Gabrielle Tinto/Seraphic Fire Inc.
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FA>< tn
Aug, 0.2 2006 05: 57Af'1 P2
~. .MIAM\BEACH
~
City of Miami Beach Of Ace of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139
LOBD "1ST REG1STRA nON FORJ'\;'
Lobbyist means all persons ~mploYfld or retained. whether p;;ld or not, by a principal who seeks to encourage the pa55age, defei.lt
or modifICation of any ordinance. resolution, action or decision of any commlssion<:r; any \letlon, decision, ~commendatlon (J( the
City '..jan:lger or any city board or committee; or any action, decision or recommendation of any city personnel (Juring the time
period of the entire decision-making process on such action, decision or recommendation that (oreseeClbly 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" hu specific exclusIons. Plealle refer to Ordinance 2004-3435.
NAtv1:: OF LOBBYIST:
r j' '
,)eftc 1(( Fe
BUSINESS NAI'1E AND ADDRESS
(?O r- (/76 -- 0;) b 0
,J :::.
'TEl.EPHONE NW"BER.:
~'
II/J l-v
(Last)
{1 a,b '-/~ ! { f:.-
(First)
S-;?I; {..tVt:<. (, t-Jt2- ~(~.~ ( GC'-bIP s Fe.. .5 _? /,?
(Number and Street) (City) (Stiltfl)
S'- ,;2S70 //-}h P 5:<:./0.
Er"AIL:
c
(fA.I)
(Zip Code)
/'7. Ie -ri"re. GrJ
I.
LOBf)YIST RETAINED BY;
:;'[2 /ru?
)
,r!e aA-}~h(c
Fre
NAt4E OF PRINCIPAL/CLIENT:
---.-.'- --..- ..-....-....-.
_. .-"-.-' ,.-
BUSINESS NAr"E AND ADDRESS
(Number and Str~et)
(City)
(Slate)
(Zip Code)
TELEPHONE Nur"1BER:
FAX NUr4BER: (Optional)
!::NAIL: (Optional)
rill out this .~ectionif principal is-II corp~ration,Pl'lrtnGrship o~Section 2-482 (c)]'-- -,-
NM1E OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: ,)DC<./l f'1J.Jc..J<-.U H-e.
IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR. INDIRECTLY, A 5% OR. HORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
II. SPECIFIC LOBBY ISSUE:
/f70P Ii ('a..A '?-n-fb r !1;i'I../Y!; /?e "2C/1.. /"~;'~ ~ / Ay"h-, /I'v</l c; (L. /
o ~ (,^ VV(. / ~ /7 J) c.. I C-7 r t/t-"":"'-
Issue to be lObbied (Describe In detilll):
111, CITY AGENCIES/INDIVIDUALS TO 8E LOBBIED:
A) Full Nllme ot' Indlvidulll/Titl"
B) Any Flnllncial, Fomili31 or Profe~slontll Relntionshlp
-..-,-. -.---.-.--.'
jvf1tuY1 i Ct ~..cl,-
C0-11-z,vt;;t...( /lr t ,r CV)'Vlc-J (
.-...-....-......-..--
,,--"-"
FROt'l FAX ~,jO. : Aug. 02 2006 05: seAr'l P:::;
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURL Y,
FLAT R/lTE OR OTHER).
A) LOBBYIST DISCLOSURE: (Required)
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required).
NIJ
IV fJ-.
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 ~~iami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real
Estate Development Issues":
DYes ~Q: Are YO\.llobbylnQ on a pending application.1Qul..~velonment Aqreemeot with tt'le City or
(
application fo.u;!1J!.lJ.ruU)f zoninQ man desiqnation or chanqe to the City's Future Land Use
MMt?
3) Pursuant to 1"lIaml Beach City Code 2-484 (h) Any person (except those exempt from the definition or
"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..
-dyec IJ No: Are YQlI,..up.resentinQ a not-for-nrofit corooratlon or entity without special compensjltioo
{-'= 2U..e.imbursement. .
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 PRECEDING CALENDAR YEAR. A STATEMENT
SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPENDITURES OR COMPENSATION DURING TfiE
REPORTING PERIOD. wl.~
~L~ -~~
Signature of lobbyist
I do solemnly swear that all of the foregoing facts are true and correct and that I have read or am
familIar with the provisions contained In SectIon 2-482 of the Miami Beach City Code and all reporting
. ~
reqUIrements. .,' ~
SIgnature of Lobbyist: ~ CZ~6 ~
5'P..."A..R tt..(' 6t-i.",v~
Signature of Principal/Client: _.
VI.
LOBB"(IST IDENTIFICATION:
PRINCIPAL IDENTIFICATION:
A#1-
u Produced ID
U Produced r D
Form of Identjfication
~rSOnalIY known (lobbVlst)
VII. SIGNATURE AND STAMP OF NOTARY:
Form of Identification
U Personally known (Prlnclp;Jl)
State of Florida, County of r-1iami-Dade
Sworn and subscribed before me
This _day of , 20_
", , ~tfQta;;~~~^ ~~~A~~ _.. .. ._._.._
e ~rir.lii.: - e IO~na re of Public Notary - State of Florida
~omml"lonexplrl!aJuI4,KJ1rw . tl f" I' .
'. , COIMllsslon' DO 4406od'~' Iza on 0 Pnnclp. S signature
Aoooal Regis"''" ,,,' [ ] Vos ';" ,,':, Amo .. N Mi, : ~* aid -.:JI]~-j
Lobbyist Registration Form received and verified by: ~J5
F:\CLER\$ALL\MARIA.t4\Lobbyist\LOBBYlST fORM 05.\1oc Rp.visp.c1 12/0 /04 .