Loading...
The Standard Hotel 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 City Manager or any dty board or committee; or any action, dedsion or recommendation of any dty personnel dudng the time pedod 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 /n lobbying activities. The term 'Lobbyists' has specific exclusions. Please refer to Ordinance 2004-3435. Frey Andrew W. NAME OF LOBBYIST: (Last) (First) (M.I) Gunster, Yoakley & Stewart, P.A., 2 South Biscayne Blvd. , Ste. 3400, Miami, FL 33131 BUSINESS NAME AND ADDRESS (Number and Street) (City) (305) 376-6069 (305) 376-6010 TELEPHONE NUMBER: FAX NUMBER: (State) (Zip Code) EMAIL: I. LOBBY/STRETA/NEDBY: The Standard Hotel NAMEOFP~N~CUENT: The Puck Building, 295 Lafayette Street, 7th Floor, New York, NY 10012 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional) Fill out this section if principal is a CorporaUon, 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 SUC~ CORPORATION, PARTNERSHIP OR TRUST: TT. SPECIF/C LOBBY ISSUE: Assist in obtaining temporary certificate of occupancy, certificate of occupancy, and Issue to be lobbied (De~dbe in detail): other matters relating to the completion of construction of III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: the Standard Hotel in Miami Beach. A) Full Name of Individual/lltle City Commission City Manager B) Any Financial, Familial or Professional Relationship None None Building Department None I'V. DTSCLOSURE OF TERMS AND AMOUNTS OF LOBBY[ST COMPENSA1/ON (DI'SCLOSE WHETHER HOUR£ ~ FZA T RATE OR OTHER.):. $180.00 per hour A) LOBBYIST DISCLOSURE: (Required) $180.00 per hour B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). The following informaUon must be answered: 1) Pursuant to Miami Beach City Code Section 2-488 Entitled "Prohibited Campaign ContdbuUons By Lobbyists On Procurement Issues": [] Yes [~qo: Are you Iobbyinq on a present or pendinq bid for ,qoeds, equipment or services, or on a present or pendinq award for qoods, equipment or service? 2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues": DYes I~io: Are you Iobbyinq on a pendinq application for a Development Aqreement with the City or application for chanqe of zonina mad desianation or chanae to the City's Future Land Use Map? 3) Pursuant to Miami Beach City Code 2-48~ (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 section but, shall not be required to pay any registration fees.. El Yes i~/No: Are you representinq a not-for-profit corporation or entity without special compensation or reimbursement.. V. SZGNATURE UNDER OATH: ON OCTOBER IsT OF EACH YEAR, EACH LOBBYIST SHALL SUBMI'r TO THE CTrY CLERK A SIGNED STATEMENT UNDER OATH, LIST/NG LOBBYING EXPENDTrURES, AS WELL AS COMPENSATION RECEIVED, IN THE CTrY OF M~MI BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL BE FTLED EVEN IF THERE HAVE BEEN NO EXPENDTrURES OR COMPENSAT/ON DUR/NG THE ~r % Signatur~'f Lobbyist T do solemnly swear that all of the foregoing facts are true and correct and th~ have read or am familiar with the provisions contained in Section 2-482 of the Miami Beach City Code and all reporting Signature of Lobbyist: ~ Signature of Principal/Client: Vi. LOBBY/ST ZDENT~F/CAT/ON: PP~NC~PAL TDENT~F/CA'i/ON: [] Produced ID Form of Identification JX Personally known (Lobbyist) SIGNATURE AND STAMP OF NOTARY: [] Produced ID Form of Identification [] Personally known (Principal) State of Flodda, County of Miami-Dade State of Florida, County of Miami-Dade Sworn to and subscribed before me Sworn and subscribed before me This /.~'¥'~ day of ~l/od4~t~. 20_~- This day of ,20__ 'g ~ ~. -.~__ - Iorida Signature of Public Notary- State of Florida N~~~ (~ Notarization of Principal's signature ;;'~~ ~'"'3:'~'~/,ZO0~~" FORCLEB~'SAISE,ONLY ~/,,/Z' ~.-'~ Lobbyist Registration Form rec~ by:~=::~,:::~/ - ' ' '! I F:\CLER\$ALL\MARL4-M\Lobbyist\LOBBYIST fORM ~ 'C~ Revised 12/08/0~ Putsuan~ t~ Miami Beach ~ Cade 2-4;4 (h) Any pemon (-~t. those exempt rr0m the definitim or ~d~W~ a~ set I~rth in ~ 2-48:L above) who cmty appears a~ a repmsenl~dve c~ a not~for-prc~ corSxa~ or entry ~d~hout spectal compensation or reimbursement for tM appeatan==, whethe~ direc~ or indirKb m express support oP or opposiUon to any ~m, shaft reglsber wrch ~e dark as required by this sect]on bu~ shall n~ be reclu~red to pay any reglSlrattm fees.. n Ye~ u/p__,:c_ Are ~_. ~r~-,~_~Un...=,t..f, ae.p.~'e_,,.,~ooT.,.,~' oF e-aW .wrd.mt sa~eciat ~n.~ion m- r~Imbui'~ement, , . REi:E:II/B~, ~ TH~ ~ OF HZAI~ BEACH FOlt THE P~NIi CALENDAR YEAR, A STA'T~4ENT ~LALL BE F~i. BD ~ ]:F THERE HAVE BEEN NO ~ OR C~:#~PENBATJ:ON DUR.TN~ THE ! do solemnly swear that ale cf U~e foregaing facts ~ true and correct~qnd read or am ~analiar with the provisions centained in Section 2-4B2 c~.~ ~ami~ CRy Code and all reporting / / / . Signature 01: Princ~pai/Oler~ Form of' .?.~ _deT-eecaUon ~ blGNATLIRE AND STRHP OF NOT~