James Tucker/Live Nation Worldwide
G 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 durlng 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 tenn specifically indudes the principal as well as any employee engaged
in lobbying activities. The term "Lobbyists" has specific exdusions. Please refer to Ordinance 2004-3435.
(First)
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NAME OF LOBBYIST: (Last)
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BUSINESS NAME AND ADDRESS (Number and Street) (aty) (State) (Zip Code)
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TELEPHONE NUMBER: 7 /?; ..{ q ~ ;z. '"l 'J · FAX NUMBER: EMAIL: I (
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LOBBYIST RETAINED BY:
NAME OF PRlNGPAL/CUENT:
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BUSINESS NAME AND ADD~ESS (Number and Street) I (City) (State) (Zip Code)
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TELEPHONE NUMBER: FAX NUMBER: (Optional) I EMAIL: (Optlo al) f
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fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (c)]
NAME OF CHIEF OFFICER, PARTNER, OR BENEFlaARY:
fJ1.rt # 1115." {. I2l/ll;,to
IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIREOl Y, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
(.1v~ M r.t(l~ Ipt.
fi. SPECIFIC LOBBY ISSUE:
IssuetObeIObbied(Describeindetail):F"rrJJ.tE t.Kc J4~ d/rb.IUll'~cr- ovt' ~1I1.1{~ ~*~
fiI. CITY AGENCIES/INDMDUALS TO BE LOBBIED: TtI~~
A) full Name of Individual/Title
B) Any Financial, Familial or Professional Relationship
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A) LOBBYISf DISCLOSURE: (Required)
/I/o A/I$.
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSAlION (DISCLOSE WHETHER HOURLY,
FLAT RATE OR OTHER):
B) PRINOPAL'S DISCLOSURE (OF LOBBYISf COMPENSATION): (Required). A/ t? 4/ IS.
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":
o Yes ~: Are vou lobbvina on a oresent or oendina bid for GOods. eauiDment or services. or on a
oresent or oendina award for Goods. eauioment or service?
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 derk as required by this
section but, shall not be required to pay any registration fees..
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 COMPENSAnON
RECEIVED, IN THE CITY OF MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT
SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPENDITURE OR COMPENSATION DURING THE
REPORTING PERIOD.
I do solemnly swear that all of the foregoing f.
familiar with the provisions contain n Section
requirements.
Signature of Lobbyist:
Signature of Principalf
VI.
o Produced 10
Form of Identification
k'Personally known (Lobbyist)
Signature of Public Notary - State of Florida
Notarization of Lobbyist's signature
FOR CLE
Annual Registration fee: [ J Yes [ J No Amount..eaid
Lobbyist Registration Fonn received and verified by:
F:\CLER $ALL . fORM oc
""\~~~::"" KATHERINE WETMORE
~e:,'1("'.' .."t'~
/",..' -.:"~ Notary Public. State of Texas
~...1. )~i My Commission Expires
~":';o,'~t,~ March 16. 2010
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are true and correct and that I have read or am
-482 of the Miami Beach Oty Code and all reporting
PRINCIPAL IDENllFICAlION:
ExecutIve Vice ent and
ChIef Accounting Officer
o Produced 10
Form of Identification
~erSOnallY known (Principal)
's USE ONLY
. MCR#
~lo~ate Paid 'cf1e>/otD
Revised 12/08/04
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KATHERINE WETMORE
No~ry Public! S!ate of Texas
y CommIssIon Expires
March 16. 2010