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David H. Nevel - Tremont Towing Inc .,---- _ f - t- , Lid' li lati,101 t, l IM , BF H ,, , .............., 4 , , , /M l i 1 A 1 AC „. 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. A/ J>Wid . NAME OF LOBBYIST: (Last) (First) (Mil) I t r IVI cf 14 . /\ku A isc ( . � c BUSINESS NAME AND ADDRESS ( Number and Str t) (city) g;5 (State) � ip Code �f 6 /59 - OR O / 4/ cM7 TELEPHON NUMBER: FAX NUM R: EMAIL: Please notify this office if your contact information changes: address, phone, or e-mail address. 1. LOBBYIST RETAINED BY: .4 ----- Trm?ni TW( I OC 1 NAME OF PRINCIPAUCLIEN &3/39 � ►t IC I�C P & i ? L BU ESS N E N� DRE (Qlumber and Street) (City) (State) (Zip Code) TgLEPHONE 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: Ed a C: 6 , 4)0 • IDENTIFY ALL PERSONS HOLDING, DIRECT . • c INDIRECTLY A 5% OR M RE ONERS INTEREST / I . CORPORATION, PARTNERSHIP OR TRUST: j4. //2 0140 � W I ' � ., /2 /Yc✓/7 / , e G ,' � i ass-ey/ i Am _ _ _ /Li LI !/ .1 II.SPECIFIC LOBBY ISSUE: C. e 9 14/// p e f ?n h -- a c ce / a 72 /) vcc; Issue to be lobbied (Describe in detail): III. CITY AGENCIES /INDIVIDUALS TO BE LOBBIED: Pursuant to City Code Section 2- 482(a)(4) include the commissioner or personnel sought to be lobbied, and whether the lobbyist has entered into any contractual relationship (paid or unpaid) with said city commissioner or personnel from 12 months preceding such person's commencement of service with the city to the present date, stating the general nature of the subject contractual relationship. Sec 2- 482(a)(4) Full Name of Individual and Contractual Relationship (Explain) YES NO title of pe son to be lobbied , / e,s aF' ez il rn, r.s a ✓- 7em rsof Nana ere ete9CC i Ar,S - 1,4)_1k4 c;, 1 --1"'-- r r Pursuant to Ci Code Section 2-482(g) Every registrant shall b 5 quird state the extent of an i SI, ¢ i a[t I rofessional relationship, o other relationship giving rise to an appearance of an impropriety, with an current c c t p p p g� g pp any Y City who is p sought to be lobbied as identified on the lobbyist registration form filed. Sec 2- 482(g) Any Financial, Familial or Professional Relationship 6£ :5 Wit 1 1 AVW 1 lEll nicTwe _ - . 57/2 IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE: (Required) B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): el ' 7 hoar" (Required). The following information must be answered: 1) Pursuant to Miami Beach City Code Section 2 Entitled "Prohibited Campaign Contributions By Lobbyists On Procurement Issue ❑ 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 ": u Yes RNo: 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 L' /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 SHA IF THERE HAVE BEEN NO EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD. c‘ ::::::::2________ Signature I do solemnly swear that all of the foregoin• - - - ue and co ; t and that I have read or am familiar with the provisions contained in Section 2 -482 of the Miami Beac, • •de and all rep. ''ng requir- gents. Signature of Lobbyist: o� 4 Signature of Principal /Client: VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION: ❑ Produced ID _ > ID Fe- - [i G.6 '246 -4, 3 -Ii, ) Form of Identification Form of Identification E Personally known (Lobbyist) ❑ Personally known (Priincip r , 1 , s ., ,-- y, 0klitift0iir ' i . s$ItEEL SATOlial.. (. VII. SIGNATURE AND STAMP OF NOT14 ,NATF /EL I/F, , ; � {: '` � Y COMMISSION # DD 87°S91 .�i Via' .4 .....•• . • f � , s! : FXPIRFS Ap6113, 2013 State of Florida, County of Miami -Dade �; �� a\I 18'2p r F f: State of Florida, Count M D ad s Sworn to and subscribed before me zt :,(1)-c,? " • Sworn and subscribed Before -me =' —r . Thisday of 1 / / 2011= `� ® ®• ; • aE is 11 da of , 2011 . j . tt0 � ta 0 • ` `. ,''--s.4,- `rg m v. 4 , -. ., �4 2: - �' ° � - �, . .. G 1 � . i • . ti p !�ond�a g a . 4 4 ` - a. Signature of Public Notary -- Stat of Florid, ••: �`� Signat , re of Pu c Notary — State of Florida Notarization of Lobbyist's signature ` i,�,, ,� 1 -/E3 i Ct , k e Note ation of Principal's s TO BE COMPLETED BY CITY CLERK'S STAFF OIN.L- - _ Annual Registration fee: 1/' ] Yes [ ] No Amount Paid $ ,1 MCR # )'. 6' ,,r, Date Paid � l Lobbyist Registration Form received and verified by: ' ' - ET" - F.' \ . R\ ALL1 a \LO YI T F Rl \Lobbyist Annual Reg trr t on Forrn.d �, .�, / .- - c-t _ Revised 1/11/2011 th t\ A I A P's A I ri 7 A (--- L.,3 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 I ' .n j H Akt/e-- / LOBBYIST NAME: 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 Cit}&..0 ,rk's Office of lobbyist withdrawal in writing. - 4 i� lip fi r- nature: �.. Dat: Hatfield, Liliam From: Prieto, Silvia Sent: Thursday, May 26, 2011 9:42 AM To: 'David H. Nevel, P.A.' Cc: Parcher, Robert; Martinez, Maria; Hatfield, Liliam; Lorber, Richard Subject: RE: Lobbyist Registration Dear Mr. Nevel, As per your request, the below information will be reflected in our records. Sincerely, BEACH MIAMI Silvia Prieto, Administrative Aide I CITY CLERK'S OFFICE 1700 Convention Center Driv e , Miami Beac h , F L 3313 9 Phone: 305 - 673 - 7000 ext. 6269 / Fax: 305 - 673 - 7254 www.miamibeachfl.go v We are committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical, hi storic community. From: David H. Nevel, P.A. [mailto:law@dnevel.com] Sent: Wednesday, May 25, 2011 6:05 PM To: Prieto, Silvia; Lorber, Richard Subject: Re: Lobbyist Registration That’s true. I made the request via email on Monday, prior to speaking on the issue before the Planning Board on Tuesday, after my assistant was advised by Lillian that would be sufficient. Please kindly correct the form to reflect that my business name is “David H. Nevel, P.A.” Thanks, David Nevel -- David H. Nevel, P.A. 950 S. Pine Island Rd. Suite A - 150 Plantation, Florida 33324 Phone: 954.423.4348 Fax: 954.727.8250 law@dnevel.com Pursuant to IRS Circ ular 230, be advised that any federal tax advice contained in this written or electronic communication, including any attachments or enclosures, is not intended or written to be used and it cannot be used by any person or entity for the purpose of (1) avoi ding any tax penalties that may be imposed by the Internal Revenue Service or any other U.S. Federal taxing authority or agency or (2) promoting, marketing or recommending to another party any matters addressed herein. 1 This electronic mail transmission ma y contain confidential or privileged information. If you are not the intended recipient, you are hereby notified that any review, dissemination, distribution or duplication of this communication is strictly prohibited. If you believe that you have receiv ed this message in error, please notify the sender by reply transmission and delete the message without copying or disclosing it. On 5/25/11 5:05 PM, "Prieto, Silvia" < SilviaPrieto@miamibeachfl.gov > wrot e: Richard, David H. Nevel, has requested that the Planning Board be added on his previous lobbyist application “proposed amendment of City Code Section 118 - 136 and section 118 - 137 regarding on the stay of proceedings, resulting from appeals of administ rative decisions to the BOA” issue (see below). MIAMI BEACH Silvia Prieto, Administrative Aide I CITY CLERK'S OFFICE 1700 Convention Center Drive, Miami Beach, FL 33139 Phone: 305 - 673 - 7000 ext. 6269 / Fax: 305 - 673 - 7254 www.miamibeachfl.gov <blocked:: blocked::blocked::blocked::blocked::blocked::blocked::blocked::blocked::blocked::blocked::blocked::blocked::blocked::blocked: :blocked::block ed::blocked::BLOCKED::BLOCKED::BLOCKED::blocked::blocked::BLOCKED::BLOCKED::BLOCKED::BLOCKED:: http://www.miamibeachfl.gov/ > 2 We are committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical, hi storic community. 3