Atlantic Bel Aire, L.C.
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City of M!~p}i!~\~~~ ~~ of the City Clerk
1700 Conventidft' Cenfer Drive, Miami Beach, FL 33139
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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, resolution, action or decision of any commissioner; any action, derision, recommendation of
the City Manager or any city board or committee; or any action, decision or recommendation of any city personnel defined in any
manner in this section, 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 "Lobbyists" has specific exclusions. Please refer
to Ordinance 2004-3435.
MCDOWELL
NAME OF LOBBYIST:
(Last)
CARTER
(First)
N.
(M.I.)
Bilzin Sumberg Baena Price & Axelrod LLP. 200 So. Biscayne Blvd.. Suite 2500. Miami. Florida 33131
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305-350-2355
TELEPHONE NUMBER:
305-351-2239
FAX NUMBER:
cmcdowell@bilzin.com
EMAIL:
I. LOBBYIST RETAINED BY:
ATLANTIC BEL AIRE. L.C.
NAME OF PRINCIPAL/CLIENT:
18851 NE 29 AVENUE. SUITE 901
BUSINESS NAME AND ADDRESS (Number and Street)
AVENTURA. FL 33180
(City) (State) (Zip Code)
305-931-4959
TELEPHONE NUMBER:
(305) 931-4606
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: JEAN PIERRE REIN
IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE
OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST:
II. SPECIFIC LOBBY ISSUE:
Application (Variance) Board of Adjustment - 6515 Collins Avenue
Issue to be lobbied (Describe in detail):
III. CITY AGENCIESIINDIVIDUALS TO BE LOBBIED:
A) Full Name of IndividuallTitle B) Anv Financial, Familial or Professional Relationship
Board of Adjustment & Staff NONE
MIAMI 898020.1 7570519297
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE
WHETHER HOURLY, FLAT RATE OR OTHER):
A)
B)
LOBBYIST DISCLOSURE: (Required)
$425.00 per hour
PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required).
$425.00 per hour
Yes No: X Are you representim! a not-for-profit corporation or entity without special compensation or
reimbursement. Pursuant to Ordinance No. 2004-3435.
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 Entitled
"Prohibited Camoaign Contributions Bv Lobbyists On Procurement Issues":
Yes No: X Are you lobbvin!! on a present or pendin!! bid for !!oods. eQuipment or services. or on a present or
pendin!! award for !!oods. eQuipment or service?
2) Pursuant to Ordinance No. 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":
Yes No: X Are yOU lobbvin!! on a pendin!! application for a Development A!!reement with the Citv or
application for chan!!e ofzonin!! maD desi!!nation or chan!!e to the Citv's Future Land Use MaD?
V. SIGNATURE UNDER OATH:
ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK SIGNED
STATEMENT UNDER OATH, LISTING LOBBYING EXPENDI , AS WELL AS COMPENSATION
RECEIVED, IN THE CITY OF MIAMI BEACH FOR THE PRECED ALENDA YEAR. ATEMENT
SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPE OR CO NSA TI URING THE
REPORTING PERIOD.
Signature of Lobbyist:
nd that I have read or am familiar with the
all reporting requirements.
I do solemnly swear that all of the fore
provisions contained in Section 2-4
Signature of Principal/Client:
VI. LOBBYIST IDENTIFICATION:
o
Produced ID
Form ofIdentification
o
Produced ID
Form ofIdentification
v
Personally known (Lobbyist)
~
Personally known (Principal)
State of Florida, County of Miami-Dade
Sw.orn t1!,. and su. ~ed before me __
T~ ~~,200'
Signature of Public Nota - State 6fFlorida
N
'_. !.!}it'4) .}~ MY COMMISSION # DO 113548
i .:If EXPIRES: May 1&, 2006
;.. BondelI Thru PidlInIInsInnC8 Agency
.~.....'... .;....-....
State of Florida, County of Miami-Dade
Sworn and subscribed before me -'" <::."
This '2. of..:r , 2u:::=:'
~~ EVELYN MERIZALDE
~ MY COMMISSION # D0275973
~OF~ EXPIRES: December 18,2007
r / FOR CLERK'S USE ONLY
Annual Registration fee;,k1 Yes [ ] No Amount Paid 2.5:'~ MCR # ~ Date Paid ~
Lobbyist Registration Form received and verified bY:~',
Revised 02/10/04 F: CLER\ALL\MA -M\LOBBYIST\LOBBYIST FORM 04
MIAMI 898020.1 7570519297