Mathew Amster - 1509 North View Drivem N~IAMIBEACH
.City of Miami Beach Office of the City Clerk ~ ~ `~ ~ ! ~~
1700 Convention Center Drive, Miami Beach, FL 3~~~~PR _$ ~~ '. 27
LOBBYIST REGISTRATION FORM i~ ~ ~ ~f (~ 1 ~ t~~j , S
JF r tCF
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.
Amster Matthew
NAME OF LOBBYIST: (Last) (First) (M.I)
Bercow, Radell & Fernandez, P.A. 200 S. Biscayne Blvd., Suite 850 Miami Florida 33131
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305)377-6236 (305)377-6222
mamsterCa~brzoninolaw com
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
I. LOBBYIST RETAINED BY:
Mark and Lisa Sanders
NAME OF PRINCIPAL/CLIENT:
1509 North View Drive Miami Beach Florida 33140
.BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) ~ (Zip Code)
(305)938-4300
TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional)
out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (c)]
• NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: N/A
• IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
II. .SPECIFIC LOBBY ISSUE:
Flood plain variance and restoration and redevelopment issues concerning 1509 North View Drive
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
Planning and Zoning Department Staff, HPB, BOA, Flood Plain
Management Board, City Commission * ~
None
* UnIeSS an issue is leaislativa in narn~a uoa ane oi~~.,,..., o,..._a
~~~ ..~~r wiiuiiu,iun rnemoers are not iobbietl outside of a public hearing setting.
~i
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY,
FLAT RATE OR OTHERf
A) LOBBYIST DISCLOSURE: (Required) $ 285.00 per hour
B) ,PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). $ 285.00 per hour-
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 X No: Are you lobbying on a present or~oending bid for goods equipment or services or on a
present or pending award for goods equiament or service
2) ~ Pursuant to Miami Beach City Code 2-490 Entitled 'Prohibited Campaign Contributions By Lobbyists On Real
Estate Development Issues":
^Yes X No: Are you lobbvina on a pending application for a Development Agreement with the Citv or
application for chance of zoning map designation or change to the Citv's Future Land Use
Ma°?
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 X No: Are you representing snot-for-profit corporation or entity without special compensation
or reimbursement.
V. SIGNATURE UNDER OATH:
ON OCTOBER 1~ 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 EXPENDTT S OR COM ENSATION DURING THE
REPORTING PERIOD.
Signature of Lobbyist
I do solemnly swear that all of the foreg g facts are true and correct and that I have read or am
familiar with the provisions contained in coon 2-482 of the Miami Beach City Code and alf reporting
requirements.
Signature of Lobbyist: o
Signature of Principal/Client:
'd ~ c ~I. LOBBYIST IDENTIFICATION:
~~ O~ N
~' 6y1D ? ~ ^ Produced ID
0 0 ~ ~ ~ Form of Identification
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~~~~~ ersonally known (Lobbyist)
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~ ~ ~ I. SIGNATURE AND STAMP OF NOTARY:
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Frignature of Public Notary - Staff of Florida
Notarization of Lobbyist's signature
PRINCIPAL IDENTIFICATION:
^ Produced ID o
Form of Identification
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Personally known (Principal) W ~ N V
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State of Florida, County of Miami ade (~ ~ a o
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Sworn and subscrib d before m 5 ~,
This da of Oho q
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Signatur of Public Notary - a e of Florida 10N ~~~ _
Notarization of Principal's signature
FOR CLERK'S USE ONLY ~/
Annual .Registration fee: [ ]Yes [ ] No Amount ~Papid d3SU MCR # ~U7 ~'~ D e Paid ~ ~ D
Lobbyist Registration Form received and verified by: SU ~ Entered By: '
F:\CLER\$ALL\MARIA-M\LObbyist\LOBBYIST fORM OS.doc Revised 12/08/04