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Nero Enterprises Group, LLC ~11"...1 Il(" ,~r.h bft::d ... .,"'~li'~t, ., II ".' m - 2(/U3 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 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 "Lobbyists" has specific exclusions. Please refer to Ordinance 2004-3435. . Terminello NAME OF LOBBYIST: Louis J. (Last) (First) (M.!) 33133 (Zip Code) ',' .. Terminello & Terminello, P.A., 2700 S.W. 37th Avenue, Miami, FL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (305) 444-5002 TELEPHONE NUMBER: (305) 448-5566 FAX NUMBER: ljt@te~inello.com EMAIL: I. LOBBYIST RETAINED BY: Nero Enterprises Group, LLC NAME OF PRlNCIPALjCUENT: INK MIAMI 717-721 Washington Avenue, Miami Beach. FL 33139 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (305) 444-5002 TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional) Fill out this section if principal is a Corporation, Parbtership or Trust [Section 2-482 (c)] · NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: Mark Caesar. MGR Mark Caesar 51% Igor Blatnik 49% · IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CO~PORATION, PARTNERSHIP OR TRUST: II. SPECIFIC LOBBY ISSUE: "" hb h d " bl" hme conditional use pe~ fo:pr e1g or 00 1mpact esta 1S nt '\~\)-'\O~ VJ ~\l\"_ a-.- ~Q~S2- Issue to be lobbied (Describe In detail): III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: A) Full Name of Individual/Title B) Any Financial, Familial or Professional Relationship Planning Board - City of Miami Beach ,J() .lV. UJ.=-\,;LU:)UKI: Uf TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE: (Required) B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). $20,000.00 ". " ..,.. $20,000.00 1) DY ervices or on a resent 2) Pursuant to Ordinance No. 2003-3395 Amendinq Miami Beach City Code Chaoter 2. Article VII Division 5 thereof Entitled "Cam ai n Finance Reform" Via The Addition Of Code Section 2-490 Entitled "Prohibited moaiqn Contributions By Lobbyists On Real Estate Develooment Issues": ? V. SIGNATURE UNDER OATH: ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES, AS WELL AS COMPENSATION RECEIVED, IN THE CITY OF MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPENDITURE OR COMPENSATION DURING THE REPORTING PERIOD. Signature of LobbyistLouis J. Terminello I do solemnly swear that all of the foregoing facts are true and correct and that I have read or am familiar with the provisions contained in Section 2-482 of the Miami Beach City Code and all reporting requirements. ~ Signature of Lobbyist: Signature of Principal/Client: Louis J. Terminello ~ ..- ~~ - ~ PRINCIPAL IDENTIFICATION: VI, LOBBYIST IDENTIFICATIXi1 V [! Produced ID o Produced ID Form of Identification Form of Identification ~OnallY k~bYist) VII. SIGNATURE AND STAMP OF NOTARY: 91ersonallY known (Principal) ~~ 1. Signature of Public otary State~ .U ....'!I.<. ~ Notarization of Principal's sigft~~~\SSION~.p '% :::- : (j ~,\olV 6. <'a ~.. ~ :: ~.~- ~ ~lP.- :: : ~ ~ - ~*= =*.: ~~..Q : = - 0 _.. ~== ~ -Z" ~ #DD 281401 : ~~ ~o. .t>..!f:"" ~~...%~ SonrJGdW.~~...~~ ~~)- '.rPllb'ic\Jl\ll"~.. {< <i. ~ ..~ j:>(Je.".,....~t;I}j~ . FOR CLERK'S USE ONLY "2..::f5.CQ(~- ",!!!!.It"~ Annual Registration fee: Yes [ ] No Amount P~iC!.~ MCR # ~Date Paid ~.Jt/6f:J~ Lobbyist Registration Form received and verified by: C ~ Revised 02/10/04 F~ER\ALL\MARIA-M\LOBBYIST\LOBBYIST FORM 04 State of Florida, County of Miami-Dade Sworn to and subscribed before e "or This d d?:}. 20W Signature of Public Notary - S e f Florida Notarization of Lobbyist's i ature ':-'~~~Y:~~~-'" G€a.tlJlina A. Munizaga : ~:'A ',:f; ': Commission # DD35.Q245 ~;i...... .J:,2Expins: AUG. 26. 2008 ''''-OF\'\.(l" A N I", Ii "\,,, 'tIt"'w', AROS OIm,com