Wayne M. Pathman - Alan Waserstein AC MIAMI .
City of Miami Beach Office of theCity Clerk
C)
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.
Pathman Wayne M.
NAME OF LOBBYIST: (Last) (First) (M.1)
Pathman Lewis, LLP, 2 So.Biscayne B1vd. , Suite 2400, Miami , FL 33131
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305-379-2425 305-379-2420 wpathman @pathmanlewis . com
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
Please notify this office if your contact information changes:address,phone,;or e-mail address.
I
I. LOBBYIST RETAINED BY:
Alan . Waserstein
NAME g ou��ilP� ioreT:Landowners, LLC,
BUSINFVdYM�AI ADP d S t(Num Stre 1 aml(City (State) (Zip Code)
Y" ���"� � �F'L 33014
TELEP N�g�R: FAX NUMBER:(Optional) EMAIL:(Optional)
- T-83 73 wasrco@aol .com
Fill out this section if principal is a Corporation,Partnership or Trust[Section 2-482(c)]
NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARY: Alan Waserstein, Managing Mbr
• IDENTIFY ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION,
PARTNERSHIP OR TRUST: Alan Waserstein Richard Waserstein.
n.SPECIFIC LOBBY ISSUE:
doAf b,,�IQ [4� �Gt SG ✓�� '/Zl/%f�� 8u �d7rl T1'f ��Zr�� �1�12-
Issue to be lobbied(Describe ih detail):
lll.CITY AGENCIEWINDIVIDUALS 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 person to be lobbied
Board of Adjustment None X
Commissioners None X
Pursuant to City Code Section 2-482(g)Every registrant shall be required to state the extent of any business,financial,familial or professional
relationship,or other relationship giving rise to an appearance of an impropriety,with any current city commissioner or city personnel who is s
sought to be lobbied as identified on the lobbyist registration form filed.
Sec 2-482(g)Any Financial,Familial or Professional Relationship None
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE:(Required)
$400/hour
B� PRINCIPALS DISCLOSURE.(OF LOBBYIST COMPENSATION):
(REQUIRED).
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 XNo: 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 Section 2-490 Entitled"Prohibited Campaign Contributions By Lobbyists On Real Estate
Development Issues":
Yes x_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 Section 2-482(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 ifees.
Yes XNo: 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 BE FILED EVEN IF THERE HAV-FoBEEN NO EXPENDITURES OR
COMPENSATION DURING THE REPORTING PERIOD.
Signature of Lobbyist
I do solemnly swear that all of the.f oing facts are true and r t nd that I have read or am familiar with the provisions contained
in Section 2=482 of the Miami Beach ity a and all repo , equ� ements.
Signature of Lobbyist-
Signature of Principal/Client:
VI. LOBBYIST IDENTIFt ATION:- PRINCIPAL IDENTIFICATION:
Produced ID Produced ID
Form of Identification Q' Form of Identification
1-Jv
��' " �� Personally known(Principal)
APersonally known(Lobbyist) o a
VII. SIGNATURE AND STAMP OF NOTARY:
State of Florida, County of Miami-Dade State of Florida, County of Miami-Dade
Sworn t subscrib d before me ,,,,,.���,,y �° Sworn and subscribed before me
This _day of , 2012 ''� This day of 2012
ignature of Public Notary—State of Florida Signature of Public Notary—State of Florida
Notarization of Lobbyist's signature Notarization of Principal's signature
TO BE COMPLET ,Q AY CITY CLERK'S TAFF ON Y
Annual Registration fee: [ ]Yes[ ]No Amount Paid$ r MCR# 4 4 Date P
Lobbyist Registration Form received and verified by:
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER):
F�) l..0133YICT DiSCLCOSURE: (,Required)
':3) PRINCIPALS DISCLOSURE(OF t..OBBYIS! COMP NSATI()N)
(REQUIRED.)._--__ - ---
The following information must be answ'"ered:
1) Pursuant to Karol Beach City Code Sec'or: 2-488 F.nI:i led Prohibited CasYlpaigrl Contribut ons By Lobbyists On Procurement
Issues r
Yes XAIo: Are you iobi ing on a present or_pendinc bid for goods equipment or services,or on a present or pending
award for ctoods,equipment or service?
2` PUI-SUant to M1euri Rerach City Code;Section 2-490 t:rtitleci Prohibited Campaign Contri xations By lobbyists On Real Estate
Development Issues
Yes.<No: Are you lob4.� r a Development Agreement with the City or application for
-� �- chancre of zoning map designation or chancLe to the City's Future Land Use Map?
3) l='ufsuant to Nlia it Beach City Corte Section 2-4182(h)n y person(except those exempt fn;)m the definition of"lobbyist" as set
forth in Section 2-461 above) who only appears as .a representative of a net for-profit corpofation or entity without special
compensation or rC irnbursen ent for tine appe-ai ante; whether direct, or indirect: to express support of or opposition to any
item,shall registe! `Kith.the clerk as required by this section but:shall not be requires to pay any registration.fees.
Yes xNo: Are you represonting a not-for-profit cor oration 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 BE FILED EVEN IF THERE HAVE BEEN NO EXPENDITURES OR
COMPENSATION DURING THE REPORTING PERIOD. •
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i !o solemnly swear that.i'i of the foregoing facts are tme and correct and that I 'have.read or am fa
rr„liar iAJith the provisions cor:tairled
in Section 2-482 of the Nlian.,,Beach City Code and::Al reporting re(,,juirements.
Signature of Lobbyist: .___................._--
:signature oI I'rillcipal;Clle lt ..._..._ —
V1. LOBBYIST IDEN"rIFICATIO3 . PRINCIPAL IDENTIFICATION:
Produced ID Produced __--
Form of Identification Form of identification
Personaiiy known(Lobbyist) xersonally nown(Principal)
VII. SIGNATURE AND STAMP OF NOTARY:
State of Florida,d'ounty rf Miami-Dade State of Florida,Count of Miami-Dade
i`NOffi to and subscriber be rbre me Sworn cz 1' SUbscrib" I i
r 2 This_ �iay of � 2; TERESA MARQUES
?. Notary Public-State of Florida
_-......_.....___ .........._-...__._._-..................
" ••e y Comm.Expires Apr 3,2015
7ign elute of PEsbiic Notary- `;fate of Flori(1C; Signature of Public Notary-St a fF` Commission#EE 56747
Notarization of Lobbyist's signature Notarization of Principal's sig atu Bonded Through National Notary Assn.
TO BE COMPLE'rED BY ;ITY CLERK'S STAFF ONLY
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Annual Registration fee: ( Yes( No Amount Paid,$ MCR# Date Paid
Lobbyist Registration Form received and verified by: I
C:'iJsers, lerh�atl`AppDat�3`,L+:,ca`:1�11icrasoft`:\l`(il�d�vvs�ir:�r�far'�Itlterret F;lesiCOnter:t U�Itloolc';8?t_OQDDHII_)bbyist Reclistratio;i
Fomlrevised 5-30 20'12. oc
���, ititrasoo8 =ora.�oc Revised 04/27/2012
M. dAMJ H
City of(Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miamibeachfl.gov
CITY CLERK Office
Rafael E. Granado, City Clerk CityClerk @miamibeachfl.gov
Tel: 305.673.741 1 , Fax: 305.673.7254
Wayne M. Pathman
LOBBYIST NAME:
I understand that no later than February 28 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, or I am no
longer lobbying on that issue or for that principal, 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, 20129 shall be
automatically suspended from lobbying until all fines are paid, unless the fine has been
appe led to the Miami-Dade Cou ommission on Ethics and Public Trust.-
Signat D e:
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