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Peter Denger/Messe Schweizm MIAMI BEfi,CH 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. _f1 ~ ~~,~~ ~~~ J, City of Miami Beach Office of the City .Clerk 1700 Convention Center Drive, Miami Beach, FL 33139 /~L2 (Number (State) ~fao~ -+- ?~? s"~ 2 ~ / 7~0 ~ ~~T~ ~ ~'~ ap ~ r'~-,fir : ~1A~ g-~r' ~~er~. d, TELEPHONE NUMBER: FAX NUMBER: ~ EMAI ~: LOBBYIST RETAINED BY: CIPAUCLIENT: wee Z BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional) its section if principal is a Corporation, Partnership or Trust [Section 2-482 (c)] NAME OF CHIEF OFFICER, PARTNER, ORB FICIARY: IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRE TLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: u. SPECIFIC LOBBY ISSUE: (Describe in detail): h ~r~ r`~ ~ ~ ~o M~' 0~ ul. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: A) Full Name of Individual/Title B) Any Financial, Familial or Professional Relationship (First) IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE: (Required) _!`~2~ ['~iCre.C. fi'i 132 o B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required).- C'dc- "E~-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": Yes ^ No• Are you lobbyina on a present or pending bid for aoods equipment or services or on a present or pending award for aoods. eauipment or service? 2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues": 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 section but, shall not be required to pay any registration fees. reimbursement. . V. 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 FILED EVEN IF THERE HAVE BEEN NO EXPENDITUR S O COMPENSATION DURING THE REPORTING PERIOD. ~-~f Signature of obbyist I do solemnly swear that all of the for going facts are true and correct and that I have read or am familiar with the provisions contained in Section 2-482 ~f the Mi~fni Beach City Code and all reporting requirements. Signature of Lobbyist: Signature of Principal/Client: VI. LOBBYIST IDENTIFICATION: ,,,p_ S~ s ~ ~.~ ~1DG t ^ Produced ID ~-° ~d ~r^~ ~- ~ Form of Identification ^ Personally known (Lobbyist) VII. SIGNATURE AND STAMP OF NOTARY: State of Florida, County of Miami-Dade Sworn to and subscribed for me ~ ~ ,(~ This //„ day of __ ~~~, 2~'!1l Signature of Public Notary °`State of~torida Notarization of Lobbyist's signature PRINCIPAL I~TIFmICATJ.QN:~~~ ~~ ^ Produced ID ' ~F~~~09F Form of Identification o Personally known (Principal) State of Florida, County of Miami-Dade Sworn and subscribe bef e me This day of_~~~' ~Oj~n ~ A /1 Signature of Public Notary -State o#F Notarization of Principal's signature TO BE COMPLETED BY CITY CLERK'S STAFF ONLY Annual Registration fee: [ ]Yes [ ] No Amount Paid l~~ MCR # Date Paid Lobbyist Registration F m received and verified by: Revised 02/04/2008 ~~&~ M s °~^ y j~ 8 o: ~~ ~, ~.~ ~ ~ 1 ~ _. City of Miami Beath, .1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov CITY CLERK Office CityClerk@miamibeachfl.gov Tel: 305.673.741 l ,Fax: 305.673.7254 LOBB1fIST NAME: I understand that no later than October 1st of each year, I must file the following forms, pursuant to Section 2-485 of the Miami Beach City Code, with the City Clerk's Office for all active lobbying issues. 1 i Lobbyist Expenditure Form 2) Disclosure Form Failure to file these forms on a timely basis will result in my name being transmitted to the Miami-Dade County Commission on Ethics and for code violation evaluation. In addition, once an issue I have registered to lobby on has been resolved, I am required to immediately notify the City Clerk's Office of lobbyist withdrawal in writing. ~ - - ~~~ Signature: Date: Revised X2/04/2008 i-'t 1.r.3~•6. , §iS~<'~`,1 ,i~;~r~c~r~~ Itt.rc ~~:: Ir .i,,_,t:. ~(ii~~l~ ...tit}s: Global Spectrum, LP Partnership Disclosure Statement Global Spectrum, LP is a limited partnership and its partners are as follows: 1. Global Spectrum, Inc. (General Partner), 3601 South Broad Street, Philadelphia, PA 19148 2. Comcast-Spectator Ventures, LLC, 3601 South Broad Street, Philadelphia, PA 19148 3. Globe Facility Services, Inc., 111 Second Avenue NE, .Suite 517, St. Petersburg, FL 33716