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Javier Fernandez - Steven Sonenreich tor, wo 9j I AMI 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. C Fernandez Javier NAME OF LOBBYIST: (Last) (First) (M.I) Akerman LLP One SE Third Ave,25th Floor Miami FL 33131 --- BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305.374.5600 305.374.5095 Javier.femandez @akerman.com.. ZZ TELEPHONE NUMBER: FAX NUMBER: EMAIL: `^ W Please notify this office if your contact information changes:address,phone, or e-mail address. ° I. LOBBYIST RETAINED BY: Steven Sonenreich NAME OF PRINCIPAUCLIENT: Mount Sinai Medical Center 4300 Alton Road Miami Beach FL 33140 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305-674-2223 305-674-2007 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: I ER Expansion Project" Or Mt. S N oct Issue to be lobbied(Describe in deta ): 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 eneral 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 City Manager, Mayor and Members of City Commission 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 sought to be lobbied as identified on the lobbyist registration form filed. Sec 2-482 Any Financial,Familial or Professional Relationship F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc V� 77777777 7,777 r Miscellaneous Cash Receipt =a e� r CItY OF MIAMI BEACH el : Cash E Credit Card�Check# / Received of -V/P- Address _ For � ';- s lee ('THIS INF�RMAYION.'RAUST BE COMPLETED): Ofrkie®f:Flnahce Director BY Account Number -' -; tiv t ` r• � s�: '' r f ,� ., ,rte- �.. Pre arer• 1 9 _ Fi D® t• EXT: P p •