Loading...
Carter McDowell/Lincoln Rd SoBeCity of Miami Beach Office of the City Clerk 1700 Convention Center Drive, Miami Beach, Fl. 33139 Email: cityclerk~ci.miami-beach.fl.us LOBBYIST REGISTRATION FORM (City of Miami Beach, City Code Chapter 2, Division 3, Section 2-481) [] Check Box if an Amendment McDowell, Carter RECEIVED 33 PH I: 29 .,1[, ,.,LERK S OFFICE 4/29/03 NAME OF LOBBYIST: (Last) (First) (M. 1) 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~bilzin.com EMAIL Lincoln Road South Beach, LLC c/o Charles Ratner, Esq. NAME OF PRINCIPAL/CLIENT: 1800 Sunset Harbor Drive, Suite 2, Miami Beach, Florida 33139 BUSINESS ADDRESS: (Number and Street) (City) (state) (Zip Code) (305) 674-1616 TELEPHONE NUMBER: (305) 674-7441 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: Nathan Ratner Testamentary Trust, Albert D. Ratner, Trustee c/o Ratner& To~n, LLC LIST ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: Stanley Ratner 100% Income Beneficiary; Charles Rather 75% Residual Beneficiary; Aimee Rather 25% Residual Beneficiary; and Rita Rather Partial Contingent Income Beneficiary II. SPECIFIC LOBBY ISSUE: Board of Adjustment Approval of Restaurant Plans for Johnny Rockets Located at 1024, 1026, 1036 I,incoln Road Issue to be lobbied (Describe In detail): IlL CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: Boardof AdjustmentA) Full Name& OfstaffIndividual/Title B) Relationship IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE · WHETHER HOURLY, FLAT RATE OR OTHER): A) Lobbyist Disclosure: $380.00 per hour B) Principal's Disclosure (of Lobbyist Compensation): $380.00 per hour 2) Pursuant to Ordinance No. 2003-3393 Amending Miami Beach City Code Chapter 2, Article VII, Division 5 Thereof Entitled "Campaign Finance Reform" Via The Addition of Code Section 2-488 Entitle "Prohibited Campaign Contributions By Lobbyists on Procurement Issues": 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 services? [] Yes X No Pursuant to Ordinance 2003-3395 Amending Miami Beach City Code Chapter 2, article VII, Division 5 thereof Entitled "Campaign Finance Reform" Via The Addition of Code Section 2-490 Entitled Prohibited Campmgn Contributions By Lobbyists on Real Estate Development Issues . Are you lobbying on a pending application for a Development Agreement with the City or Application for change of zoning map designation or change to the City's Future Land Use Map? X Yes [] No 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. I do solemnly swear that all of the foregoin~g, facts are tree and correcJi and that I have read or am familiar with the provisions contained in Sectio~~~e~. ~f amended, and all reporting requirements. Signature of Lobbyist: r~~_~_~,/~'_~t-~_-- ! _ ~ Signature of Principal/Client: fJ~~'~ Y~ VI. LOBBYIST IDENTIFICATION: Produced ID ~Personally Known Form of Identification VII. State of Florida, County of Miami-Dade Sworn to and subscribed I~efore me This~ day of ~ 2003. ,;~..~ rL~,. EtARBRA MORENO ....~ ..---.¥t .=.: :~ MY COMMISSION # CC 948157 ~ EXPIRES: June 25, 2004 SIGNATURE AND STAMP OF NOTARY OR DEPUTY CLERK: i ature of Public'Notary - State of Florida Print, stamp or type name of Notary Public Registration [ c~c~ted If rejected, state reason: Registration fee paid [C]~Yesl ] No DATA ENTRY DATE: 2"a Revision 1/27/03 []Rejected Date: ~-t~/~'/~t~ [ ] Cash [ _ ~ . ~ ,2003 ENdeD BY: , ~ _ ~ ~ F:~CLER~A~bb~sts~egis~ation03.doc OR CLERK'S USE ONLY