Brian Rothernberg/Frank Russo- Global Spectrums
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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 foreseeabiy 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 LOBBYI:
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BUSINESS NAME i
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FAX NUMBER:
1. LOBBYIST RETAINED BY:
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BUSINESS NAME AND ADDR SS (Number and Street) (Cit (State) (Zip Code)
TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional)
Fili out this section if principal is a Corporation, Partnership or Trust [Section.
• NAME OF CHIEF OFFICER, PARTNER, OR B1ENEFICIARY:
IDENTIFY ALL PERSONS HOLDING, DI/RECTLY OR INDIRECTLY, A 5% OR/MORE OWNERSHIP INTEREST IN
SUCH CORPORATION, PARTNERSHIP OR TRUST: /~_ _
II.SPECIFIC LOBBY ISSUE:
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ADDRESS (Number and Street) (City)
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(Zip Code)
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EMAIL:
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lll. CITY AGENCIESIINDIVIDUALS TO BE LOBBIED: (Pursuant to city code section 2-4s219)
include a statement of the extent of any business, financial, familial, professional or other relationship, giving raise to an ~; ;.~„~
appearance of an impropriety, with any City personnel sought to be lobbied; further, pursuant to City Code Section 2- h.
482(a)(4) include a statement of any contractual relationship (paid or unpaid) from 12 months preceding the' ~ ~ _.
commencement of service of City personnel to be lobbied.) ~
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A Full Name of Individual Title B) Any Financial, Familial or Professional Relationship
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RATE OR OTHER): _ _..- ~-~- ,-•------ •-.._..._........,.~ .,~, ..-„
A) LOBBYIST DISCLOSURE: (Required) , ~
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION,):,. /
(Required). 4 ~ rN /~
The following information must be answered: I
1) Pursuant to Miami Beach City Code Section 2-488 Entitled "Prohibited Campaign Contributions By Lobbyists
On Procurement Issues":
present or pending award for goods eauioment or service~v ~~~~~~~ v~ 'C` V1°es or on a
2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On
Real Mate Development Issues":
application for change of zoning mao designation or chance to the Citv's Future Lan Use
man ,
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
secti ~ but, shall not be required to pay any registration fees.
reimbursement. .
v. SIGNATURE UNDER OATH:
Signature of Lobbyist: ,~- ~ .'; ,~
Signature of Principal/Client:
,a;~:+`s ' "or.~ LO YIST IDENTIFICATION:
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~~~°~%., ,~,,..••'~~~~ roduced I D Ill1 1~ {t? b71CS~ C- J 6 ?1(~ ~ ~ f ~-~
~ n.~ ~ Form of Identification
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^ Personally known (Lobbyist)
1. SIGNATURE AND STAMP OF NOTARY:
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g m _ ate of Florida, County of Miami-Dade
~ ~ ° 6 orn to and subscribed before me
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~ °D ~ is r~h day of _~~c.c.~ '~~~008
Signature of Public Nota ~~~~
ry - tate of Florida
Notarization of Lobbyist's signature
AL IDENTIFICATION:
Produced ID (1DNr~~ ~~~~ ~'J~lG "
Form of Identification
^ Personally known (Principal)
State of Florida, County of Miami-Dade
Sworn and subscribed before me
This =day of -~~~~.~' 2008
Signature of Public Notary State of Florida
Notarization of Principal's signature ,
TO BE COMPLETED BY CITY CLERK'S STAFF ONLY
Annual Registration fee: [ ]Yes [ ] No Amount Paid $ MCR #
Lobbyist Registration Form received and verified by: Date Paid
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Revised 03/27/2008
I do solemnly swear that all of the foregoing facts are true and correct and that I have read or am familiar with the
provisions contained in Section 2-482 of the Miami t~"" "ity de and all reporting requirements.
City of Miomi Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, `NVl'w.miamibeochfl.gov
CITY CLERK Office
Tel: 305.673.741 1 ,Fox: 305.673.7254
LOBBYIST NAME: %5v~c.,,~
CityClerk@miamibeachfl.gov
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 ~ 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.
Signatur
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Date:
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-Spectacor Ventures, LLC, 3601 South Broad Street, Philadelphia, PA 19148
3. Globe Facility Services, Inc., 111 Second Avenue NE, Suite 517, St. Petersburg, FL
33716
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