Carter McDowell/MBeach 1, LLPr
(~}l~ ~111~ ~~wca/n/
City of Miami Beach Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139
LOBBYIST REGISTRATION FORM~j a
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Lobbyist means all persons employed or retained, whether paid or not, by a principal who seeks to encourage tlae-passe,
defeat or modification of any ordinance, resolution, action or decision of any commissioner; any ~actiorr~-~,deci I• n,
recommendation of the City Manager or any city board or committee; or any action, decision or recommer~~tioit.~f any City
personnel during the time period of the entire decision-making process on such action, decision or recdtarlme~tion ~t~at
foreseeably will be heard or reviewed by the city commission, or a city board or committee. The term specifically ic~ludes~he
principal as well as any employee engaged in lobbying activities. The term "Lobbyists" has specific exclusi~s. P,.,~ase i fifer
to Ordinance 2004-3435. ~;; x"' t
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McDowell Carter `~~ ~•
NAME OF LOBBYIST: (Last) (First) ~ (M.I)
Bilzin Sumberg - 200 South Biscayne Boulevard Suite 2500 Miami Florida 33131
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) Zip Code)
305-350-2355 _~ 305/351-2239 cmcdowell(a~bilzin.com
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
LOBBYIST RETAINED BY:
MBeach 1 LLLP
NAME OF PRINCIPAL/CLIENT:
c/o Robert Wennett UTA Management LLC 1111 Lincoln Road Suite 760 Miami Beach, Florida 33139
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305!538-9320 305/552-0016 raven nettCa~ 1111 Lincoln Road.com
TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional)
Fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (c)]
• NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: Robert Wennett
• IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE
OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST:
SPECIFIC LOBBY ISSUE:
_ Board of A~ustment Sign Variance Application
Issue to be lobbied (Describe in detail):
III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
A) Full Name of Individual/Title B) Any Financial, Familial or Professional Relationship
Board of Adjustment None
Department Staff "
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s
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY,
FLAT RATE OR OTHER)
A) LOBBYIST DISCLOSURE: (Required) Hourlv $560
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). Hourlv $560
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 present 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 lobbying on a pending application for a Development Agreement 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 snot-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 ®No: Are you representing a not-for-profit corporation or entity without special compensation or
reimbursement.
V. SIGNATURE UNDER OATH:
ON OCTOBER 1St OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED STATEMENT
UNDER OATH, LISTING LOBBYING EXPENDITURES, AS WELL AS COMPENSATION RECEIVED, IN THE CITY OF MIAMI
BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL~FILED EV N THERE HAVE BEEN NO
EXPENDITURES OR COMPENSATION DURING THE REPORTING PERInB"„~~ „ ,~i'~
Signature of Lobbyisf/Carter N. McDowell
1893671
7/21 /09
I do solemnly swear that all of the foregoin cts are true and correct and that I have read or am familiar with the provisions
contained in Section 2-482 of the Miam~BtCity_Go~le gPty)r'all reporting requirements.
Signature of Lobbyist: ~--~~~~~~
Carter N. McDowell'
Signature of Principal/Client:
VI. LOBBYIST. .McDowell
-`'; IBIS DIAZ
^ Produced I D '- MY COMMISSION # DD 52926-
Personally know ~Ic,C~k•7
~~.: MIS,; ,,. •,r, 2y~
VII. SIGNATURE AND STAI1f~~~ARY: • :~~~o
BondadThrv+''wnnrurnswanceA9st~cf'
State of Florida, County -
Sworn to and sub c ' ed efore me
This day of , 2
Signature of Public Notary -State of Flon
Notarization of Lobbyist's signature
PRINCIPAL IDENTIFICATION:
Produced ID
Form of Identification
^ Personally known (Principal) c~
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c-~~ .za °7~~
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State of Florida, County of Miami-Dade ~<j ~•i°/
Sworn and subscribed before me _ ~> ;~:
This day of , 20 '~:
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Signature of Public Notary -State of F 'da =z" "-;;
Notarization of Principal's signature'`. .ems '~`i
FOR CLERK'S USE ONLY q~fj ~ '~
Annual Registration fee: Yes [ ] No Amount Paid~° MCR # ~d l ®"Date Paid.. ~ ~6 ~ 9
Lobbyist Registration Form received and verified by: - J
F:\CLER\$ALL\MARIA-M\Lobbyist\LOBBYIST FORM 05.docLSG Revised 12/08/04
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY,
FLAT RATE OR OTHER)
A) LOBBYIST DISCLOSURE: (Required) Hourlv $560
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). Hourlv $560
The following information must be answered:
1) Pursuant to Miami Beach City Code Section 288 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 present 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 lobbying on a pending application for a Development Agreement 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 snot-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 ®No: Are you representing a not-for-profit corporation or entity without special compensation or
reimbursement.
V. SIGNATURE UNDER OATH:
ON OCTOBER 1St OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED STATEMENT
UNDER OATH, LISTING LOBBYING EXPENDITURES, AS WELL AS COMPENSATION RECEIVED, IN THE CITY OF MIAMI
BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN NO
EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD.
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Signature of Lobbyist/Carter N. McDowell ~~~..'~'
rs
I do solemnly swear that all of the foregoing facts are true and correct and that I have read or am familiar with'°the ~visibn~
contained in Section 2-482 of the Miami Beach City Code and all reporting requirements. ' ' rv ..
_- ~ .
Signature of Lobbyist: cr ~~"'":
Carter N. McDowell ~ ;..~ -
S~gnature of Principal/Client: _~ a ~~'
VI. LOBBYIST IDENTIFICATION: Carter N. McDowell PRINCIPAL IDENTIFICATION: `~' N
~~
Produced ID
Form of Identification
Personally known (Lobbyist)
VII. SIGNATURE AND STAMP OF NOTARY:
State of Florida, County of Miami-Dade
Sworn to and subscribed before me
This day of , 20_
Signature of Public Notary -State of Florida
Notarization of Lobbyist's signature
FOR CLERK'S USE ONLY
Annual Registration fee: [ ]Yes [ ] No Amount Paid
893671 Lobbyist Registration Form received and verified by:
F:\CLER\$ALL\MARIA-M\Lobbyist\LOBBYIST FORM 05.doc
,/7/09
Produced ID
Form of Identification
Personally known (Principal) ~ '
:ieatl~~er A. Leioil
>'•~,; ~a~ ~~' Commission #DD491857
4=9~.~''~c ?'xpires: NOV. 17, 2009
State of Florida, County of Miamr'~ti'e .. A ~ r~ ~ ''~ ~T° ~'{ ~n~'
Sworn and subscrib d before me
This ~ day f 20 ~~
Signature of ublic Nota a of Florida
Notarizatio of Principal s signature
MCR # Date Paid ~
'b
Revised 12/08/04