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Alexandra Deas/Atlantic Sunset Bay, LLCCity of Miami Beach Office of the City Clerk 1700 Convention Cente~ 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. DEAS ALEXANDRA ~ NAME OF LOBBYIST: (Last) (First) ~M~~~) Bilzin Sumber Baena Price 8~ Axelrod LLP 200 SO. BISCAYNE BLVD. SUITE 2500 MIAMI FL 33131 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) Zip Code) 305 350 7241 305-351-2176 adeas(c~bilzin.com TELEPHONE NUMBER: FAX NUMBER: EMA~L: LOBBYIST RETAINED BY: Atlantic Sunset Bav LLC NAME OF PRINCIPAUCLIENT: 18305 Biscavne Boulevard Suite 402 Aventura Florida 33160 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305-931-4959 305-931-4604 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 CNIEF OFFICER, PARTNER, OR BENEFICIARY: Leroy Schecter • IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: Board of Adiustment aaarovals for Bel Aire on the Bav located at 6800 Indian Creek Drive. Miami Beach, FL Issue to be lobbied (Describe in detail): III. CITY AGENCIES/INDIVIDUALS TO BE L~BBIED: A) Full Name of IndividuallTitle B) Any Financial, Familial or Professional Relationship Board of Adjustment Staff none ~,; l a _i,~ V V '''~~` ~7~? ,{.1I~ S~ ~~~ ~d 8~ k~r U ~ ~ e~~z ~'c~_ .~~ -~~J C.i IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATiON (DISCLOS~ WHETHER HOURLY, FLAT RATE OR OTHER) A) LOBBYIST DISCLOSURE: (Required) $265/per h~ur B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). $265/ner hour The following infornnation must be answered: 1) Pursuant to Miami Beach City Code Section 2~t88 Entitled "Prohibited Campaign Contributions By Lobbyists On Procurement Issues": O Yes ~ No• Are vou IobbYinq on a present or pendinq bid for qoods equipment or services, or on a present or aendina award for aoods, equiament or service7 2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Labbyists On Real Estate Development Issues": ^ Yes ~ No• Are you lobbvinq on a pendinq application for a Development Aqreement with the City or application for chanae of zoninq map desiQnation or chanqe to the Citv's Future Land Use Map? 3) Pursuant to Miami Beach City Code 2-484 (h) Any person (except those exempt from the definition of "IobbyisY' 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 ihis section but, shall not be required to pay any registration fees.. ^ Yes ~ No• Are vou representina a not-for-profit corporation or entitv without special compensation or reimbursement? V. SIGNATURE UNDER OATH: ON OCTOBER 1" OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CL~RK A SIGNED STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES, AS WELL AS COMPENSATION RECEIVED, IN THE CITY OF MIAMI BEACH FOR l'HE PRECEDING CALENDAR YEAR. A STATEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD. Signature of Lobb~ist 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 CityFode and all reporting requirements. Signature of Lobbyist: ~/"~ T'"v Alexandra Deas Signature of Principal/Client: VI. LOBBYIST iDENTIFICATION: Produced ID Form of Identific tion Personally known (Lobbyist) VII. SIGNATURE AND STAMP OF N •~--- MERCEDEBPADRON State of Florida, County ~ a~gCOMM15SI0N # OD 60878i Swor to and subs }be ~ f ~ p~RES: November9, 2010 ~hi~~dayof~~-!! . ~~eOThruPicM~dlnwn~lW~~~ 'ublic Notary - State of Florida of LobbyisYs signature PRINCIPAL IDENTIFICATION: Leroy Schecter Produced ID Form of Identification 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 CLERK' U,$E ONLI( c] ,l ,.,~i Annual Registration fee: [] Yes [ ~No Amount Paid ~~~~ ~ i'U MCR #~/~~~vV Date Paid O/ ~ g L^~ Lobbyist Registration Form received and verified by: c~~~ ~~' / >/-Yf ~'~! ~' / F:\CLER1$ALL1MARIA-M1Lobbyist\LOBBYIST FORM 05.doc . Revised 12/08/04 . ,~ _,. -- - ~~ -~~~--~ ~, /~~!~~ ~'