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Wayne Pathman/Alan Lieberman 1330 Pennsylvania Ave.MIAMIBEACH City of Miami Beach Office of the City Clerk 1700 Convention Center Drive, Miami Beach, FL 33139 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 induces the principal as well as any employee engaged In lobbying activities. The term "Lobbyists" has specific exclusions. Please refer to Ordinance 2004-3435. Pathman W avne_ M NAME OF LOBBYIST: (Last) (First) (M.I.) Pathman Lewis, LLP, 2 South Biscayne Boulevard Suite 2400 Miami FL 33131 _ BUSINESS NAME AND ADDRESS (Number of Street) (City) (State) (Zip Code) 305-379-2425 305-379-2420 wpathmaniewisnn.nathmanlewis.com _ TELEPHONE NUMBER: FAX NUMBER: EMAIL: I. LOBBYIST RETAINED BY: Alan Lieberman NAME OF PRINCIPAL/CLIENT: Alan Lieberman Properties. 1680 Meridian Avenue Suite 102 Miami Beach FL 33139 BUSINESS NAME AND ADDRESS (Number and Street) (City) {State) (Zip Code) Z$6-271-3458 TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: {Optional} Fill out this section ii principal is a Corporation, Partnership or Trust [Section 2-482 {c) ] • NAME OF CHIEF OFFICER, PARTNERS, OR BENEFICIARY: Alan Lieberman • IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: Alan Lieberman II. SPECIFY LOBBY ISSUE: 'ti anon of de Violation Fine t: 1330 Penn Iv is Aven Issue to be lobbied (Describe in detail): III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: A Full Name of Individual/Title B An Financial, Familial or Profession Reiationshi Assistant Ci Mana er, Robert Middau h IVo Buildin De dCode Com liance Re resentative No City Finance Dept and any other appropriate City De is/Offices No IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR OTHER): A} LOBBYIST DISCLOSURE: (Required) Hourly Rate - $400 B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). Hourly Rate - $400 The following information must be answered: 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 2-440 Entitled "Prohibited campaign Contributions By Lobbyists on Real Estate Development Issues. ^ Yep ~ No: Are you lobbvlne on a pendine annlicatlon for a Development Agreement with the Cltv Of application for chance of zonine map designation or chance to the Clty's Futiure 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 snot-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 C1TY 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 EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD. Signature of Lobbyist 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 Sections the Miami Beach City Code and al] reporting requirements. ~ } _._._ ._ - Signature of Lobbyist: 1 !~1 °iI ' Signature of PrincipaUClient: JEAN C. MCLEOD v!~' crl~~lssiQN'lxd®d~Z$44 EXPiIiES: November i, 2008 Bonded thru Notary Pub~b UiMe~llers VII. State of Floritla(Counry of Miami-Dade Sworn to and subscribe~efo-reJ~e Thi~S~~'t` day ofG~°/~` (/ , 20 O f(_ Form of Identification OF N01'ARY: PRINCIPAL IDENTIFICATION: `~,>~~a° PEN KA~j, °'~irs ~~..0 Produced ID • o_ ~ r`~%~ Form of Identificati~tt-~'~~ a~ 2~0~ '. er onally P incipal) * #p • 7s67 ,~ ~ ~ ^ ~c`°•' Q 2 P State of Florida, County ofMiami-Dade Swo d subscrib of This day of 20 / FOR CLERK'S USE ONL'f~ p r~ ~/ C Annual registration fee: [ v J Yes [ ] No Amount Paid ~~, D ~ MCR # 7 / 7 ~ Date Paid 7 ~ ~ Lobbyist Registration Form received and verified 6y: F:\CLERI$ALUMARIA-M\LobbvistlLOBBYIST Form OS.doc ..I!!~'"""'" Revised 12/08/04