Neisen O. Kasdin/Bernard & Mary Levine
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City of Miami Beach Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FL33139
LOBBYIST REGiSTRATION FORM
Lobbyist means aU penllI1S employed or retained. whether paid or not. by a principal who seeks to encourage the passage, defeat
or modlficaIion ct any ontnance. resolution, iIClion or deciSion of any commiSSiOner; any action. decision. recomrnenctatiDn of the
City Manager or any dly board or .......oittee; or any action, deciSion or recommendation of any dty personnel defined in any
manner in this section. during the Ume period of the enUre decision-making process on such action, decision or recommendation
that _bIy wi! be heard or revieWed by the dly corrvniS5ion. or a dly board or committee. The term specifically includes the
principal as well as any .....,.,.. engaged in lobbying actiYilieS. lhe term "Lobbyists" has specific exclusions. ~""...
tD OnIinance 2004-34]5.
NAME Of LOIlIlYISI":
Kasdltn
(Last)
J':Je.i.c,p ~
(First)
n.
(M.l)
:fF31/bD 1.3.3/3/
(State) (Zip Code)
n}(QC; dinG I'l"^~+e(.c.om
EMAll: ~'
305 ~ 31j:> ~ (,.[) CoJ.
TElEPHONE NUMBER:
-:v>s - 3~Cj ~ "0 I 0
FAX NUMBER:
L LOIIIIYIST RETAINED BY:
Le vi(\~ Refnrud "" Ma. 'Y
NAME Of PRlNC!P CUENT:
-OJtl
BUSINESS NAME AND ADDRESS
aJzf,. S. Coc.oMtLant. MI'am/ Beach. r;(..33/39
(Number and Street) (City) (State) (Zip Code)
13U:v i N e <L P A. Uti T.:J UN6 L e..GIlII
EMAll: (Optional)
FAX NUMBER: (Optional)
3os~ '-100 -~
TELEPHONE NUMBER:
flU out this _If prin.... is a Corporation. Partnenhlp or Trust [5eclion 2-482 (c)]
o NAME OF CHIEF OFFICER, PARTNER, OR BENEFJOARY: () 10...
o IDENTIFY AU PERSONS HOLDING, DIRECTLY OR INDlREffiY. A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION. PARTNERSHIP OR TRUST:
n. SPEOnC LDl8V I5SIIE:
%.onjf\b '1a-da.nc.e...fof .:l~c.. S. Coc.onvt J..ane M/'ami lJeach, Fl.
Issue to be lobbied (Describe in detail): .
m. CITY AGENClES/JNDMDlIALS TD BE lOBBIED:
A) Full Name of Individual/Tltle
B) Any Finanda~ Familial or Professional Rel~s"
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lV. DISCLOSURE OF VERMS AND AMOUNTS OF LOBBYIST COMPENSAnON (DISCLOSE WETHER HOURL Y.
FLAT RATE OR OTHER):
A) lOBBYIST DISClOSURE: (Required)
B) PRlNCPAl'S DISQ.OSURE (Of lOBBVISl" COMPENSATION): (~Ired),
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Pursuant to Ordinance No. 2004-3435.
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a;;;~';; r-nnIrihulicns BY I nhhvis15 On Real FsllItl! 0l0w!kxlmenI: Issues":
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Y. SIGNATURE UNDEll 0A11t:
ON OCTOBER lor OF EAOf YEAR, EAOt LOBBYIST SHALL SUBMIT TO THE
STATEMENT UNDER OATH, U5nNG LOBBYING EXPENDITURES, AS WELL
RECEIVED, IN THE CITY OF MIAMI BEAot FOR THE PRECEDING CALENDAR
SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPEND COMPEN
REPORTING PERIOD.
CLERK A SIGNED
COMPENSAlION
A STAlEMENT
lION DURING THE
I do solemnly swear that all of the foregoing facts are true and c and tha
familiar with the provisions contained in 'on 2-482 of the . mi each City
requirements.
I have read or am
e and all reporting
LOBBYIST IDENl1FlCAnON:
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Signature of Lobbyist:
Signature of Prindpal{Oient:
VI.
PRJNOPAL IDEN1lF1CAnoN:
- Produced ID
= Produced ID
State d Aorida. County d Miam~Dade
Sworn f ~.t' subscribed before me
This dayd~.. 20.Q...":\
"J~ck - Sta~ d Ronda
Notarization of Lobbyist's signature
Slate d Aorida. County of Mi
Swam and subscribed before
This Z--day of
Fonn of Identification
~rsonallY kroWn (Lobbyist)
VIL SIGNATURE AND STAMP OF NOTARY:
~~. :"co.=oIon uD23t2I8
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.. EXllires AugUll30. 2007
Annual RegistraUon fee: [ ] Yes [ ] No
lobbyist Registration Form received and ...rilied
Revised 02110/04
ON;~ ;?itr;r1 D
Paid
J.6,.M\lOBBYISTIlOBBYlST FORM 04