Greater Miami & The Beach Hotel
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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 prindpal who seeks to encourage the passage, defeat
or modification of any ordinance, resolution, action or dedsion of any commissioner; any action, dedsion, recommendation of the
aty Manager or any dty board or committee; or any action, decision or recommendation of anY' dty 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 dty commission, or a city board or committee. The term spedfically indudes the
principal as well as any employee engaged in lobbying activities. The tenn "Lobbyists" ha~ific exclusions. Please refer
to Ordinance 2004-3435. 'c. /
ROSEN
HAROLD
,
NAME OF LOBBYIST: (Last) (First) 3 (M1;!) 9
407 LINCOLN ROAD PENTHOUSE S.E. MIAMI BEACH, FLORIDA 3 3
BUSINESS NAME AND ADDRESS (Number and Street)
(305) 534-4757
(aty) (State)
(305) 538-5504
(Zip Code)
TELEPHONE NUMBER:
FAX NUMBER:
EMAIL:
I. LOBBYIST RETAINED BY:
GREATER MIAMI & THE BEACH HOTEL ASSOCIATION, INC.
NAME OF PRINCIPAL/CUENT:
407 LINCOLN ROAD
SUITE lOG
MIAMI BEACH, FLORIDA 33139
BUSINESS NAME AND ADDRESS
(305) 531-3553
TELEPHONE NUMBER:
(Number and Street) (aty)
(305) 531-8954
(State)
(Zip Code)
FAX NUMBER: (Optional)
EMAIL: (Optional)
Fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (c))
· NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY:
STUART BLUMBERG
· IDENTIFY ALL PERSONS HOLDING, DIRECTlY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
II. SPECIFIC LOBBY ISSUE:
ORDINANCE REGARDING NOISE AND ,HOTEL USE
Issue to be lobbied (Describe in detail):
III. CITY AGENCIES/INDMDUALS TO BE LOBBIED:
A) Full Name of Individual/Title
PLANNING iBOAiID'lOC ."',"~
::. I 8':".,;-,,3
B) Any Financial, Fam~iILw.Rmf_JRnfJ"~!!!!!2nshl
: 01-'\-'0 AR
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CITY MANAGER
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER I-IOURL Y,
FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE: (Required)
$O.OO/PRO-BONO
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). $0.00 /PRO-BONO
DYes Q{No: Are YOU reDresentina a not-for-Drofit corDoration or entity without sDecial comJensation or
. reimbursement. Pursuant to Ordinance No. 2004-3435.
1) Pursuant to Ordinance No. 2003-3393 Amendina Miami Beach Citv Code Chaoter 2. Article VII. Division 5
Thereof Entitled "Camoaiqn Finance Reform" Via The Addition Of Code Section 2-488 Entitled "Prohibited
Camoaian Contributions Bv Lobbvists On Procurement Issues":
No:
2)
Pursuant to Ordinance No. 2003-3395 Amendina Miami Beach Citv Code Chaoter 2. Article VII Division 5
thereof Entitled "Campaign Finance Reform". Via The Addition Of Code Section 2-490 Entitled "Prohibited
Camoaian Contributions Bv Lobbyists On Real Estate Develooment Issues":
DYes ~ No:
Are YOU lobbyina on a Dendina aDolication for a Deyelooment Aareement with the City or
aoplication for chanae of zonina maD desianation or chanae to the City's Future Land Use MaD?
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. /~.
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I do solemnly swear that all of the foregoing cts are true and correct and that I have read or am
familiar with the provisions contained in Se n 2-482 of the Mia . Beach City Code and all reporting
reql,Jirements.
Signature of Lobbyist:
Signature of Principal/Client:
VI.
D Produced ID
D Produced ID
Form of Identification
Form of Identification
lY'6ersonally known (Principal)
W Personally known (Lobbyist)
VII. SIGNATURE AND STAMP OF NOTARY:
State of Florida, County of Miami-Dade
Sworn .to and sUbsc~efore me
. This \<1'; day 0 '^~ 20Q5
%~ ~ ~ C!:lNID
Signature of Public Notary - State of Florida
Notarization of Lobb . . ture
LAUM CANO
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Ii' ~$ Bonded thN (800\432-4254i
: ~Ofl\~~ FIoridli Notary Assn,. Inc .
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State of Florida, County of Miami-Dade
Sworn. and sUbSCr~before re _
This l~c!l:u;:~
Signature of Public Notary - State of Florida
Notarization of Principal's sianature
re-""-I""'-''''
LAURA CANO :
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expn. 1/1312008 :
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Annual Registration fee:.. ] Yes [ ] No
Lobbyist Registration Form received and verified b
Revised 02/10/04
· ~ONLY" . . i2) !
MeR # C 7C) lpate Paid 7- q, tsr
: CLER ALL\MARIA-M\LOBBYI5T\LOBBYIST FORM 04