John K. Shubin/Richard Freeman/Villazzo, LLCi ~~~~'k ~ ~qq 9~ ~ ~
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 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.
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BUSINESS NAME AND ADD ESS (Number and Street) (City) (State) (Zip Code)
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TELEPHONE NUMBER: FAX NUMBER: EMAIL:
LOBBYIST RETAINED BY:
Ric~.ard 1'
313~j
TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional)
Fill out this section if principal is a Corporation, Partnership or Trust [Section 282 (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:
)~(~uslt~ ur, ~`U ~,a~b~t~~~ nrtlp~ ~1 IJ~gn~i~ brrcf~ r~ rPnlct J ~~ y,~y/P
Issue to be lobbied (Describe in detail): ' ~ ~ U ,LQ ^,I ~ I~ f (.~rn~
ul. CITY AGENCIESIINDIVIDUALS TO BE LOBBIED: (Pursuant tTo city coder section 2-as2(g)
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-
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.)
ull
ame of In
dividual/Title
A B) Any Financial, Familial or Professional Relationship
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BUSINESS NAME AND ADDRE S (Number and Street) ( ty) (State) (Zip ode)
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT
RATE OR OTHER):
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A) LOBBYIST DISCLOSURE: (Required) ~L 1 C { 1 ~ ~~ r ~. u ./
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION):
(Required).
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 L~No: Are you lobbying on a present or pending bid for goods, equipment or services, or on a
present or pending award for goods, equipment or service?
2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On
Real Estate Development Issues":
^ Yes L+~' No: Are you lobbying on a pending application for a Development Agreement with the City or
application for change of zoning map designation or change to the City'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 clerk as required by this
section but, shall not be required to pay any registration fees.
^ Yes LOGO: Are you representing snot-for-profit corporation or entity without special compensation or
reimbursement. .
V. SIGNATURE UNDER OATH:
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 Beach City Code and all reporting requirements.
Signature of Lobbyist:
Signature of Principal/Client:
VI.
LOBBYIST IDENTIFICATION:
PRINCIPAL IDENTIFICATION:
^ Produced ID ^ Produced ID
Form of Identification
Personally known (Lobbyist)
VII
SIGNATURE AND STAMP OF NOTARY:
County of Miami-Dade
b~crib~d before me
This
Form of Identification
Personally known (Principal)
. ~ ~4~Y P MY COMMI SIGN k DD 734271
State of Florida,:; ~ ` ~i„EXP~arch9'2009
Sworn ar~subs~ri~" ~ °" Pul*cu d~r,~eers ~
da ~ , 2008
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Signature of Pu ibTlQotary -State of F
Notarization of Principal's signature
TO BE COMPLETED BY CITY CLERK'S STAFF ONLY . __` .
Annual Registration fee: [ - ]Yes [ ] No Amount Paid $~ S rf ~ MCR # G `~G /-3 ~-- Date Paid `% / L ~%
Lobbyist Registration Form received and verified by: ~-7
F, iC:i.~F3t L.~B~YIT 1 Lotstvvi~~t rd c~~iv~4 ra~i<~es Farrxa .~27'x~~.~#cas: RPVicari n 3 / 77 / 7 flflR
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Signature of Lobbyist
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City of Miami Beach, 1700 Convention Center Drive, Miarni Beach, Florida 3.3139, www.miamibeachfl.gov
CITY CLERK Office
Tel: 305.673.741 1 ,Fax: 305.673.7254
CityClerk@miamibeachfl.gov
LOBBYIST NAME: ~C~hr'1 K• 5~'~.~i -'1
I understand that no later than October 1st of each Xear, 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.
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Signature:
a~ a~ ~
Date:
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