Carter McDowell/Les Holdings, 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 Sumberg - 200 South Biscayne 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~bilzi n. com
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
LOBBYIST RETAINED BY:
Les Holdings LLC
NAME OF PRINCIPAL/CLIENT:
Les Holdings LLC 3200 NW 77 Court Miami FI 33122
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305-468-1515 305-468-7975
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: Leo Schlegel
• IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE
OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST:
SPECIFIC LOBBY ISSUE:
Conditional Use Permit - 78 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
Ruh 28 2007 10:57RM HP LRSERJET FR}{ p.3
N. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY,
FLAT RATE OR OTHER)
MIAMI 1
8128!07
A) LOBBYIST DISCLOSURE: {Required) _ Hourly 5500
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). Hourly $500
The following information must be answered:
I
1) Pursuant to Miami Beach City Code Section 2-488 Enttled "Pr}~hibited Campaign Contributions By Lobbyists On
Procurement Issues":
^ Yes ®No: Are you lobbying on a present or pending bid for
pending award for goods, equipment or service?
2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited
Development Issues":
Yes ^ ®No: Are you lobbying on a pending application fora De'
change of zoning map designation or change to the City's
equipment or services, or on a present or
Contributions BY Lobbyists On Real Estate
ant Agreement with the City or application for
Land Use Map?
3) Pursuant to Miami Beach City Code 2.484 (h} Any person (except hose exempt from the definition of "lobbyist" as set
forth in Section 2-481 above} who only appears as a represent ive of snot-for-profrt corporation or entity without
special compensation or reimbursement for the appearence, ether direct, or indirect, to express support of or
opposition to any item, shall register with the Gerk as required by this section but, shall not be required to pay any
registration fees..
^ Yes ®No: Are you representing a not-for-profit corporatiory or entity without special compersation or
reimbursement.
V. SIGNATURE UNDER OATH:
ON. OCTOBER 1" OF EACH YEAR, EACH LOBBYIST SHALL SUBMII~ TO TH CITY CLERK A SIGNED STATEMENT
UNDER OATH, LISTING LOBBYING EXPENDITURES, AS WELL AS CO P ION RECEIVED, I THE CITY OF MIAMI
BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT S E FILED E~jIF T ERE HAVE BEEN NO
EXPENDITURES OR COMPENSATION DURING THE REPORTING ~/~//.._
I do solemnly swear that all of the foregoing~S are true and coned , that I have read or am familiar with the provisions
contained in Section 2-482 of the Miami e~ ' y Co d all requirements.
Signature of Lobbyist:
Ca er Dwell
Signature of Principal/Client:
Leo Schlegel ~
YI. LOBBYIST IDENTIFICATION: RINC~PAL IDENTIFICATION: Leo Schlegel
^ Produced ID
/ Fonn of Identification
t~B~ Personally known (Lobbyist)
tY ISSION 1 DD 529254
Sw n to and subscribed EXPIRES: May 18, 2010
..~
Thi day of ~ v • • h,,,,ndwekw..rc.A~r
Signature of Public Notary -State of Florida
Notarization of Lobbyist's signature
VI . A R~ AN AMA OF N
State Coun ~ a
~duced ID ~ t'k.~, t?.l.ii l~,c~ ~5..~
Form ai identiflcatian
C Personally known irlncipal}
. ~ J~
State of Florida, County of }"' ~8p~
This ~ day of nb befo ~ ; - MY COMMI ~;1X~1529254
9ondeaThiu PkirrdtrurwApw.y
Signature of Public Notary -
Notarization of Principal's signature
FOR CLER 'S S
Annual Registration ~ es [ ] No Amount Paid ~ MCR w~ Date Paid~~~~~~
i Lobbyist Registration Form received and verified by:
F:ICLERI$ALLWIARIA-M1LobbyistlLOBBYIST FORM 05,doc Revised 12/08104