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Carter N. McDowell - Miami Beach Community Health Center, Inc. ►o,-- 2,0 4on 62.E � `�" �� � ' t, Office of the City Clerk 1700 Convention Center Drive e - Miami Beach, FL 33139 . 305.673.7411 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 City Code Chapter 2,Article VII, Division 3, entitled"Lobbyists," for additional information. Instructions; Please complete all sections of this form and submit the completed form,with the applicable fee,to the Office of the City Clerk. If you need more space to complete an answer, use a separate sheet(s) of paper. If you have nothing to report in a particular section, you must write "none° or "n/a" in that section. Any change to any Information originally filed, or any additional City Commissioner or personnel who are also sought to be lobbied shall require that the lobbyist file an amendment to the registration form. The lobbyist has a continuing duty to supply information and amend the forms filed throughout the period that the lobbying occurs. Separate registration forms shall be required for each principal represented on each specific issue. I. LOBBYIST INFORMATION: McDowell Carter N. NAME OF LOBBYIST (Last) (First) (Middle Name) Bilzin Sumberg Baena Price&Axelrod LLP-1450 Brickell Avenue, 23rd Floor, Miami, FL 33131 LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305-350-2355 cmcdowell @bilzin.com LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS • II. PRINCIPAL INFORMATION: MIAMI BEACH COMMUNITY HEALTH CENTER, INC. NAME OF PRINCIPAL (Last) (First) (Middle Name) 710 Alton Road Miami Beach FL 33139 PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) n/a PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS If the principal is a Corporation, Partnership or Trust, the following Information MUST be provided pursuant to City Code Section 2-482(c): /� /Qrr6, (c(iSLt4 • NAME OF CHIEF OFFICER, PARTNER,OR BENEFICIARY; i✓��t//%2 • NAME OF ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION,PARTNERSHIP OR TRUST: ,./9. _ A/PA/_ n f/7 ' / c1/41‘ \g III. ISSUE TO BE LOBBIED: � Describe with as much detail as is practical,including but not limited to a specific description where applicable of a pending request for proposal,invitation to bid,or public hearing number. Permit issues regarding property at 710 and 720 Alton Road, Miami Beach,FL, • IV. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: Pursuant to City Code Section 2.482(a)(4), list the City Commissioner or City personnel sought to be lobbied,and whether the lobbyist has entered into any contractual relationship(paid or unpaid)with said City Commissioner or City personnel from 12 months preceding such commencement of service with the City to the present date,stating the general nature of the subject }� contractual relationship. Full Name of Individual and Contractual Relationship(If yes,explain) YES NO Title of Person to be Lobbied Planning Department/Staff x Building Department/Staff x Mayor,Commissioners and City Manager 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 sought to be lobbied as identified on the lobbyist registration form filed. List any Business, Financial, Familial or Professional Relationship, or other relationship giving rise to an appearance of Impropriety: none V. DISCLOSE RATE AND AMOUNT OF LOBBYIST COMPENSATION —Be Specific. (Note that a contingency fee is prohibited pursuant to City Code Sec. 2-485.3): $690/hour The following five(5)questions MUST be answered: 1) Pursuant to City Code Section 2-488,entitled"Prohibited Campaign Contributions By Lobbyists On Procurement Issues": _Yes )09o: Are you lobbying on a present or sending bid for aoods.eauioment or services. or on a present or, 2) Pursuant to City Code Section 2-490,entitled°Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues": _ Yes _X No: Are you iobbvina on a oendina aonllcation for a Development Aareement with the City or, nolication for chanae of zoning map designation or chanae to the City's Future Land Use Map/ 3) Pursuant to City Code Section 2-482(h), any person (except those exempt from the definition of lobbyist" as set forth in Section 2-481) 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 city clerk as required by this section,but shall not be required to pay any registration fees. ILYeso: Are you representing a not-for-profit corporation or entity without soecial compensation or reimbursement? 4) Pursuant to City Code Section 2-481, the term lobbyist" specifically excludes the following persons: Expert witnesses who provide only scientific,technical or other specialized information or testimony in public meetings; any person who only appears as a representative of a neighborhood association without compensation or reimbursement for the appearance,whether direct, indirect or contingent,to express support of or opposition to any item; and any person who only appears as a representative of not-for-profit community based organization for the purpose of requesting a grant without special compensation or reimbursement for the appearance. _Yes_x No: Are you orovidina only scientific_technical or other soecialized information: annealing. as a representative of a neighborhood association without soecial compensation or reimbursement or, reoresenting a not-for-profit based oraanization for the nuroose of reauestina a arant without $oeciaLcomoensation or reimbursement? 5) Pursuant to City Code Section 2-482(a)(4), a lobbyist who has within the past election cycle provided campaign consulting services to an incumbent member of the City Commission shall disclose such particular service on his/her lobbyist registration form and shall orally disclose such particular service before lobbvina the City Commission at a public meeting. —Yes X No: pave you provided campaign consultina services to an incumbent member of the City Commission within the past election cycle?If yes,please list the incumbent member(s)of the City Commission: If yes,you must also orally disclose such particular service before lobbying the City Commission at a public meeting. VI. SIGNATURES UNDER OATH: ON FEBRUARY 28 OF EACH YEAR. EACH LOBBYIST SHALL SUBMIT TO THE OFFICE OF THE CITY CLERIC SIGNED STATEMENT UNDER OATH. LISTING LOBBYING EXPENDITURES. AS WELL AS COMPENSATIM RECEIVED. FOR THE PRECEDING CALENDAR YEAR WITH REGARD TO THE SPECIFIC ISSUE ON WHICH TUE LOBBYIST HAS BEEN ENGAGED TO LOBBY. A STATEMEN SHALL BE FILED EVEN IF THERE HAS BEEN tqQ EXPENDITURE OR COMPENSATION D G THE REPOR G PERIOD; • / \0-3- ■ y. Signature of Lobbyist: ` / - Date Carter N. McDowell I do solemnly swear or affirm that all of the foregoing facts, statements, and disclosures in this form are true and correct, and that I have read or am familiar with the provisions cont ed in Chapter 2, Art. VII, Division 3, entitled "Lobbyists" of the Miami Beach City Code and all r ing require•e'ts. Signature of Lobbyist: ;%� Date l o— 3-t Carter N. McD well Signature of Principal: W`- Date /0 i VII. NOTARY SIGNATURE AND SEAL: LOBBYIST: PRINCIPAL State of Soo .0\•t-• State of -ROC+ 1 County of YC-4- -t'a L'— County of: 1-klC1cm1 • ' Sworj to(or affirm and subscri d before me Sworn to(or affirmed)and subscribed before me this 'S day of Gbs .�o ,2016, by this j_day of p.ler -be-r - ,2016. by G ,/ \-E r a • 11 c_‘-b w Q.1 k 1-&atif-- ?c,koi noLkA i- • NAME OF LOBBYIST NAME OF PRINCIPAL _Produced ID Produced ID FORM OF IDENTIFICATION FORM OF IDENTIFICATION ^P a IIy nown Personally Known Signature oary Public s . .. t..',.- i. ..... P IBIS DIAZ "y,. °� `' Vii`.'"r DIANA F.RESTREPO * MY COMMISSION ll FF 111262 -i• "' M1'COMMISSION t EE:. Name 0_,* o ', �, amped Name of ,� Wed ib,•% •• • el 'e FFti ` . '6 .. u iu Os "ors (NOTARY SEAL) (NOTARY SEAL) TO BE COMPLETED BY CITY CLERK'S STAFF ONLY Annual Registration fee: [ ]Yes[ ]No Amount Paid$ 35 D-QC) MCR it Date Paid 1/0-1 5r l b Lobbyist Registration Form receiveband verified by: —1 F:\CLER\SALL1aFORMS\LOBBYIST FORMS 1 Lobbyist Registration Form Revised 08-18-16 REG.doc Revised 08/18/2016 ' The term"lobbyist"specifically excludes the following persons: Expert witnesses who provide only scientific,technical or other specialized information or testimony in public meetings;any person who only appears as a representative of a neighborhood association without compensation or reimbursement for the appearance,whether direct, indirect or contingent, to express support of or opposition to any item; and any person who only appears as a representative of not-for-profit community based organization for the purpose of requesting a grant without special compensation or reimbursement for the appearance. i \,!\/ B AC H City of Miami Beach, 1700 Convention Center Drive,Miami Beach.Florida 33139,www.miamibeachfl.gov 1� Office of the City Clerk Rafael E. Granada, City Clerk CityClerk @miamibeachfl.gov Tel: 305.673.7411, Fax: 305.673.7254 NAME OF LOBBYIST: Carter N. McDowell 1) LOBBYIST FEE EXPENDITURE AND COMPENSATION STATEMENT Pursuant to City Code Section 2-485(d), the City Clerk shall notify any lobbyist (or principal) who fails to file timely a Lobbyist Fee Expenditure and Compensation Statement (Statement). In addition to any other penalties that may be imposed as provided in Section 2-485.1, a fine of $50.00 a day shall be assessed for Statements 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 of each year, 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. 1 I hereby acknowledge that on February 28 of each year, I shall submit to the City Clerk a signed Statement under oath listing all lobbyist expenditures, as well as compensation received, for the preceding calendar year with regard to the specific issue on which I have been engaged to lobby. 2) LOBBYIST WITHDRAWAL Once an issue I have registered to lobby has concluded or I am no longer lobbying on that issue, I shall immediately file a Notice of Withdrawal with the Office of the City Clerk. 3) ANNUAL LOBBYIST REGISTRATION FEE I understand annual registration of all lobbyists shall be required for each 12-month period commencing October 1 of each year, and the fee for such annual registration shall be $500.00 pursua t to Section 2-482 of the Miami Beach City Code. 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