Bruce Eskowitz/Live Nation Worldwide
G MIAMI 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
Oty 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 tenn 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.
NAME OF LOBBYIST: (Last) (First) (M.I)
t= ~l.O/,(/.t r ~ f3/lfA!, t6..
BUSINESS NAME AND ADDRESS (Number and Street) (Oty) (State) (Zip Code)
L"l'-V!E,.(/R-'ito..!/ UflJitlfl4:l)e(1::U.. ~Yf t:rVIt l!~~ I~ /~t6V~~f tlta.{cW10:l10
TELEPHONE NUMBER: 3,0 ,.f,?-iO<<' FAX NU BER: (1 8/7 70).. 7 ~AIL:
.. "31 - ~ - (VlcJtli!lM'QJJl''ifJQW~t.qj
I. LOBBYIST RETAINED BY: '
NAME OF PRlNOPALjCUENT:
Lrl/l6 #/1. 'flw tU:Il.l.lft/.f-()ff.t ~.
BUSINESS NAME AND ADD~ESS (Number and S eet) (Oty) (State) (ZIp Code)
q ~~tt ttt4t (!~ru vI. ~uM.ty Vl'CLf tiP! ?a.l/O
TELEPHONE NUMBER: rJ C<<:' ~ FAX NUMBER: (Optional) , EMAIL: (Op onal)
3/v-. OrJ 7- /tlco
Fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (c)]
NAME OF CHIEF OFFICER, PARTNER, OR BENEFIaARY:
m.rel..f lite! ~RI.vo
IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
LIvfG
-L'r;1,.t-: ):- #t.
u. SPECIFIC LOBBY ISSUE:
Issue to be lobbied (Describe in detail): 1=U7Ui~ UfrE JI.;,p olfG""~ fir):" :Jt1/t./(N ~I'/ fcA.- 7fIft$I ~
m. crrv AGENCIES/INDIVIDUALS TO BE LOBBIED:
A) Full Name of IndiVidual/Title
B) Any Financial, familial or Professional Relationship
,Zt-"'"
M~
/f/()~~
#~
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURL Y,
FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE: (Required) #1) vaf
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). ,A/(/ Q~
The following information must be answered:
1) Pursuant to Miami Beach Oty Code Section 2-488 Entitled "Prohibited campaign Contributions By Lobbyists
On Procurement Issues":
o Yes ~o: Are YOU lobbyinG on a Dresent or oendina bid for Goods. eGuioment or services. or on a
oresent or oendinG 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 Oty 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 cieri< 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 COMPENSATION
RECEIVED, IN THE CITY OF MIAMI BEACH FOR THE PRECE NG CALENDAR YEAR. A STATEMENT
SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPEND S OR COMPEN ON DURING THE
REPORTING PERIOD.
~
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 contain In Section ht82 of the Miami Beach City Code and all reporting
requirements. t1 ~
Signature of Lobbyist: "'-
Signature of Principal/Client:
VI.
LOBBYIST IDENTIFICATION:
~ Produced ID -m~ ~
Form of IdentifICation
PRINCIPAL IDENTIFICATION:
o Produced ID
o Personally known (Lobbyist)
Form of Identification
~rSOnallY known (Principal)
VII. SIGNATURE AND STAMP OF NOTARY:
State of Rodda, County of Miami-Dade
Sworn nd subscribed before me
This f
, USEONLY ~ ~
MCR #296q<;g Date Paid I Q ~ 'ab
Revised 12/08/04
Annual Registration fee: [~es [ J No Amount
Lobbyist Registration Form received and verified by:
F:\CL~~\~AlL\M - \Lobbt \ B YIST fORM 05.
.s-\.~. . . .~~(~ .
i~"~'" \'f!1Commis!;iC'rl #00547686
S'!.'. .. :~:Ex' ... ,. 'Y 02 2010
~....~....,~~ plrb. ,;.,~ .
"""I::'~"'" WWW.AAnONNOTARY.com
...
i r "\\\~~j~'t,",,,
.} 't~Q~~"
~IU:~X)
~ .".,,,;...\olt-,-:O
. ;r"",~.~.~\\\,
KATHERINE WETMORE
Notary Public. State of Texas
My Commission Expires
March 16. 2010