Carter N. McDowell - LIME ISLAND 29 LLC AND 30 LLC k t5ev i iii
City of Miami Beach Office of the City
Y YC lerk 02.
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) (First) (M.I)
Bilzin Sumberq Baena Price & Axelrod LLP , 1450 Brickell Avenue, Suite 2300, Miami, FL 33131
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) Zip Code)
305 - 350 -2355 305 - 351 -2239 cmcdoweWbilzin.com
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
LOBBYIST RETAINED BY:
LIME ISLAND 29, LLC AND LIME ISLAND 30, LLC
NAME OF PRINCIPAL /CLIENT:
9155 SOUTH DADELAND BLVD., SUITE 1602, MIAMI, FL 33156
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305 - 278 -8400 305 - 278 -1540
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: Joseph A. Sanz
• IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP
• INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST:
•
II. SPECIFIC LOBBY ISSUE:
All land use /zoning matters regarding application for property at 218 So. Hibiscus Drive, Miami Beach, FL
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 Board and staff n/a
431 _LIU
9S :01 WV S 1 330 0111Z
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY,
FLAT RATE OR OTHER)
A) LOBBYIST DISCLOSURE: (Required) $585/hr
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). $585/hr
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 •NiNo: 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 28 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 FILED EVEN THERE HAVE BEEN NO
EXPENDITURES OR COMPENSATION DURING THE REPORTING PERI 0
;/ /17/)
Signa ure o Lobbyist
I do solemnly swear that all of the foregoi ,facts are true and correct and that I have read or am familiar with the provisions
contained in Section 2 -482 of the Miam' Bch City Code :or reporting requirements.
Signature of Lobbyist:
Signature of Principal /Client:
VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION:
C' Produced ID [ Produced ID
Form of Identification Form of Identification
Personally known (Lobbyist) 1 Personally known (Principal)
VII. SIGNATURE AND STAMP OF NOTA _ • ; .,c MY COMM D D994845
'111‘ EXPIRES: May 24, 2014 . •
°
State of Florida, County of Miami -Dade liz., „ °< Bonded Thru Budget Notag to of Florida, County of Miami -Dade
Swor • and subs ribed before f me SworrS and subscribed before me
Thi c 4.,20 /d , Thi s day of �i 2e
•
Nike ' f I, K2 mill / , z.
•
•
•
Signature of Public Notary — � lorida ignature of blic Notary — State of Florida
Notarization of Lobbyist's signature Notarization of Principal's signature
FOR CLERK'S USE ONLY
Annual Registration fee: [ ] Yes [ ] No Amount Paid 3 S - CR # Ap o -/ Date Paid ( • 10 / Gr
Lobbyist Registration Form received and verified by: -L
Revised 05/05/2010
MIAMI BEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139,
www.miamibeachfl.gov
LOBBYIST NAME: Carter N. McDowell
F64 2-Y
I understand that no later than Octob�each year, I must file 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 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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Signature: Date:
MIAMI 23 58913.1 7000060139