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Carter McDowell Florida DevlpCity of Miami Beach Office of the City Clerk 1700 Convention Center Drive, Miami Beach, FL 33139 Emil: cityclerk~ci.miaml-beach.fl.us LOBBYIST REGISTRATION FORM RECEIVED 03 H 20 8:52 ' ~"-" ,~;i ERK'S OFF ICE (City of Miami Beach, City Code Chapter 2, Division 3, Section 2-481) Check Box if an Amendment McDowell, Garter N. NAME OF LOBBYIST: (Last) (First) 2/~/03 (M.I) DATE QUALIFIED AS LOBBYIST 200 South Biscayne Boulevard, Suite 2500, Miami. Florida 33131 BUSINESS ADDRESS: (Number and Street) (City) (State) (Zip Code) (305) 350-2355 TELEPHONE NUMBER: I. LOBBYIST RETAINED BY: (305) 351-2239 FAX NUMBER: cmcdowell~bitzin.com EMAIL: Florida Develooment Associates Limited NAME OF PRINCIPAL/CLIENT: 707 Fifth Street, Miami Beach, Florida 33139 BUSINESS ADDRESS: (Number and Street) (305) 938-4200 (305) 938-4202 TELEPHONE NUMBER: (City) (State) (Zip Code) 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: Ricardo Oliveri, President; Bernard Siegel, Vice President ? LIST ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: Ricardo Oliveri II. SPECIFIC LOBBY ISSUE: Design Review Board Aporoval for Removal of Flower Shoo at the Bentley Bay lssue to be lobbied (Describe in detail): III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: A) Full Name of Individual/Title B) Relationship Design Review Board and Staff Doc. #625017 City of Miami Beach Office of the City Clerk 1700 Convention Center Drive, Miami Beach, FL 33139 LOBBYTST SUPPLEMENTAL TNFORMAT ON 1) 2) Pursuant to Ordinance No. 2003-3393 Amending Miami Beach Cit~ Code Chapter 2, Article VII, Division 5 Thereof Entitled "Campaign Finance Reform" Via The Addition Of Code Section 2-488 Entitled "Prohibited Campaign Contributions By Lobbyists On Procurement Tssues": Are you lobbying on a present or pending bid for goods, equipment or servlces~/or on a present or pending award for goods, equipment or service~ [] Yes ll~ No Pursuant to Ordinance No. 2003-3395 Amending Miami Beach City Code Chapter 2, Article VI! Division 5 thereof Entitled "Campaign Finance Reform", Via The Addition Of Code Section 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues": Are you lobbying on a pending applicaUon for a Development Agreement with the .C_ity or application for change of z~ning map designation or change to the City s Future Land Use Map? []Yes ~' No V. SZGNATURE UNDER OATH: ON OCTOBER 1sT OF EACH YEAR, EACH LOBBYZST SHALL SUBMI*T TO THE CI'TY CLERK A SIGNED STATEMENT UNDER OATH, U~iZNG LOBByI~NG EXPENDTrURES tN THE CTI'Y OF M~AMT BEACH FOR THE PRECEDZNG CALENDAR YEAR. ! do solemnly swear that all of the foregoing facts are true and correct and that [ have read or am familiar with the provisions co~~ch City Code as amended, and all reporting requirements. Signature of Lobbyist: ~ _ . ,~.. _. _ Signature of Principal/Client: VI. LOBBY/ST IDENT[FICAT/ON: Produced ID Form of Identification SIGNATURE AND STAI~IP OF NOTARY OR DEPUTY CLERK: [] Personally Known State of Florida, County of Miami-Dade Sworn to and subscribed before me This day of ,2003. Signature of Public Notary - State of Florida Print, stamp or type name of Notary Public F:\CLER\HATL\Lobbyists\Supplemental.doc DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE: $380.00 p/h B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): $380.00 p/h V. SIGNATURE UNDER OATH: ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES IN THE CITY OF MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR. 1 do solemnly swear that all of the foregoing fgc~ts are true and correct and j~at I have read or am familiar with the provisions contained in Section 2-482 of th~~.~i~am~ all reporting requirements. Signature of Lobbyist: Signature of Principal/Client:~x VI. LOBBYIST IDENTIFICATION: ~ Produced ID ~/ Form of Identification X Personally Known SIGNATURE AND STAMP OF NOTARY OR DEPUTY CLERK State of Florida, County of Miami-Dade Sworn.to and subscribed before me This [b1 day of~ 2003. MY C0flMISSION # DD 016885 EXPIRES: April 10, 2005 Sign~t('ur~ ofPub~ Not~a'y - Staie of Florida ~rin~t, s~t - lar~'~tr ~ ~J-fe n~'~[Qe 0o f~& Public FOR CLERKS USE ONLY Registration: ~ ACCEPTED t ] REJECTED DATE: If rejected, state reason: Registration fee paid: I~ [] DATA ENTRY DATE:,~_2 l_ _ Cash ~ Check MCR # First Revision - 05/17/02 Doc. #625017