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Atlantic Sunset Bay, LLC City of Miami Beach Office of the City Clerk 1700 Convention Center Drive, Miami Beach, FI. 33139 Email: cityclerk@ci.miami-beach.fl.us . LOBBYIST REGISTRATION FORM RECEIVED 03 SEP 22 PM ,: I 3 :_:..Rr{'S OFFICE (City of Miami Beach, City Code Chapter 2, Division 3, Section 2-481) o Check Box if an Amendment McDowell. Carter N. NAME OF LOBBYIST: (Last) (First) 7/17/03 (M.l) DATE QUALIFIED AS LOBBYIST 200 South Biscavne Boulevard. Suite 2500. Miami. Florida 33131 BUSINESS ADDRESS: (Number and Street) (City) (State) (Zip Code) (305) 350-2355 TELEPHONE NUMBER: (305) 351-2239 FAX NUMBER: cmcdowell@bilzin.col11 EMAIL I. LOBBYIST RETAINED BY: Atlantic Sunset Bay. LLC NAME OF PRINCIPAUCLIENT: 18305 Biscavne Boulevard. Suite 402. Aventura. Florida 33160 BUSINESS ADDRESS: (Number and Street) (City) (state) (Zip Code) (305) 931-4959 (305) 931-4604 TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL (Optional) Fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (c)l . NAME OF CllIEF OFFICER, PARTNER, OR BENEFICIARY: EL MADRID APARTMENTS, LLC- GABOR RADO, PARTNER . UST ALL PERSONS HOLDING, DIRECTLY OR INDIRECfL Y, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST GABOR RADO n. SPECIFIC LOBBY lSSUE: Desil!l1 Review Board. Board of Adiustment and Historic Preservation Board Approvals for Bel Me on the Bay Located at 6800 Indian Creek Drive. Miami Beach. FL Issue to be lobbied (Describe In detail): m. CITY AGENCIESJINDIVIDUALS TO BE LOBBIED: A1 Full Name of IndividuallTitle m Relationship ! Desim Review Board & S1aff I Board of Adiustment & Staff I Historic Preservation Board & Staff I IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR OTHER): A) Lobbyist Disclosurc: $170.00 'Ocr hour B) Principal's Disclosure (of Lobbyist Compensation): $170.00 'Ocr hour 1) 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? D Yes X No 2) Pursuant to Ordinance 2003-3395 Amcnding Miami Beach City Code Chapter 2, article VII, Division 5 thcreofEntitled "Campaign Finance Reform" Via The Addition of Code Section 2-490 Entitled "Prolubited Campaign 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? DYes XNo 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 TlIE pREexl>ING CALENDAR YEAR. I do solemnly swe~ that all of the foregoin provisions contained in Section 2-482 0 ts are true and correct and that I have read or am familiar witb the . Bea Ci as amended, and all reporting requirements. Signature of Lobbyist: r Signature ofPrincipaJIClient: ff 1'"\\ I 9-l - 'k&J-.A-- VI. LOBBYIST IDENTIFICATION: 0", ~4 -t qck.s; ~0.c, D Produced 10 BYersonaUy Known Form of1dentification vn. SIGNATURE AND STAMP OF NOTARY OR DEPUTY CLERK: State of Florida, County of Miami-Dade Swo~ to and s scri ed before me Thisi:b!ay f F{jj EVELYN APARICIO ;! AR ~ My Comm EJcp, 12112iD3 .. PUBUC '"' /"" NQ. CC 894183 p(PersonaRy _ II 0IMt' I.D, .:0 Signa . o~ NoJQry - State oqlorida t: () f-i p~('> l C:-10 Print, stamp Dr type name of Notary Public Registration ~ Accepted Ifrejeeted, state rea&x:: Registration fee paid .. yest ] No DATAENTRYDA : q _ZD( '23 2nd Revision 1127/03 [ ] Rejected FOR CLERK'S USE ONLY Date: q '-~~ -.SJ,,? ENTERED BY: bbyists\registration03.doc [ ] Cash .2003 Check MCR#