Todd Tragash/Hotels ABm 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 principal who seeks to encourage the passage, defeat
or modification of any ordinance, n~solution, 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 engages'
in lobbying activities. The term "Lobbyists" has specific exclusions. Please refer to Ordinance 2004-3435.
Tra~as~ Todd ~ -
NAME OF LOBBYIST: (Last) (First) (M.I)
S TA~ A~chi ~ fivrq/ CarouO 35~? 6 N Miami fie. f i~lni ~L 33/2 ~
BUSINESS NAME AND ADDRESS (Number and Street) (Gty) (State) (Zip Code)
~3os ~S ~1-1811 3oS S31-I ~~ 1 7-odCY~ staarCfli rf~'turQ~9roc~ • C°m
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
I. LOBBYIST RETAINED BY:
1~a1 i ~ ~-lo~r°/ /33 /l' ty i i ~h ~~ 33 X35
BUSINE AME AND ADDRESS (Number and Street) (Gty) (State) (7~p Code)
305.539.6 30U
TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional)
gut 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, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
II. SPECIFIC LOBBY ISSUE:
l~rchiftl~ura/ ..~p-y~~ir~~~1
Issue to be lobbied (Describe in detail):
III. CITY AGENCIES/INDMDUALS TO BE LOBBIED:
A) Full Name of Individual/T'itle B) Any Financial, Familial or Professional Relationship
----------- ------------- --
A'~~ s Q
,~~ C~ ~' ~ j
N~/ 1.(' i
N. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOl/RLY,
FL4T RATE OR OTHERx
A) LOBBYIST DISCLOSURE: (Required) hour/y
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). ~ I ~j
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":
2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real
Estate Development Issues":
A I i o i n 1 n
aoolication for chance of zoning ma~gnation or chance to the Citv's Future Land Use
Map?
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 anot-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 Berk as required by this
seytfon but, Shall not be required to pay any registration fees..
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 EXPENDMJRES, AS WELL AS COMPENSATION
RECEIVED, IN THE CITY OF MIAMI BEACH FOR THE PRECEDING CALENDAR YEAIL A STATEMENT
SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXP D RES OR CO N TION DURING THE
REPORTING PERIOD.
X
iana a of bvi
I do solemnly swear that all of the foregoing
familiar with the provisions c fi/ned in Sectic
requirements. i i~/1 i ~ l
Signature of Lobbyist:
Signature of Principal/Client:
VI. LOBBYIST IDENTIFICATION:
^ Produced ID
Form of Identification
Personally known (Lobbyist)
VII. SIGNATURE AND STAMP OF NOTARY:
are true and coact an that I have read or am
a2 of the Miami Beach Ci Code and all reporting
PRINCIPAL IDENTIFICATION:
(~ Produced ID
Form of Identification
Personally known (PrincipaQ
State of Florida, County of Miami-Dade State of Florida, County of Miami-Dade
Sworn to and subscri before me Sworn and subscribed before me
This day of~ed~8~ , _ wv~vv of , 20
/ / ~V~' ~ Notary Public State Of Florida
~/..~ ~ ~ William Pinku8
Y My Commission q~Zp 1
Signature of Public Notary - State o 1 ~ ~~ Aires 1 O/03/20~~nd~re of blic Notary -State of Florida
Notarization of Lobbyist's sign of Principal's signature
R C 'S~yLY
Annual Registration fee: [ ] No A / id vy MCR # 'Date Paid
Lobbyist Registration Form received and verified ~
F:\CLER\$ALL\MARIA-M\Lobbyist\LOBBYIST f0 05.d c