Paul B. Steinberg/Bay Drive Villas~~ ~-~~UL' yr (I~s~
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P;1I.°,,P.^~I BEACH
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 tward 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 2004J435. n
NAME OF LOBBYIST: J (Last) (First) ~ (M.I)
BUSINESS NAME AND ADDRESS (Number an treet) (City) (State) (Zip Code)
3~~ ~3g_O~P~q
FAX NUMBER:
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TELEP ON; NUMBER: ~2~~ FAX NUM~E~;ional) ~~ ~~~ ~ EMAIL: (Optional)
Fill out this section if principal is/a Corporation, Partners/hpip or Trust [Section 282 (c)]
• NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: ~-~(~ f/(~ .e ~e f if[ /~ ~ n ~C^
• IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OJR MORE OV NEB SHIP NTEREST IN
SUCH CORPORATION, PARTNERSHIP OR TRUST: ~~ ~ /"~ / _ _1 /t.S~
11.3PECIFIC Lmilt!IEtY IS$~tJE:
Issue to
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nl. CITY /4CC~ IIkLS Tfl ~ L'D: Pursuant to City Code Section 2-482(8) include
a statement of the extent of any business, financial, familial, professional or other relationship, giving rise to an
appearance of an impropriety with any City personnel sought to be lobbied -- further, pursuant to Clty Code Section 2-
482(a)(4) include a statement of any contractual relationship (paid or unpaid) from 12 months preceding said City
personnels' commencement of service with the City to the present date, stating the general nature of the subject
contractual relation.
A Full Name of Indivi
dual T"~tle B An Financial, Familial or Professional Relationship
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT
RATE OR OTHER):
A) LOBBYIy~T DISCLOSURE: (Required)
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B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): S{//?-~~ -_~-
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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 No: Are you lobbying on a present or pending bid for goods. equipment or services. or on a
aresent 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 ~No: Are you lobbvinu on a pending application for a Development As~reement 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 ~~ ldo: Are you representing anot-for-profit corooration or entity without special compensation or
reimbursement. .
V. SIGNATURE UNDER OATH:
Signature of Principal/Client:
VI. LOBBYIST IDENTIFICATION:
^ Produced ID
O/ Form of Identification
~~
g ~ ~ ersonally known (Lobbyist)
~~ VII. SIGNATURE AND STAMP OF NOTARY:
State of Florida, County of Miami-Dade
~ Sworn to and subscribed before me
This Z, y of , 2009
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;,, , Signature o u ary - fate of Florida
"~~ Notarizatio fist's signature
PRINCIPAL IDENTIFICATION:
TO BE COMPLETED BY
Annual Registration fee: ]Yes [ ] No Amount Paid j
Lobbyist Registration Fonn received and verified by:
F:"~~,,LLER``$ALL'ti;~F~RMS~Li368i'Y~~ Ff1RMS\Lu1~I7yi5E R2gi~lra~ia
~ Produced ID
Form of Identification
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Personally known (Pr' RoteJ9rAz
My C,onxn~lon ;I~DD61ggW
Explrea 03IJOI20] l
of F a, County `f Miami-Dade
i bscr' a ore me
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-State of Florida
s signature
~TMC # Date Pald
~clvc: Revised I
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 f the ath-Ctty ~-all reporting requirements.
Signature of Lobbyist:
Bay Drive Villas LLC. Ownership
George Heinlein CEO 6090
Steven Sanders 1090
Alan Weinstein 109'0
Robert Lawrence 109'0
Paul Lawrence 10%
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City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov
CITY CLERK Office
Tel: 305.673.7411 ,Fax: 305.673.7254
CityClerk@miamibeachfl.gov
L4~YIST NAME: (mil ~ ~ ~'
I understand that no later than der 1st of each ~~or, 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: Date:
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