___..._"____H.'_.______._..~.,__.,'_.___..~~.__.-,.~---'>-._---_.-.----~,..,.~~--~---_.
..-. .._._.'"---_.._.-.._.....-,_."----'".__._---'"~_._-_..~-------~..~--.-._-_._-. -~"._,~._---
-~.,-".-.._-<>._--_.~.._----~..."...._----".._.~-~~..~...'"~~..,..._........._~._-'~~----
~j;
: !\