Carter McDowell/Zedek AssociatesCity 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 Baena Price Axelrod LLP 200 S Biscayne Blvd 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:
Zedek Associates
NAME OF PRINCIPAL/CLIENT:
c/o Jean Pierre Rein 18851 N.E. 29`h Avenue Suite 901
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
{305) 931-4959
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:
• IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE
OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST:
SPECIFIC LOBBY ISSUE:
Representation of Zedek Development approvals for 321 Ocean Drive ,Miami Beach
and representation regarding accessory use ordinance for RPS District
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
Commission, Plannin , Zonin None
S ecial Master None
MIAMI 932732.1 7647223722
2/ 12/08
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY,
FLAT RATE OR OTHER)
A) LOBBYIST DISCLOSURE: (Required) $535.00 ___.
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required)
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":
Yes •~N~o: 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
D elopment Issues":
i Yes WNo: Are you lobbying on a pending application for a Development Agreement with the City or application for
change of zoning man 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 snot-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 ;,{ "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 COMPENSATION RECEIVED, IN THE CITY OF MIAMI
BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT SHA FILED EVEN IF THE HAVE BEEN NO
EXPENDITURES OR COMPENSATION DURING THE REPORTING PE _ _ / _ _
Signature of Lobbyist
I do solemnly swear that all of the foregoing fay
contained in Section 2-482 of the Miami B
Signature of Lobbyist:
f
Signature of Principal/Client: y-
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VI. LOBBYIST IDENTIFICATION:
~ ' Produced ID
Form of Identification
Personally known (Lobbyist)
VII. SIGNATURE AND STAMP OF NOTARY:
are true and correct an/d ~that I have read or am familiar with the provisions
Code anc~ all reportinq,~quirements.
PRINCIPAL IDENTIFICATION:
Produced ID
Form of Identification
Personally known (Principal)
State of Florida, County of Miami-Dade State of Florida, County of Miami-Dade
S~,,i Sworn and subscribed before me by rr~.,,•1'K~'t ~~'~,~~~
Thi .,~:~i~,~ of ~'-9u This day of F25,~ ~nr.ry , 20~
Sig ~ u ~ ~6 I ~ Signature of Public Notary -State of Florida
Not ~`~~ Notarization of Principal's signature
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FOR CLERK'S USE ONLY
Annual Registration fee: [ ]Yes [ ] No Amount Paid MCR # Date Paid
Lobbyist Registration Form received and verified by:
yt F:ICLER\$ALLIMARIA-M\LobbyistlLOBBYIST FORM 05.doc Revised 12/08/04
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY,
FLAT RATE OR OTHER)
A) LOBBYIST DISCLOSURE: (Required) $535 00
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). $535.00
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":
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 man 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 No: Are you representing a not-for-profit corporation or entity without special compensation or
reimbursement.
V. SIGNATURE UNDER OATH:
ON OCTOBER 15t 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 CIT~f;OF MIAMI
BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL~j~ILED EVEN IF THERE J,iA BEEN NO
EXPENDITURES OR COMPENSATION DURING THE REPORTING PE
9
I do solemnly swear that all of the foregoing facts are true and correct an ~°I have read or am iar with the provisions
contained in Section 2-482 of the Miami Beach City Code and all reporti r men s
Signature of Lobbyist ~ d~-l
Signature of Principal/Client:
VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION:
I Produced ID
Form of Identification
I~' Personally known (Lobbyist)
VII. SIGNATURE AND STAMP OF NOTARY:
State of Florida, County of Miami-Dade
Sworn to and subs abed betore me
This 1 xJ daV Of_ " ~ '" as_.~ASr~ 1
Produced ID
Form of Identification
Personally known (Principal)
State of Florida, County of Miami-Dade
Sworn and subscribed before me
This day of , 20_
,'r~'P~~~'~2A2SRat of Florida ~~ '~ ~ Signature of Public Notary -State of Florida
pr~atio~plt9~es~gn ure Notarization of Principal's signature
n~ eonded Ttru p~chard haunnce
FOR CLERK' USE ONLY Z, J 3 ~ a
Annual Registration fee: Yes [ ] No Amount PaidZ~ MCR # Date Paid
Lobbyist Registration Form received and verified by:
F:\CLER\$ALL\MARIA-M\Lobbyist\LOBBYIST FORM 05.doc ~ „+ ;. Revised 12/08/04
2/
Feb-i3-2008 10:34am =nom- T-84ii x.003/003 ~-260
IV, DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY,
FLAT RATE OR OTHER)
A) L066YIST DISCLOSURE: (Required) Sd35 00
H) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION}: (Requir®d)- 5535.00
Th® following Information must be answered:
1) Pursuant to Mlaml 9®ach Gity Code Secilcn 288 Entitled "Prohlblted Campaign Contributions By Lobbyists On
Procurement Issues":
;-? yes D No: Are you lobbying on a present or pending bid for Gnods, equipment or services, or on a present or
pending award for goods, ®qulpment or service?
2) Pursuant to Miami beach Clty Code 2-490 Entitled "Prohlblted Campaign Contributions By Lobbyists Cn Real Estate
Development issues":
~7 Yea t.I No: Are you lobbying on a pending application for a Development Agreem®nt with the Glty or application for
cihange of Zoning rnan daglgnatlan or change to the City's Future Land Use Map?
3) Pursuant to Miami i3each C1ty Code 2-4Bg (h) Any person {except those ax®mpt from the definition of "lobbyist" as set
forkh 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 it®m, sha11 register with the clerk as required by this section but, shall not be required to pay any
registration fees..
~I Yes ~ i i No: Are you representing a not-for-profit corporation or entity without special carnpensation or
reimbursem®nt.
V, SIGNATURE UNDER OATH:
ON OCT08ER 1H' OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED STATEMENT
UNDER OATH, LiST1NG LOBBYING EXPENDITURES, A5 WELL AS COMPENSATION RECEIVED, IN THE CITY OF MIAMI
BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL SE FILED EVEN IH THERE HAVE BEEN NO
EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD.
Signature of Lobbyist
do solemnly swear that all of the foregoing facts are true and oarrect and that (have read or am familiar with the provisions
contained in 5®ction 2-482 of the Miami Beach City Code and all reporting requirements.
Signatur® of Lobbyist:
Signature of Principal/Cli®nt: ~,_.._.,~~~.~
VI. LOBBYIST IDENTIFICATION: ~^
~ Produced ID
Form of identiflcatlon
[_ Personalty known (Lobbyist}
VII. SIGNATURE AND STAMP OF NOTARY:
State of Florida, County of PAlaml-Dade
Swann to and subscribed before me
This _ day of , 20_,,.,_
Signature of Public Notary --State of Florlde
Notarization of Lobbyist's signature
C Produced ED
Form of Identiflcatlon
Personally known (Principal)
Stat® of Florida, County of 14iami-Dade
Sworn and subscribed before me by 7~w•~•P'c~rc>'ei~~o~,
This 13~ day of FeS~h~v~! , 20~
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Signature of Public Natery - 5tete of Florida
Notarizatian of Principal's signature
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FOR CLERK'S USE ONLY
Annual Registration fee' [ ]Yes ( ] No Amount Paid t~3. ~MCR ~ Date Paid ~.~~ ~~ ~ i~
Lobbyist Registration Form received and verlfled by: ~; -~ r:-r'~- °~-' ~:•L."` `' Revised 12103(04
vt F:\CLER\3ALL\MARIA-MlLobbylst~LOBBYIST FORM o5.doc
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PRINCIPAL IDENTIFICATION:
LOCAT I ON ~ Ru T I f1E Ci2i13 ' Q8 D9 ~ 25