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Suzanne Besu/Harding Avenue Investments, LLCMIAMI BEACH 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 retained, whether paid or not, by a principal 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 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. NAME OF LOBBYIST (Last) (First) Beau Suzanne (M.1.) BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) TewCardenas, LLP 1441 Brickell Avenue, 15~h Floor, Miami, Florida 33131 TELEPHONE NUMBER: FAX NUMBER: (305) 536-8278 (305) 536-1116 I. LOBBYIST RETAINED BY: EMAIL: SMB@tewlaw.com Harding Avenue Investments, LLC NAME OF PRINCIPAUCLIENT: Harding Avenue Investments 6340 Stmset Drive Miami Florida 33143 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (786) 275-0108 (305) 779-8346 TELEPHONE NUMBER: FAX NUMBER: (Optional) 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: TOm CabreriZO IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: Tom Cabrerizo (50%); Yorem Izhak (50%) II. SPECIFIC LOBBY ISSUE: Planning Board Application III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: A) Full Name of Individual/Title B) Any Financial, Familial or Professional Relationship Mercy Lamazares, Principal Planner None Jorge Gomez, Director None .~,,. IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR OTH'ER): A) LOBBYIST DISCLOSURE: (Requlred)~~25.00 hourly B) PRINCIPAL'S DISCLOSURE (OF LOBHYISTCOMPENSATION): (Required) $225 00 ho rriy The following information must be answered; Pursuant to Miami Beach City Code Section 2488 Entitled "Prohibited Campaign Contributions By Lobbyists On Procurement lames": Moods, eauiomegt or servic•~ Pursuant to Miami City Code 2-490 Entitled "Prohibited Campaign Contributions 8y Lobbyists On Real Estate Developmrnt Issues^; mno desienation or cbanae to the City's Futur ~pnd 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 Sxtion 2-481 above) who only appears as a representative of snot-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,. ^ Yes o• Ar vo renresentl~~ a not for nrotit oe ri ' Itbout tnerlAl rnmn i or rolmbunem r~ IV. SIGNATURE UNDER OATH: ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERIC 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 ERE HAVE BEEN NO EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD. srsr~i Signatwe of bbyist 1 do solemnly swear that all of forego ng fa s ~ true and co t and that 1 hay 2-482 of rho Miami Heach Ci ~ ~ fiumliar with the provisions contained in Suction ty odf and;Il R' tt reouirement • Signaturo of Signaturo of PrincipaUC V. LOBBYIST VI, ^ Produced ID Fonn of ldontification ~onally known (Lobbyist) VII. CSIG-NATURE AND STAMP OF NOTARY State of Florida, County ofMiami-Dade Sworn,te,_and subs b fo me This `mil dev nF t 1 ~L~ .onf'~~ Signamro of I o fate of • 'da NotaHzatto bylst's signature Annual Registration fee: [ 'Yes [ ] No Lobbyist Registration Form rxeived and verified I F:\CCERISALLVNAAIA-MU,..obbyisftLOBBYIST ~r PRINCIPAL IDENTIFICATION: ^ ProducedlD Form of Identification ~Pasonally known (Principal} State of Florida, County of Miami-Dade Swum and sub cribed before me T~ ~_ ~of~ . 20~ Sign9ture of Public Notary -State of Florida Notarizntion of Principnl's signature FOR CL K' y Amount MC to Pnid M OS. c Re ed I 8/04 ;~`~~Y?48.,. Yanet Godoy ;yl'''~;: R08ERT CEBALLOS =r°' ~ ~_GG~ :Commission #DD511622 '; ;°c MY COMMISSION # DD644692 ~~-5~„_0~° Expires: FEB. 13, 2010 '', , ~ EXPIRES April 07, 2011 ~''a;n ~`~ WWW./~ARONNOTARY.com 4G7-S84•ot!ss FlorltlaNaaryService.oom MIAMI BEACH 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 retained, whether paid or not, by a principal 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 city boazd 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. NAME OF LOBBYIST: (Last) (First) (M.1.) de la Fuente Bob BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) TewCardenas, LLP 1441 Brickell Avenue, 15~h Floor, Miami, Florida 33131 TELEPHONE NUMBER: FAX NUMBER: EMAIL: (305) 536-8460 (305) 536-1116 BDF@tewlaw.com I. LOBBYIST RETAINED BY: Harding Avenue Investments, LLC NAME OF PRINCIPALCLIENT: Harding Avenue Investments 6340 Sunset Drive Miami Florida ~ ~ 33143 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (786) 275-0108 (305) 779-8346 TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional) Fill out this section if principal is a Corporation, Partnership or Trust ]Section 2~82(c)] NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: Tom CabrerlZO IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: Tom Cabrerizo (50%); Yorem Izhak (50%) II. SPECIFIC LOBBY ISSUE: Planning Board Application III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: I A) Fuil Name of IndividuaUTitle I B) Any Financial, Familial or Professional Relationship l Mercy Lamazares, Principal Planner None 1 Jorge Gomez, Director ~ None IV, DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR OTHBR): A) LOBBYIST DISCLOSURE: (Regnired) B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATtON): {Required) $345 00 ho„rl., The following information must be answered: I) Pursuant to Miami Beach City Code Section 2488 Entitled "Prohibited Campaign Contributions By Lobbyists On Procurement issues": goods. eauloment or servi a~ 2) Pursuant to Miami City Code 2-490 Entitled `Prohibited Campaign Contributions By Lobbyists On Real Estate Dcvclopmont Issues": ./ 3) Pursuant to Miami Beach City Code 2-484 (lr) Any person (except those exempt from the definition of "lobbyist" as set forth in Section 2-481 above) who only appears as a representative of a nol-for-profit corporation or entity without special compensation or reimbursement for the appearance, whether direct, or indirect, to express support of or opposition to any item, shall register with the clerk as required by this section but, shall not be required to pay any rogistration fees.. IV, SIGNATURE UNDER OATH: ON OCTOBER 1sT OF EACH YEAR, EACH LOBBYI3T BHALL SUBMIT TO THE CITY CLERK A SIGNED STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES, AS WELL AS COMPENSATION RECEIVED, [N THE CITY OF MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL BE ~D EVEN IF TIRE HAVE BEEN NO EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD. ~/ ~ Signature of Lo yis I do solemnly swear that all of the for ing is are~i a and conact and th~tave re$d or am miGar with the p ns contained in Soctioa 2.482 of tho Miami Beach City Code d all sak rx~v;renenca_ i ~~ ~ Signaturo of Signature of LOBBYIST o Produced ID PRINCIPAL IDENTIFICATION: ^ Produced ID Form of Identification ~atsonally known (Lobbyist) VI. SIGNATURE AND STAMP OF NOTARY State of Florida, County of Miami-Dade Swo and subsc~ri.,b~ed~~ or~e~me This day pf-~--lldlL~, &p~ Signaturo signature / Fonn of identification ` CWersont-Ily known (Pr[ncipal) State of Florida aunty ofMiami-Dade Sworn and su ribed fora mo Th' d of V ~ .~ ~,. 5tgnatu a of tbl:a Notary -State Notarization of Principal's signs u' ,,wi~;,.~ ROBERT CEBALi~C MY COMMISSION # DDiS4. EXPIRES April 07, 201' F !, ]~(' Annual Registration fee: [ Yes [ ] No nt :d Lobbyist Registration Form received and verified by: ---~C9''d"`~-'~- MCR ~~~y~Date Paid F:ICLERI~ALUMARIA-M11.obbyistlLOBBYIST F 5. Re sed I /08/04 ,~",,,r"", Yanet Godoy ~~~~~Y p~,~$yi ^~S Commission #Cn511622 %,~~~Expire>'t: PEB, t3, 2010 ~'~•'~;i:"`x WWW,AARONNOTARY,com