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Stanley B. Price/PLC Investment City of Miami Beach Office of the City Clerk 1700 Convention Center Drive, Miami Beach, Fl. 33139 Email: cityclerk@ci.miami-beach.f1.us LOBBYIST REGISTRATION FORM (City of Miami Beach, City Code Chapter 2, Division 3, Section 2-481) o Check Box if an Amendment Price, Stanley B. NAME OF LOBBYIST: (Last) (First) 8/5/04 (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) 350-2374 TELEPHONE NUMBER: (305) 351-2204 FAX NUMBER: sDricelaibi1zin.com EMAIL I. LOBBYIST RETAINED BY: PLC Investments. Inc. NAME OF PRINCIPAL/CLIENT: 420 Lincoln Road, Penthouse. Miami Beach. Florida 33139 BUSINESS ADDRESS: (Number and Street) (City) (state) (Zip Code) (305) 531-5220 TELEPHONE NUMBER: (305) 531-5280 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: . . LIST ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST II. SPECIFIC LOBBY ISSUE: Parking and zoning issues related to 420 Lincoln Road Issue to be lobbied (Describe In detail): III. CITY AGENCIES/lNDIVIDUALS TO BE LOBBIED: \76040\21542\ # 689324 v 1 8/24/044: II PM IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR OTHER): A) Lobbyist Disclosure: $500.00 per hour B) Principal's Disclosure (of Lobbyist Compensation): $500.00 per hour l) Pursuant to Ordinance No. 2003-3393 Amending Miami Beach City Code Chapter 2, Article VII, Division :; 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? 0 Yes X No 2) 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 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? DYesXNo 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 solenmly swear that all of the foregoing facts are true and correct and that I have read or am familiar with the provisions contained in Section 2-482 of the Mia ity Code as amended, and all reporting requirements. ~b~ \. SignatUl~ or Lobbyist: Signature ofPrincipallClient: VI. LOBBYIST IDENTIFICATION: Form ofIdentification @ersonally Known [] Produced ID VII. SIGNATURE AND STAMP OF NOTARY OR DEPUTY CLERK: State of Florida, County of Miami-Dade Sworn to and subscribed before me This 12''' 04 CHRISTINE A. BOWER MY COMMISSION I DD 344021 EXPIRES: Febru.~ 20, 2006 BoodedThruPictlardloslll'8nceAQ&nCY ~ ~f~bl~OljJ~~Florida Print, stamp or type name of Notary Public Registration Led Ifrcjected, state reason: ~ Registration ree paid M'Yes [ ] No DATA ENTRY DATE: )5130 t FOR CLERK'S USE ONLY [ ] Rejected Date: [J h 0 h f I ' [ ] Cash [C}CI1ecl: MCR#~rJd2tf'-i ,.J{if<f ENTERED BY: ~) F:\CLER IRA TL \Lobbyists\registrationOJ .doc 2nd Revision 1/27/03 FILE No.667 08/17 '04 18:06 . . ID:BILZIN,SUMBERG FAX:3052747~m PAGE 2/ 4 IV. DISCLOSIJRE OF TERMS A>"ID AMOIJNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR OTHER): A) Lobbyist DISclosure: ~~Q'&Qjl~l'.Ao..'!L B) Principal's Disclosure (of Lobbyist Compensation): $500.00 per hour 1) Pursuant to Ordinance 1'0:0. 2003-339J Amending MiaJm Beach City Code C'lllpter 2, Article VII. DiVISion 5"[ hereoCFntitled . Campaign Finan,e Refonn" Via The Addition of Code Sectioo 2-4X8 Enmlc "Prohibited Campalgn Contributions By Lobbyists on Procurement Issues": Are )'OU lobbying an a present or pt'nding bid for g.)ods, equipment or s(~rvic(~s, or' on a Jircsent or pending award for goods, equipment or services? [] Yes X No 2) P,,, suam to Ordinance 2003-3395 Amending Miami Beach City Code Chapter 2, m1Icle VlI. Division 5 thereof EntitJed "Campaign Finance Reform" Via The Addition of Code Section 2.490 Entitled "PlOhibited Campaign Contributions By Lobbyists on Real Estate Development Issues": Ar. you lobbying on a pending appllcatlon 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? :lYcs XNo V. SIG~ATUREUNDEROATH: ON OCTOllER 1st OF EACH YEAR, EACH LOBBYIST SHALL SL'BMIT TO IHE CITY CLERK A SIGNED STATEMENT tiNDER OATH, LISTING LOBBYING EXPENDITURES II\' THI'; CITY OF MIAl\1I BE.\CIl FOR Till:: PRECEDING CALENDAR YEAR. I do soknmly swear that all of the foregoing facts are true and correct and that I hav: read or am fan~Hi;jr with lht.' pruvi:>wns ((latained in Sectiun 2-482 of the Mia . ity 20de as amended, and all reporting reqi.lUtm.:nts. ~~,\ Slhna:lil;; 0; l ubbYI~l: Signature of Principal/Client: VI. LOBBYIST IDENTIFICAp.,ON' ____ n~.lxl"~r, L\Cl4."'-: ~ P,oduced ID c...2~ . ''1;1- -r~. 00 'i Form of [dentificat.on Pers(lnally Known VII. SIGNATVRE AND STAMP OF NOTARY OR DEPUTY CLERK: State of Florida, County of Miami-Dade Sworn to ane subscribed before me ThIS 12'" gay of August, 2004. ~.~~ CHRISTINE A. BOWER tti:. . ,,\ MY COMMISSION I DD 344021 ~ i ! EXPIRES: February 20. 2006 Jit:.~ ~ 8ondedThruPlchllrdlnsurance/tv1liM1f ~l~---- of Pul>lic..No~ -,Stlte of Flo-id2 I.I'-~~~(" , Print, stamp or type name of Notary Public ....,.....-.---..--.- ---_._--~--_. -,--- FOR CLERK'S USE ONLY Registration r ) Accepted [ ] Rejectld Dale: If rejected, state reason:_,___ , ReglStraIiol fee paid r I Y cs i I No I ] Cash [ ] Check I DATA ENTRY DATE_______"_. 20m 2nJ Rev!slon ~ /27103 ---- --------_._--_.._~---_._. MCR# ENTERED BY F: \CLER\H A TL \Lob Jvisu;\reglst :'JtltmOJ _doc