Atlantic & Pacific Mgmt
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City of Miami Beach Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139
Email: dtyderk@cLmiami-beach.fl.us
LOBBYIST REGISTRATION FORM
RECEIVED.
03 NOV I 2 AM 9: I 8
(City of Miami Beach, City Code Chapter 2, Division 3, SectiOC ~1)C L E Ri\' S OFF ICE
[J Check Box if an Amendment
Sacks, David E.
NAME OF LOBBYIST: (Last)
(First)
(M.I) DAlE QUALlAED AS LOBBYIST
Miami, FL 33131
(State) (Zip Code)
psacks@pathmanlewis.com
EMAIL:
2 So. Biscayne Blvd., suite 2400~
BUSINESS ADDRESS: (Number and Street) (City)
305-379-2425
lELEPHONE NUMBER:
305-379-2420
FAX NUMBER:
I. LOBBYIST RETAINED BY:
Atlantic & Pacific Property Management & Alan Cohen
NAME OF PRINOPAl/CLlENT:
1025 Kane Concourse, #210, Bay Harbor Island, FL 33154
BUSINESS ADDRESS: (Number and Street) (City) (State) (Zip Code)
305-867-2245
lELEPHONE NUMBER:
305-867-2246
FAX NUMBER: (Optional)
EMAIL: (Optional)
Fill out this section if prlndpal is a Corporation, Partnership or Trust [Section 2-482 (c)]
NAME OF CHIEF OFACER, PARTNER, OR BENEACIARY:
Howard Cohen
LIST ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST: Howard Cohen
n. SPECIFIC LOBBY ISSUE:
Certificate of Appropriateness, Variances, Conditional Use for
Issue to be lobbied (Describe in detail): Parki ng Garage & Design Review
nI. CITY AGENCIES/INDMDUALS TO BE LOBBIED:
A) Full Name of Individual/Title B) Relationship
Historic Preservation Board
Board of Adjustment
Planning Board
Desiqn Review Board
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FLA T RA TE OR OTHER):
A) LOBBYIST DISCLOSURE:
$275/220
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B) PRINOPAl'S DISCLOSURE (OF lOBBYlSTCOMPENSATlON):
$275/220
1) Pursuant to Ordinance No, 2003-3393 Amendino Miami Beach City Code Chaoter 2. Artide VII. Division 5
Thereof Entitled "Camoaion Finance Reform" Via The Addition Of Code Section 2-488 Entitled "Prohibited
Camoaian Contributions Bv lobbvists On Procurement Issues";
2) Pursuant to Ordinance No. 2003-3395 Amendina Miami Beach City Code Chaoter 2. Article VII Division 5
thereof Entitled "Camoaian Finance Reform". Via The Addition Of Code Section 2-490 Entitled "Prohibited
Camoaian Contributions BY Lobbvists On Real Estate Develooment Issues":
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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 foregoing facts are true and correct and that I have read or am
familiar with the provisions cont . in Section of the Miami Beach City Code as amended, and all
reporting requirements. t::J
Signature of Lobbyist: r
Signature of Principa1jClie
VI. LOBBYIST IDENTIFICATION:
o Produced ID
~IIYK~
Form of Identification
VII. SIGNATURE AND STAMP OF NOTARY OR DEPUTY CLERK:
.
.
State of Florida, County of Miami-Dade
Sworn to and SUbscri~o~~~~e
This II 1't day of 2003.
FOR CLERK'S USE ONLY
Registration: k" ACCEPTED
If rejected, state reason:
Registration fee paid: ~es [ ] No
DATA ENTRY DATE: Iip-z...--
2nd Revision 3/18/03
[ ] REJEcrED DATE:
[ ] Cash ~ Check
.2003 ENTERED BY: