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Stephen Helfman Normandy Shores IJliami B""",h ., JOlt, ~ - City of Miami Beach Office of the City Clerk 1700 Convention Center Drive, Miami Beach, FL 33139 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, decision, recommendation of the City Manager or any dty board or committee; 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 spedfically includes the principal as well as any employee engaged in lobbying activities. The term "Lobbyists" has specific exclusions. Please refer to Ordinance 2004-3435. Helfman NAME OF LOBBYIST: (Last) Weiss Serota Helfman Pastonza Stephen (First) J. (M.!) (305) 854-0800 TELEPHONE NUMBER: (305) 854-2323 FAX NUMBER: shelfinan@wsh-Iaw com EMAIL: I. LOBBYIST RETAINED BY: Normandy Shores, LLC NAME OF PRINCIPAljCUENT: 500 East Broward Blvd., #1160 BUSINESS NAME AND ADDRESS (Number and Street) Fort Lauderdale (City) FL (State) 33394 (Zip Code) (954) 779-7600 TELEPHONE NUMBER: (954) 779-3815 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 BENEFIOARY: Les Jones IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: II. SPECIFIC LOBBY ISSUE: P(L.\iltfA J)6Nu.vM\i("' I ~ ~ 4- ?;MJINIJ A/f'/IA~tJ>) Issue to be lobbied (Describe in detail): t III. CITY AGENCIES/INDMDUALS TO BE LOBBIED: A) Full Name of Individual/Title B) Any Financial, Familial or Professional Relationship Design Review Board /r.1IC MtJo"ey IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, .L , FLA T RA TE OR OTHER): ",,"/II A) LOBBYIST DISCLOSURE: (Required) "'.(Jf t!I~/JtI/IJ !Pi<< l44L.. ~ ~/~ ,,~~ ~ B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). 11114.(.. '1 ~",~~ /J,I\J Ii>IZ lil&4~ "l"~ I"tfe~~,~ The following information must be answered: \.~""lf 'IV 1'r/914f:<< 1) Pursuant to Miami Beach City Code Section 2-488 Entitled "Prohibited Campaign Contributions By Lobbyists ,p: 17~' On Procurement Issues": '/ DYes 2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real state Development Issues": DYes 3) Pursuant to Miami Beach City Code 2-484 (h) Any person (except those exempt from the definition of "lobbyist" as set forth in Section 2-481 above) 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 clerk as required by this I section but, shall not be required to pay any registration fees.. D Yes ~ No: Are YOU reoresentina a not-for-orofit corporation or entity without soecial comoensation or reimbursement. 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, AS WELL AS COMPENSATION RECEIVED, IN THE CITY OF MIAMI BEACH FOR THE PRECEDING CALEND YEAR. A STATEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPENDITURES OR CO SATION DURING THE REPORTING PERIOD. n that I have read or am Code and all reporting I do solemnly swear that all of the foregoing fa familiar with the provisions contained in Section 2- requirements. Signature of Lobbyist: Signature of Principal/Client: VI. LOBBYIST IDENTIFICATION: o Produced ID o Produced ID Form of Identification ~erSOnallY known (Lobbyist) Form of Identification ~erSOnallY known (Principal) VII. SIGNATUREANDSTA~J:v?~~~~fllrazluso . _ ~ StlphenJ~ State of Aorida, County of Miami~ : My Comm'M~ oon_te of Fiorida, County of Miami-Dad,';/) My """"-llO233170 Sworn to and subscrib efore m~oi~;I EXpires September 27 2<lMorn and subscribed before me _'" ExpI.... July 17 2007 1: is J ~ay 20~ This lLl..day of 20_ w4V FOR CLER~SE ONLY Annual Registration fee: L><i Yes [ ] No Amount Paid' ~ MCR # ~Date Paid ~ Lobbyist Registration Form received and verified by: ~c:::.....l'~ F:\CLER\$ALL\MARIA-M\Lobbyist\LOBBYIST fORM 05.' Revised 12/08/04