Misha Mladenovic/CABI 301 Residential LLP
DEC-01-2006 FRI 06:01 PM Shutts and Bowen
FAX NO, 3053819982
p, 01/02
C9 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 II prlndpal who seeks to encourage the passage, defeat
or modification of any ordinance, resolution, action << decision of any commissioner; any action, deason, recommendatlon of the
City Manager or any dty board or commltb!e; or any action, dedslon or recommendation of any city personnel during the time
period of the entire decision-maklng proc:ess 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 specificallV Includes the principal as well as any employee engaged
In lobbying activities. The tBrm "lobbyists" hilS spedflc 8Xdulllons. Pie... refer to Ordlnilnee 2004--3435.
Ml.4 t.l6l) 0 vi L ~ ~ "
NAME OF LOBBYIST: (Last) (First) (M.I)
GJ\81 30' ~iMn&l1 LLL(> ~ W. (AM~uJo ,,~~ SiJJfC 'fiX) ^~t'Q
BUSINESS NAME AND ADDRESS (Number and Street) (CIty) (State) 1 (Zip Code) 'FL. ~ ~ 1 ~
~b tO~LLtWG;-1.nJ. 0l'~~4~P}~e("~,,~uUi"',. tlJCN1 '
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
I. LOBBYIST RETAINED BY:
~I 30 I ~iAO,<t ~Q , I..LL (J
NAME OF PRINCIPAL/CllENT:
1ulf2l, Ft
(Zip Code) '3 ~ , go
EMAIL: (Optional)
Fill out dill slllCtiDn If prlnclpal is a carporatlon, Pertn.nhlp or Trust [Stlc:tion 2-482 (c)]
. NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY:
l' 4 'OWO Ca Io4Ici ('
. IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, ^ 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
eft" a!. CA ~Ioi~ j A\ota~atM ta ~1tJ.'~
(~cl,~=rrlf~BY~ O(J.'(\(J~c.e V'e,af'"i!,,,!! VIew ,t~~ 9>~OOO S~U4~
tttt d,^t.1 o,,~~ \V\ (OMWlerCA'",d ()"tMt"f;~
Issue to be lobbied (Describe in detail):
m. CITY AGINCES/INPMDUALS TO BE LOBBIED:
A) Fun Name of XndividUIIlrntle
B) Any Rnanelal, Familiill or Pratessional Ralationship
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DEC-01-2006 FRI 06:01 PM Shutts and Bowen
FAX NO, 3053819982
p, 02/02
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSAnoN (DISCLOSE WHETHER HOURL Y,
FL4T RATE OR OTHER):
A) ~BBYIST DISCl.OSURE: (Required) ",t? ~ /
.
///')~?~~
b~
t-Ul'I\r~ J;Ff \~
B) PRINOPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION); (Ilequlred).
The following informBtion must be answered:
1) Pursuant to Miami Beach Oty Code Section 2-488 Entitled "Prohibited Campaign Contributions By Lobbyists
On Procurement Issues":
2) Pursuant to Miami 6each my Code 2-490 Ent:ltled "Prohibited CamPilign Conb'lbutions By Lobbyists On Real
Development Issues";
3) Pursuant to Miami Beach City Code 2-484 (h) Any person (l!Xt'ept those exempt from the definition of
"lobbyist" as set forth in Section 2-481 above) who only appears as a representative of a noHor-profit
corporation or entity without spedal compensation or reimbursement for the appei:lrance, whether direct, Dr
indirect, to express support of or opposition to any item, shall register with the clerk i:lS required by this
. n but, shall not be required to pay any reglsb'ation fees"
not--fo
V. SIGNATURE UNDER OA11t;
ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHAU SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES, AS WEU 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 Principal!
VI.
LOBBYIST IDENTIFICATION:
PRINCIPAL IDENTlFlCAnoN:
o Produced 10 I"J Produced ID
Fonn of IdentifiCCltion Form of Identification
~ersonallY known (Lobbyist) ~rsonallY known (Principal) .:-,~1~Y~~~':;. Giselle \lUnzai...i
3~:"tb. \C:-:Commission 100411849
Vll. SIGNATURE AND ~",P",oF elOT~RY), ~~.~:;~hxpires: MAR. 27, 200Q
.:-'~~...~<9'.... uISelle uonzalez "";OF'f'-t,,,., . .., '
State of Florida, CoU~iMof :..' :~Con:nussion #D0411849 State of Florida, c.ounty of Miam. I-Dade"""" ., r" , ,
S~om and subscrr b,. '~/Ex.pl1'es: MAR. 27,2009 Swon:' ~nd subserl eel befor.e me
This da ~~W.AARONNOTARy.com This ...::i.-day of 20...Q tt! l
Slgnatu lic Notary - stclte of Florida
NotIIrization of Lobbyist's signllture
Signature of Public Notary - ta Rol1da
NotIariDrtion of Principal's signature
l L. FOR CLERK'S. USE ONLY .-Qa.~ ~
Annual Registration fee: [-- J Yes [ ] No Amount Paid ,~ MeR # ~ Date Paid 0
Lobbyist Reglstrat10n Form received and verl".d bvi.----t:i: ~
F:\CLfR\$AU\MARIA-M\l.Obbylst\LOBBYIST fORM OS*ld " J.. \ Revised 12/0B/04
f'rnCl"\..Q, l'2jsjQo