Carol M. Hoffman/Arts at St. Johns Inc.
,~ .
(9 MIAMI BEACH
CIty of Miami Beach Office of the City Clerk
1700 ConventiOn Center Drive, Miami Beach, R.. 33139
LOBBYIST REGISTRA nON FORM
Lobbyist means all persons employ<<l or r....ined. _ paid or not. by . principal who seeks to """,,"..go lI1e passage, defeat
or modification d any ordinance, resolution, action or decision d any convrissioner; anyiJCtion, decision, recommendation of the
City Manager or any city board or commi_; or any adion, decision or ~ of any city personnel during lI1e time
period of tI1e entire decision.....1clng process on sucI1 action, decision or ,"'0"''''''_ _ foreseeallly will be heard or reviewed
by lI1e city _, or a clly board or ,~...itlio... The lIlrm spedfic:ally includes tI1e principal.. well.. .ny _Ioyee engaged
in lobbying ._. 11Ietann "LD..........._--.__ _..-lID 0nII_.. 20114-3435.
tJ
BUSINESS NAME NID ADDRESS
(First)
EMAll:
(City)
I. LOBBYIST RETAINED BY: .
.~~ cd ~/. ( )I)/WS JjlC
NAME PRI ttl/WENT: - .
!k~ (rr~( J().k~);tC 47r:JO 7?vO?2LLD/2 -a/~~~ Fr--
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TELEPHONE MJMIlER: fAX: (0pti0nIl1) EMAIl.: ( - I)
FIR _III" _.If .............. OlIpond1.... P..Iio_....lpor-rn.[SectiN Z-482 (e)]
. NAME OF OlJEF OFFICER, PARTNER, ~ 1l8lEFICIARY:
C f/C2-l sn 4/.G PEA/I?
. IDENTlFY ALL PERSONS HOLDING, DIRECTlY OR INOIRfCTl y. A 5% OR MORE OWNERSHIP INTERfST IN SUO!
alRPORAllOll, PARfNERSt&P Of!. lRlI5T:
~
~, IV. DI5Q.OSlIRE OF 1BlM5 AND AMOUNTS OF l.OIIIIYlST COMPENSATION (DISCLOSE WHElItfR HOIJRL Y,
FlATRA7EORumBlj. .
A) LOBB'IISTOISQ.05URE:(Requlrod} I am -1iw dJrt'clM-- (tluMs qf S-f Jofu,O
B) PRINClPAL'SOISCLOSURE(OFLDBBYISTODMPEN5AllON):(~). rn~ -h-1a1 ."yJ}n../1 IS, $j,;{,OOD
The foUawing infannationmust be answered: c::LtI"c;,-
1) Pursuant to Miami Beach Oty Code SectiOn Z-488 EntilIed "Prohibited Campaign contributions By Lobbyists
On Procurement Issues":
.<
n Yes 'rll No: Ara vou a...w-Ina an _ --;:.t~.::=':; ;::::":;n-~ or lIMViC8&. or on a
I "\ Dr --A. ar 'D8indlna award far MNVVIe _.IDIIH!IIIt.Gr ..-vice?
2) PlJ"SUiInt to Miami Beach Oty Code 2-490 EnliUed 'Prohibited Campaign Conbibutions By Lobbyists On Real
Estate Development Issues":
DYes (NOl ='~ on a .......nna _lication for a Develoament __ with the City or
_ far r:hallll8 of' ~anina maD ....Iftftation 01' dtanae t:D the~. Fub.... Land U_
HitR1
3) Pursuant to Miami Beach Qty Code 2-484 (h) Any person (ec:cept those exempt from the definition of
"lobby1st" as set for1h In SectIon 2-181 above) who ony appears as a representatIVe of a not-furilrofit
corporation or entity without special compensalioo or reimtusement for the appearance, whether direct, or
indirect, to express ~ of or opposition to any item, sIlall regis1er with the derlc as reql.ired by this
section but. shall not be required to pal( amy registration rees..
)(Yes DNa: :-..:~~a~~for-f:;~~en~wl~~~i:"r..tion
V. SIGNATURE UNDEROA1H:
ON OCTOBER lor 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 PRECEDING CALENDAR YEAR.. A STATEMENT
SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPENDITURES OR. COMPENSATION DURING THE
REPORTING PERIOD.
I do solemnly swear that all of the foregoing facts are true and and that I have read or am
familiar with the provisionS comai in n 2-'18 of the Miami Beach City Code and all reporting
requirements.
Signature of lobbyist:
Signature of PrincipaVCIient:
VI.
l.OIIIIYlST JDENTIFlCA11ON:
<-(Produced 10 H { S:S"1 (~ 'IV~2.1l)
form of Identification
PR1HC1PAL IDENTJFICA11ON:
"::J"Produced 10 P 5 D 0 - t \ ;,- S-O <1(7 i 0
form of Identification
~ Personally known ("db list)
~ Pl!lSOIlally
e'~.... VII. SIGNATURE AN. D STAMP OF NOTARY,
!\!' ....~\
\l\ .JiJ Slate of Aorida, County of Miami-Dade
.~,~"" Sworn to and Slhsaibed before me
T.s "2'" dayof ~ .2007
I~I~""
ijll
If/.> I
~i_
Iii
Annual . -: Res I ] ~~~~~#_ ~... 2f5/0't
Loilbyist RAlg_ Form l'elIeived and vel1iIied by: ~ --::;:. I .
F:\a.ER\$AU.\MARIA-M\Lo/Jbyist\LDBYISTfORM 05.~r-= Revised 12/08/04
~~t,il~/n