James Rauh/Simone Beach Club
I1bJun, 2, 2005: 4:40PMl1otl::ll::loO/l:l
fodJ~!:.N 5Wl TK~ c;T AL
No, 7605 IP, 5 El4/12
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City of Miami Beach Office of the City CIerI<
1700 Convention Center Drive, Miami Beach, FL 33139
LODBmTREGISTRATlON FORM
LobbVfit nleans an pel'5OflS employed ~ rtbllned, ~Itr peId Dr' not. by a ~ who _lea to I!nco~ thll passage, cWtat
or mocll11ealSon of any ordinance, resDhsUon, don ar decision of any cornml8sloner; any 4lCtICIn, dedSlon; recarnrnendatlon of tria
~ Manager or ~ny clty board or tommlttee, or any action, dec:l8lon 01' recommendaUon or Ifro/' dty paonnel defined In any
manner In thJ$ -=tIon, during fl, time period of the entire decision-making IlI'1Xl!!l5 on such Ktlon, dedsIon or recnmmendatinn
\:hat fa/'!SlMllbly wtll be haan:l cr reviewed by the dty commission, Dr a city baartl Dr commll:tee. The term sped1IcaI/y Indudes: the
prIndl3ll1S weD IS any employee engaged In lobbyIng ac:tMtles.. ThQ term "Lobbyi5ts'" has specJftc exclusions. Please refer
to Ordinance 2DCJ4-3435. "
~r1 :r 4MeC.
(Last) (First)
C~~f"A".. i E" IN"""#\! i>t-
(NLIllber ind Sb'eet) (aM
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NAME Of LOBBYIST:
f2..~..v )lo" f~"'rr
BUSINESS NAME AND ADDRESS
(M.!)
(State)
(Zip Code)
iiLEPHCNE NUMBS:
8.11
FAX NUMBER:
EMAI\.:
I.. LOBB\'IST RETAINED BV;
I S1.I)J /)N,r 80:",.,,,. t.~M& w~r LLL
NAM! OF PlUNaPAL/CUENT:
195 ""'.H~ $~ S'wnr~ .,/Q-tltr~ ..,....4
BlJSINESS NAME AND ADDR!SS (Number and street) (CIty) (State)
~/~->Yf'~?O:J:J . ~/~-/]7-0~?:T
1
TaEPHClNE NUMBER: fAX NUMBER: (Optlorgl) EMAIL: (OpticInJl)
O//dS
~p Code)
Fill out this Mlc:tIon If principal It I eorpor.tIon, Patttte~ip orTNSI: [5Bd:Ian 2-40 (ell .
G) NAME OF 0iIEF OfFICER, PAllTNER, OR BENEFICARY:
V lDEN1IFY All PERSONS HOlDING, DWen. y OR INDIRECTLY, A 5% OR MORe OWNERSHIP INlEREST IN sucH
COR.POM11ON, PARTNERSHIP OR TIWST: .
II. SPEaFtc LOBBY ISSUE:
lVlot'tf(c'ti ldJ-J 'rK. VM\~C~ orJ-(JBV
I55U! to be lobbied (t)escrIbe In detail):
:a:r. CITY AGINC:J:ES/lNDMDUALS TO BE LOBBIED:
A) Fun NaIft8 rllndlvldual(l1lfl!l .) Any Pined., PamlUaI or Pm'__1 lbilltlOMh.lp
Bo A<VO of ~oJ'vt 51 /lAG,.., 7 tJO
.
,
ElEJ u n. 2. 2005': 6: 17 PMe55385578 ROSEN SWITKES ET AL No, 7612 IP. 4 02/03
. IV. DISCLOSURE OF TERMS AND AMOlm-rs OF LOaBYIST CbMPENSA110N (DISCLOS! WHETHER RfJU/V..Y,'
:L::::;~ (ReqURd) J o. qo . ,.. . ..- -... - .- .. . . ..- ...
B) PRINCIPAL'S OISCLO.sUt<! (OF LOBBYIST COMPENSATION): (Required), dO. 1)0
'~'i;-n"~: ~~ ,;o~ represanlina a- ~~;:;"~rlt col;Roratlon 01' ~fttttv WI~tI~ _'ita' c~~~.;::tl~~~r
. reimbursemen1i1 Pursuant to Ordinance No. 2.004-3435.
1)' Pursuant to OrclinlllCQ No. 2003-3393 Al11endlM!l MiamI Beach (]tv Code Ch~ 2E:le V~ DM~on.a
'i'hereaf Entltled "Cam.palgn Finance Refo(m'" Via The Addition Of Code Section _ __d "p _~M_
Campaigl) Contrfhution$ BY lobbyists On PmqJ~~,~:
~ Yes iN";
2)
A~ Voll lobbyhtCl an .:I DI'MIlM' or _"diM bid for 909!b~. eauiDmej)t or servtees" at an :a ~!:t!ftt
01' DaDdlnllJ !I~rd fo~i!lood~. eaulP'!'Brit or sendee?
PtJrsuao.tto Ordinance No. 2003..n95 Amendln9 Miami Beach ~ COde Olaoter 2 ~~de ~~:~n ~
thereof' Enl:itfecl "CamDa19n FInance Refqrrntl. Via The Addition Of Cotle $edlon 2-490 En-'.j!!d 'lip _ _:...::.._ '
cam~lg[LContrltlutlonll BY lobbvib On Real Estate Development IS6U.~
Are WlU lablwina on a !)endinG aDDlication for a Develo,~ent Aareemelrt with ttIe City or
ilDDRcation for d1aJ'lge 9' lI!~nin9 maD desi9~atian Dr chan9. te the Ci~'f ~re ~~~ Use MaD~
. .'
~.. ~I
v. SIGNATURE UNDIR OATH:
ON ocrOI!R lIT OP EACH YEAR, EACH LOBBYlST SHAU 5UBMrr TO THE arv CLERK A SIGNED
STATEMENT UNDER OATH, LIS"IlNG 1.088nNG EXPENDITURES, AS WELL AS COHPENSAnoN
RECEIVeD, IN THE c.:I1Y OF MIAMI BEACH. FOR THS PREClDING CALENDAR YEAR. A STATEMENT
SHALL BE FILED EVEN If TH!1lI 'HAV! BIEN NO EXPEND lit COMP!NSATlON DUlUNG THE
REPORllNG PIRIOD.
I do solemnly swear that all gf the foregoing facts are t
famUlar with the provisions co In Section
req~lrements.
e'bl.c..\ ct"L tvt,'T LLc. ~
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VI.
LOBIrYISTIDE
o Produced 10
1J Produced 10
Form of Identification
Farm of [dentificatlon
fi' P'er5onally known (Lob~t)
va. SIGNATURE AND STAMP 011 NOTARY:
Cl Personally known (Prlndp,llI)
State of FIorid8t County of Mlami--Dade
~7-~..
.~ ~vm~~
Sl9.IJ!~.$t_rx,':',~M\w:.R' FIorlda
NJifiil'llatiCD M"s sJgnaDln! .
. .
, I ~"""''''''I. Comm# 000280111 :
~~y p(/;i',,- .
. i :.\'m"\,:~ Expires 1/1312008 :
~' ~'f'!jj Bonded lhru (flOO)432-4254i
"",,,'? FIorlda IIkllI!rY Asen.. Inc :
..u................'!...i................
. . ""R~LY '/ 7'9112 : ~
Annual Registration ree:., [ e.s t ] NO Amount P '.MeR , L L/c.b! Piilld ?J
I.obbVIst Ra~lsb'atlon Form received .net ~ by:
RevI'lild 02/10104 F: OJ:R\Al4 BSYIST\LOBIMST FOP.M 04