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Gunster. yoaltley , stewart, p.A.. 2 south Biscayne Blvd.. ste. 3400. Mi~. PI.
~ ..UIlD iiiiilfSS ~... 5InoIl (CilY) (51*) (liP Calle) 33133 -1891
~05) 376-6062 (305) 376-601 0 nJ<asdint~ster · com
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WHM LLC
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iWE r:# ;;iiiPiLIOJENT:
New York
(MufI'ber _ SIreet) (CitY)
(212) 583-5130
fAX iiuMIIBl: (0paanII)
NY
10154
345 park Avenue
iQNESS 1lW1E"" ~
(212) 583-5070
iiLfilHONE jijNEa:
(State) (Zip CadI)
EMA1L: (0ptianII)
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. NNE rI CHIEf Offlcs. ~ CIlIENEflOARY:
. UlEJIT1I'IIL1 PBI5QI6 HllIJ)IJlG. DIIfCllY DR 1JIlIIlECllY. A s-. DR flCIIf (JWIIEIlSH1P UCffJIfSf \II SUCH
CDIflOIIATtON. ~. OR 1MI5T:
A) .. ... tI ~_ilII ~rr"" ') AIrf ........ F...... or ....-- ...~....
Mayor and commission None
Managers Office
None
.Pla~ing Department None
park1ng Department
JssuIID be iQbbied (Describe in d$iI):
DL an IIiAr ,n~ 10. LGUlED:
~ ~ at t~ .-r>M1 O_
f
u. ~ UJI8Y &SUI:
Wyndham Miami Beach ([)Oral)
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Yes
lV. DISCLOSURE Of TERMS AND AMOUN1S Of UJUY15f COMPENSATION (DJSCLOSE WtlEJIlER HOURL Y,
FLAT RATE OR OTHER):
A) LOBBYIST OI5Q.OSURE: (Required) $400.00 - Hourly
8) PRINCIPAl'S OI5Q.OSURE (Of L088YlSrcDMPENSATION): (ReqUIred). $400. 00 - Hourly
~ .=.--nt\nlI a not-for-apfit mmaratiOn or I!IIIitv -.at,..-:iaI =:
_IJY = Pursuant to Ordinance No. 2004-3435. -
1) ~::~'=_=i:iMWri~~~~2=::='S
~~=~ ." _ ::J_~~i ___FnIiIIf&"PmIibib!d
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8 :=~~~I!G~or-Mona--
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Yes
Yes
v. SIGNATURE UNDER OATH:
ON OCTOBER lsr Of EACH YEAR. Qat LOBBYI5T SHALL SU8MI1' TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, usnNG LOBBYING EXPENDITURES. AS WELL AS COMPENSATION
RECEIVED, IN THE CITY OF MIAMI BEAOt FOR THE PREffi1CALENDAR YEAR. A STATEMENT
SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPENI? OR COMPENSATION DURING nE
REPORnNG PERIOD.
Signature of Lobbyist
I do solemnly swear that all of the foregoing facts are true and correct and that I have read or am
familiar with the provisionS contain . Section 2-482 of the Miami Beach City Code and all reporting
requirements.
Signature of Lobbyist:
Signature of Principal/Client:
VI. LOBBYIST IDENUFICAUON:
PRINOPAL IDENnflCATION: ..Dl::
~UO!d ID Of::!; :J.1!:l
-- Produced 10
Form of Identification
("PersOnallY knoWn (Lobbyist)
VII. SIGNATURE AND STAMP OF NOTARY:
= Personally known (Principal)
~~I~~ M~\A. V. UNDNER-LOPEI t!J.~ MARIA V. UNDNEP".OPEZ i'
t(j:~ MY COMMISSION # DO 4277&7 W
EXPIRES: A.ugust 15. 2009 MY COMMIS$IO~1 :. ," ' ':27187
flonOOc lhl\l NolalY public u!\d8lWflte" .. .. = EXPlRES:'AU~lt. ;:;)09
~'if.(~~ I .' !
.R l~'" tat.' Banded 11wu NolIry . unoarwrll..
-
FOR CLERK'S USE ONLY ~
Annual Registration fee: [ 1 Yes [ 1 No Amount Paid MeR # ' Date Paid
Lobbyist Registration Form received and verifJeCI by:
Revised 02/10/04 F: CLER\ALL\MARIA-M\LOBBYISl\LOBBYIST FORM 04