Steve Bernard/Ira Giller
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MI
I BEACH
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)
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BUSINESS NAME AND ADDRESS (Number and Street) (City) (State)
TELEPH~eM~R:. 6 ,.t-., 'SF! NtBER: :lor. tGSt-EMt'-a ,
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(Zip Code)
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LOBBYIST RETAINED BY:
NAME OF PRINCIPAl/CLIENT:
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BUSINESS NA AND ADDRESS (Number and Street) (City) (State)
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TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional)
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(Zip Code)
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.
Describe in detail):
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III.
CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
A) Full Name of Individual/Title
B) Any Financial, Familial or Professional Relationship
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY,
~ FLATRATEOROTHER): ,~~ .1
A) LOBBYIST DISCLOSURE: (Required) ~ ..., lIlY- ~ JA,* ~ ,l.~~,ft,~')
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). '" (7 - - <:) ..
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":
DYes
2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real
Estate Development Issues":
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-for-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..
D Yes ~o: Are YOU reDresentina a not-for-Drofit corDoration or entity without sDecial comDensation
or reimbursement. .
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 BE FILED EVEN IF THERE HAVE BEEN NO EXPENDITURES OR COMPENSATION DURING THE
REPORTING PERIOD.
Signature of Lobbyist:
Signature of Principal/Client:
VI. L~VIST IDENTIFICATION:
~oduced ID ~..J~
15 ~q, - i?7~1-3ti~~CJ9-0
[J Personally known (Lobbyist)
PRINCIPAL IDENTIFICATION:
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Form of Identification
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C Personally known (Principal)
State of Florida, County of Miami-Dade ,_'" ,
Sworn t .alI.d ..... . l:Off~..'.-:~' . ,;,~.::..~..,-------..ua
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ion of Lobbyist's signature
State of Florida, County of Miami-Dade
Sworn an<1:ubscrib~e ~e
This --/J2!:!Jray of 20
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Signature of Public Notary - State of Florida
Notarization of Principal's signature
Revised 12/08/04
VII. SIGNATURE AND STAMP OF NOTARY:
FOR CLE
Annual Registration fee: [\ ] Yes [ ] No Amount Paid
Lobbyist Registration Form received and verified by:
F:\CLER\$ALL\MARIA-M\Lobbyist\LOBBYIST fORM 05.
, USE ONLY a--,
MCR# .20'\~Datepaid~
843 Meridian LLC
The Giller Building
975 Arthur Godfrey Rd.
Miami Beach, Fl. 33140
Tel. (305)538-6324 Fax (305)538-5921
July 6, 2006
Board of Adjustment & Flood Plain Management Board
clo Planning Dept.
City of Miami Beach
1700 Convention Center Dr.
Miami Beach, FL 33139
Re: 843 Meridian Apts.
BOA File #3200
FP File #FP..o6-04
Board Members:
Steve Bernard is authorized to represent 843 Meridian LLC as a manager of the
development company as well as Vice President of Giller & Giller, Inc., Architects.
Ira . Giller
Managing Member