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James Rauh/Komoko Corporation DRB 650 6" u. ~<< in '''W;F MIAMtBEACH 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 empioyed or retained, whether paid or not, by a principal who seeksto 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 city 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 city commission, or a city board or committee, The term specifically includes the principal as well as any employee engaged in lobbying activities, The term "Lobbyists" has specific exclusions. Please refer to Ordinance 2004-3435. fl-oSE'AJ S""\Tn~s. ~ BUSINESS NAME AND ADDRESS (3 05) 5 If- if 7 5 7 TELEPHONE NUMBER: ~.NTlfoJ '"p.L. yq (Number and Street) LINea<..... (City) 6. (M.I) (20.+0 P f/- f) F ;l1 r A..... I f/ F".,..e tf F (. ~1' I ~~ (State) (Zip Code) NAME OF LOBBYIST: If-A-lA\1 (Last) JAM~S (First) (~o5) ~ Jf- S ~ oLf FAX NUMBER: EMAIL: I. LOBBYIST RETAINED BY: K. OM 0 k-o l ()(2.fO~~T/orl NAME OF PRINCIPAl/CUENT: \,OlWlOk-1> CO(1..pOP.I/'T/ON BUSINESS NAME AND ADDRESS ( (?66)~ 73-370-' TELEPHONE NUMBER: '100 A-~irrtlAt. GOPf-tf-fl'f f"l.-o~1 ~1.4.,k -z.."O 'tII/4""" (Number and Street) (City) (State) .If;-~ 71 ~ 7 I{ FAX NUMBER: (Optional) trF~'+ F'- '3 ~ I'tQ (Zip 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, DIRECfLY OR INDIRECfLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: n. SPECIFIC LOBBY ISSUE: Drs\(PAl (Z.~\f\E?"" AfPn-OVA-C 1b totV~T(l-l.\.t.1' A STe~(."11Af2..e AT '16't> (fJLCtlllC;/hIeNlA..fT Issue to be lobbied (Describe in detail): III. CITY AGENCIES/INDMDUALS TO BE LOBBIED: A) Full Name of Individual/Title B) Any Financial, Familial or Professional Relationship 'D r~l 6o..-J ~UIIi:W \bCA~ NO IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURL Y, FLAT RA TE OR OTHER): A) LOBBYIST DISCLOSURE: (Required) dJ 76 00, ~ /VI ON -rt'1t.- 'I B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). $ 7 GOO. t..!.. I\A. l) NTH '- Y 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": o Yes 'NO: Are yOU lobbvina on a oresent or oendina bid for aoods. eauioment or services, or on a oresent or oendina award for aoods, eauioment or service? 2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues": .DYes i No: Are yOU lobbvina on a pendina aoolication for a Develooment Aareement with the City or aoolicationfor chanae of zonina mao desianation or chanae to the City's Future Land Use Mao? 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.. o Yes '~NO: Are you reoresentina a not-for-orofit corooration or entity without soecial comoensation or reimbursement. V. SIGNATURE UNDER OATH: ON OCTOBER 1ST 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 ~ G CALENDAR YEAR. A STATEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN NO E)tPENDITUR 0 PENSATION DURING THE REPORTING PERIOD. ' e and correct and that I have read or am the Miami Beach City Code and all reporting VI. LOBBYIST I ~ o Produced ID PRINCIPAL IDENTIFICATION: [) Produced ID Form of Identification Form of Identification VII. ~ IP II k (.. ."11.............................."........., r ersona y nown PrlnclPiJ KEWE RICHTER . ;~ ""8 CarnmI~' ' "":\l · !~ e..-- State of Florida, County of Miijm~ ' fIoIldIlNol8lY~- . ./) Sworn and subscribed before 1'I'lt!..........~~...............H_... "" h on anza mh+S=-day of '... ssion #DD287204 , ' ~ 'I";~ res: Feb 03 1008 Signa ure of Public No a Sta~JliJ\lt!>~o - Bonded ~ Signature of u I a Notarization of LobbYist's signatU..e' Atlantic Bonding Co~omrization of Princip SIGNATURE AND STAMP OF NOTARY: V Personally known (Lobbyist) FOR CLE~fjgE ONLY /'lOllll / Q, Annual Registration fee:~ ] Yes [ ] No Amou~# ~vbllQ Date Paid Lobbyist Registration Form received and verified by: · F:\CLER\$ALL\MARIA-M\Lobbyist\LOBBYIST fORM 05.d :Ji.A. Revised 12/08/04