Kent Harrison Robbins/Henry Lares
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST OMPENSATION (DISCLOSE WHETHER HOURLY,
FLA T RA TE OR OTHER):
:# J/'1
A) LOBBYIST DISCLOSURE: (Required) I d l-{-c:Ju~
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). ,$/
The following information must be answered:
1) Pursuant to Miami Beach City Code Section 2-488 Entitled "Prohibited Campaign Contributions By Lobbyists
On Procurement Issues":
ment or services or on a
2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real
Estate Development Issues":
/
DYes
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-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 clerk as required by this
sectio ut, shall not be required to pay any registration fees..
V. SIGNATURE UNDER OATH:
d correct and that I have read or am
mi Beach City Code and all reporting
Signature of Lobbyist:
Signature of Principal/Client:
VI. LOBBYIST IDENTIFICATION:
Produced 10
Produced 10
Form of Identification
Form of Identification
~ Personally known (Lobbyist)
STAMP OF NOTARY:
XPersonally kno
iami-Dade
ore me
CH 200 ...,
I _
State of Florida,
SworJ].. a ffifu bs
This ~day' f.
Signat e of Pub ic =-~ of Florida
Notarization of Lobbyist's signature
j FOR CLE~S..lJ~E\ONL Y - .
Annual Registration fee: [ ] Yes [ ] No Amount Pa. S . (I LJ MCR #2-.%:9') (." I
Lobbyist Registration Form received and verified by: ' , .
F:\CLER\$ALL\MARIA-M\Lobbyist\LOBBYIST fORM 05.doc
Date Paid 3l:::!D /ri7
I I
Revised 12/08/04