Carter McDowell/Lenox Avenue LLCR
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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.
McDowell Carter N.
NAME OF LOBBYIST: (Last) i (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@bilzin.com
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
LOBBYIST RETAINED BY:
Lenox Avenuel LLC.
NAME OF PRINCIPAUCLIENT:
BUSINESS NAME AND ADDRESS
and Street) (City) (State) (Zip Code)
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: Claude T. Chandonnet
• IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE
OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST:
II. SPECIFIC LOBBY ISSUE:
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
Desgin Review Board None
Department Staff "
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LOBBYIST COMPENSATION (DISCLOSE WHETHER
A) LOBBYIST DISCLOSURE: (Required) Hourly $560
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). Hourly $560
IV. DISCLOSURE OF TERMS AND AMOUNTS OF
HOURLY, FLAT RATE OR OTHER)
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 nof-for-profit corporation or entity without special compensation or
reimbursement. ~
V. SIGNATURE UNDER OATH:
ON OCTOBER 1gt OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED STATEMENT
UNDER OATH, LISTING LOBBYING EXPENDITURES, AS WELL AS COMPENS ION RECEIVED, IN THE OF MIAMI
BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT SHAL FILED EVEN IF THER VE BEEN NO
EXPENDITURES OR COMPENSATION DURING THE REPORTING PER / . A_ /~/
'~ Signature of Cobb+91'st~Carter N. McDowell
I do solemnly swear that all of the foregoi cts are true and correct and that I e read or am familiar with the provisions
contained in Section 2-482 of the Miarr_W~~~~~Code and all Ieq~n9 res~Gi nts.
Signature of Lobbyist:
Signature of Principal/Client
Carter N.
VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION:
Carter N. McDowell ~ LENOX AVENUE I, LLC,
By: Orange Syndicate, a New York general
j partnership, its sole member
By: Merchants' National Properties, a Delaware
corporation, a partner
By: ~ T~ . ~-.~
Claude T. Chandonnet
President & CEO
^ Produced ID
Form of Identification
(4/ Personally known (Lobbyist)
VII. SIGNATURE AND STAMP OF NOTARY:
State of Florida, County of Miami-Dade
Sworn to and subscribed before me
This , 20~
Signatu
Notariz tic~i°~o~~,i,.obb~ist'~i~Vtbture
_:~ ~ ''~.. P~1Y UMMISSI # OD 529254
Bonded Thru Pichard
Lobbyist Registration Form received and
F:\C LE R\$ALL\MAR IA-M\Lobbyist\LO B B
^ Produced ID
Form of Identification
^ Personally known (Principal)
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~~ pUg~-C - STA'~2I3~ 8~ ~~ ,County of
N0.02ROSt13i~;~gc~~escribed be a me
~'jS~N NEXpIRES JV ~N~`'`""'•~~. ~~~~~ 0
j Signature P otary -State f F/-~-/
' Notarizat of Principal's sig ture
FOR CLERK'S USE ONLY
.mount Paid ~Jr/~ -- MCR # ~~~Z Date Paid « ~ ~ ~
sd by:
FORM 05.doc _ ~ _ ~, ~ evised 12/08/04
MIAMI 1949800.1 7000060139
10/14/09
~-
MIAMI BEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139,
www.miamibeachfl.gov
LOBBYIST NAME:
I understand that no later than October 1st of each vear, I must llle 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 llle 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
immediately notify they Clerk's
Signature:
lered to lobby on has been resolved, I am required to
of lobbyist withdrawal in writing.
~°'Z~ ~ o g
Date:
MIAMI 1745138.1 7000060139
10/19/09