Lobbying Record — Rubio, FL House of Representatives, March Quarterly Client Disclosure (2004)

44007 PROCESSED FORM 2 QUARTERLY CLIENT DISCLOSURE ETHICS LAST NAME—FIRST NAME—MIDDLE NAME NAME OF AGENCY DATE RECEIVED Rio Marco A Florida Legislature MAILING ADDRESS ELECTED CONSTITUTIONAL MAR 3 2004 OFFICE HELD 6247 SW 14 St OFFICER State Representative CITY ZIP COUNTY STATE OFFICER Miami 33144 Miami-Dade LOCAL OFFICER FOR QUARTER ENDING (Check One) YEAR POSITION HELD MARCH JUNE SEPTEMBER DECEMBER 2004 SPECIFIED STATE EMPLOYEE DISCLOSURE OF CLIENTS REPRESENTED BEFORE AGENCIES [Required by Fla. Stat. § 112.3145(4)] [NOTE: Under Art. II, §8(e), Fla. Const., and §112.313(9), Fla. Stat., members of the Legislature are prohibited from personally representing another person or entity for compensation before State agencies (other than judicial tribunals). However, members of the Legislature are required to list below any such appearances before State agencies made by any partner or associate of a professional firm of which the legislator is a member. Also, public officers and their firms are prohibited by §112.313(7), Fla. Stat., from representing clients before boards on which they serve. Note also that local government attorneys and their firms are prohibited by §112.313(16), Fla. Stat., from representing private clients before the local governments they serve.] 1. If you are a state officer, elected constitutional officer of state government, or specified employee— Please list below the names of all clients who were represented for a fee or commission during the previous calendar quarter before any agency at the state level of government either by you or by any partner or associate of a professional firm of which you are a member and of which representation you have actual knowledge. Also list the name of the agencies before which such clients were represented. 2. If you are a local officer or elected constitutional officer of local government— Please list below the names of all clients who were represented for a fee or commission during the previous calendar quarter before any agency within the political subdivision you serve either by you or by any partner or associate of a professional firm of which you are a member and of which representation you have actual knowledge. Also list the names of the agencies before which such clients were represented. NOTE: "Representation" includes actual physical attendance on behalf of a client in an agency proceeding, letters written or documents filed on behalf of a client, and personal communications made with the officers or employees of any agency on behalf of a client. "Representation" DOES NOT include appearances before any court, or Chief Judges of Compensation Claims or judges of compensation claims, representations on behalf of your agency in your official capacity, the preparation and filing of forms and applications merely for the purpose of obtaining or transferring a license based on a quota or a franchise of such agency, or a license or operation permit to engage in a profession, business or occupation, so long as the issuance or granting of such license, permit, or transfer, a variance, a special consideration, or a certificate of public convenience and necessity does not require substantial discretion. You are NOT required to disclose appearances in ministerial matters, i.e., where the person before whom you represent a client takes action in a prescribed manner in obedience to the mandate of legal authority, without the exercise of the person's own judgement or discretion as to the proprietary of the action taken. For example, filing a document with a Circuit Court Clerk is a ministerial matter since it requires no discretionary action by the Clerk. | NAME OF CLIENTS | NAME OF AGENCIES | CHECK IF REPRESENTED BY YOU | | :--- | :--- | :--- | | See Attachment | | | | | | | | | | | | Clients | Florida Legislature | | | CHECK IF CONTINUED ON SEPARATE SHEET | Signature | | NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES §112.317, A FAILURE TO MAKE ANY REQUIRED DISCLOSURE CONSTITUTES GROUNDS FOR AND MAY BE PUNISHED BY ONE OR MORE OF THE FOLLOWING: IMPEACHMENT, REMOVAL OR SUSPENSION FROM OFFICE OR EMPLOYMENT, DEMOTION, REDUCTION IN SALARY, REPRIMAND, OR A CIVIL PENALTY NOT TO EXCEED $10,000. FILING INSTRUCTIONS Local officers: This form, when completed and signed, should be filed with the Supervisor of Elections of the county in which you are principally employed or a resident. State officers, elected constitutional officers, or specified state employees: Please file with the Commission on Ethics, P.O. Drawer 15709, Tallahassee, Florida 32317-5709. It is due not later than the last day of the calendar quarter following the calendar quarter during which the representation was made. (Example: If a representation was made in March, the form disclosing it should be filed by June 30.) This form need not be filed if no reportable representations were made during the quarter. CE FORM 2 - EFF. 1/2001

FORM 2 QUARTERLY CLIENT DISCLOSURE | LAST NAME—FIRST NAME—MIDDLE NAME | NAME OF AGENCY | | :--- | :--- | | MAILING ADDRESS | [ ] ELECTED CONSTITUTIONAL OFFICER <br> OFFICE HELD | | CITY | ZIP | COUNTY | [ ] STATE OFFICER <br> [ ] LOCAL OFFICER | | FOR QUARTER ENDING (Check One) | YEAR | POSITION HELD | | [ ] MARCH [ ] JUNE [ ] SEPTEMBER [ ] DECEMBER | | [ ] SPECIFIED STATE EMPLOYEE | DISCLOSURE OF CLIENTS REPRESENTED BEFORE AGENCIES [Required by Fla. Stat. Section 112.3145(4)] [NOTE: Under Art. II, Section 8(e), Fla. Const., and Section 112.313(9), Fla. Stat., members of the Legislature are prohibited from personally representing another person or entity for compensation before State agencies (other than judicial tribunals). However, members

Principals: AT&T 101 N Monroe St #700 Tallahassee, FL 32301 Baptist Health Care 403 E Park Ave Tallahassee, FL 32301 Becker & Poliakoff PA 3111 Stirling Rd Ft Lauderdale, FL 33312 Bethune Cookman College 640 Dr Mary McLeod Bethune Blvd Daytona Beach, FL 32114-3099 Calpine Corporation 2701 N Rocky Pt Ste 1200 Tampa, FL 33607 + Charmer Sunbelt Group 60 E 42nd St New York, NY 10165 City of Hollywood 2600 Hollywood Blvd Hollywood, FL 33020 City of Lauderdale Lakes 4300 NW 36 St Lauderdale Lakes, FL 33319 City of Miami 3500 Pan American Dr Miami, FL 33133-5400 City of Opa-Locka 777 Sharazad Blvd Opa-Locka, FL 33054 + City of Pompano 1000 W Atlantic Blvd Pompano Beach, FL 33061 Florida Memorial College 15800 NW 42 Ave Miami, FL 33054 Golden Rule Insurance Company 7440 Woodland Dr Indianapolis, IN 46278 Health Choice Network 3900 NW 79 Ave Ste 500 Miami, FL 33166 M.M.A.P. 19 W Flagler St Miami, FL 33130 Miami-Dade Expressway Authority 3790 NW 21 St Miami, FL 33142 + National Jai Alai Association 301 E Dania Beach Blvd Dania, FL 33004 + Phy Trust, Ltd of Florida 13680NW 5th St Ste 100 Sunrise, FL 33325 Pompano Park Racing 1800 SW 3rd St Pampano Beach, FL 33069 + SEIU 1405 NW 167 St Ste 100 Miami, FL 33167 Town of Southwest Ranches 3111 Stirling Rd Ft Lauderdale, FL 33312 Miami-Dade County Edward Waters College Florida Association of Jewish Federations - Only Bernie Miami Dade County Public Schools Florida A&M University National Bar Association - Only Yolanda