Bob De la Fuente/Project Madison LLC
.-- "
e MIAMIBEACH
City of Miami Beach Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139
LOBBYIST REGISTRATION FORM
Lobbyist means all persons employed or rClllined, whether paid or not, by a principal who seeks to encourage the passage, defcat or modification
of any ordinance, resolution, action or decision of any commissioner; any action, d~'Cisian. recommendation of the City Manager or any city
board or committee; or any action, decision or recommendation of any city personnel during Ihe lime period of the enlire decision-making
process on such aClion. decision or recommendation Ihat fareseeably will bc heard or reviewed by Ihe cily commission. or a city board or
committee. The term specifically includes the principal as well liS any employee engaged ;11 lobbying activities. The term "Lobbyists" hus
specll1c exclusions. Please refer to Ordinance 2004-3435.
NAME OF LOBBYIST:
(Last)
De la Fuente
(First)
(M.!.)
Bob
BUSINESS NAME AND ADDRESS
T ewCardenas, UP
(Numbec and Street) (City) (State)
1441 Brickell Avenue, 15th Floor, Miami, FLorida
(Zip Code)
33131
TELEPHONE NUMBER:
(305) 536-8460
FAX NUMBER:
(305) 536-1116
EMAIL:
BDF@tewLaw.com
I. LOBBYIST RETAINED BY:
Project Madison, LLC
NAME OF PRINCIPALJCLlENT:
c/o TewCardenas
BUSINESS NAME AND ADDRESS
1441 Brickell Avenue
(Number and Street) (City)
(State)
33131
(Zip Code)
1. '30 5J " '3 h ",?
TELE~HONE NUMBER:
(305) 536-1116
FAX NUMBER: (Optional)
EMAIL: (Optional)
Fill out this seclion If principal is a Corporation, Partnership or Trust (Seclloll 2-482(c)1
NAME OF Cl-llEFOFFICER, PARTNER, OR BENEFICIARY: John Baldw i n
IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
II. SPECIFIC LOBBY ISSUE:
Historic Preservation Board Application
Issue to be lobbied (Describe in detail):
III, CITY AGENCIEs/INDIVIDUALS TO BE LOBRIEI}:
^) Full Name of Indlvldualrrllle B} Any Financial, FamIlIal or Professional Relatiollship
William H. Cary, Director Design
Michael Belush, Senior Planner
Thomas R. Mooney, AICP, Design and Preservation
Manager
~
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT
RA TE OR OTHER):
A) LOBBYIST DISCLOSURE: (Required) $335 hourly
B)
PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required)
$335.00 hourly
The following information must be answered:
I) Pursuant to Miami Beach City Code Section 2488 Entitled "Prohibited Campaign Contributions By Lobbyists On Procurement
Is es":
r ser Ice or on
r
D Yel
2) Pursuant to Miami City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues";
DYe
3) Pursuant to Miami Beach City Code 2-484 (h) Any person (except Illose Cllempt Ii-om the definition of "lobbyist" as set Ibrth 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..
n r relmbursemen .,
IV. 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 FIL EVEN IF THERE HAVE BEEN NO
EXPENDITURES OR COMPENSATION DURING THE REPORTING PERI~.
LOBBYIST ID
PRINCIPAL IDENTIFICATION:
Signature of Lobbyist:
Signature of Principal/Client:
V.
VI.
1 Personally known (Lobbyist)
SIGNATURE AND STAMP OF NOTARY
C!.,NM I - Is l/liAd b/-StlIfr,z11.
~' .,
Sworn and subscribed before me
This .2rd.. da of , 20
o Produced 10
D Produced 10
Form of Identification
C R~S "'~Y
Annual Registration fee: Paid . 7~ MCR
Lobbyist Registration Fonn received and vcrifie b .
F:\CLERISALL\MARIA-M\Lobbyist\LOBBYIST FORM 5. doc
Revised 12/08/04
"""" V G d
"~~Vfl~", Janet 0 oy
~o.&'C-~
=~:' ':~:Commission #00517622
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\~~.'''.'o~gExpires: FEB. 13,2010
'" OFf\.:,,~ A N
",,,,,,,, WWW.ARONOTARY.com
JOHN W. STONE
Notary Public - Reg. No. S2DA
Commonwealth of the North~n MarillJla Islands
My Commission Expires: 6-1 r-171
P.O. Box 10001 PMB 1020 Saipan, MP 96950