Manuel Perez/Miami Light Prjct 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 p~ndpai who seeks to encourage the passage, defeat
or modification of any ordinance, resolution, action or decision of any commissioner; any action, derision, 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, dudng the time period of the entire decision-making process on such action, decision or recommendation
that foreseeably will be heard or reviewed by the dry commission, or a city board or committee. The term specifically Includes the
principal as well as any employee engaged/n lobbying activities. The term 'Lobbyists' ha~ specific exclusions. Please refer
tO Ordinance 2004-3435. ~ ~/~j,,
(First) (M.X)
Boulevard, Suite 100, Miami FL
(Number and S~eet) (Qty) (Sta~) (~p Code)
NAME OF LOBBY~.$¥: (Last)
Miami Light Project 3000 Biscayne
BUSINESS NAME AND ADDRF$$
33137
305-576-4350
TI:I F~IONE NUMBER:
305-576-6480
@miamilightproj et t. corn
FAX NUMBER:
EMA[L:
X. LOBBYXST RETAXNED BY:
Cindy Brown, Managing Director
NAME OF PR[NC[PAL/~I TFNT:
Miami Light Project 3000 Biscayne Boulevrad, Suite 100, Miami FL 33137
~SINF$SNAMEANDADD~$S (NumborandS~eet). (Oty) (Sta~) (~pCode)
305-576-4350 305-576-6480
TF~F~HONENUMBER:
FAX NUMBER: (Optional)
cbrown@miamilightproj ect. com
EM~U (op~0nal)
Fill out this s~-_~_:on if principal is a CorporaUon, Partn=,,;,¥ or Tru~ [Section 2-482 (c)] '
· NAME OF CHIEF OFFZCER, PARTNER, OR BENEFZC/ARY:
· IDENT]FY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
Il. SPECiFiC LOBBY ISSUE:
Presentation in support
L~,__,e to be lobbied (De~__~_.ibe in
of Miami Project Hip Hop 2006 grant
application
ZZX. CXTY AGENCiES/XNDXVZDUALS TO BE LOBBXED: .
A) Full Name of Zndividual/TIUe B) Any Finandal, Familial or Professional RelaUonship
MBVCA Cultural Tourism Panel
DZSCLOSURE OF TERMS AND AMOUNTS OF LOBBYZST COMPENSATION (DZSCLOSE WHETHER IfOURL Y/
FLAT RATE OR OTHER,):.
A) LOBBYIST DISCLOSURE: (Required)
B) PRINCIPAL'S DISCLOSURE (OF LOBBY~[ST COMPENSATION): (Required). ~
Yes [] No: Are you reoresentina a not-for-profit coraoratJon or entity without sDecJal compensation or
reimbursement. Pursuant to Ordinance No. 2004-3435.
1) Pursuant to Ordinancq No. 2003-3393 Amendina Miami Beac;h City code Chaoter 2. A~cle VII, Division 5
Thereof Entitled ~Campaiqn Finance Reform" Via The Addition Of Code Section 2-488 Entitled "Prohibited
Camoaiqn Contributions Bv Lobbyists On Procurement Issues":
Yes D~lo:
Are you Iobbvina on a Dresent or Dendina bid for aoods, eauiDment or services, or on a Dresen~
or uendinq award for aoods, eauiament or service?
2)
pursuant to Ordinance NO. 2003-3395 Amendinq Miami Beach City Code Chapter 2. Article VII Division $
thereof Entitlqd "Campaiqn Finanqe Reform", Via The Addition Of Code Section 2-490 Entitled "Prohibited
Campaign Contributions By Lobbyists On Real Estate Develooment Issues":
DYes ~ Np:
Are you Iobbyino on a Dendinq application for a DeveloDment Aareement with the City or
application for chanqe of zonina mad desianation or chanae to the City's Future Land Use HaD?
V. SZGNATURE UNDER OATH:
ON OCTOBER 1~r OF EACH YEAR, EACH LOBBY/ST SHALL SUBMIT TO THE CITY CLERK A SZGNED
STATEHENT UNDER OATH, I. ZST/NG LOBBYZNG EXPENDITURES, AS WELL AS CONPENSATZON
RECEIVED, ZN THE CI'TY OF H~AH! BEACH FOR THE PREC, J~DZNG CALENDAR YEAR. A STATEHENT
SHALL BE F~LED EVEN ZF THERE HAVE BEEN NO EXPEN[~I~JRES OR COHPENSAT/ON DUR/NG THE
REPORTING PER~OD. [J~~
~ S~nature of ~byist
! do solemnly swear that all,~ththe foregoing facts are true and correct'and that ! have read or am
familiar with the provisions ~cont~ned in Section 2-482 of the [vliami Beach City Code and all reporting
)BBYIST IDENTIF[CATTO~ PR/NCZPAL IDENT~F~CA1/ON:
requirements.
Signature of Lobbyist:
Signature of Principal/Client:
VZ. LC
[] Produced ZD [] Produced ID
Form of Tdentification Form of Zdentification
Personally known (Lobbyist)
Personally known (Principal)
VZZ. SZGNATURE AND STAMP OF NOTARY:
State of Florida, Counb/of Miami-Dade
Sworn to and subscribed before me
~ day of ~(~'-~ ,20O~-
Signature of Public Notary - State of Florida
Notarization of LobbyisVs signature
State of Florida, County of Miami-Dade
Sworn and subscribed before me
This \~'~day of ~'~. , 20 o__~"~
Signature of Public Notary - State of Florida
Notarization Df Principal's signature
..,~Y %,. Roberta K Posner ~ ~(e. Roberta K Posner
~.~,.~'~ My Commission DD3844~6 .'~,~'~ My Commission DD3~96
%~T~/ Expires O~ober 20.2~8 ~C7,:~ Exoires October 20.'2008
. FOR CLEEK'~SE ONLY ~-~t', . /_/.
Lobbyist Eegi~rafion ~orm mceivea ana vennea Dy: //,~ · --
Revi~d 02/[0/0~ F: ~E~LL~-N~LOBBY[~LOBB~ FOR~ ~