Ronald Book/Central Parking System of FloridaEMAIL: {Optional}
II qut this section if principal is a Corporation, Partnership or Yrust [Section 2-482 (c))
• NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: ,, j/~~L(~ ~j ~ I ~-f~~/~j'~
• IDENTIFY ALt PER5QN5 HOLDING, DIRECTLY O INDIRECTLY, A 5% OR MORE OWNERSHIP iN7EREST IN Sl1CH
CORPORATION, PARTNERSHIP ORTRI}S7: ~~{} ~C
II. SPECIFIC LOBBY ISSUE: n
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Issue to be lobbied (Describe in detail}: `'~
III. Cl'CY AGENCIESJINDIVYDUALS TO BE LOBBIED:
A) Full Name of Individual/7'iHe B) Any Financial, Familial or Professional Relationship
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A) LOBBYIST DISCLOSURE• (L~e uiretl) ~ ~ ~ ~ ~ ~' ~ ~-~~ ~! ~~r' "7
B} PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION):
T'Poe ffo08®~iwg 6nffa~rrovati®w evee~s>t Poe ar~sveered:
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1) Pursuant to Miami Beach City Code Section ~-~ffiffi Entitled "Prohibited Campaign Contributions i3y Lobbyists
On Procurement Issues":
y~re;ser~$ or ioendigZ~aw~@rd f®ir ¢poads, e~uiprs7en$ ~P serQ-ice~
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 clerk as required 'by this
se,~ttion but, shall not be required to pay any registration fees..
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Signature of Lobbyist
I do solemnly swear that af! of the foreg ng facts are true and correct and that I have read or am
familiar with the .provisions contained in ection 2-482 of the Miami Beach City Code and all reporting
requirements. r
Signature of Lobbyist: ___
Signature of Principal/Client:
!9%. tL~~~Y%5'T %~~iklT%F%Ct4T%Oflt:
^ Produced ID
Form of Ide
>~ersonally known (lloCoisyisY)
~H. ~I~it4~iTURf~ ril.~® ~T~+P9P ®P'
State of Florida, County of Miami-Dade
Sworn to and subscribed before me
This r.~7 _~day of ~~~ 20 G
Signature of Publi¢ ~lotary -State of Florida
Po9®~riaa~~'sor~ ®if ~®blawise'~ sistrraa3l<~ar~
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0 Form of Identification
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~~ Personally known (6~rir~cipaE)
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w ~ State of Florida, County of Miami-Dade
~ Sworn and subscribed before me
~~ Y~d~~ m This day of , 20~~
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Signature of Public tUotary - St of Florida
W®tari,~ati®et? ®fF Prineipai'$ ,igna4are
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Annual Registration fee: [ ]Yes [ ] No Amount Paid ~,~- S'~ MCR # ~ ~!!~ ~~ °~ Date Paid J-- " ~ -
Lobbyist Registration Form received and verified by:
F:\CLER\$ALL\MARIA--M\LobbyisY\LOSBYIS~' FORM 05.doc _,.~,~r--r.~<-- Revised 12/OS/o4
2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Reai