Fredrick Webking/AEG Live
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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 prindpal 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 dty commission, or a city board or committee. The term specifically includes the prindpal as well as any employee engaged
in lobbying activities. The term -Lobbyists" has specifie exclusions. Please refer to Ordinance 2004-3435.
Webking Fredrick W.
NAME OF LOBBYIST:
(Last) (First)
5750 Wilshire Blvd. Suite 501 Los Angeles
(Number and Street) (aty) (State)
323-930-5797 rwebking@aeglive.com
FAX NUMBER: EMAIL:
(M.!)
Ca 90036
(Zip Code)
AEG Live LLC
BUSINESS NAME AND ADDRESS
323-930-5750
TELEPHONE NUMBER:
I. LOBBYIST RETAINED BY:
AEG Live LLC
NAME OF PRINOPAl./CUENT:
AEG Live LLC 5750 Wilshire Blvd. Suite 501
Los Angeles Ca 90036
BUSINESS NAME AND ADDRESS (Number and Street) (aty)
(State) (Zip Code)
TELEPHONE NUMBER:
FAX NUMBER: (Optional)
EMAIL: (Optional)
Fill out this section if prineipal is a eorporation, Partnership or Trust [Section 2-482 (e)]
· 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:
I~ k' seJ;.aFIe LQB)JV ISSUE:
Jac Ie Uleason Theatre
Issue to be lobbied (Describe in detail):
III. CITY AGENCES/INDMDUALS TO BE LOBBIED:
A) Full Name of Individual/Title B) Any Financial, Familial or Professional Relationship
Mayor, City Commissioner N/A
And City Staff
~
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURL Y,
FLAT RATE OR OTHER):
Part of regular compensation
A) LOBBYIST DISCLOSURE: (Required)
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required).
Part ofree;nll'lr c.ompp.m:l'Itlon
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":
I Yes l) No: Are YOU lobbyinG on a Dresent or oendinG bid for GOods. eauiDment or services. or on a
Dresent or oendinG award for GOods. eauiDment or service?
2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real
Estate Development Issues":
lIVes 0 No: Are yOU lobbyinG on a DendinG aDDlication for a DeyeloDment AGreement with the City or
aDDlication for chanGe of zoninG maD desiGnation or chanGe to the City's Future Land Use
Hu1
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..
o Yes . No: Are you reDresentinG a not-fof-Drofit corooration or entity without soecial comoensation
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, USTING 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
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 contained in Section 2-482 of the Miami Beach City Code and all repo .
requirements.
Signature of Lobbyist.
C&:iJ iroY~,'a
0.C.
Signature of Principa
VI.
LOBBYIST IDENTIFICATION:
PRINCIPAL IDENTIFICATION:
D Produced ID
o Produced ID
Form of Identification
i Personally known (Lobbyist)
VII. SIGNATURE AND STAMP OF NOTARY:
Form of Identification
~ersonallY known (Principal)
FOR CLE
Annual Registration fee: [ ] Yes [ ] No Amount Pai
Lobbyist Registration Form received and verified by:
F: \CLER\$ALL \MARIA-M\Lobbyist\LOBBYIST fORM 0
Miscellaneous Cash Receipt
CITY OF MIAMI BEACH
28681S
No.
D Cash D Credit Card
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Received of
(THIS INFORMATION MUST BE COMPLETED)
Accou~/. P1;1J <3 67. y1L;y ,BY
Prepar: ' Dept: c!..-- r!
EXT: t/Y'-J..
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