Kevin D. Cowan - 1 Washington Ave Corp 1 Wil-lit) rbAJ 111)6 ,
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;RECEIVED
MIAAI EAC I VOffice of the City Clerk
1700 Convention Center Drive "CITY OF MINA t3EACH
Miami Beach, FL 33139 OFFICE OF THE CITY CLERK
305.673.7411
LOBBYIST REGISTRATION FORM
Lobbyist means all persons employed or retained, whether paid or not, by a principal who seeks to encourage the passage, defeat or
modification of any ordinance, resolutio h, action or decision of any commissioner; any action, decision, recommendation of the City
Manager or any City board or committeel or any action, decision or recommendation of any City personnel during the time period of the
entire decision-making process on such action, decision or recommendation that foreseeably will be heard or reviewed by the City
Commission, or a.City board or committee. The term specifically includes the principal as well as any employee engaged in lobbying
activities. The term "Lobbyist" has specific exclusions. Please refer to City Code Chapter 2,Article VII, Division 3, entitled "Lobbyists,"
for additional information.
Instructions: Please complete all sections of this form and submit the completed form,with the applicable fee, to the Office of the City
Clerk. If you need more space to complete an answer, use a separate sheet(s) of paper. If you have nothing to report in a particular
section, you must write "none" or "n/a" in that section. Any change to any information originally filed, or any additional City
Commissioner or personnel who are also sought to be lobbied shall require that the lobbyist file an amendment to the registration form.
The lobbyist has a continuing duty to supply information and amend the forms filed throughout the period that the lobbying occurs.
Separate registration forms shall be required for each principal represented on each specific issue.
I. LOBBYIST INFORMATION:
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Cowan Kevin D.
NAME OF LOBBYIST (Last) (First) (Middle Name)
Shutts&Bowen LLP,200 South Biscayne Boulevard,Suite 4100 Miami FL 33131
LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305-379-9110KCowan@shutts.com
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LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
II. PRINCIPAL INFORMATION:
Delg Ido Henry
NAME OF PRINCIPAL (Last) (First) (Middle Name)
1 Washington Avenue Corp., 1 Washington Avenue Miami Beach FL 33139
PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305-673-2800 HDelgado@swrg.com
PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
PJi fi nt to City Code Section 2T482(f)'(1)(51, A principal of EfRej corporation, partneship,tep other entity who appears Etlip lobbyist 35131f of in
-ntity,without special compensation cu'EagagagitiM for MG mr�ant ii <$r indirect,O?contingent 17C i 3agmoGoCpa.'osrtton_
.n In e1dn`�f�ll t' he glailm required DAM subsection Mall t gia tip re.aired{Dfoil`7 an re.istration Ira
If the principal is a Corporation, Partnership or Trust, the following information MUST be provided
pursuant to City Code Section 2-482(c):
• NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARY(if none,write N/A): Henry Delgado, Managing Partner
• NAME OF ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION,PARTNERSHIP OR TRUST(if none,write N/A): 1 � Q.t C Inc.-rfbil , t C tt�� l 0 fk.puM:�
dery -9 � - �N'9 1A-A-04 D( 11.E-
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III. ISSUE TO BE LOBBIED:
Describe with as much detail as is practical, including but not limited to a specific description where
applicable of a pending request for proposal, invitation to bid, or public hearing number.
Ground lease and concession agreeme?t between the City of Miami Beach and 1 Washington Avenue Corp.for the Smith&Wollensky
restaurant located in South Pointe Park
IV. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
Pursuant to City Code Section 2-482(a)(4), list the City Commissioner or City personnel sought to be
lobbied, and whether the lobbyist has entered into any contractual relationship (paid or unpaid) with
said City Commissioner or City personnel from 12 months preceding such commencement of service
with the City to the present date, stating the general nature of the subject contractual relationship.
Full Name of Individual and Contractual Relationship (If yes, explain) YES NO
Title of Person to be Lobbied
City of Miami Beach Committees and Boards N/A X
City of Miami Beach Attorneys Office and Administration N/A X
City of Miami Beach Mayor and Commissioners N/A X
Pursuant to City Code Section 2-482(g), every registrant shall be required to state the extent of any
business, financial, familial or professional relationship, or other relationship giving rise to an
appearance of an impropriety, with any current City Commissioner or City personnel who is sought to
be lobbied as identified on the lobbyist registration form filed.
List any Business, Financial, Familial or Professional Relationship, or other relationship giving rise to an
appearance of impropriety(if none,write N/A):
N/A
V. DISCLOSE RATE AND AMOUNT OF LOBBYIST COMPENSATION — Be Specific. (Note that a
contingency fee is prohibited pursuant to City Code Sec. 2-485.3):
$600.00 per hour
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The following six(6)questions MUST be answered:
1) Pursuant to City Code Section 2-488,entitled"Prohibited Campaign Contributions By Lobbyists On Procurement Issues":
—Yes x No: Are you lobbkinq on a present or pending bid for goods, equipment or services, or on a present or
pending award for goods,equipment or service?
2) Pursuant to City Code Section 2-490, entitled "Prohibited Campaign Contributions By Lobbyists On Real Estate Development
Issues":
_Yes x_No: 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?
3) Pursuant to City Code Section,2-482(h), any person (except those exempt from the definition of "lobbyist" as set forth in
Section 2-481)who only appears as a representative of a not-for-profit corporation or entity without special compensation or
reimbursement for the appearance,whether direct or indirect to express support of or opposition to any item,shall register with
the city clerk as required by this section, but shall not be required to pay any registration fees.
_Yes x No: Are you representing a not-for-profit corporation or entity without special compensation or
reimbursemehnt?
4) Pursuant to City Code Section 2-481, the term "lobbyist" specifically excludes the following persons: Expert witnesses who
provide only scientific,technical or other specialized information or testimony in public meetings; any person who only appears
as a representative of a neighborhood association without compensation or reimbursement for the appearance,whether direct,
indirect or contingent,to express support of or opposition to any item;and any person who only appears as a representative of
not-for-profit community based organization for the purpose of requesting a grant without special compensation or
reimbursement for the appearance.
_Yes 20o: Are you providing only scientific, technical or other specialized information; appearing as a
representative of a neighborhood association without special compensation or reimbursement or
representing) a not-for-profit based organization for the purpose of requesting a grant without
special compensation or reimbursement?
5) Pursuant to City Code Section 2-491(1), no campaign consultant shall lobby the City Commission for a period of 12 months
following the swearing in of an)}elected official(s) for whom the campaign consultant provided campaign consulting services
within the past election cycle. See Section 2-491 for more information.
—Yes x_No: Have you provided campaign consulting services to an incumbent member of the City Commission
within the past election cycle? If yes,please list the incumbent member(s)of the City Commission:
I
—Yes x No: If ve , ha i been .less than 12 months since the elected offici I(s) whom you provided can�pali.
consulting services as sworn tni
6) Pursuant to City Code Section F-482(a)(4)a., a lobbyist who has within the past election cycle provided campaign consulting
services to an incumbent member of the City Commission (which lobbying activity is not otherwise prohibited by Code section
2-491) shall disclose such particular service on his/her lobbyist registration form and shall orally disclose such particular
service before lobbying the City ICommission at a public meeting.
—Yes x No: Have you provided campaign consulting services to an incumbent member of the City Commission
within the pit election cycle?If yes,please list the incumbent member(s)of the City Commission:
Yes x No: f yes, were you •romised or did you receive economic consideration in e c tinge or ampalp
co"'nsultit services,?
TO BE COMPLETED BY CITY CLERK'S STAFFjONLY
Annual Registration fee (')Yes[ ]No •Amount Paid.$ 6 MCR# U 133 Date Paid O� ' Z 3
..Lobbyist Registration Form received and verified by poirre'� r aft.
g4VCLER\$ALL\aFGRMS\LOsBYEST FORMS\Lobbyist Registration_Foreel Revised .03-1.1-20 REG.doc. . : Revised 03/11/2020 ,
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MISCELLANEOUS
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Description; MCR OPEN .m
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2020 Item: MCR
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Total 1 .00
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Thank you for your payment
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