Kent H. Robbinsi
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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 deasion of any commissioner; any action, decision, recommendation of the City Manager or any cky board or
committee; or any action, decision or recommendation of any aty 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 indudes the prindpa! as well as any employee engaged in lobbying activities. The term "Lobbyists" has specific exclusions. Please
refer to OMinance 2004-3435.
Robbins Kent H.
NAME OF LOBBYIST: (Last) (First) (M.I)
Law Firm of Kent Harrison Robbins, 1224 Washington Ave, Miami Beach, F1 33139
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305) 532-0500 (305) 531-0150 khrobbins@kentharrisonrobbins.com
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
I. LOBBYIST RETAINED BY:
Miami-Dade Historic Neighborhood Preservation Coalition, Inc.
a non-profit charitable organization
NAME OF PRINCIPAL/CLIENT:
1224 Washington Ave, Miami Beach, Florida 33139
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional)
(305) 352-0501 MDHNPC@gmail.com
Fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (c)]
• NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: Chri St lna Labuzetta
• IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN
SUCH CORPORATION, PARTNERSHIP OR TRUST:
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u.SPECIFIC LOBBY,ISSUE:
legal representation concerning the preservation of the Simone Hotel and related matters
Issue to be lobbied (Describe in detail):
ul. ~ClTY AGENCIES/~IND1VlDUALS TO~BE LOBBIED,: Pursuant to city code section 2.4e2(g) include
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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 City 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 Individual Title B) An Financial, Familial or Professional Relationshi
Historic Preservation Board None
Building Department None
City Manager's Office None tf yy!!
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Planning Department
Mayor and Commission
None
None ~~ ~~ ~~ ~- ~~~ ~BQZ
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT
RATE OR OTHER):
A) LOBBYIST DISCLOSURE: (Required)
$300.00/hr
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION):
(Required). 5 3 0 0. 0 0/ hr
The following information must be answered:
1) Pursuant to Miami Beach City Code Section 2~L88 Entitled "Prohibited Campaign Contributions By Lobbyists
On Procurement Issues":
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^ Yes ®No: Are you lobbvinq on a present or pending bid for Qoods, 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 lobbvinq on a pending application for a Development Agreement with the City or
application for change of zoning map designation or chance to the Citv's Future Land Use
Maa?
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 anot-for-profit coraoration or entity without special compensation or
reimbursement. .
V. SIGNATURE UNDER OATH:
Signature of Lobbyist:
Signature of Principal/Client:
VI. LOBBYIST IDENTIFICATION:
Produced ID
Form of Identification
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k~ :~ Personally known (Lobbyist)
VII.. ;:: SIGNATURE AND STAMP OF NOTARY:
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State, of Florida, County of Miami-Dade
Swom and subscribe~,c before me
This• day oft1206i /p
5igndfure of Pu514ery = State of Florida
Notarization of Lobbyist's signature
PRINCIPAL IDENTIFICATION:
F~'Produced ID T( ~ ~
Form of Identification
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^ Personally known (Principal) ~~~~~~~~~~UA(v! H~~~~risj
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State of Florida, County of Miami-Da~e° t ~ ° ~ ; `
Sworn and subscribed before me ~ : '~0 ~~ `"' y;
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This day of , 2 '` " ~
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~~ i~ STATE OF f~-OP'~W~.
Signature of Public Notary State of Flondi~ir/'ff111tta«~~1~
Notarization of Principal's signature
TO BE COMPLETED BY CITY CLERK'S STAFF ONLY
Annual Registration fee: [ ]Yes [ ] No Amount Paid $ ~ MCR # Date Paid
Lobbyist Registration Form received and verified by:
~:`ci.~R~sA~i.~aFORiws~w_oesYZSr PpRMSOLobbyist Registration rwrm 21io9.doc Revised 02/11/2009
I do solemnly swear that of he regoi fa are a correct and that I have read or am familiar with the
provisions contained in S c>jio 82 of i mi Be de and all reporting requirements.