HomeMy WebLinkAboutI.H. Lobbyist Registration(1) Lobbyist Name EscrCa iris q '
Last Name, First Name, Middle Initial
Business Phone 30�
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CY GLER
ICITY OF MIAMI
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CITYOFHI A LOBBYIST REGISTRATION
(1) Lobbyist Name. Dour
Business Phone. 305:,;
Business Address 122
E -Mail Address 0"
(2) Principal Represented
Last Name, First Name, Middle Initial
Zip
Principal's Business Address�outhamt zip
(If different from above)
(3) Specific issue lobbyist has been retained to lobby (if representing a corporation, partnership or trust, give business
address of chief officer, partner, or beneficiary of same, and the names and addresses of all persons holding,
directly or indirectly, at least five percent (5%) ownership interest in said corporation, partnership or trust).
(4)
Lobbyists shall state the extent of any business association or financial relationship with any member(s) of the
City Commission, any member of City staff before whom he/she lobbies or intends to lobby. (If applicable,
Lobbyists shall pay all registration fees ($500.00 annually, plus $100.00 for each principal represented and for each
issue a lobbyist has been retained to lobby on behalf of any one principal), and specifically define the issue for which
they are employed. The Clerk shall reject any statement which does not detail the issue for which the lobbyist has been
employed.
f do solemnly swear that all of the foregoingacts are true and correct, an I ave read or am familiar with-
the
iththe provisions contained in Sections 2-651 through 2-6;58 of the City of Miami Code, as amended,
including "annual registration, withdrawal, reporting requirements, definitions, examinations, penalties for
violations and contingency fees." (
State of Florida, County of Miami -Dade
Sworn to and cribed before me this
3 day of sub ?.a) '�' .
Lobbyist Signature
,,1111111., IVW7 INIJVL IN. VVlrtn ���
of"RV P °%`- Notary Public - State of FfAtar or
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---My Commission Expires Sep 17,2010 .
.qQ: Commission # DD 553129
%IUf1, ol" Bonded By National Notary Assn.
Note: Annual Registration Fee: Effective through 12/31/2010