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Jeff Bercow/Jonathan FrydFeb. 27. 2006 3'22PM No. 2802 P, 2 MtAMIBE,ACH City of Miami Beach Office of the City Clerk 1700 Convention Center Drive, Miami Beach, FL 33139 LOBBYIST REGISTRATION FORM Lobbyist meant, all persons employed or retained, whether paid or not, by a pdndpal who seeks to enco~lrage the passage, defeat or modification of any ordinance, resolution, action or dedsion of any commissioner; any action, decision, recommendatton of the City Manager or any city board or committee; Or any action, decision or recommendation of any city pasonnet during the time period of the entire dc. db-ion-making pmcer~ on such action, decision or recommendation that foreseeably will be heard or reviewed by the city commission, or a dty board or cormlllttee. The term %oedfically Irtdudes the principal as well as any employee engaged k;lobbylng activities. '[he term "Loblayists' has apedflc ext. luMofl~. Please refer to Ordirleltce 2004-.~4:]5. Bercow Jeff .__ NAt4~ OF LOB~YZST: ' - (Last)-' (R~t) " ' ]3e:cow & :Raclell 200 $. :Biscayne Blvcl. suite 850 Miam±, F~b 33131 ii i i I)U$tNE.~5 NAME AND ADDRE55 ' (Number and Street) (City) (state) (zip Code) 305- 37?-6220 305- 377-6222 jbe:cow@br~'°nin9law'c°m i i i i , . ~I'ELEPHONE NUMBER: AX NUMBF. R: EMAZL: X, LOBBY/ST RETA/NED BY: ~onathan Fryd i .. ii N---AME OF PRiNCIPAL/CLIENT: Fryd Properties 523 Michigan Avenue BUS~NESS NAME ~ND AODR'~SS (Num~w and s~t) COW) 305-673-2948 305-673-2950 TELEI~HONE NUMi~R: ' FAX I~UMBE?.R: (Optional) Miami Beach, FL 33139 {State} (ap Code) ! I~r, IA,1.L: cOPtional) Fill aut this sacti~'n If principal is a Corpuration, Partnership o~'Trust [Sectlen 2~182 [c)] ..... CD · NAME OF CHIEF OFFICER, PARTNER, OR E~ENEFICIARY: · IDENTZFY ALL PERSONF, HOLDING, DIRECTLY Ol:C INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUC!Jrr~..! CORPORATION, PARTNERSHIP OR TRUST: , , . ~",~- _ ~.... ~. SPECZF']:C LOBBY :iSSUE: c:~ -- northeast corner of ,Jefferson Avenue & 5th Street m_n. '~' i i · - Issue I~ be lob~eU (De~c~i~ In del : IlL CZTY AGENGIE$/]CNDIVZDUAL~ TO BE LOBBIED: A) Full Name o! Zndlvldual/TIUe B) Any Flnandal~ Familial or P~ofasalonal Relatlon~Ip , i · Plann'i. ng Board none City Commission none Feb, 2?, 2006 3'22PM No, 2802 P, 3 DZSCLOSUKE OF TERI4S AND AMOUNTS OF LOBBY/ST cOMPENSATLOH (DZSCLOSE WHETHER HOURLY~ F~ T RA T~ OR $475 per hour A) LOBBYIST DISCLOSURE: (Required) !~) PRINCIPAL'5 OISCLOSUP, E (OF LOGBYIST COMPENSATION): (Requlr. d). $ 475 per hour The following information must be answered: t) pursuant to Miami 8ea~ City Code SeCtion 2-488 EnUU~ 'Prohibited Campaign ContribUtiOns I~y Lobbyists v~: D__~_----~ or..Dendinu G~ard for aOOdlS,.eaulDme 2) Pursuant to Miami Beach City Code 2490 EnUtled "Prohlb)ted Campaign ContribuUons I~y Lobbyists On Real , ~.~..Development Issues": , . Moo? 3) Pursuant to Miami Beach CI~/ Code 2484 (h) Any person (except those exempt from the deflnlUon of "lobbyLst" as set forth in Section 2481 above) who only appears as a representa~e of a not-for-profit corporation or enUty without special compensaUon or reimbursement for the appear-dnce, whether direct, or indlr, ect, to express support of or opposition to any item, shall register with the clerk as required by this .~,~lon but, shall not be ma, uired to pay any reglstraUon fee. s- ri Yes 'T(No: Are you ~prc'.Cnl.[_n_g a not-for-Dmflt co .r~oration or entity Without SD .eeJal comae_naaUon __ or reimbursement. , .___ · ............ v:* '* Si6N-XYbRE UNDER OATm LOBBYZST WE~~O ON OCTOBER Is''r OF EACH YEAR, EACH SHALL SUBMIT TO TtlE C CLERK A SZGNED STATEHENT UNDER OATH, LTSTZNG LOBBYZNG EXPEND~ AS HPENSATZON RECEIVED, IN THE CITY OF HZAHI BEACH FOR THE PREC~DI~IG/G~J. EN~~ A STATEMENT REPORTING PER~OD, i Beach City Code and all reporting Signature of Lobbyist: //// ~' , Signature of Principal/Client: ) ~ VI, LOISBY/ST IDENTIFICATION; ~----~~PRINCIPAL 1DEN'I/FICA1/ON: uoa y _~ :. _e'-..~ .. '~ ~'roauceo xu ~ Produced ID -=a..'~i~'--commissio~ #DD~7622 '-,;.c~ ~.";,( .' .. :., ~" '" "'"'"' WWW. a~0NNOT~ecsonaliy known (LObbyist) VII, SIGNATURE AND STAMP OF NOTARY: State of Florida, County of Miami-Dada Sworn t¢ and subscribed before me I~[~~ Notary- State or Florida ari_~atlon of Lobbyist's signature Notarization of Principal's signature ^nnualRegis~aUonfee: [~/]Yes[ ]No Amoun)FJ)id. ~,~7,3 MCR#~."~ ~ 7~(o 'DatePald Lobby]K Eeglsryatlon Form received and verified by: I,~'%../~ F:\CLER\$ALL\MARIA-M\Lobbyist%OBBYIST fORM 05.do~ ' Revised 12/0W04 ~ Pe~~n Form of Identification ally known (Principal) ,,,.,,,~.;,,,, Aria L. Parker-Cruz ..-.~. '..~; Commission #DD 163081 :*" :*'-' Expires: Nov 04, 2006 -,~.~ .... ~q.-' Bonded Thru State of Florida, County of MiamkDade ""' Atlantic Bonding Co.. Sworn and subscribed before hie Slgre~ub~ic'l~b:~ry :~::State of Plorid~