James E. Rauh/Heafey Bentley Hotel, LLCm 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 retained, whether paid or not, by a prinripal who seeks to encourage the passage, defeat
or modification of any ordinance, resolution, adton or derision of any commissioner; any action, derision, 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 adton, decision or recommendation that foreseeably will be heard or reviewed
by the dty commission, or a city board or committee. The term spedfically Indudes the principal as well as any employee engaged
in lobbying activities. The term "Lobbyists" has speciftc exclusions. Please refer to Ordinance 2004-3435.
NAME OF LOBBYIST:/'/
BUSINESS NAME AND AI
TELEPHONE NUMBER:
~ (Last)
~ ~---
~P~M r.+
Od
I. LOBBYIST RETAINED BY:
NAME OF
BUSINESS NAME AND ADDRESS
~ci~ ~_~. ~-- ~~~ti
TELEPHONE NUMBER:
(~~)
,~~9, Z 7~
r/
(M.I)
w 3 7th ~4~~ . ~-~l/aM; , ~L
(State) (ZipCode)
3313 3
CMAiI ..
/6/ oc~.~w 7.~ ~ ~~ , r~ + ~..~ i 'gl~~y FG 333 f
and Street) (City) (State) (Zp Code)
EMAIL: (Optional)
Fill out this sed9on if principal is a Corporation, Partnership or
• NAME OF CHIEF OFFICER, PARTNER, OR BENEFICL4RY:
II.
~~
Issue to
III.
A) Full Name of Individual/Title B) Any Financial, Familial or Professional Relatlonshlp
l~L~n~N inl ~ 63~~s-a-~ .., n
C,~ l( CO~.~ r s S (v N lv o
Pc..~N r., „~ ~ ~ ~ n~.,~-~ ~,
• IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
j L ~ ~~ i T~ t r-F ~~
SPECIFIC LOBBY ISSUE:
iD t -.+ A n7L6 ,J4 /~n f='.~ ~~ N (o ( , T Y GO D F ~ I K a - 4 ~(~ ~ `~ r C S ~%r ~ [ -~ rF `~ S -~ •~P
e lobbied (Describe in detail): ~{- 6a,~ S 4n v r t S~a w r c.,~ -~ [ A S q [C ~ S 5~ ~ se -~-c~ ~'^ ~' ~ N
CITY AGENCIES/INDMDUALS TO BE LOBBIED: i p r M ~ ~~ ~ k S ~ ~ ./~ aR P S ~ ' Z. - 7j G1 rJ Y Z oy~;^~
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY,
FLAT RATEOR OTHERf t
A) LOBBYIST DISCLOSURE: ,(Required) ~ //
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). a5 ~~~ ~o ~r• ~ ~~~
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":
pl.~~o,* ~~ ~p~di~n award for goods eauiDment or service?
2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real
Estate Development Issues":
Ma°?
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 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..
^ " '°':yo Are you representing a not for profit coruaration or entity without scecial compensation
or reimbursement. .
V. SIGNATURE UNDER OATH:
ON OCTOBER 1~ 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 E~E~DII~RES OR~O~ENSATION DURING THE
REPORTING PERIOD. JJ ~
I do solemnly swear that all of the foregoing
familiar with the provisions contained in Secti~
requirement -~
Signature of
Signature of
VI. LOBBYIST IDENTIFICATION:
^ Produced ID
Form of Identification
Personally known (Lobbyist)
VII. SIGNATURE AND STAMP OF NOTARY:
State of Florida, County of Miami-Dade
Sworn to a subscri i~TIWE ALFON60
This day ofr r ~`
x - MISSION N DD 518028
_ - RES: Febn~arv 14, 2010
of
J Signatur~df Lobbyist
' true and correct and that I have read or am
of the Miami Beach City Code and all reporting
PRINCIPAL IDENTIFICATION:
^ Produced ID
Form of Identlflcation
~nally known {Principal)
State of Florida, County of Miami-Dade
Swom and subscribed before r~e,~
This L7 day o~s~~' 3_,°~~~
Signature of Pubf
Notarization of
IOURGeS CECILIA QCAFJIPO
Nutar~~ Public - S1o`e of Flor~rl~
~sbn Fames AFx 11, 2CY~~.
~ Commission # DD309244
Bonded By National Netary Assn ~.
~iFOR CL.ERK'9 USE ONLY
Annual Registration fEe: [ ] [ ] No !mount ~tiid ~ ~ MCR # ~ _ - ~ ~"~ Date Paid
Lobbyist Registration Form ived and verified.py; / '
F:\CLER\$ALL\MARIA-M\Lobbyist\LOBBYIST fORMM 05.
Julie Grimes
Nathalie Heafey
Gino Falsetto
Anthony N. Petropoulos
Bernard Siegel
Pierre Heafey