Zedek Associates
<II
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 city 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 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.
NAME OF LOBBYIST:
McDowell
(Last)
Carter
(First)
N.
(M.I)
Bilzin Sumbera Baena Price Axelrod LLP 200 S. Biscavne 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:
Zedek Associates
NAME OF PRINCIPAUCLlENT:
clo Jean Pierre Rein. 18851 N.E. 29th Avenue. Suite 901
BUSINESS NAME AND ADDRESS (Number and Street)
(305) 931-4959
TELEPHONE NUMBER: FAX NUMBER: (Optional)
(C ity)
(State)
(Zip Code)
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:
. IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE
OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST:
II. SPECIFIC LOBBY ISSUE:
Representation of Zedek Develpment approvals for 321 Ocean Drive. Miami Beach
Issue to be lobbied (Describe in detail):
III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
F"~~''''
-, .)
o
Permit & Zonin
None
A) Full Name of IndividuallTitle
B) Any Financial, Familial or Professional Relations_" p
.. "~~ ? ,.f['..,rP
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WH~HEih5HO~Y,
FLAT RATE OR OTHER) ::2 0 '-
A) LOBBYIST DISCLOSURE: (Required) hourly ~ I U \) ~ ~ 0
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required).
MIAMI 932732.1 7647223722
"'"
The following information must be answered:
1) Pursuant to Miami Beach City Code Section 2-488 Entitled "Prohibited Campaign Contributions By Lobbyists On
Pr<turement Issues":
DYes tt/NO: 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 service?
2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real Estate
Zev lopment Issues":
DYes . 0: Are you lobbying on a pending application for a Development Agreement with the City or application for
change of zoning man designation or change to the City's Future Land Use Map?
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
o~~sition to any item, shall register with the clerk as required by this section but, shall not be required to pay any
rJstration fees..
DYes D No: Are you representing a not-for-profit corporation or entity without special compensation 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 COM PEN A TION RECEIVED, IN THE CITY OF MIAMI
BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT SH FILED EVEN IF T RE HAVE BEEN NO
EXPENDITURES OR COMPENSATION DURING THE REPORTING P
Signature of Lobbyist:
nd that I have read or am familiar with the provisions
ng requirements.
I do solemnly swear that all of the foregoin
contained in Section 2-482 of the Miami
Signature of Principal/Client:
VI.
LOBBYIST IDENTIFICATION:
PRINCIPAL IDENTIFICATION:
:;
Produced 10
D Produced 10
/' Form of Identification
(lV" Personally known (Principal)
Form of Identification
Personally known (Lobbyist)
Si nature of Public Notary - State of Florida
Notarization of Lobbyist's signature
VII. SIGNATURE AND STAMP OF NOTARY:
FOR CLE '1'~E ONLY
Annual Registration fee: es [ ] No Amount ile5 "MCR # Date Paid J 1/ I /~
Lobbyist Registration Form received and verified by:
F:\CLER\$ALL\MARIA-M\Lobbyist\LOBBYIST FOR 05.d Revised 12/08/04
MIAMI 932732.1 7647223722