Kent Robbins/Ocean Dr. Preservation Association
To: 3056043993
P.5/6
MA~19-~ 09:16 From:
G M\AMIBEACH
City of Miami Beach Office of the Oty Oerk
1700 Convention Center Drive, Miami Beach, FL 33139
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UlBBVlST RgmSTRATION FORM
\.obbyi5t me<tIlS cj peP.iOI'I5 emplayed or rebIined, wt1dher paid or not, by a pcindpal who SI!eIcs ID encourage 1he ~ defe<<
or mocII\ratIOll d W'If (lfdInDnCI:, redution, attion or ded5ion d iII1Y oommisiiDnllr; lInf adioo, dedliion, reconmendl:1don d the
Oty ManagCI' or ant city board or wmmitlee; or any ~. tJecit;iOn tJ( tec;oilllllelldatiOO tJ any Gily per.;ooneI duri1g tre time
period 01 the entire ~ proalSS on such ..:tton, deddon cr -..,JIl~ \tlet fOI egeeabty wlI be heanI or revieWed
by 1M dly CDIIIIIlISSiOn, or It city bl*'d or QlIMlIltee. The lerm specifIalIy indudes the prindllll as weI as any empIafee I!IIfP!1I!d
in ~ actiVitieS. 11Ie tenn '\.ClbbYiIlS" .. specific pdl..... ........,... to QrdInanCe 2004-3435.
Ro~'ClNS ~EN\ 1-1,
NAMF OF LOBBYIST; (I,ast) (first) (M.l)
ldd'::\ UJ PI s H, N ~1?N B- V~ l!\IA1l1L~H, FL .331~
BUSINESS NAMe AND ^DORESS (Number and 9n!et) lCily) # lState) (Zip Code)
-2'c6-5..=Q'DS'oO 3C6-'33/-0 ISO Jl.HI2bBB~~. ~
TELEPHONE NUM8fll: FAX NlMBER: EMAIl;
L &.OUVIST Rr;rADIED BY: ~
~f\:t-l D< \ \IE '-\-1LE: sE~~.6TI 1) rJ As.sa::.1 flTIOrJ,~.
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lib:) Cb;;:ArJ Df<\ V~ {Y1((trYII {Xf1(H ,FL 33(59
BUSINeSS NAMIi AND ADDRESS (Number and Street)" (CI\y) (St*) I (21p Code)
TElF.PHOlIlE NUMBER:
FAX NUMBER: (~)
EMAlL: (Optional)
fiR out tills IIfICIiOn If principal". ~~"P.""""" or nui.t (SIIdIoII2-482 (e)]
. NAME OF (;HlflO OFFICER. PARTNER, OR 8ENEFlCIARY:
en fl Cj L- Q 6..) "'.L? J..l.t\
. IOENllFY AU. JlfRSOftS ttCaDlNG, DIRfCTlY OR'Mb~Y, A 5% OR MORE OWNERSHIP INTERE.CiT IN SlICH
CORPORATION, pARTNfRSHlP OR l1WST:
8o(l.~O {'~M.. "t'\'\E.
VO,/ ~~ ~to~
A) Full N.me of lndivldual/Thl8
B) MY AftIlftCIal, 'f8nll1aI or "ofIIlIonII ReIationllhip
Spec/,,1 ~lr
'1(
MAW-19-aa06 09:17 From:
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To: 3056043993
P.6/6
IV. DJSa.OSURE OF TERMS AND AMOUNTS OF l.OI8Y1ST COMPENSAlJON (DIS'CI..OS WHmtER HtJIJIIl.r,
I'tAT IlATI! OR 011fEll), /
A} L08BYIST DISO.OSlJ\E: (Ilequirecl) -$ 3 7 s. h OJ r
R) PRINC:IPAl'S DJSCI..OS\ft (OF LOBBYIST COMPENSA'nON); (bquired).
~~ 37'5/ ~JJr'
f
1be following infonnaticwl must be answet'ed:
1) Pursuant to Hlllm! Bead1 City COde section 2-4118 Entitled "ProhIbited QlmpalQn ContribWons By lobbyists
Z Proturement Issues-;
o Yest : Are vau IoMMna on a _ or Dendi", bid for ~ ecaun.n-.t or services. Or CUUI
pn'!il8IIII: or aNmdilllll award fGr -- eaun.-.t or ~.,
2) Pursullllt tv M'lfImi Beach Oly Code 2-490 Entitled -Prohibited Campaign Contmutlons By lobbyists On Real
~ Development Issues";
ovesff: Are you Iobbvi.., on a .....na aDDliadion far a DeveIoamMt: AareeIRent with the atv GI'
IIIIIIIIcmiDn far dlllnae of Dlnlna IMD desialllltian or dill... to tile atv's Future LaIld UlII!I
~
3) Pursuant tv Miami Beach CI.y axle 2-<484 (h) Any fJI'!l'SOI1 (exalpI: those exempt from the deftnItIon ~
-lobbyist" as set forth in Section 2-481 above) who only appears as a repre5elQtivc of a not-fot--profit
corporation or enUly without spedII tornpIl:f15iIti or reimbursement for the appearance, whether diJed:, or
indirect, to express support d or opposition tv any Item, shell reglsb!r with ttle deI1c as required by thi$
+n but, shall not be required to pay any registration fees..
D Yes ~I JVe YOu rearesemln@l a nat-far..Dntftt COI1IOI'atIon or entItv wII:bout ~I comaensation
ot~l:..
V. SIGlIU11JRI UNDER OADI:
ON oc:roBER 15r OF EAQf YEARw EACH LOBBYIST SHALL SUBMIT TO ntE CITY CLERK A SIGNED
SfATEMENT UNDER OATH, USTJftG L088YJftG EXPENDITURES, AS WELL AS aJMPENSAnON
UCSVED, IN no: CITY OF MIAMlIUat FORm- ~~=-
=::"~"_HAW_~~_
Sign;IbJre c11.obby1st
I do solemnly sw:wr that all the fore99tng facts are true and COITeCt and that I have read or am
=--...:. tile. _~ tile _ _ Oty COde and all _
Signal:ut'e of lobbyist. V - --
Slgnatln of Prindpaf/Oient:
LOHYIST lOEff11FICAlION: PRDICIPAL ..........a1lOll:
~,,\\\lIIIIl/III',
. '. ~"'''\J6~ BA Y4,.J~uoad ID _
form d Identif~ oo:~~iSSIO;;ooo % Form of!dentjfialtio/l
~ 000(;0'-" ~ 6 <. ~-I:o'o ~
~Personally known (Lobbyist) ~ :" ~ ~'Ii ' /70.> l~1ty known (Principal)
_* 0 (Il 0 _
=: .... -*=
YD. SlGNATUREANDSTAMPOF~Y:#DD210415 r~::ff
~"""'.4.! eQ-
~~oo-% 6'ondedln\\l .0' ""~
State of FIorId8, County of Hiilmi-Dade ~ 'J- ;'01 PUblic Unde\'ll~ _ FlorIda, County of Miatl1i-Dode
Swom to and sub$lrib<<l before me A/_ ~,p81..icoSOT':~~ and subscribed before me
This "2 f of 20 v ~ 'III",,, \,:;+; ..~ eX 20
~. -. ''''"''\1\\ ___.__'UIUIf.,...-----'_
'an
w of Florida
llignature
Produced 10
Signature d Public Norary - State of Ronda
NoratbatIGn of Prtndpef. idgnaIQre
--"'"[ y,,[ J" ~~.)~. __1-":-6/22/4
lObbyIst Reg1IIraIion Form n.'Cl:iYCd and verified bv: ~ oN ~ ct
~:\CLER\$AlI.\MARIM4\loIIbyiI;l\lOlIBfORM os~ _...""..1' ~I Re>Jised J.2/CXJI04
Nl:J "t>~Y.