Craig Webb/Howard Herring NWS
.~
<9 MIAMI BEACH
City of Miami Beach Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139
LOBBYIST REGISTRATION FORM
lobbytst means all persons employed or retained, whether paid or not, by iI principal who seeks to enctllKilge the passage, defeat
Of modification 0( any ordinance, resolution, action or decision of any commissioner; ilny action, decision, recommendation of the
Oty Manager or ilny city board or committee; Of ,my action, decision or recommendation of any c~ persomel during the time
period of the entire clecision-making process on such action, decision or recommendation that foresetoilb~ will be heard or rl!viewed
by the dty commiSsion, or a city board or committee. The term speciflCillly includes the principal as well as any employee engaged
in bbbylng activities. The term -LDbbyists" h.s specific hduslons. PleUfl refe, to Ordinanctl 2004-3435.
4"S
M/ t-l:JI?
(Last)
!,p
(Number ilnd Street) (City)
1.! 0-1-/1, 1- - ~OC'(:.
F NUMBER:
Cr.'
(F",~j
/7-'5 L/
(M.I)
6blrltk 9: >~ M I CjooM
(state) (Zip Code)
erA:J w fJ fb",CI , ea&4-1
EMAIL: , ~
'2/o-t/K"L -1,000
TaEPHONE NUMBER:
I. LOBBYIST RfTAINilm
Ho {)/ ct-rd eif3
NAME OF PRINCIPAl/CUENT: . ,
Nb<>> UltJr(d' 5ij/HI'~
01./' I~ f-c,,-I.., (lM~ IXach
BUSINESS NAME AND ADDRESS (Number and Street) (etyl
105- r.7~-a?,v ~os-t7?-(,N1-
TELEPHONE NUMBER: FAX NUMBER: (Optiooal) EMAIL: (Optional)
(State)
p:.. ?7/JC{
(lip Code)
Fill out thll section if principalll a Corporation, Partnership orTrust [Sectlon 2-482 (e)]
NAME Of CHIEf OFFICER, PARTNER. OR BENEFIClA.RY:
lDENlTFY AU PERSONS HOLDING, DIRECTLY OR INDlREOlY, A 5% OR MORE OWNERSHIP IKfEREST IN SUCH
CORPORATION, PARTNERSHIP OR. TRUsr:
JL SPECIFIC LOBBY ISSUE':
~.... ~ It. ~Of1.L...D
Issue to be lobbied (Describe In delail):
D1 CITY AGENCJES/JNDMOUALS TO BE LO..lfD:
~-( "'-A.pJJo~ -{
.y:;-..u
bJ I ...0 I '" I.-
A) PUU Name of Indhrid",'/Ti1Je
') An, Fi""ndal, Familial or PrDr.uIonal Relationship
oe~If..,...) a.="',J!:n' "'-
A.Y 0"" ~
.;~ .
N. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLQSf WHElltER HOURLY;
FLATRATEOROTHER): --9-
A) LOBBYIST DISQ.OSURE: (Required)
-6l-
B) PRIt<<:IPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required).
The following Information must be answered:
1) Pursuant to Miami Beach City Code Sectlon 2-488 Entitled "Prohibited Campaign Contributions By lobbyists
On ClIrement IssuesH:
01 i ar orndlnbld ul
Drenn!: or IH!!ndina aWl!lrd for QOods. eauioment Dr _rvlce"
servlc s Dr
2) Pursuant to Miami Beach Oty Code 2-490 Entitled "ProhIbited Campaign Contributions By Lobbyists 00 Rea!
~ Estate Development IssuesH:
No: Are YOU lobbvina on a Bendlna aDOllation for a Dl!yekloment AGreement with the City or
aDDIic::ation for chanae of zonina maD desionation Dr chanae to the City's Future lJInd Use
MGZ
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~profjt
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
sect but, shall not be required to pay any registration fees..
no - - r 1
..
or reimburseml!nt. .
Y. SIGNATURE UNDER OATH:
ON OCTOBER 1sr OF EACH YEAR, EACH LOBBYIST S
STATEMENT UNOER OATHrSTlNG LOBBYING EX
RECEIVED, IN THE CITY OF lAMI BEACH FOR THE
SHALL BE FILED EVEN IF ERE HAVE BEEN NO EX
REPORUNG PERIOD. ~
I
I do solemnly swear tnaJi,l!toregOing facts are
familiar with the provisiO~ co In Section 2-482
requirements. i I
I ,
Signature of Lobbyist:
Signature of Prlndpal/Cl
VL
BMIT TO THE CITY CLERK A SIGNED
ES, AS WELL AS COMPENSATION
G CALENDAR YEAR. A STATEMENT
ES OR COMPENSAUON OURING THE
ue and correct and that I have read or am
the Miami Beach City Code and all reporting
nON:
o Produced ID
o Produced 10
Form of IdentifIcation
o/"PersonaNY known (Lobbyist)
VII. SJGNATURl\AND STAMP OF NOTARY:
CAJJ~,.. L-o.l /l7W2f
state of RlM*, COunty of )1iu...1 ~
SWorn to and 5\Jbscrl before me
This c..-I 200
Form of Identification
*rsonallV known (Prlndpal)
.~ OMA CAROL PETRoev
~.; MY COMMISSION # 00'91284
'tOFt\: EXPIRES; Aug.31.2010
(407) 398.0153 FIorla. Hoary Slnce.com
Annual Reglstr 0] f'-C:: Paid
lobbyist Registration Form recetved and verified by:
F:\CLER\$ALL\MARIA-M\Lobbyist\LOBBYIST fORM 0 .doc
ONLY .~
f~ Date'"
Revised 12/08}04
~ - - - -JENN;Et~LE;NEHR~ ~
@-....Commlssion#1499199
~ -.,;.. Notary Public - CaUfomla I
. c~,. Los Angeles County -
~ _ ,.. _ ~.:o:m~Ex~r:J~6:.2~1
ATTACHMENT
Jorge M. Gonzalez/City Manager
Timothy Hemstreet/Assistant City Manager
Hilda Fernandez/Assistant City Manager
Robert C. Middaugh/Assistant City Manager
Jose Smith/City Attorney
Robert Parcher/City Clerk
Maria Martinez/Assistant City Clerk
Donald M. Papy/ChiefDeputy City Attorney
Jean Olin/Deputy City Attorney
Raul J. Aguila/First Assistant City Attorney
Kelli Cohen/First Assistant City Attorney
Rhonda Montoya HasanIFirst Assistant City Attorney
Gary M. HeldlFirst Assistant City Attorney
Sheri A. SacklFirst Assistant City Attorney
Debora J. TurnerIFirst Assistant City Attorney
Judith L. WeinsteinIFirst Assistant City Attorney
Jeffrey T. Donner/Senior Assistant City Attorney
Steve H. Rothstein/Senior Assistant City Attorney
David Dermer/Mayor
Saul GrossNice Mayor
Matti Herrera Bower/Commissioner
Simon Cruz/Commissioner
Luis R. Garcia, Jr.!Commissioner
Jerry Libbin/Commissioner
Richard Steinberg/Commissioner
Kent Bonde/City Center Coordinator - Redevelopment Agency
Patricia D. Walker/Chief Financial Officer (City Finance Director) - Redevelopment Agency
Alexandra RolandellilSouth Pointe Coordinator - Redevelopment Agency
Stacy Kilroy/Redevelopment Specialist - Redevelopment Agency
r '_
Manuel Marquez/Financial Coordinator - Redevelopment Agency
Sandra Ortiz/Office Manager Redevelopment Agency
Thomas Mooney/AICP, Design and Preservation Manager