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Wayne Pathman/Alan Lieberman 1545 Drexel AvenueMIAMIBEACH City of Miami Beach Office of the City Clerk 1700 Convention Center Drive, Miami Beach, i=L 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. Pathtrlan Wame M. NAME OF LOBBYIST: (Last) (First) (M.I.) Pathrnan 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 3~-379-2420 waathmanlewisCcdpathmanlewis.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 Codc) 786-271-3458 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, 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: Mitigation of Code Violations/LienslFines at: 1545 Drexel Avenue Issue to be lobbied (Describe in detail): III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: A Full Name of Individual/Title B An Financial, Fanvlial or Profession Relationshi Assistant Ci Mana er, Robert Middau h No Buildin De t/Code Com fiance Re resentative No City Finance Dept and any other appropriate City D ts/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 uresent or pendin¢ bid for goods eauioment or services or on a present or oendina award for goods. eauioment or service 2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited campaign Contributions By Lobbyists on Real Estate Development Issues. 1Ls ~tNo• Are von 1Qbbving on a pending application for a Development At=_reement with the City Of application for change of zoning map designation or chance to the City's Future Land Use a 7 "' 3) Pursuant to Miami Beach City Code 2-484 (h} Any person (except those exempt from the definition of "lobbyist" asset forth in Section 2-481 above) who only appears as arepresentative 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 representin¢ snot-for-profit corporation or entity without saecial compensation . 9~' 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 MIAM[ BEACH FOR THE PRECE _ AR YEAR. A STATEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPENDITURES OR~C(IIYI ~ NSATION DURING THE REPORTING PERIOD. - -- ~-_ Sign a obbyist I do solemnly swear that all of the foregoing facts are true and correct d that I have read ram fantiliar with the provisions contained in,~Ction 2-48 the Miami each Ci e a all reporting requirements. / I Signature of Lobbyist: Signature of PrincipaUClient: ~__,.,,_ IDENTIFICATION: JEAN C. MCLEOD MY COMMI~Ig~~ EXPIRES: ovember 1, 20pg Form of Identification banded lino Notary PubNc Undenmtere e sonal y ob/b t) tt G VII.-"°- TA P OF OTARY: State of o ' a, County ofMiami-Dade Sworn to and ubscribe fore r~ This ~'~'[.day of ~~, 20~ J .~ \`\\\y1111104tt!/!~~`0 PRINCIPAL IDENTIFICATION: ~~~~\`\` ~N KAFi/~J `°.;s ^ Produced ID ~ ~.'o~`~oa. 20~~ Y Form of Ideniific~ion : ~o ~ ,,: ~ "" erso y kn {Principal) ~ •'• o # •~~g6~ ~~~ Q .., . dP \~i~ ~ ~0 alhioa~h `~.S O4 `\e> State of Florida, County ofMiami-Dade Swo~.tp,a0d subscri befo e This day of 0 FOR CLERK'S USE ONLY Q o Annuat registration fee: [ 1 Yes [ ] No Amount Paid ~s - MCR # ( ~ Date Paid Lobbyist Registration Form received and verified by: - F:~CLERISALLUNARIA-M\Lobb 'stVAB8YIST Form OS.doc Revised 12/08/04