Mathrew & Debra LeibowitzMAY.-~9'03(THU) 09:19
BILZIN, SUMBER, ET. AL
City of Miami Beach Office of the City Clerk
1700 Convention Center Drive, Miami Beach, Fl. 33139
Email: city¢lerlr,(~lci.miami-beach, fi.as
LOBBYIST REGISTRATION FORM
(Citl, of Miami Beach, 3505 )
[] Check Box if an Amendment
RECEIVED
03 JUN 17 PM 3:05
CiTY OLERK'S OFFICE
MoDoweil, Caner N.
NAME OF LOBBYIgT:
200 South Bisca_vne Boulevard. Suite 2500, Miami, Florida 33131
BUSINESS ADDRESS: (Number and SIxeet) (City)
(305) 350-2355
TELEPHONE NUMBER:
(305) 351-2239
FAX NUMBER;
([mat) (First) (M.1) DATE QUALII-'I~:o AS LOBBYIST
(State) (Zip Code)
crocdowell~bilzin.com
EMAIL
I, LOBBYIST RETAINI~D BY:
Matth~v L. and DeSto K. Leibowitz
NAME OF PRINCIPAL/CLIENT:
8 West Rivo Alto Drive, Miami Beach; Florida 33139
BUSINESS ADDRESS: (Number and Sffeet) (City)
(305/~30-1322 (305) 530-9417
TELEPHONE NUMBER: FAX NUMBER: (Optional)
(state) (Zip Code)
EMAIL (Optional)
Fill out ~hi. section if principal is a Corporation, Partnership or Trust ISection 2-482 (c)J
· NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: Not applicable
LIST AL L PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP
INTEREST IN SUCH CORPORATION, pARTNERSHIP OR TRUST Not applicable
P. 011/012
Il, SPECIFIC LOBBY ISSUE:
A~plication for variapce .from the side yard s~b~ek r~airement for marine strtmmres to u~mit_
the continued operation of an existing dock arid boat lift
Issue to be lobbied (Describe In detail):
Ill, CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
A) Full Name of Individual/Title
Board of Adjustment & Staff
B) Relationship
\75204\18391'~ iii 626995 v I
5/29/03 9:11 AM
MAY.-29'03(THU) 09:19 BILZIN, SUMBER. ET. AL P. 012/012
IV. DISCLOgLrRE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE
WHETHER HOURLY, FLAT RATE OR OTHER):
A) Lobbyist Dia~losgm: $390:00 per hmlr
B) Principal's Disclosuw (of Lobbyist Compensation): .~0.00 per hour
2)
ptttsuant to Ora!~nuce No. 2003-3393 An~lding Miami Beach City Code Chapter 2, Article VlI, Divisinn
5 Thc,~of Enfiged "Campai~ Finance Reform" Via The Addition of Code Section 2-488 E~title
'T-rohibit~d Campaign Conmbutions By Lobbyists on procurement ISSUED":
Are you lobbying on a present or pending bid for goods, equipment or serviee~, or.on it present or
pending award for goods, cqlgpment or services? Cl Yes X No
Pursuant lo O~dinancc 2003-3395 Amending Miami Beach City Code Chap~t 2, article VIi, Division
~hereof Entitled "Campaign Finance Reform" via The Addition of Code Section 2-497,,En6fled
,,Prohibitc~d Ca,.i. mig~ Contributions By Lobbyistl on Rea! Estate Development Issues;
Are you lobbying ou a pending application for n Development A~rcen~nt with the City or
Application for change of zoning map designation or change to the City's Future Land Usa Map
UYesXNo
V, SIGNATURR UNDER OATH:
ON OCTOBER 1st OF EACH YEAR~ EACH LOBBYIST SHALL S~T TO ~ CI~ CLE~ A
SIG~D STATEMENT ~DER OA~, LI~T~G LOBBYING E~E~S ~ ~ CI~ OF
M~ BEACH FOR T~ P~CED~G C~:~ ~AR.
I do aol~m~y s~ t~t all of ~c fo~ fac~ are ~ and eo~ec~ and ~at l ~vc read or ~ f~r ~th ~e
pr~isions =on~i.~d in S~~~~e as amended. ~d all rcpo~g req~men, s.
Signa~e of
Deem K. ~ibo~m
LOBBYIST IDENTIFICATION:
~ Produced 1D
Form of Identification
5tat~ of Florida, CounvJ of Miami-Dade
flwom to and subscribed before m~
This._~..~ay of_~003'
0 personally lira)wa
SIGNATURE AND STAMP OF NOTARY OR DEPUTY/f~LERK:
~t, 6m~ or ~c ~me of Nota~ Public
[-~'T~-~'~-~ Ch~k ~~
,2003 £NT~RF.D BYF ~
F:\C LER'd-IATUd.,obbyis~\re gistration03 .doc