Carter N. McDowell - Stuart Miller 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.
MCDOWELL. CARTER N.
NAME OF LOBBYIST: (Last) (First) (M.1)
Bilzin Sumberg 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 cmcdowellabilzin.com
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
I. LOBBYIST RETAINED BY:
Stuart Miller
NAME OF PRINCIPAUCLIENT:
7 Star Island Drive Miami Beach FL 33139
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
978-546-6592
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: c-; ry
-a
0
All zoning, land use, and permitting matters related to Lots 10, 11-12 Star Island Drive, Miami Beach.-FL �' 74-1
Issue to be lobbied(Describe in detail): C
I T1
III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: �, t
Sec 2-482(a)(4) Full Name of Individual[and title of B)Contractual Relationship(Explain) YES NO;
person to be lobbied
M.
j
T
w
City of Miami Beach, Planning Department Staff and c r X
Zoning Department Staff -7 N
City of Miami Beach—City Manager's Office/Jorge X
Gomez
City Miami Beach Commissioners and Planning Board X
and Board of Adjustment
/
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY,
FLAT RATE OR OTHER)
A) LOBBYIST DISCLOSURE: (Required) $625/hr
B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): (Required). $625/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 V NO: Are You lobbying on a present or aending 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 VNo: 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 E FILED EV N F THERE HAVE BEEN NO
EXPENDITURES OR COMPENSATION DURING THE REPORTING PE
ignature o Lobbyist
I do solemnly swear that all of the foregoin efs are true and correct and that I have read or am familiar with the provisions
contained in Section 2-482 of the Miami City a an al a ing requirements.
Signature of Lobbyist: /
Signature of Principal/Client:
VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION:
❑ Produced ID ❑ Produced ID
Form of Identification Form of Identification
V Personally known(Lobbyist) ❑ Personally known(Principal)
VII. SIGNATURE AND STAMP OF NOTARY:
State of Florida, County of Miami-Dade State of Florida, County of Miami-Dade
Sworn to subscribed before me Sworn and subscribed before me
This 3 da Ji.�- 20\a r�`"."Y P`B�% IBIS DIAZ This day of 20
# * MY COMMISSION#DD 994845
EXPIRES:May 24,2014
Signature of Pu lic Notary—State of F n oP` Bonded Thor Budget Notary stature of Public 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 350 MCR#.,3w f� Date Paid
Lobbyist Registration Form received and verified by: go A
Revised 01/11/2011
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY,
FLAT RATE OR OTHER)
A) LOBBYIST DISCLOSURE: (Required) S625/hr
B)PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): (Required). 5625/
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 pendina bid for goods_ equipment or sgrvices. 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 y 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 orpora ion 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
EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD.
Signature of Lobbyist
I do solemnly swear that all of the foregoing facts are true and correct and that I have read or am familiar with the provisions
contained in Section 2-482 of the Miami Beach City Code and all reporting requirements.
Signature of e
Lobbyist:
Signature of Principal/
Client: �Ij VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION:
® Produced ID [Y] Produced ID
Form of Identification Form of Identification
® Personally known(Lobbyist) Personally known(Principal)
VII. SIGNATURE AND STAMP OF NOTARY:
State of Florida, County of Miami-Dade State of Florida, County of Miami-Dade
Sworn to and subscribed before me Sworn and subscribed tlefore me
This day of 20 This day of 20_
Signature of Public Notary—State of Florida Signature of u lic Nota —State of Florida
Notarization of Lobbyist's signature Notarization of Princip I's signature
KARIM 1.Dt1Dt1E
x * MY COMMISSION I EE 162829
EXPIRES:January 23,2016
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Bonded Th BWN"series
MIAMI BEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach,Florida 33139,
www.miamibeachfl.gov
LOBBYIST NAME: Carter N. McDowell
I understand that no later than February 281h of 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 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.
Pursuant to Section 2-485 (d), the City Clerk shall notify any lobbyist (or principal) who fails to
timely file a Statement and in addition to any other penalties which may be imposed as provided
in Section 2-485.1, a fine of$50.00 a day shall be assessed for all Statement(s)filed after the due
date. The City Clerk shall notify the Miami-Dade County Commission on Ethics and Public Trust
of the failure of a lobbyist (or principal) to file the Statement or pay the assessed fines after
notification.
Any lobbyist, who fails to file the required Statement by April 30th, 2012, shall be automatically
suspended from lobbying until all fines are paid, unless the fine has been appealed to the Miami-
Dade County Commission on Ethics and Public Trust.
W3i)1 iz
Signature: Date:
MIAMI 2966476.1 7225240365
4/26/12