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 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 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 dty 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 2004-343S,
Kasdin Neisen O.
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) 376-6062 (305) 376-6010
IELEPHONE NUMBER: FAX NUMBER:
(State) (Zip Code)
EMAIL:
LOBBYZST RETAINEDBY:
The Standard Hotel
NAMEOFP~N~C~ENT:
The Puck Building, 295
Lafayette Street, 7th
Floor,
New York, NY 10012
BUSINESS NAME AND ADDRESS (Number and Street) (City)
(State)
(Tip Code)
TELEPHONE NUMBER:
FAX NUMBER: (Optional)
EMAIL: (Optional)
Fill out this section if principal is a Corporation, Partnership or Trust [SecUon 2-482 (c)]
· NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY:
· IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST
CORPORATION, PARTNERSHIP OR TRUST:
SPECIFIC LOBBY ISSUE:
Assist in obtaining temporary certificate of occupancy, certificate of occupancy, and
Issue to be lobbied (De~ribe in detail):other matters relating to the completion of construction of
D~. CZTY AGENCIES/INDIVZDUALSTOBE LOBBIED: the Standard Hotel in Miami Beach.
A) Full Name of Individual/Title
City Commission
City Manager
B) Any Financial, Familial or Professional RelaUonship
None
None
Building Department None
1V. DZSCLOSURE OF TERMS AND AHOUNTS OF LOBBY/ST COMPENSATZON (DZSCLOSE WHETHER HOUR£~
FLA T RA TE OR OTHER.):.
$425.00 per hour
A) LOBBYIST DISCLOSURE: (Required)
$425.00 per hour
B) PRINCIPAL'S DIscLOsuRE (OF LOBBYIST COMPENSA'IqON): (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":
[] Yes fi/No: Are you Iobbyin.q on a present or pendin.q bid for goods, 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":
•Yes ~No: Are you Iobbyinq on a pendinq application for a Development Aqreement with the City or
application for chanqe of zoninq map desiqnation or chanqe to the City's Future Land Use
Hap?
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
section but, shall not be required to pay any registration fees..
D Yes ~No: Are you representinq a not-for-profit corporation or entity without special compensation
or reimbursement. .
v. SIGNATURE UNDER OATH:
ON OCTOBER Is'r OF EACH YEAR, EACH LOBBY]ST SHALL SUBIqTF TO. THE CITY CLERK A SZGNED
STATEMENT UNDER OATH, liSTING LOBBY]NG EXPENDTrURES, AS WELL AS COIqPENSAT/ON
RECEIVED, ZN THE CTI'Y OF I~ILAI~I! BEACH FOR THE PRECEDZNG CALENDAR YEAR. A STATEMENT
SHALL BE FZLED EVEN ZF THERE HAVE BEEN NO EXPENDITU~0iR COMPENSATZON DUR]NG THE
REPORTING PER]OD.
Signature of Lobbyist
! do solemnly swear that all of the foregoing facts are true and correct and that ! have read or am
familiar with the provisions contained iR ~l~on 2-482 of the Miami 8each City Code and all reporting
requirements. ~//////
Signature of Lobbyist: Ill ~ ~
Signature of Principal/Client:
. . ~ VZ. LOBBY]:ST TDEN'I'J:F]C4,T~ON:
~ ~ o ~ P~uced ID
~ ~ ~ Fo~ of Identifi~tion
~ ~ Pe~nally known (~bbyi~)
~. ~ ~I. 8I~T~R~ ~ ~~ O~ ~OT~R~:
~ ~ S~te o~ Rodda, Coun~ o~ Miami-Dade S~te of Florida, ~un~ o~ ~iami-Dade
Sworn to ~d sub~fi~ ~fom me Sworn and sub~rJb~ ~fore me
-. day or O . , is_ ay of
~~ Si~na~ o~.blic .o~ S~ ~f Flodda Signat. m~~~FIorida
FOR CL ONLY
~nualR~i~afionf~: [( ~ ],o ~o~.CR~~/~atePa.d /~~
Lobbyi~ Regi~tion Fo~eived and vedfi~ by:
F:,~ER,$ALL,~-M,Lobbyi~,LOBB~ ~RM 0g~ ;.~ R~i~ 12/08/~
PR/NC/PAL ZDENTZFZCAT/ON:
[] Produced ID
Form of Identification
[] Personally known (Principal)
[] Y_e~ i~--~: A~ ~F,,, _k*_~j'm~Al'Lq ~ M' ?mdi~qbid for ~nm~ ~K~iDm~nt or se~iaes, or_ .on~
Pursuit t~ Miami ~ CILy Code ~.-4~0
_ ~w~_ba l;~,~dcpmm~ Lfsue~-'
_-~_ -u~_L,~ ~or ehanae Df ~onl~?a m-n d~iqn~O~_m' elm ~npe M t~ CitY's Future.t.~
ON OCTC)~E~ 1sr OF EACH YEAR;. F. AOI LOB~I'ZST SHALL ~ TO, 'THE CZ'I'Y O. ERK A
~, X'N THE C:XTY OF ]/lZA]~ BGACH FOR THE PRECB)ZNG CAL,END.4~ YEAR, A STATEHENT
! do solerrml,/swear that ali of' ~he fomc~.~9 fa0'cs are ~ ~ ~ a~ ~ X ~ ~ er am
~m]~ar ~ ~ ~~ ~~ i~ ~on 2~2 ~e ~mmi ~ ~ ~ ~ all ~~
/ /
~ S~NATUR~ AND STAHP OF NOTARY:
~ IIoMrimtion of Lob m ~
5~gnab.~ oF Public NoMr7
N~(don o1' Prindpars signature
·
FOR~ ~ ~y
Annual ~~,~. ~ [ ] Ye~ [ ] No AnM:xJnk Paid _.. MCR ~
P.~LJ~5~,ALL\~~~~ fOP, J"I OS. doc
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