James Rauh/Shelborne Associates
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,MIAMIB.EACH
City of Miami Beach Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139
LOBBYIST REGISTRA nON FORM
Lobbyist means all persons employed or retained, whether paid or not, by a prindpal who seeks to encourage the passage, defeat
or modification of any ordinance, resolution, action or decision of any commissioner; any action, decision, recommendation of the
City Manager or any dty board or committee; or any action, decision or recommendation of any city personnel during the time
period of the entire decision-making process on such action, decision or recommendation that foreseeably will be heard or reviewed
by the dty commission, or a dty board or committee, The term specifically indudes the prindpal as well as any employee engaged
in lobbying activities, The term "Lobbyists" has spedfic exclusions. Please refer to Ordinance 2004-3435.
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NAME OF LOBBYIST:
1Z OS(!C ^' <;: (..w t rk.f'5,
BUSINESS NAME AND ADDRESS
r:--
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(Last) (First)
1 EN'-' '" P, L, <../ ~ 7 ll.l\l(~U\I
(Number and Street) (City)
t,
RON> p,..,. ~r
(State)
(M.I)
;'\If (4.f- \ ~ t-1c- W i FL
(Zip Code) ~~, ~ 1
3"~ 53'1 47'!>'"
TELEPHONE NUMBER:
'3o~ ~ H' 5 r; ell
FAX NUMBER:
EMAIL:
I. LOBBYIST RETAINED BY:
S ~e' hOr'll AS~c')ci~ t(2~
NAME OF PRINOPAL/CLIENT:
I 0 I (O\\t~( AV'/I(,\<. J'Il\C;"",: ISfCt.c.h
BUSINESS NAME AND ADDRESS (Number and Street) (City)
(30 t) ') S ~ I - I 1. 71
TELEPHONE NUMBER: FAX NUMBER: (Optional)
lort"d~
(State)
33t~
(Zi P Code
EMAIL: (Optional)
Fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (c)]
NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY:
IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
II. SPECIFIC LOBBY ISSUE:
(. O,AJ() r T/<l"",1K. Use
Issue to be lobbied (Describe in detail):
P~,r
AT It-I
FelL jl.Jf( 6 tl8c/lHc<'t>
t.....t..v",r 4"Cir;yC(E:
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III. CITY AGENCIES/INDMDUALS TO BE LOBBIED:
A) Full Name of Individual/Title
B) Any Finandal, Familial or Professional Relationship
'PLAN""I""'" go... ~IJ
,10
N. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY,
FLAT RATE OR OTHER):
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A) LOBBYIST DISCLOSURE: (Required) 'JD....- r,r Vloor
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). (j,);O, ~2 vet' h B ,'II"
I
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":
DYes
2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real
Estate Development Issues":
DYes fiNo:
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
section but, shall not be required to pay any registration fees..
V. SIGNATURE UNDER OATH:
ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, USTING LOBBYING EXPENDITURES, AS WELL AS COMPENSATION
RECEIVED, IN THE CITY OF MIAMI BEACH FOR TH CEDING CALENDAR YEAR, A STATEMENT
SHALL BE FILED EVEN IF THERE HAVE BEEN NO PEND U OMPENSATION DURING THE
REPORTING PERIOD.
true and correct and that I have read or am
of the Miami Beach City Code and all reporting
Signature of Lobbyist:
Signature of Principal!
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VI.
LOBBYIST IDE
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PRINCIPAL IDENTIFICATION:
[l Produced ID
o Produced ID
VII.
Form of Identification
y NOTARY PUBLIC. STATE OF FLORIDA
^ ersonally known (Principal) li"~ Rochelle F. Morse
~ } Commission IDD631666
""'""""' Expires: MAR. 11,2011
BQf/1)IlD TIilU Kl'LAlmC IONDING co. INC,
State of Florida, County of Miami-D~de State of Florida, County of Miami-Dade '
Sworn. subscri ,-before e J Sworn and subscri.Q~J>efore me 't
, day' ,''o~''.''\'" 0 "Toth This-.l.i-dayof~~L. ,2~
, . *: ",*~ IS' ,~DD?87204 ~~'4--nw~
Signature of Public Notar,{ - e,:~ ires: . e!:' 03, 2008signature of blic Notary - State of Florida
ta. t" f L bb . 'I OFf~..,~ Bonded Inm ." ., .
o rIza Ion 0 0 YI S S gnEh;ure Atlantic Bonding Co., Inc. Notarization of PrinCipal's signature
Form of Identification
'(I Personally known (Lobbyist)
SIGNATURE AND STAMP OF NOTARY:
~ FOR CLE~USE ONLY ()<1" r_ j
Annual Registration fee: [ ] Yes [ ] No Amo; ~CR #~Date Paid
Lobbyist Registration Form received and verified by:. .
F:\CLER\$ALL\MARIA-M\Lobbyist\LOBBYIST fORM 05.d V -...a.:.. Revised 12/08/04