Suzanne Besu/Project Madison LLC
.I
<9 .MIAMIBEACH
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. 111e term specifically includes the principal as well as any employee engaged in lobbying activities. The term "Lobbyists" hRS
speclnc exclusions. PleRse refer to Ordinance 2004-3435.
NAME OF LOBBYIST:
(last)
Besu
(First)
(M.I.)
Suzanne
BUSINESS NAME AND ADDRESS
TewCardenas, UP
(Number and Street) (City) (State)
1441 Brickell Avenue, 15th Floor, Miami, Florida
(Zip Code)
33131
TELEPHONE NUMBER:
(305) 536-8278
FAX NUMBER:
(305) 536-1116
EM AIL:
BDF@tewLaw.com
I. LOBBYIST RETAINED BY:
Project Madison, LLC
NAME OF PRINCIPAUCLlENT:
c/o TewCardenas,
BUSINESS NAME AND ADDRESS
LLP 1441 Brickell Avenue
(Nnmber and Street) (City) (State)
(305) 536-1116
FAX NUMBER: (Optional)
33131
(Zip Code)
(305) 536-8278
TELEPHONE NUMBER:
EMAIL: (Optional)
Fill out this section If principal Is a Corporation, Partnership or Trust ISedion 2-482(c)J .
NAME OF CHIEF OFFICER. PARTNER. OR BENEFICIAR Y;
John Baldwin
. IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
II. SPECIFIC LOBBY ISSUE:
Historic Preservation Board Application
Issue to be lobbied (Describe in detail):
III. CITY AGENCIEs/INDIVIDUALS TO BE LOBBIED:
^) Full Nallle of Indlvldulllffitlc B) Any Financial, Familial or Professional Relationship
William I-I. Cary, Director Design
Michael Belush, Senior Planner
Thomas R. Mooney, AICP, Design and Preservation
Manager
,
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT
RATE OR OTHER):
A) LOBBYIST DISCLOSURE: (Required) 1225 hourly
B)
PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required)
$225.00 hourly
The following Information must be answered:
I)
Pursuant to Miami Beach City Code Section 2488 Entitled "Prohibited Campaign Contributions By Lobbyists On Procurement
Issu ":
o Ye<l
endin bid or oods e ul ment r s
2) ~ant to Miami City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues":
o Yes~: Are vou lobbvln!! on a Dendln!! 1I00llclItlon for a DeveloDment Al!reement with the City or aoolicatlon for chanae ofzonlnl!
mao deshmatlon or chan!!e to the Cltv's Future Land Use Mao?
3) Pursuant to Miami Beach City Code 2-484 (h) Any person (except those exempt tTom the definition of "lobbyist" as set forth in
Section 2-48\ above) who only appears as a representative of a not-for-profit corporation or entity without special compensation or
reimbu ement for the appearance, whether direct. or indirect, to express support of or opposition to any item, shall register with the
cl as required by this section but, shall not be requim:lto pay any registration fees..
o Yes No: Are vou reoresentlne a not-for-orotlt comorlltlon or entltv without soed.\ comoenslItlon or reimbursement?
IV. 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 CALENDAR YEAR. A STATEMENT SHALL BE FILED EVEN IF TH RE HAVE BEEN NO
EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD.
PRINCIPAL IDENTIFICATION:
I do solemnly swear that all of the foregoing facts are true and correct and that I have read or a
2-482 of the Miami Beach City Code and all reporting requirements,
Signature of Lobbyist:
Signature of PrincipaVClient:
V.
o Produc
form of Identification
o Produced ID
'!d'Personally known (Lobbyist)
VI. SIGNATURE AND STAMP OF NOTARY
Annual Registration fee: ] Yes [ ] No
Lobbyist Registration Form received and verified
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JOHN W. STONE
Notary Public - Reg. No. SlOA
Commonwe~~ of the Northern ~i~ISlands
My ComlDlsslon Expires: h -I -:.t)t
P.O. Box 10001 PMB 1020 Saipan, MP 96950