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Eden Roc LLP Key Int'l m M~i 9~h --- 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, dedsion 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 dty 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. Frey Andrew W. NAME OF LOBBYIST: (Last) (First) (M.!) Gunster, Yoakley & Stewart, P.A., 2 South Biscayne Blvd., Ste. 3400, Miami, FL 33131 BUSINESS NAME AND ADDRESS (Number and Street) (City) (305) 376-6010 FAX NUMBER: (State) (Zip Code) (305) 376-6069 TELEPHONE NUMBER: EMAIL: I. LOBBYIST RETAINED BY: Eden Roc LLLP - Key International, Inc. NAME OF PRINCIPAL/CliENT: 848 Brickell Avenue, Suite 700, Miami, FL 33131 BUSINESS NAME AND ADDRESS (Number and Street) (City) (305) 377-1001 (305) 377-4113 (State) (Zip Code) TELEPHONE NUMBER: 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: IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: II. SPECIFIC LOBBY ISSUE: Approval of demolition and site plan Issue to be lobbied (Describe in detail): m. CITY AGENCIES/INDMDUALS TO BE LOBBIED: A) Full Name of Individual/lltle B) Any Financial, Familial or Professional Relationship Planning Department None Historic Preservation Board None City Managers Office None - Zoning Board of Adjustment None ~_~c .9 .Nf L1.~g ~ z't5I-~ os Oz >-S}oca zen' .. c ~.YI~i ~:a' .;z > ~. .!! li i ~~ 0.2:08 g z;a r:a IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURL Y, FLAT RA TE OR OTHER): A) LOBBYIST DISCLOSURE: (Required) $180.00 per hour $180.00 per hour B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). The following information must be answered: 1) Pursuant to Miami Beach City Code Section 2-488 Entitled "Prohibited Campaign Contributions By Lobbyists On Procurement Issues": D Yes [}~o: Are YOU lobbyinG on a Dresent or DendinG bid for GOods. eauiDment or services. or on a Dresent or oendinG award for Goods. eauiDment or service? 2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues": DYes ~o: Are you lobbyinG on a oendinG aDDlication for a DeyelODment AGreement with the City or aDDlication for chanGe of zoninG maD desiGnation or chanGe to the City's Future Land Use MaD? 3) Pursuant to Miami Beach Oty 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 derk as required by this section but, shall not be required to pay any registration fees.. D Yes ~: Are you reDresentinG a not-for-Drofit corooration or entity without sDecial comoensation or reimbursement. . V. SIGNATURE UNDER OATH: ON OCTOBER 1 Sf 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 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 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. ;1, 1l~1i6 Signature of Lobbyist: 11 ~ · Signature of PrinCipal/Client(' \. . ' -. . - . \ \ VI. LOBBYIST IDENTIfICATION: PRINCIPAL IDENTIfICATI~. . o Produced ID "/prodUCed ID~(i . MJLLQr UCJ~ Form of Identification J<. r Form of Identification ~ Personally known (Lobbyist) 0 Personally known (Principal) VII. SIGNATURE AND STAMP OF NOTARY: Signature of Public Notary - Stat Notarization of Lobbyist's sig Signature of Public Notary - State of Flori Notarization of Principal's signature ~ FOR CLERK'S ~ ONLY '"'\4 Annual Registration fee: ] Yes [ ] No Amouflt Paid ;as. MCR # ~IOOl Lobbyist Registration For received and verified by: ~ F: \CLER\$ALL \MARIA-M\Lobbyist\LOBBYIST fORM OS.doc Date Paid ~ Revised 12/08/04