Wayne PathmanMIAMIBEACH
City of Miami Beach Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139
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 induces the
principal as well as any employee engaged In lobbying activities. The term "Lobbyists" has specific
exclusions. Please refer to Ordinance 2004-3435.
Pathman Wavnc
NAME OF LOBBYIST: (Last) (First) (M.1.)
Pathman Lewis, LLP. 2 South Biscayne Boulevard Suite 2400 Miami, FL 33131
BUSINESS NAME AND ADDRESS (Number of Strcct) (City) (State) (Zip Code)
_(305) 379-2425 (305) 379-2420 ~apathman~cpathmanle~a~is.com
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
LOBBYIST RETAINED BY:
J. Rod Martin,
NAME OF PRINCIPAL/CLIEN I
Tacontcnto Sou~~ Beach. LLC_ 715 N. Lincoln Lanc, Miami Beach. ILL 3313)
BUSINESS NAME AND ADDRESS (Number and Strcct) (City) (State) (Zip Code)
_(305) 673-5910 786-513-0180 rcxi!Fr?n~artinemail.net
TELEPHONE NUMBER: FAX NUMBER: (Optional) EMA[L: (Optional)
__
Fill out this section if principal is a Corporation, Partnership or Trust ~Sectiou 2-482 (c) ]
• NAME OF CHIEF OFFICER, PARTNERS, OR BENEFICIARY: J. Rod Martin, CEO; Carlos Cordon,
Partner; Marvin Lacayo, Partner, Boyan Gueorquiev, Partner
• IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP
fN"('EREST iN SUCH CORFORATiON, PARi'NERSHIP OR TRUST: Same as above.
ll. SPECIFY LOBBY ISSUE: 1
Architectural design changes to building ~~~ ~ ~G~~~~ (~~~~
Issue to be lobbied (Describe in detail):
111. CI"CY AGENCIES/INDIVIDUALS TO BE LOBBIED:
A) Fall Name of Individual/Title B) Any Financial, Familial or Profession Relationship
Design Review Board
r/
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER
HOURLY, FLAT RATE OR OT'IIER):
A) LOBBYIST DISCLOSURE: (Required) $400 Hourly
Q) PRINCIPAL'S DISCLOSURE (OP LOBBYIST COMPENSATION): (Required). $400 hourly
The following information must be answered:
1) Pursuant to Miami Beach City Code Section 2-488 Entitled "Prohibited campaign Contributions I3y Lobbyists
on Procurement Issues":
^ Yes ~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 Cntitlcd "1'rohibital campaign Contributions By Lobbyists
on Real Estate Development Issues.
^ Yes ~ No: Are you lobbying on a pending application for a Development Agreement with the Citv Of
implication for chance of zoning map designation or change to the City's Future band Usc
3) Pursuant to Miami Beach City Code 2-454 Qi) Any person (except those exempt from the definition
of "lobbyist" as set forth in Section 2-451 above) who only appears as a representative of anot-for-prolit
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 bu[, shall not be required to pay any registration fees.
^ Yes ~NO: Are you representing snot-for-profit corporation or entity ~~ ithout special compensation
or reimbursement.
V. SIGNA"PURE UNDER OATH:
ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CI"1'Y CLERK A SIGNED
STATF,A1ENT UNDER OATI1, LISTING LOBBYING E\PENUI'I'URES, AS WELL AS COMPENSATION
RECEIVED, IN TFIE CITY OF ~'11A~11 6EAC[I FOR T1iE PRECEDING CALENDAR YEAR. A STATEMENT
SIiALL BE FILED EVEN IF "1'IiERE iiAVF, BEEN NO E\PENDI"1'URE~~-f'I~T~N'SATION DURING THE
REI'ORTINC PERIOD. C_ / -
~gnattlr~of Lobbyist
f do solemnly swear that all of the foregoinb facts are true and correct nd that I have read or am
familiar with tlve provisions contai in Section 2-482 ofthe Miami Beach City Code and all reporting
requirements. )
Si~~nature of Lobbyist:
Signature of Principal/Cli
~'I. LOBBYIST IDEN"1'IFICATION: ~1'RINCIPAL IDENTIFICATION:
~i __~ JEANC ~MpG~~"?+ // ~ ,
~~,~MISSfbN u'd~YIdS;W~c~l l~ ~Produ >~G- ~~ . ~~ /t .S ~-%L~'~
~~ L _~ tan er~be. t~ 2 ~ ~~ Form of Identification F~o^rm of Idea' i ti /
g ~ ` 4 ~ ~ , U'1'~. ~WIItP ~~ ~~ j~~ f~1TT[~`
~~s=~- = ~-~'~"~"`~""""`,„~/Pei-sonal'~y~known (Lobbyist) I'~ Per `"n ~~ ~ ' •'
'j~d„~~,, JEAN C. MCLEOp
V11. SIGNATURE AND STA NOTA ~~~ ' 1• ~~~'~'~~
~-) ir~rr~tz
~ ~ .~. ,~ ~ < rhnutWtt~!~~Js
State of Florida. Count of Miami-Dade ~ Stat of Florida, Cou ~-~-
Sworn Jl~}y~d subscrib elore me ,~~ Swor'n to ~subscrihrJ Ji~lbrc me
~fhis day of , 20C 'i'bis ~ day ol~ °~~, 20 r/`
FOR C E[ C'S USE ONLY / ~ ~ (~ ~1 Y
Annual registration fee: ~ ]Yes [ J No Amount Paid ~ MCR # !s t~te Paid ~
Lobbyist Registration [~orm received and verified by:
P:ACLER\$ALL\MARIA-M\Lohbyist\LOl3i3YIST Form O~.doc ~ ~ ,~l 1' Revised 12/05/04
MIAMI BEACH
City of Miami Beaeh, 1700 Convention Center Drive, Mianu Beach, Florida 33139, w.nuamibeachfl.gov
CITY CLERK Office
Tel: 305.673.7411 ,Fax: 305.673.7254
LO[3QYIST NAME: Wayne M. Pathman
CityClerk@miamibeachfl.gov
I understand that no later than October 1st of each year, I must file the following
foilns, 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 Fonn
2) Disclosure Form
hailure to file these fon»s 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.
Si
May 4, 2009
Date:
F:ACLER\LOBBYIST\Lobbyist Registration Foi7n 32708.doc