Disclosure of Lobbying or Lobbying Activity Form

To further promote full and complete transparency, Margate City Commissioners must disclose any and all lobbying activities that knowingly occur between themselves and individual lobbyists or their principal or employers outside of their city commission offices or city premises. This shall include communication by any form of telephonic or electronic media. Disclosure shall be made within ten (10) business days of the lobbying activity, but must in any event, be made prior to any vote on a matter that was the subject of the lobbying activity. The disclosure shall be made in a legible manner and filed with the Margate City Clerk’s Office by completing this form and clicking “submit” below. The registration will be filed for public inspection

"Under Florida law, the information you provide on this form is considered public record. Please be advised that under the Code of Broward County (Sec. 1-19) the City of Margate is required to publicly disclose the information provided on this form in a searchable format on the internet."

I. Lobbyist Information
First Name*  
Middle Initial  
Last Name*  
Business/Employer's Name*

Business/Employer's Address
Number and Street*
Zip Code*  
Email Address
Phone #:*  

If the information in Section II is the SAME as in Section I click here: YES NO
II. Lobbyist Retained By
Name of Person or Entity  
First Name**  
Middle Initial
Last Name**
Address of Person or Entity  
Number and Street**
Zip Code**
Email Address:
Phone Number:**

III. Specific Purpose and Subject Matter of Meeting with City Commissioner*

IV. Date, Time and Location of Lobbying Activity
(Please use a separate form for each individual)

V. Date and Time of Meeting*
 Electronic Media (Please Specify)
 In Person (Please Specify Location)

By clicking the "submit" button below, I hereby certify that the information entered above is true, accurate and complete.  
Submitted by:*