Loading...
Jimmy Morales/Jacob Sopher to "l\IIF MIAMI BEACH 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, Morales NAME OF LOBBYIST: . I(Last) . I Stearns Weaver M1 ler We1ss er 150 West Flagler Street, Suite BUSINESS NAME AND ADDRESS (Number and Street) Jimmv AlhJ~~ff 2200 (City) L. & Sitterson, p.A5M.I) Miami FL 33130 (State) (Zip Code) 10S-7RQ-1?OO TELEPHONE NUMBER: 10S-7RQ-:nQS FAX NUMBER: jmorales@swmwas.com EMAIL: I, LOBBYIST RETAINED BY: Jacob Sopher NAME OF PRINCIPAl/CLIENT: c/o Alton and Lenox, LLC 555 Washington Avenue, Suite 220 Miami Beach FL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) 33139 (Zip Code) lQ~ 373 ~Q72 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 BENEFICIARY: IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: II. SPECIFIC LOBBY ISSUE: Obtain Zoninq letter from Planninq and Zoninq Department Issue to be lobbied (Describe in detail): III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: A) Full Name of Individual/Title B) Any Financial, Familial or Professional Relationship Planning and Zoning Department None IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURL Y, FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE: (Required) Hourly ($375.00) B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required), Hourly ($375.00) 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": DYes lYNo: Are YOU lobbyina on a present or pendina bid for aoods. eauipment or services, or on a present or pendina award for aoods, eauipment or service? 2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues": DYes Xl No: Are YOU lobbyina on a pendina application for a Development Aareement with the City or application for chanae of zonina map desianation or chanae 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 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 representina 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 COMPENSATION RECEIVED, IN THE CITY OF MIAMI BEACH FOR THE PRECEDING CAL NDAR YEAR. A STATEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXP NDITURES OR OMPENSATION DURING THE REPORTING PERIOD, I do solemnly swear that all f the foregoi 9 facts ar true an correct and that I have read or am familiar with the provisions co tained in Se ion 2-482 of the Miami Beach City Code and all reporting requirements. Signature of Lobbyist: Signature of Principal/Client: VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION: r..............., S t; ~ is D Produced ID i ~ I i J'i Form of Identification ::5~.. : i~ 0 S; I! ~ Personally known (Lobbyist) :oc ~! E : ~~ 8 ! tfi SIGNATURE AND STAMP OF NOTARY: -< &I.- ~~ ta~ : d :l'~~'cll d :--A f~ ~ ~ ~<~:, ............. .. o Produced ID Form of Identification o Personally known (Principal) 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 Principal's signature FOR ~LI;B,K' Annual Registration fee: [ ] Yes [ ] No Amount ia Lobbyist Registration Form received and verified by: F:\CLER\$ALL\MARIA-M\Lobbyist\LOBBYIST fORM OS.doc J$~ONL Y r 10 <-,- i ~ ~II /1 I ("1 V MCR # "'"'\ 1\ "l\l1 \JDate Paid .~ Revised 12/08/04 IV, DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURL Y, FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE: (Required) Hourly ($375.00) B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). Hourly ($37S.00) 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": DYes lYNo: Are YOU lobbyina on a present or pendina bid for aoods. 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 Development Issues": DYes Xi' No: Are YOU lobbyina on a pendina application for a Development Aareement with the City or application for chanqe of zonina map desianation or chanae to the City's Future Land Use Mmzl 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.. o Yes ~No: Are you representing a not-tor-profit corporation or entity without special compensation or reimbursement. V, SIGNATURE UNDER OATH: ON OCTOBER 1 sr 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 CAL NDAR YEAR. A STATEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXP NDITURES OR OMPENSATION DURING THE REPORTING PERIOD, I do solemnly swear that all f the foregoi familiar with the provisions co tained in Se requirements. Signature of Lobbyist: Signature of PrincIpal/Client: VI, LOBBYIST IDENTIFICATION: r.:.....~.!l 0 Produced ID I ~ I i ~! Form of Identification .~~.. I.~ i~ Q 51 ri Personally known (Lobbyist) :~ t ~ ! Ji ~?i ~ ~ t!J; SIGNATURE AND STAMP OF NOTARY: -< u..- j~ ta~ :::i lilt, . r ~k~t..",. ........... to .. 9 facts ar true an correct and that I have read or af\\\lIl"'" ion 2-482 of the Miami Beach Oty Code and all re~BETHi"III,f. ~ ~'J ........ .:'o~ . ~ ...;~~ISSI04'... ~~ ~ ..",CJ ~~ 16 0 ~... ~ ...... ' <'0,.): ~ e. ~ _ . o~. : en: :: - :*= ~;;..I~ 531674: ~ ,,~.~ A_ . ~..::- ~~'.~'Y:Vf}cted",\\l. ~...{i2i~ ~ ,<)u~.:"blic Unde('ll\\~~. ":v~~ D Produced ID ~"/~t.IC.S;A1E.O<;; ~,,~ Form of Identification ~""I"""\\"'~ ~ersonaJly known (Principal) State of Florida, County of Miami-Dade Sworn and subscribed before me This day of 20_ Signature 0 i Notary - State of Florida Notarization of Principal's signature FOR CLERK'S USE ONLY AnnuClI Registration fee: [ J Yes [ ) No Amount Paid MeR # Lobbyist Registration Form received and verified by: F;\ClER\$ALL\MARIA-M\Lobbyist\LOBBYIST fORM OS.doc DClte Paid Revised 12/08/04