Carter McDowell/Robert Burns, LLCCity 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.
McDowell Carter N•
NAME OF LOBBYIST: (Last) (First) (M.I)
Bilzin Sumber - 200 South Bisca ne Boulevard Suite 2500 Miami Florida 33131
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) Zip Code)
305 350 2355 305/351-2239 cmcdowell(a~bilzin.com
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
LOBBYIST RETAINED BY:
Robert Burns LLC
NAME OF PRINCIPAL/CLIENT:
Robert Burns LLC 360 Hamilton Avenue White Plains New York 10601
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
212-307-8000 212-307-8009
FAX NUMBER: (Optional)
EMAIL: (Optional)
TELEPHONE NUMBER:
Fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (c)]
• NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: Officer: Todd Kamelhar
• IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE
OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: 100% William Joel
SPECIFIC LOBBY ISSUE:
Conditional Use Permit - 82 La Gorce Circle
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 Board None
Department Staff
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY,
FLAT RATE OR OTHER)
A) LOBBYIST DISCLOSURE: (Required) Hourly $500
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). Hourly $500
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":
IAMI 1
;/28/07
:_7 Yes ~No: Are you lobbying on a present or pending bid for goods, 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":
Yes ^ ~ No: Are you lobbying on a pending application for a Development Agreement with the City or application for
change of zoning map designation or change 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 anot-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..
^ Yes t]No: Are you representing 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 COMPENS ION RECEIVED, IN THE CITY OF MIAMI
BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT SHA FILED EV N IF E AVE BEEN NO
EXPENDITURES OR COMPENSATION DURING THE REPORTING P
Signature of Lob yist
I do solemnly swear that all of the
contained in Section 2-482 of th,~IG
Signature of Lobbyist:
Signature of Principal/Client:
facts are trlye and c ect a that I have read or am familiar with the provisions
~C~12o end requirements.
Carter N. McDowell
VI. LOBBYIST IDENTIFICATION:
Todd Kamelhar, Officer and Authorized Signatory
PRINCIPAL IDENTIFICATION: Todd Kamelhar
Officer/Authorized Signatory
^ Produced tD
Form of Identification Form of Identification
Personally known (Lobbyist) ^ Personally known (Officer/Authorized Signatory)
^ Produced ID
a"'"",,• IBIS DIAZ
VII. SIGNATURE AND STAMP O :~ ~My~MISSIQNItDD529254
EXPIRE y 18, 2010
State of Florida, County of Miami- TM~~^w~~' to of New York, County of
Sworn and sub ribed b fore m orn and subscribed before me
This day of ~ uS , 20 0 . \ This day of , 20
~l9`~
Signature of Public Notary -State of Florida a ~- Signature of Public Notary -State of New York
Notarization of Lobbyist's signature Notarization of Officer/Authorized Signatory
FOR C~ US NLY ~ Q'J ~
Annual Registration fee: [' es [ ] No Amount aid ~ MCR #~~1jJL-~ Date Paid
Lobbyist Registration Form received and verified by:
i F:\CLER\$ALL\MARIA-M\Lobbyist\LOBBYIST FOR 05.do Revised 12/08/04
al;G. -~Q' O ITHI)) ll): ~~ _„P. 00?/003 .
AuQ-2A-01 02:t)lpm rrom-ORdF Testanl/Kamelhar 212 361 9066 T-186 P•002/009 F-028
City of Miami Beech Office of the Clty Clerk
1700 Convention Cantor Drive, Mlaml Beach, FL 33139
LOBBYIST REGISTRATION FORM
Lobbyist meona ell rarsons employed or retained, whether paid of not, py a principal who seeks to ancourape the passage,
defeat or modifiglion of any ofdinanco, resolution, action or derision of any commlceioner; any anion, tleoislon,
recommendation of the Clry Manm~er or any city board or committee; or any action, deci&ion or recommendation of any city
personnel during the time period of the entlro decision-making process c~i such action, decision or recommendation that
foreo®eebly wpl be h~3ard or reviewed by the city commission, or a city board or committee. The term specifically includes the
principal ds we!I as any employee engsgod in lobbying nclivitios. The term "l_obbyistri" has specific exclusions, Plutaoe refer
to Ordir~pnoe 2004-.;435.
McDewell N.
NAME OF LOBBYISM: (Leal) (First)
(M.I)
l31<zlt] Sumb~ry - 200, So 's e o fever S ' ? t] I o a 33 3
BUSINESS NAME A~fO gDDRFBS (Number and Street) (City)
(Stste) 21p Cods)
TEL
FAX N
Ro o^t t7ume, LI_C
NAME OF PRINCIPAI.ICLIENT:
BUSINESS NAME ANP;) ADDRESS (Number and Street) (Ci r ~ c N k OrEi
tY) (S18te) (Zip Code)
212-307.40001 212.3fl -
TELEPHONE rdUMBEft: FAX NUMBER: (Optional) ~ FMnIL: (OpUonaq
Fill ouk this section if principal is a Corporation, Parinerbhip or YruLC (Sdction Y-4B2 (o)]
^ NAME O~ CHIEF OFFfCER, PARTNER, OR BENEFICIARY; Offict7r; Todd Kam®Ihar
• iDEN'I'It=Y ALL PkRSONS HOLDING, DIRECTLY OR INC)if~ECTLI', A 5% OR MORE
OWNERSHIP INTEREST W SUCH CORPORATION, PARTNERSHIP OR TRUST: 100% Wihtarn Joal
I.ODpY18T RETAINED BY:
It. SPECIFIC LOIi3BY ISSUE:
Conditional Uste it - 2 La Go ce Ci I
Issue to be labb~ed (Dt3:~cribt3 In t7etail):
III. CITY aGENCII::StINDIVIDUALS TO BE LOBBIED:
ECG. -31~' Q ITHI!) 10 ; 55
Auo-26-O7 02:01pm From-OR&F Testanl/Komelhar
P. 00~/OQ3
212 aD7 8066 T-196 P DD3/00'a F-026
!V. D19CLOSUIRp Op TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCL06E WHETHER HOURLY,
FLAT Rd 1'.!: OR OTHER)
A) L086YIST DISCI,DSURE: (Required) o rl .60
B) PRINC)PAL'S DISCLOSURE (OF lOeE3YIST COMPENSA710N}; (Required}. Howe
y,~50(3
Tha following InFomrrotion must bo answered:
1) Pursuant to Miami Beach City Code Section 2-488 Entitled "Prohibited Campaign Contributions ay Lobbyists On
Procu,emenl Issutlr°;
lJ Yes ®No: Are you lobbying on a present or pending bid for good, equipment or services, or nn a present or
pending aW;;trd for goods, equipment or sarvioo?
2) Pursuant to Miami Beach City Code 2~i90 Entitled "Prohibited Campaign Contributions By Lobbyists On Real Estate
Development Issues":
Yes ~~ t~l No: Aro you loboying on a pending application for a Development Agreement with the City or rpplication for
change of zoning map designation or change to the City's Future Land Uxn Map?
3) Pursuant to h4laml Beach Clty Code 2-464 (h) Any person (except those exempt from the definition of "lobbyist" es uet
forth m Sodi~:,n 2-481 8bovo) who only appears as a representative of snot-for-profit corporation or entity without
special compensation or reimbursement for the appearancrt, whether direct, or indlr6et, to express sypport of or
opposiilon to any Itrm, shall register with the clerk ae required by thin aoction but, shell not be required to pay any
registrarJon fe~,s..
i-- Yoer ®No: Are you raprosontin9 a not-for-profit eorporttion or entity without special compensation or
reitnbur9ement
V- SIGNATURE I.INDER OATH:
ON OCTOBER 1" OF EACH YEAR, EACH LOBBYIST SHALL. SUBMIT TO THE CITY CLERK A SIGNED STATEMENT
UNDER OATH, LISTING L09EiYING EXPENDITURES, AS WELL AS COMPENSATION RECE'.IVED, IN THE CITY OF MIAMI
BEACH FOR THE PRE?;CEDING CALENDAR YEAR. A STATEMENT SHALL BE FILED EVEN IF THERE: HAVE BEEN NO
EXPENDITURES OR C,~MPE=NSATION DURING THE REPORTING PERIOD.
Signature of Lobbylat
I tlo solemnly swear that ~,II of the foregoing fuel. are true amd correct and that I have read or am familiar with the provlslona
contained in Section 2'32 of the Miami Cieoch City Code antl 911 roportina requirements,
Signature of t_oht~yist:
~q~~Ci ~~• mcuoweu ~(,~
Signature of Principal/Clksnt: Y-
t oqq Komelhar, Officer anb Authorized signatory
VI. LOt38YIST IDENTIFICATION: PRINCIPAL IDENTIFICATION: Todd Kamelhat
Produced ID OfficerlAuthorizod Signatory
Form of IrJen6ficatlon '-~ Produced Ip
I:' Personally knour~n (Lobbylsq Form of Identltlr~tion
Personally known (gNlcor/Authorized Signatory)
VII, SIGNATURE AND 5'L'AMP OF NOTARY:
State of Florida, County of Miami-Dade
sworn to and subscribed i>efore me
This ~ dpy pl ~_ 20_
Signature of Public Notary -State of Florida
Notarization of Lobbyist's signature
State of New York, County of bsF, rr /~~
Sworn End subscribed before m
This ~ ddy of ~t.{~yL_, p ~oR*a ~ aooorwn
r~.wr~•~erc • oor d rr..o,.
-O 6
Ig ature or Public Notary - 9ta
NoWtlzdtlon of OfficerlAuthori
Annual Registration fe~a: Yes FoR CLERK'S Use ONLY
Lobbyist Registration Form recelveo and verifed byrn Pald MCR Imo` ^ato Paid
ti o7 13 F:~CLERtsALL1MARIA~.MtLobbyi9t~LODDYIST FORM 05.ooc
f~~rvirod 12/OtlrOa
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ient's Naine:
Recl Com an : Fax: Phone3_ _....----
1. _
Robert Parcher, Clerk _ ...............-
Cil of Miami Beach 305-673-7254 - 305-673-7411
• 1' ,;. eyi~ Y.e. t ,~V EIS
~~~From ,, ~ : tRva~ ~'. ~i: asp ka_~ h,.l f.4 ,.~
.~ ° @ qty k Mir~'~ -L.t i
' []tract Fax- _,__ P .i }~ N .; 1''-~, ~ c.- ~, •, , il~--
-F~h~ane:
Carter McDowe.Il, Es Bilzin Sumber 305-351-2239 305-350-2355 •_
# of Pa eg s: - Date: __ Client #: ___ Matter #:
3 Au ust 30, 2007 _.13706
RE: RobECrt Burns. LLC
NI~SSag®
Attached ple2se find addendum to the lobbyist registration filed on B28/0T by Carter McDowell as lobbyist
retained by Rcabert Burns LLC.
Thank you.
Call us at 305.374,7580 if you have any difficulties with this transmisslon.
THE INFORMATION COh1TAiNED IN THIS FACSIMILE MESSAGE IS ATTORNEY PRIVILEGED AND CONFIDENTIAL INFORMATION
INTENDED ONLY FOR Tt•IE USE OF THE INDIVIDUAL OR ENTITY NAMED ABOVE, IF Tt-IE READER OF THIS h1ESSAGE IS NOT THE
INTENDED RECIPIENT. OR THE EMPLOYEE OR AGENT RESPONSIBLE TO p~LIVER IT TO THE INTENDED RECIPIENT. YOU ARE
HEREDY NOTIFIED THAT ANY DISSEMINATION, DISTRIBUTION OR COPYING OF THIS COMP~IUNICATION 15 STRICTLY PROHIl3iTED IF
YOU HAVE RECEIVED T,11S COMMUNICATION IN ERROR, PLEASE IMMEDIATELY NOTIFY US BY TELEPHONE, ANp RETURN ThIE
ORIGINAL MESSAGE TO US AT THE ABOVE ADDRESS VIA THE U.S. POSTAL- SERVICE. THANK vOU.
i_. _. -_ .
ORIGINAL QOt~UMENTS: WILL O WILL NOT ^ FOLLOW BY MAIL ^
BiLZIN SuMetAG (3AENA PRICE r4 AXELROD LLP
200 5. Biscayne Boulovard, S~~ite 2500, Mieml, FL 33131.5340 t~.a 3~5.37aJ580 i",« 305.374J5D9 :vva'. i;u: ~i~ ,:r~ui