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Andrew Frey/Arthur MurphyS~pNI~ ~}o TdL m MIAMIBEACH 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 board 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 2004-3435. Andrew W. NAME OF LOBBYIST: (Last) (First) (M.I) Akerman Senterfitt, P.A. One SE 3`d Ave., Suite 2500 Miami FL 33131 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (305) 374-5600 (305) 374-5095 andrew.frey@akerman.com TELEPHONE NUMBER: FAX NUMBER: EMAIL: I. LOBBYIST RETAINED BY: Murphy Arthur NAME OF PRINCIPAL/CLIENT: (Last) (First) (M I) 3201 Hotel, LLC and Tower 3315, LLC 1980 Post Oak Boulevard Suite 1600 Houston TX 77056 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (713) 840-2710 (713) 840-2705 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: IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: II. SPECIFIC LOBBY ISSUE: -' ~ ~ ,] ~ ~ S , ;~.! ~? ~ 1 ~ ~ .[-' -) Saxony Hotel -Modification of Approved Phasing Plan ~~ . ~ bid Z Z 1~0 600Z Issue to be lobbied (Describe m detail): ,/ {M2861049;1 } {M2850062;1 ~-~ ~ ~ ~ w ,rA .~ ~ ~~ ~/ III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: A. Full Name of IndividuaUTitle B. Any Financial, Familial or Professional Relationship City Commission and Mayor None Saui Francis, Director of Parking Dept. None Jorge Gonzalez None IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR OTHER): 310,00 A. LOBBYIST DISCLOSURE: (Required)_ $~3$~9 hourly B. PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required) Same 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 Ciry 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 chance of zoning map designation or chance 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 ®No: Are you representing anot-for-profit corporation or entity without special compensation or reimbursement. {M2861049;1 } 2 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. Sig tore of Lobbyist 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 2-482' of the Miami Beach City Code and all reporting requirements. ~ _ _ _ / Signature of Lobbyist: Signature of PrincipaUClient: VI. LOBBYIST IDENTIFICATION: ^ Produced ID Form of Identification ersonally known (Lobbyist) VII. SIGNATURE AND STAMP OF NOTARY: State of Florida, County ofMiami-Dade Sworn to and subscribed before me Thisa.2 day of ~~UU,~Y , 2009 N of PRINCIPAL IDENTIFICATION: ^ Produced ID, Form of Identification ersonally known (Principal) State of ~~~, County o ~ '~.- ~_ Sworn end subscribed before me _ ............. ~kIS , 2009 Comm# DD0736400 cvnirFts 1112512011 ~~1'1#~~tdlil®te Of Florida Notarization of Principal's signature MsNB Garcia My Commission pb727778 Expires 10/22/2011 FOR CLERK'S USE ONLY Annual Registration fee: ^Yes J~o Amount Paic Lobbyist Registration Form received and verified by: MCR #k~~~ / ~ ~ Date Paid Revised 12/08/04 {M2861049; I } 3 l 3 s.i City of Miami Beath, 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 LOBBYIST NAME: ~~ ~o~p C',~ ~~ ~® ~~ ~ ~~ ~ .~ ~~ ~ ©~~ ~j /C, ~!` I understand that no later than October 1st of each year, 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 J 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. ® ~ D~ Signature: Date: F:\CLEfZ\LflSBYi5T1L.obbyist Registratian Farm 3270B.dac ~w, .,.., ,~ ~~ ~~ ~~, ~-, ~?~. u-, r ~~ ~-- r- r~ r- r.1 f --. -..+ i~ ~~ .r p• a ~°~ ~'~ ~ ~. ~M •M ~1 t ~1 i~. /+ ~~~ 1~. 1~~{ i1 r C`~ [~ C'~ c-- r-~ O Z fl. v ~ ~aa V W ym mg C~ ~~ ~O c~ C V t .0 U -v m a 0 W W J V W m H N O 0 z ~i __`t~ V` ~I a S z c 3 ~. O~.