1831 James Ave LLC
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 prindpal 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 aty Manager or any dty 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 dty 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 exduslons. Please refer to Ordinance 2004-3435.
NAME OF LOBBYIST:
Larkin
(Last)
Michael
(First)
W.
(M.I)
2,00 S. Biscavne Boulevard. Suite 850
BUSINESS NAME AND ADDRESS (Number and Street)
Miami
(City)
Florida 33131
(State) (Zip Code)
(305) 377-6231
TELEPHONE NUMBER:
(305) 377-6222
FAX NUMBER:
mlarkinCdlbrzoninalaw.com
EMAIL:
I. LOBBYIST RETAINED BY:
1831 James Avenue. LLC
NAME OF PRlNOPAl/CUENT:
MacKenzie Architecture. LLC. 300 71 Street. Suite 528 Miami Beach
BUSINESS NAME AND ADDRESS (Number and Street) (City)
(305) 866-1668
TELEPHONE NUMBER:
Florida 33141
(State) (Zip Code)
FAX NUMBER: (Optional)
EMAIL: (Optional)
Fill out this section if principal is a Corporation, Parb1ership or Trust [Section 2-482 (c)]
. NAME OF CHIEF OFFICER, PARTNER, OR BENEFIOARY: James MacKenzie
. IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST
IN SUCH CORPORATION, PARTNERSHIP OR TRUST:
II. SPECIFIC LOBBY ISSUE:
Varianc~ aOI?Iis:ati<;>n from Floodolain Manaaement reaulation~
Issue to be lobbied (Describe in detail):
III. CITY AGENCIES/INDMDUALS TO BE LOBBIED:
A) Full Name of Individual/Title B) Any Financial, Familial or Professional
Relationship
Floodplain Management Board members None
rillra
3."
'1 -I
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY,
FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE: (Required) $349.00 oer hour
B) PRINOPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). $340.00 oer hour
I ve~ No: Are YOU reDresentinG a not-for-Drofit ~;=a= ~r entity without sDecial comDensation or
rei'l'bursem~nt. Pursuant to Ordinance No. 2004-343~.
BJ:,.:,nt ~ r.:i~n~ NlI, 2~.3311: ~ina Miami Ilei!!;h atv Code Chaoler 2. Artide VII. Division 5
Th r f En i e " m aian Finan e Re~ rm" Via The Addition Of Code Section 2-488 Entitled "Prohibited
Camoaian Contributions Bv LobbYists On Procurement Issues":
I ve~ No: Are YOU lobbyinG on a Dresent or oendinG bid for Goods. eGf,liDment or services. or on a Dresent
or DendinG award for Goods. eGUiDment or servi~?
1)
~rs~ant tl~ ~di~n: No. 2:0~-3:9S Amendina Miami Beach City Code Chaoter 2. Article VII pivision 5
er of EIL"tl d "_m_ian Fin_n e ~_form". Via The Addition Of Code Section 2-490 Entitled "Prohibited
~moaian Contributions Bv lobbYists On Real Estate Dev~looment Issues":
IVes ~ No: Are YOU lobbyinG on a oendinG aDDlication for a ~y~~=~=~ ~~~:
". ;~.ill~tion f~; ~h~;'~~ ;;f zoninG maD ll~iGn~tion or chanGe to the City's Future land Use MaD?
2)
V. SIGNATURE UNDER OATH:
ON OCTOBER 1ST OF EACH VEAR, EACH lOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, USTING lOBBYING EXPENDITURES, AS WELL AS COMPENSATION RECEIVED,
IN THE CITY OF MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL BE FILED
EVEN IF THERE HAVE BEEN NO EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD.
~~
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 contained in Section 2-482 of the Miami Beach City Code and all
reporting requirements.
Signature of Lobbyist:
/U/t/~
Signature of Principal/Client:
VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION:
Produced 10
Produced 10
Form of Identification
Form of Identification
Personally known (Principal)
(Lobbyist)
SIGNATURE AND STAMP OF NOTARY:
State of Florida, County of Miami-Dade
Sworn t04nd subscrib 11 e me ~
This f d of ot2..."o
.,
State of Florida, County of Miami-Dade
Sworn and subscribed before me
This _day of . 20_
Signature of Public Notary - State of Florida
Notarization of Princi ai's si nature
FOR CLERK'S USE ONLY
Annual Registration fee: [.tv: [ ] No Amount Pai - J<I MCR # & '1qrt;. 3> Dale Paid /0 J b /05 -
Lobbyist Registration Form received and verified by: ( ,
Revised 02/10/04 F: CL
1 First Revision - 05-17-02
IV. DIsa.~ OF TEIlMS AND AMOUNlSOf l.088Y1St COMPBISATlON (D1SCIOSE Wft&I'HER HOURl V,
FLAT RATE OR OI'HER):
A) LOIBYIST DISCIDSURE: C......., $34Q,OO DB" hou-
8) PRINCIPAl'S OISCI.OSURE (OF UBJ1'IST (XMIENSAlION)= c...........,. moJJO DI!r haur
~ IIG:: ~~~:I!!.-...."" a .....,..".....&l...~~~'" ........ ~ --'~ ll.lo. _JIll ___I. q GI"
~ ~IDClldI.~... 2084->:M3S
t) Pur!uantlD~4ID_M:lRJIa..:Mb-TMn~~AIarIp~ ~
'lbI!!Mdf:nlltlfdT~~~\Iia_Thr!~Ofti _~___~
~ CJIIdI'hItlam 8.Y..J,.abbvistOn ~ ~:
~ Na: AnI............. _ a DII .................. ~ _al--... or......... _ DII ;I ~
or aendina IIWaId fer - .. _. ~... ..~.,
l)
fVsuant: III 0nIIII.- .... ~ AmendIna MIami Aastoh Citv ...... 01aDII!r Z. .ArUI:fe vn DivI!riun ~
1I:Iag[EnIItBt ~ ~......... ViiI TIII!.A.HNftn Qf"~ CI:rrKftn 2-410 -W ..,.~~
~~.-- 8L'~Qt...~ ~JIt - -@It ~
~---., -....-..-~ - ...........-. -:~~:::.II(
___--..c-...~..~........tl ...-..n_~______~
v. SlfiNATURE UIIDIEIl 0A'IIt:
011 0C'nJ8EIl1ST OF MCH YEAR, EAat 1OB8YIST SHAlL5U8M1T 10 THE CI1'Y CURk A SI8NED
STATEMENT UIIDEIl 0A11f..1.IS11NCi lOBaYJ118 eg.~DUItES, AS WEU.. AS aMJIEIlISAnart RECEIVED,
IN THE Ch'Y OIl JUAMlIUDI fOIl THE I'IWa:uIllG CAI8IMR ftM.. A $fA'S _, StW.L.. FD.ED
EVEN IF 1'ItEIIE HAVE 8&11 NO EXPEIII)DURES OR CDMP8ISA1'ION IJUItIII8 THI' REPOtln1f8 PERIOD.
~~~
I do solemnly swear that aU of the forego;ng facts are true and c;onect and that I have read or
am familiar with the pmvIsions mntailled In Sedfon 2 d the Miami Beech Oty Code I
reporting requie..ents.
Signature of Lobbyist:
VI.
Form f:I JdenaficatJon
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d' SI6IIATUIlE MID 5TMIP OF IIOTARY,
II SbIte rI Florida, County d ~
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Produced ID
Annual Aegtib.,... fee: [ 1 Yes [ ] No Amount PaId MeR # Pabt PaId
loIJbrfst RegIW dltbt1 Farm receiVed and verified tJr:
Revised IFl/I0/04 F: aER\AU.\MMJA-M\LoemsT\I...OBBYI FORM 04
1 F"ntRovision-05-17.o2
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