Neisen O. Kasdin - Brandon Berry Lo��
NAIAMI BEA H
City of Miami Beach Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139
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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 tern"Lobbyists"has specific exclusions. Please refer to Ordinance 2004-3435.
Kasdin Neisen O.
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)
-
305.982.5629 305.374.5095 neisen.kasdin(a),akerman.com r_1_1
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
Please notify this office If your contact Information changes:address,phone,or e-mail address.
1. LOBBYIST RETAINED BY:
Brandon BeaX
NAME OF PRINCIPAUCLIENT: �-
Live Nation, Fillmore Miami Beach at the Jackie Gleason Theater, 1700 Washington Ave Miami Beach FL E1.39
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305-938-2500
TELEPHONE NUMBER: FAX NUMBER:(Optional) EMAIL:(Optional)
Fill out this section If principal is a Corporation,Partnership or Trust[Section 2482(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:
i1.SPECIFIC LOBBY ISSUE:
Manaqement Aqreement for the Fillmore Miami Beach at the Jackie Gleason Theater
Issue to be lobbied(Describe in detail):
III.CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
Pursuant to City Code Section 2-482(x)(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 24182(a)(4)Full Name of Individual and Contractual Relationship(Explain) YES NO
We of person to be lobbied
City Mayor and City Commissioners None
Pursuant to City Code Section 2.482(8)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
None
F:ICLERI$ALL\aFORMSILOBBYIST FORMS1Lobbyist Registration Form.doc
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE:(Required)
hourly
B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION):
(REQUIRED).$645 hourly
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[Z]No: Are you lobbying on a present or Rending bid for goods,eguipment or services,or on a present or Rending
award for aoods.eaulament or service?
2) Pursuant to Miami Beach City Code Section 2-490 Entitled"Prohibited Campaign Contributions By Lobbyists On Real Estate
Development Issues":
Yesallo: Ale-Vou_LokkYing on a Rending application fora Development Agreement with the City or application for
change of zoning map desianation or chance 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 fees.
_Yes@No�Areyou�u reR sentina a not-for-profit corporation or entity without special compensation or reimbursement.
V. SIGNATURE UNDER OATH:
ION FEBRUARY 28 OF EACH YEAR, EACH LO ST§HALLASUBMIT TO THE CITY CLERK A SIGNED STATEMENT UNDER
QATH, LISTING L013B I PEND R W A C N ATI N RECEIVED I THE CI OF MIAMI BEACH FOR
THE EREQgM ALENDA YEAR. A STATEMENT SHALL D EVEN IF THERE HAVE BEEN-NO EXPENDITURE§O
COMPENSATION DURING THE REPORTING PERIOD.
Signature Vobbyist
I do solemnly swear that all of the of facts are true and correct and that I have read or am familiar with the provisions contained
in Section 2482 of the Miami Bea ode and all reporting 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: n D
z
State of Florida,County of Miami-Dade N # M ; State of Florida,County of Miami-Dade
Sworn t nd subs re me e m -n -0 m S m and subscribed before me
This f 20� N c -n C is Ada �
KARINA IOtA M
Signature o ubli tary—State of Florida D D . ig ture of Publi otary—State of E��
Notarization of i t' signature Notarization of Principal's si natuR 11'X18
g 9 11MU OMO 014 illliifl l'1gY1110E
TO BE COMPLETED BY CITY CLERK'S STAFF N
Annual Registration fee: [ ]Yes[ o Amount Paid$ CR# Date Paid
Lobbyist Registration Form revel d and verified by-
F;\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Annual R istration Form.doc Revised 11/18/2013
F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc
P-AIA/01BEACH
• City of Miami Beach, 1700 Convention Center Drive,Miami Beach,Florida 33139,www.miamibeochfl.gov
CITY CLERK Office
Rafael E. Granado,City Clerk CityClerk @miamibeachfl.gov
Tel:305.673.7411 ,Fax:305.673.7254
LOBBYIST NAME: Neisen O. Kasdin
I understand that no later than Februa1y 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 30,shall be automatically
suspend fr lobbying until all fines are paid, unless the fine has been appealed to
the Mia County Commission on Ethics and Public Trust.
5/5/14
Signat' a Date
FACLER4ALLWORMLOBBYIST FORM I-obbyist Registration Form.doc
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