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Gerald Schwartz/Linda Binderm 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 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 spec/if~ic-e-xclusions. Please refer to Ordinance 2004-3435. NAME OF LOBBYIST: (Last) (First) (M.I) i?~~,~-~' ~ ~~ ~ ca.~-rL t t t c Ltitcr-~. ~ ~b~,~ 3 ~/3~i NAME AND ADDRESS (Number and Street) -- l1 b l 3~S- Gr13 - S'SbS FAX I. LOBBYIST RETAINED BY: ~ ~.~ EMAIL: ~ ~! EMAIL: 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: II. SPECIFIC LOBBY ISSUE: 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 ~~k'~ ~ rf~!I /! ~ /~- L'-~ Via` G,'7 Z '~' ~~ Z ~ ~ Z~"' l ~Z '~ ~l~ L ~ ii/c~G~.R Z ~~i>~a N. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR OTHERf ~ ~ or A) LOBBYIST DISCLOSURE: (Required) 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": 2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues": Ma°? 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.. V. SIGNATURE UNDER OATH: ON OCTOBER iTT 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 SHALL BE FILED EVEN IF THERE HAVE BEEN NO DITURES OR OMP ION DURING THE REPORTING PERIOD. Sig ture of Lobbyist I do solemnly swear that all of the foregoi g facts are true and correct and that I have read or am familiar with the provisions conta~ in Section~82 th Iii Beach ~ Code and all reporting requirements. /~ Signature of Lobbyist: Signature of Principal/Clieri4! VI. LOBBYIST IDENTIFICATION: Produced ID ~ ~- Form of Identification 1e/Personally known (Lobbyist) VII. SIGNATURE AND STAMP OF NOTARY: State of Florida, County of Miami-Dade Sworn to,and subscribed. efor me This,~~1~ day of ~' w~~y , 20 ~!~ 9fgnature of PubF(c Nofary - ~ Notarization of Lobbyist's S510N # DD 677189 September 20, 2011 PRINCIPAL IDENTIFICATION: ~roducedID 1.~ ,~ :~Iā€ž2,1~ .~~? ~~~--`~~lG,o Form of Identification ~ Personally known (Principal) State of Florida, County of Miami-Dade Sworn a~ci subscribed before me This day of,/~~ c!, .~_-ZO~~ S ~ 1. l~ti ' J t~ ,' ā€ž~y`ā€¢"ā€¢"'Y~~: ION # DD 742222 is Nota to _~~' .l. ~ ~a EicP1RES: December 17, 2011 of Pri ipal's si 'a~i~~, BoncedThtiNOtaryPUbllcUnOeiwriters FOR CLERK'S USE ONLY Annual Registration fee: [ ]Yes [ ] No Amount Paid MCR # Date Paid Lobbyist Registration Form received and verified by: F:\CLER\$ALL\MARIA-M\Lobbyist\LOBBYIST fORM 05.doc Revised 12/08/04 Page 1 of 1 Prieto, Silvia From: Gerald K. Schwartz [gks@southbeachlaw.com] Sent: Monday, March 10, 2008 7:12 PM To: Prieto, Silvia Subject: LOBBYIST REGISTRATION Thank you for getting back to me..... the matter for the Application was to object to the Zoning Variances requested by the owner of 4492 North Bay Road.....BOA item 3344........... Let me know if there is anything else you need .... Thank you... Jerry Gerald K. Schwartz, Esq. Beloff and Schwartz 1111 Lincoln Road Suite 400 Miami Beach, FI 33139 PH 305-673-1101 Fax 305-673-5505 Cell 305-799-1101 E-Mail ks southbeachlaw,co___m This message contains information which may be confidential and privileged. Unless you are the addressee (or authorized to receive for the addressee), you may not use, copy or disclose to anyone the message or any information contained in this message. If you have received this message in error, please advise the sender by reply email or reply to gks@southbeachlaw,com, and delete the message. Thank you very much. 03/11/2008