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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.
Bruce A. Arthur Arthur Bruce A.
NAME OF LOBBYIST: (Last) (First) (M.I)
WHA Design PO Box 14.2116 Coral Gables FL 33114
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305.443.3100 305.259.3986 bruce@whadesign.com
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
Please notify this office if your contact information changes: address, phone, or e-mail address.
I. . LOBBYIST RETAINED BY:
Jennifer Richter, Senior Development Project Manager
NAME OF PRINCIPAUCLIENT:
PANERA,LLC 3630 S. Geyer Road, Suite 100 St. Louis MO 63127
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
314.984.2617 314.909.3370 jennifer.richter @panerabread.com
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:
Development Review Board to modify signature corner of 1428 -30 Alton Rd. for recessed dining area.
To introduce new awnings and signage to the building facade and to add additional window openings.
Issue to be lobbied (Describe in detail):
m. CITY AGENCIES /INDIVIDUALS TO BE LOBBIED: Pursuant to City Code Section 2.482(g) include
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
personnel' 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) Any Financial, Familial or Professional Relationship
Development Review Board N/A
331140 S.! ll3 Al 3
OS :ZI Wd OC AON 010Z
I
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT
RATE OR OTHER):
A) LOBBYIST DISCLOSURE: (Required)
$350 Flat Rate Hourly
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION):
(Required). $350 Flat Rate Hourly
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
rt
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 a not - 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 not - for - profit corporation or entity without special compensation or
reimbursement. .
V. SIGNATURE UNDER OATH:
ON FEBRUARY 28th 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 E ' : 1 - : - COMPENSATION DURING THE REPORTING
PERIOD.
Signature of Lobbyist
I do solemnly swear th- - • • -_, )•- .oint, acts are true a` n8 correct and t :t I have read or am familiar with the
provisions cont.'- - • in,,a 4 2 of - '‘i'arni Beach City Code and . - porting requirements.
Signature of Lo , •yist: ,
Signature of Pr I cipal /Client: _ _ _ .r 1 4 f ' 17
VI. LOBBYIST IDENTIFICAT, N: PRINCIPAL IDENTIFICATION:
❑ Produced ID ❑ Produced ID
Form of Identification Form of Identification
'��411411H111y%4 � \‘‘ !HER �� / i / i�
Personally known (Lobbyist) ,,,�+�$ HEi Personally known (Principal) ,� � Q •V:.•••••. ; g F,q� ��i
�,`� •eeeeeeeee * ....t SSION 4 7 %
VII. SIGNATURE AND STAMP • 4 . *1:I6; 4 ee % r- , •'� y 5, 207 • • .-
State of Florida, County of Miami -Dag t►• • * x $tate of Florida, County of Miami -Dade � * S ��
Sworn to and subscribed before me o 2 . #QO 887026 ; a worn and subscribed before me , o OD 88�� �•
This 0 , 24 � Baodedto ` ... 4 k,his 2_,f da : �• . _ , 2010 q °tiDb B°"dedte,: 0 '
�"r / / �% ••�� �\
40 00, - A iMaho t gna • re . ( b lic Notary ' S S�llllOg4144
9 ry — St. - of Florida � Signatur- %� '• li c Notary — = e of Florida
Notariza 1 • of Lobbyist's signat re Note a r, n of Principal's signa re
TO BE COMPLETED BY CITY CLERK'S STAFF ONLY n /
Annual Registration fee: [
1/1
Yes [ ] No Amount Paid $ 6" ..... MCR #3 d O > Date Paid 3 �
Lobbyist Registration Form received and verified by: 1 � 4
F: \cLEI ; _ da =ohr4 \L€ I % o< S� ; . =.s Reg: �.t rt,vn rrn 20 '*4� / : ' W' Revised 05/ 5/20 0
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov
CITY CLERK Office CityClerk @miamibeachfl.gov
Tel: 305.673.7411 , Fax: 305.673.7254
LOBBYIST NAME: Bruce A. Arthur
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.
Si• ature, Date:
Panera, LLC
Domestic State Delaware
Formation Date 11- 10 -93*
Charter ID 2358973
Registered Agent The Corporation Trust Company
Registered Agent - Address 1209 Orange Street, Wilmington, DE 10801
FEIN 04- 3212828
* Pancra, LLC converted from a corporation to a limited liability company on December 31, 2001.
Entity Addresses
Address 3630 S. Geyer Road, Sunset Hills, MO 63127
Management Structure
Directors
Shaich, Ronald M.
Officers
Name Title
Moreton, William M. Chief Executive Officer, President
Shaich, Ronald M. Executive Chairman
Maguire, John M. Executive Vice President, co -Chief Operating Officer
Vanzura, Rick Executive Vice President, co -Chief Operating Officer
Davis, Scott G. Executive Vice President, Chief Concept and Innovation Officer
Simpson, William H. Senior Vice President, Chief Company and Joint Venture Operations Officer
Nolan, Michael J. Senior Vice President, Chief Development Officer
Kip, Jeffrey W. Senior Vice President, Chief Financial Officer, Assistant Secretary
Kupstas, Michael J. Senior Vice President, Chief Franchise Officer, Assistant Secretary
Kish, Thomas C. Senior Vice President, Chief Information Officer
Blair, Scott G Senior Vice President, Chief Legal Officer, General Counsel, Secretary
Simon, Michael Senior Vice President; Chief Marketing Officer
Fine, Becky A. Senior Vice President, Chief People Officer
Borland, Mark A. Senior Vice President, Chief Supply Chain Officer
DiPietro, Louis Vice President, Associate General Counsel
Clark, Heidi Vice President, Associate /Customer Experience
Gumpel, Tom Vice President, Bakery Development
McQuay, Bob Vice President, Bakery Support
Wybenga, Hans Vice President, Brand Insight and Research
Crimmins, Stephanie M. Vice President, Business Development
Sisk, Kenneth W. Vice President, Construction - Eastern Region
Denardi, Dean Vice President, Construction - Western Region
Kuzdowicz, Amy L. Vice President, Controller
Patel, Bipin Vice President, Design Application - Western Region
Ribant, Timothy Vice President, Development Services
Wooldridge, Mark D. Director, External Reporting, Chief Accounting Officer
Ryan, Sean Vice President, Enterprise Systems
Breyer, Bill Vice President, Field Services
Kish, Dan Vice President, Food
Burns, Todd Vice President, Franchise Operations
Powell, Mike Vice President, Fresh Dough Facility Operations
Harrison, Michele Vice President, Investor Relations
Watkins, Kathy Vice President, Learning and Development
Hollander, Chris • Vice President, Marketing
Graziadei, Marianne Vice President, Operational Tools and Services
Parrish, Linn Vice President, Public Relations
Ray, Paul C. Vice President, Purchasing
Flanders, Andrew Vice President, Quality Assurance
Schnell, Doug Vice President, Real Estate - Central Region
Hart, Mike Vice President, Real Estate - Eastern Region
Cook, Irene E. Vice President, Retail Operations
Davis, Mark Vice President, Retail Operations
Hovis, Janice Vice President, Supply Chain Administration
Rand, Jim Vice President, Via Panera Catering
Owners
Name Current Holdings
Panera Bread Company 100% membership interest
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