Aleksandar Stojanovic
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MIAMIBEACH
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 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.
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NAME OF LOBBYIST: . (Last) (First) I . " (M.!)
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BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
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TELEPHONE NUMBER: FAX NUMBER: EMAIL:
1
I. LOBBYIST RETAINED BY:
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NAME OF PRINCIPAL/CUENT:
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BUSINESS NAME AND ADDRESS (Number and Street) (City)
300 (,1- ~ L ~5(~
TELEPHONE NUMBER: FAX NUMBER: (Optional)
B~c~ t:-( )) 13~
(State) (Zip Code)
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:
. IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
II. SPECIFIC LOBBY ISSUE:
Co OZA-u-r
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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
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A) LOBBYIST DISCLOSURE: (Required)
IV. DIScLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER ~RLY,
FLAT RA TE OR OTHER):
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B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required).
The following information must be answered:
1) Pursuant to Miami Beach City Code Section 2-488 Entitled "Prohibited Campaign Contributions By Lobbyists
On Procurement Issues":
D Yes ~ ~~~ ~b::~~~:n I':.:resent Or Den:in,!:~ f~: a~s..:UiDment or ~rvices, or on il
Dresent or DendmG award for Goods. GUI en or eNI ?
2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real
Estate Development Issues":
DYes ~ ~:~: !::b=ina ~~ a Ilf:ndiD~ :DD:~::~ for. ~ Deve~:m:.n~ A~~~n: ::::~~~ c~ :r
aDD~lcatlon for chanGe of zo In_ m___~ IGnatlan or __n e _0 _h C-_'___L _" I~Le
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3) Pursuant to Miami Beach City Code 2-484 (h) Any person (except those exempt from the definition of
"lobbYist" as set forth in Section 2-481 above) who only appears as a representative of a not-tor-profit
corporation or entity without special compensation or reimbursement for the appearance, whether direct, or
indirect, to express support of or opposition to any item, shall register with the clerk as required by this
section but, shall not be required to pay any registration fees..
o Yes ~ ::e ";~G:'=~~ing iI not-tor-profit ~orporatiQn or entity withQut special P>mDel1satilln
or ~m~u~ment, . .,
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 8E FILED EVEN IF THERE HAVE 8EEN NO EXPENDc;..:OR C~SA~RI~G THE
REPORTING 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
~:~:~:m~~~.the provisions con~ in se{fion, 2-48~ the Miami Beach City Code and all reporting
Signature of Lobbyist: ~
Signature of Principal/Client: ~ i-X ~-
VI. LOBBYIST IDENTIFICATION:
~uced ID~:L_~ ~ 3:lS--0t90..
Form of Identification'I(J~ 30f'- 0
PRINCIPAL IDENTIFICATION:
~cedID M ~ ~3~~e7o"70-3'O~_V
Form of Identification
LJ Personally known (Lobbyist)
o Personally known (Principal)
VII. SIGNATURE AND STAMP OF NOTARY:
State of Florida, County of Miami-Dade
Sworn to and subscribed before me
This ~ d 't of
State of Florida, County of Miami-Dade
Sworn and subscribed betJ re me
This ~day of
lr
.
/ FOR CLEIJIrS USE ONLY
Annual Registration fee: [V] Yes [ ] No Amount Paid \~~) MCR # 2~ S::;lpn Date Paid J \I=f/~
Lobbyist Registration Form received and verified by: ~~ ~
F:\CLER\$ALL\MARIA-M\Lobbyi5t\LO YIST fORM 05~ Revised 12/08/04