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Miami Beach Owner LLC 08/30/05 14:54 FAX 13053766010 GY&S.P.A. l4J002 _0__- -..- - - --" ~ ~ Iir-~ ~ ""'~ ::JIll! lQ ~ City of Miami Beach Office of the City aerie. 1700 c.omtention center [)rWe, Miami BeaCh, Fl 33139 L0811l1ST IlEclSTUnOJ'lC FOIL\I -- ..--. - -......... ".-....-.. -'" -- ...--..... - _. - .-.... -,,,,,".<;" ","", - -..--.... "'" -"" "" - .. -.-... - - . -- .... ... -.......... -..... -- -.. -......... - .............. - ~.....-. - . ---_. ..._ iO(oI ..-.-........ --- .....-. -.- .....- ---... .-.........__..-- _------""J · - -- .. ~.r--"3GS- ~~u.nsr: ICasdin (UII) Neisen (Fd2 o. {"'J) 'Bl va., Ste. 3400. Miami, FL (~l (r4JCe*) 3313.3-1997 nkasdintqunster.com ft'1AIl.;. Gunster. yoaltley , j,jsJIIES!i awE "., i[DlfSS (305) 376-6062 ~~ Stewart, P.l.. 2 South. Biscayne (....... .. 5IrftfJ (ay) (30Sl 376-60'0 fQ lU4BER: &. UJUft5T IIfI'AIJIID I"f: Miami Beach owner L.L.r.. 'iWE~~: New York. (N"""" .c Slrtet) (City) (212) 583-5730 . fM IU'ftIEIl: (~l NY '0154 345 park Avenue IIJSlIl5S IWE..D ~SS (212) 583-5010 lB..EPKJNE ~ (St;ltl!!) (Zip Code) Ef4AIL: (~ M _....... f ....... iI . c.._~ ...."...... ,. TNIl (~ 1.....2 (c:)] . IWIf r:7 om:f 0fflCER. ~ER. 0Il1lENEf1OAJlT: 1DENT1fY AU.. ~ tODDCi. OIlEC1\.'T OlllNOlll!CTl'T. It 5" OIl MOlE OW'IERSHIP I~REST III 5lJO{ CI:JIIIOA1'1CI\. p~. OIl m5t': II. sn;urK""" I5WI: WyndhaJlt. Mia.mi Beach (tbrall Issue lD lie laIDBl (~ilI ~]: m. a"fT ~fDlDJVIDUAlS 113 1l1OlUlO: A) ,..... "J.,,&.~fT- .) AnI finaII(iII.. ",milia' ., ~ adajanshiCl . Mayor and commission None Mana~er5 Office None .Pla~ing Department None park~ng Department 08/30/05 14:54 FAX 13053766010 GY&S.P.A. -- --.----.- l4J 003 ---- Ves I'I. DI5CI..OSVl\E Of ~llM5 AND AMQUMT5 Of LO.eY1ST CO"'''EN~lION (o1S(:U)SE wttElllt:R HOUII.L Y. FUCT irA TE OR OTHER): ST ,..,..,,.n,"" ("_ '-...01) $400.00 - Hourly A) L0961I O""",",u,,,","": --.um:u 6) PlUNOPAL'S OlSCl.CBJRE (Of L088YISI' COMPENSATION): (llequiRd). $400.00 - Hourly iJ-.:::-...............-go- P'~l"itv'"""""":::-= _~ = Pursuant to Ordinance Mo. 2....3435. - 1} =~s~.::..~~:~g:,~~=--~s ::?'_~-~ e ~:.-.;:;~:~...~_....~.....P- 2) ;;~~R:..=mE~~l~~S =~~~;;:;,.,o;;;al ,u.~l~ . E) ~;.;,~~-=-~""::"'..=.=--:=.~~_1 Yt!$ Yes V. SlGtu.1URE UNDER OAlM: ON OCTOBER 1St' Of EACH YEAR. EAOi LOBBYIST SHALl. SUBMIT TO ntE aTY aERK A SIGNED STATEMENT UNDER OAnt, LISTVlG L08BYING EXPENDtlURf$, AS WELL AS COMPEN5A1l0N RECEIVED, IN THE CITY OF MIAMI IIEAOi FOR ~E PREflA CA1ENOAR 'fUR. A STA1U4ENT SHALL BE fIlED EVEN IF THERE HAVE IEEN NO EXPEND . 0'-' COMPENSA1l0N OURIItG THE REPORTDIG PERIOD. . . ! Sigl1"bJre of Lotbyist 1 do solemnly swear t11at all of the foregoing facts are true and correct and that I tlave read or am famil.iar with the provisions contai~~" Section 2-482 of the MIami Beach City Code and all reporting reqUIrements. Ik t 1 ~'1' Signature of Lobbyist: i Y 1// Signature of PrindpaljClient: PRINCIPAl.. wENllftC,.nO.H ])/;; "ftroduCBJ 10 0/ (;;tf ~ '7 q / k :: . Fonn of Identificat n VI.. L.088YlST IDEPfUflCAlIO,.: - Produced Ie R:llTT1 of Identification ~ersonallY krmIn (LDbbyist) VII.. SIGNAllJRE MD STAMP OF NOTARY: : persooally known (Prindpal) .pj~.,.. MAf4',a. V. UMOOEfI-lOflEZ #J~ W IA'i COMMISSION 1I 00 4277B7 . :~\ hlAAJA V. UNDNEP.I.0PEZ If _ ~ ~; E1?IAES: f-Ugust15, 200il ~ i>> MY CO"'MI:SI~"" ;. .;~. :'~77B7 '.:,.' ' ~''l1T\If.l'''''l'jPul>r..\JrdOTWl1\llrs ~ EXPIAES.A~gu31 ,~. ,;:xr.l Mr.. IIaQd 1M.I1toWI Nlk UI1Gofwr1ln fOR CLERK'S USE ONLY At1nual Re9iSlI'ation fee: { ] Yes ( 1 No AmOul\tPald MeR /J Date Paid Lobbyt$t Registration ~ received and verified by: Re--i$ed 02110/04 F: CLER\Al.l.\MARIA-M\LOBBY!S1\lOBBYlST FORM 04