Kevin Kline - Marilyn P. Tepperbergm !Vii~'v\r,,'BEACH
City of Miami Beach Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139
LOBBYIST REGISTRATION FORM
Lobbyist means ali 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.
KL1NE KEVIN F,
NAME OF LOBBYIST: (Last) (First) (M.I)
KLINE, MOORE & KEVIN; P.A. 2600 S.
BUSINESS NAME AND
and
las Road, Suite 902, Coral Gables, Fla. 33134
(City)
(Zip
305-441-0006 305-441-0043 kfk]~tk@bellsouth.net
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
Please notify this office if your contact information changes: address, phone, or a-mail address.
LOBBYIST RETAINED BY:
Marilyn P. Tepperberg
NAME OF PRINCIPAUCLIENT:
t3U51NESS NAME AND ADDRESS (Number and Street) (City) (State) ~ (Zip Code)
305-807-9277
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: NSA
• IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN
SUCH CORPORATION, PARTNERSHIP OR TRUST:
;_.
II SPECIFIC LOBBY ISSUE
Relatir~ to efforts to establish illegality and unenforceability of the Barginning
Issue to
be lobbied (Describe in detalq: Agreement negotiated with the. FOP and the City of -Miami Beach
z,. ~.. _
III.;CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: Pursuant to City Code Section 2-482(g) includep~7D
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- C3]3.]S~C~lI1
482(a)(4) include a statement of any contractual .relationship (paid or unpaid) from 12 months preceding said City t0 the
personnel' ,commencement of. service with the City to the present date, stating the general nature of the subject
contractual relation. VOting Upon,
A Full Name of Individual/Title B) Any Financial, Familial or Professional Relationship
Mayor Matti Bower None
Con~nissioner Jer Libbin None
Vice Mayor Jorge Exposito
nmai~sioner Michael Gongora None
None
omtnisssoni/r:~ Jon ~ Wo ~fson
C
i
Novel ] _1 ~ ~ c
onun
s~~,otzer Edward L . Tobin ;.° .: ~ ~; f~ ? ; ~1
None
passage and
approval of
Agenda Item
R5E on the
City Con~uniss
ion Agenda
for October
27, 2010.
City Manager, Jorge M. Gonzales ivvi~~~ '~ ~~~ ~ ~ ~ ~ ~ ~ ~~
City Attorne~Z, Jose Smith None
None .,.I ,..
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t L .....s
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT
RATE OR OTHER):
A) LOBBYIST DISCLOSURE: (Required)
Compensation based on hourley rate of $350 per hour
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST~OMPEIVSATIONtlOn paid aS of yet.
(Required).~~.~,,~.~ .~~~~~ ~ ~„~.1~,~r~f fi3r~~ n~~~r hc~i~rr nn compensation
The followir~rr~in~ti2S'ti`~hPG§t 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 lobbvinq on a present or pendina bid for goods eauipment or services or on a
Aresent 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
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. .
V. SIGNATURE UNDER OATH:
Sigr~ture of Lobbyist - /
I do solemrily swear that all of t e fore oing facts re tr ue and correct and that I have read or am familiar with the
provisions contained in Section of the Mi i evdz='and all reporting requirements.
Signature of Lobbyist: '-~~
I~TIN F . KLINE f,
Signature of Principal/Clien
.~~-,~ ~~,~~
MARILYN P . Z'EP ERG!` .
VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICA ION:
^ Produced ID ~ Produced ID
i
d Form of Identification Form of Identification
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' ~ Personally known (Lobbyist) ~ Personally known (Principal)
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' VII. SIGNATURE AND STAMP OF NOTARY: '
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State of Florida, County of Miami-Dade
State of Florida, County of Miami-Dade
,. Sworn to and subscribed before me Sworn and subscrib befor
~ This 21 s-~day of tober , 2010 This ~. G r , 2010
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?:~.'~ ~ gnature of Public Notary -State of one a Signature of Public Notary -State o
'~~~~•'
,~ Notarization of Lobbvist's si nature Notarization of Principal's signature
TO BE COMPLETED BY C ITY CLERK'S STAFF ONLY
' Annuat Registratiomfee: [ -] Yes [ _ ] No Amount Paid $ o- ^ MC # D Date Paid
Lobbyist Registration Form received and verified by:'
F:\CLERi$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form 2010.doa (, D ReViSed 05/05/2010
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City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov
CITY CLERK Office
Tel: 305.673.741 1 ,Fax: 305.673.7254
C ityClerk@m iam i beachfl.gov
LOBBYIST NAME: KF~TTN F _ KT,TNF
I understand that no later than February 28th of each year, I must file the following
form, 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 and Compensation 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.
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