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Carter N. McDowell - Di Lido Beach Resort, LLC • 69 CotilatNs eve. MIAMI BEACH City of Miami Beach Office of the City Clerk 1700 Convention Center Drive, Miami2Bea"dh; FL 331130: 12 LOBBYIST REGISTRATION FORM✓ i` all i L �it 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.I) Bilzin Sumberg Baena Price and Axelrod LLP, 1450 Brickell Avenue, 23rd Floor, Miami, FL 33131 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (305) 350-2355 (305) 351-2239 cmcdowell @bilzin.com TELEPHONE NUMBER: FAX NUMBER: EMAIL: Please notify this office if your contact information changes:address,phone, or e-mail address. LOBBYIST RETAINED BY: Di Lido Beach Resort, LLC NAME OF PRINCIPAL/CLIENT: c/o Javier Granda, Esq., 605 Lincoln Road, 5th Floor, Miami Beach, FL 33139 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305-728-8240 javier@lionstone.net 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: See attached Exhibit "A" • IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: 3,ce. q 1Q.C1� II.SPECIFIC LOBBY ISSUE: All zoning and land use issues regarding property located atc1•669 Collins Avenue,>Miami Beach,+ FL__L J Issue to be lobbied(Describe in detail): lll.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 person to be lobbied n/a x City of Miami Beach Commission n/a x City of Miami Beach Planning Board and Staff 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(g)Any Financial, Familial or Professional Relationship N/A MIAMI 5123200.1 70000/60139 "Deir IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER): ✓I i ' A) LOBBYIST DISCLOSURE:(Required) $690/hr. c II B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION):(Required)) $690/hr. `' �ii it t: C.1 i` CI_._,•.,, S ICE 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 2-490 Entitled"Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues": DYes XNo: Are you lobbying on a pending application for a Development Aqreement 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 2-482 (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 Ej 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 CLE- A SIGNED STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES, AS WELL AS COMPENSAT •N RECEIVED ' THE CITY OF MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL BE FIL s ?EN IF TH 'AVE BEEN NO EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD. Carter .Mc 0 owell I do solemnly swear that all of the foregoing facts are true and corre t a % t .:t ave read or am familiar with the provisions contained in Section 2-482 of the Miami Beach City Code and portin.. ir,L-%.s Signature of Lobbyist: ,��' Signature of Principal/Client: ' 1-I9 D Lvfri,. 1- , VI. LOBBYIST IDENTI (CATION: / PRINCIPAL IDENTIFICATION: € Produced ID �`loncic��6-1 V _.K S -, € Produced ID P.AC?I •Q.e Form of Identification �° Form of Identification ^ _��• . c- , =:_.g € Personally known(Lobbyist) ,, • € Personally known(Principal) ; 2 J VII. SIGNAT URE AND STAMP OF NOTARY: 4 o �, d o 1 3 3 v F-State of Florida, County of Miami Dade ' N 3 Q a State of Florida, County of Miami-Dade U'" = Z Sworn aryd subscrib d before me Sworn to and subscribe• before me . o g $ This a5 day of r T, 2016 � ,, =. �, a This,"/day of. Hv Cr 2016 � c y Si. ature of PublrNotary—State of Florida' `� " g ature of Public Notary—State of Flori a=` fre Notarization of Lobbyist's signature „ o 0 - N arization of Principal's signature , ,,¢• TO BE COMPL ED B'1 U !I ERK'S AFF ONLY �-Annual Registration fee: [ ]Yes[�No Amount P.•. r:WV" CR# `11 llq3o Date Paid 8/Z 3 .45 Lobbyist Registration Form received and verified by: r— o S ca,/'SaQ-�v MIAMI 5123 200.1 70000/60139 Form Revised 5-30-2012.doc A/V\ I BEA1C H r) 2016 AUG 23 PH 1: 12 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:305.673.7411 , Fax:305.673.7254 Lobbyist Name: Carter N. McDowell 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, 2012, shall be automatically suspended from lobb ng until all fines are paid, unless the fine has been appealed to the M i-Da C:-' , Commission on Ethics and Public Trust. Signature: ate: - MIAMI 5123200.1 70000/60139 2016 11,LIG 23 PH 1: 12 EXHIBIT "A" �. .; `: .� -F ICE Di Lido Beach Resort,LLC,a Florida limited liability company 605 Lincoln Road,5th Floor Miami Beach,FL 33139 Ownership 1)Di Lido Beach Resort Mezz LLC: 100% 605 Lincoln Road,5th Floor Miami Beach,FL 33139 2)Ultimate Owners: c/o Javier Granda 605 Lincoln Road.5th Floor Miami Beach,FL 33139 Alfredo Lowenstein 38.75% Diego Lowenstein 3% Flavia Lowenstein 3% Carla Lowenstein 3% Paula Lowenstein-Boano 3% Bruce Lazar 2% John Cooney 2% Paul Kanavos 25.889800% Peter J.Kanavos 5.046575% James Kramer 0.249900% Sheldon Lowe 1.937400% Mona Morello 0.312600% Juan Lourniet 1.4971125% Mitchell Nelson 0.010465% Leslie Nelson 0.184984% Jeffrey Nelson 0.287201% Kate Nelson Harper 0.287201% Thomas Nelson 0.287201% Maria Lowe 0.498197% Billy Lowe 0.498197% Alex Lowe 0.498197% Danielle Lowe 0.498197% Dayssi Olarte de Kanavos 5.588591% Peter Kanavos 0.559391% Nicholas Kanavos • 0.559391% Sophia Kanavos 0.559391% - o c CD o ■ O O C t;eilaneous Cash Receipt ,___—CITY OF MIAMI BEACH ' . } No. .aa SI . ❑ Cash ❑Credit Card heck#0. $. ` - Vtc,i Z:3 20 1G City of Miarigggeghted Of &I /�;n . 4.0 ri . MiscellaneouAddRis5201 r--e. 4e- - i tic^ ic -e 4I 000452-0005 Adrian L08/23/2_026 01 n15PM -"`� , MCR OPEN For • O t -3 (- t S"r✓-cG't- :on Payment Amount: 0.00 f' MCR411930 (THIS INFORMATION MUST BE COMPLETED) Office of Finance Director By • Account Number:0i i-.::?:t-r, ':�: °Ti-r-4" 1) :r` -';''''' •''U -'-, Preparers` 1'=^-- .;. 1)--i"6-, G-' - Dept: i-�-{ 1(.... . s. EXT:~4 1 r(/ .