Loading...
Michael Larkin/Seth Gadinskym 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 prinripal who seeks to encourage the passage, defeat or modification of any ordinance, resolution, action or derision of any commissioner; any action, derision, recommendation of the City Manager or any rity board or committee; or any action, derision or recommendation of any rity personnel during the time period of the entire derision-making process on such action, derision or recommendation that foreseeably will be heard or reviewed by the rity commission, or a city board or committee. The term spedflcally inductee the principal as well as any employee engaged to lobbying activities. 'fie term "Lobbyist" has spedflc exdusions. Please refer M Ordinance 2004-3435. Larkin Michael H-. NAME OF LOBBYIST: (Last) (~~) (M•n Bercow, Radell & Fernandez 200 S. Biscayne 8ivd., Suite 850 Miami Florida 33131 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (305) 377-6231 (305) 377-6222 MLarkinCalbrzoninglaw.com TELEPHONE NUMBER: FAX NUMBER: EMAIL: I. LOBBYIST RETAINED BY: Seth Gadinsky NAME OF pRINCIPAI/CLIENT: 1680 Michig8_n Avenue Suite 1001 Miami Beach Florida 33139 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Ztp Code) (786) 276-2387 (305) 675-7759 SethC~GadinskXrealestate.com TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optonal) Fill out this section if pHndpal 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 596 OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: II. SPECIFIC LOBBY ISSUE: AA Certificate of Appropriateness/Variance i ~ JI Issue to be lobbied (Describe in detail): ' III. CIT1f AGENCIES/INDIVIDUALS TO BE LOBBIED: A) Full Name of Indhrfdual/Title ~ B) Any Financial, Familial or Professional Relationship Planning and Zoning Department Staff, HPB, BOA, City I None Commission IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR OTHER A) LOBBYIST DISCLOSURE: (Required) __ 5375 00 oar hour B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Requlred).$375.00 oar hrn~r The foNoyvin9 ilnfonnatlon must be answered: i) Pursuant eo Miami Beach City Code Section 2-48ti Entitled °Prohibited Campaign Contributions By Lobbyists On Procurement Issues": 2) Pursuant do Miami Beach City Code 2-490 Entitled "prohibited Campaign Contributions By Lobbyiists On Real Estate Devebpment Issues": ' on a oendino aool - ~•-- - ~-- ~ - 3) Pursuant to Miami Beach Cry Code 2-484 (h) Any person (except those exempt from the definition of "lobbyist" as set forth in Section 2-481 above) who ony appears as a re~esentative of a rwt-for-profit corporation or entity without speaal compensation or reimbursement for the appearance, whether direct, or indirect, to express support of or opposition to any item, mall register with the clerk as required by this section but, shall not be required bo pay any registratbn fees.. ^ Yes X No: rg ..+e.+.~.s"''ina a not-fer•e.r~ftr ~~ o>r t~eimburaen~n;f d`°• °7 anti" ai ' ` "' ~"""'' w• SIGNATURE UNDER OATH: ON OCTOBER iw OF EACH YEAR, EACH LOBBYIST SHALT. SUBMIT 70 THE CM CLERK A SIGNED STATEMENT UNDER OATH. LLSTING LOBBYING EXPENDITURES, AS WELL AS COMPENSATION RECEIVED, IN THE CITY OP 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. ~/ ~/ Signature of Lobbyist I do solemnly swear that all of the foregoing facts are true and correct and that I have read or am familiar with the provisions contained in Section 2-482 of the Miami Beach cty Code and all reporting requirements, „ ~ Signature of Lobbyist: / ~ v / ~~ ~./~~ Signature of Principal/(dent: ~• LOBBYIST IDENTIFICATION: ^ Produced ID Form of Iden1 ~Per~nally known (Lobbyist) VII. SIGNATURE AND STAMP OF State of Florida, County of Miami-Dade Swo subscri re me Thi day of 20~~ Sig of Public -State f Florida Notartzaticn of Lobbyist's siB re PRINCIPAL IDENTIFICATION; . +,: • N ^ Produced ID `' °~ Form of Identification °~ ~°"'~ „~-Pe sFonally known (PMnd~ Halpern ~?:~ ~ o My Commieslon D09010if4 ~ ~ ~a, a~ Expires AAerch 29, 2008 ~ ~~ ~ Q State of Florida, County of Miami-Dade o s' ~ ~ Sworn and subscribe fore me °o ~ This L d 20~ o ~ T w s Signature of u lic ~ ~ Princiryp~Pa fate of Florida signaiture Annual Registration fee: ~ FOR G.ER- ~LY ,., n~ ]Yes [ ] ~ Amount Paid 0 MCR # ~-~l -Date Paid