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Wayne Pathman/Alan Lieberman 318-320 24th Street MIAMIBEACH City of Miami Beach Office of the City Clerk 1700 Convention Center Drive, Miami Beach, FL 33139 Lobbyist means ail 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. Pathtnan Wavne 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 ~rpathmanlewis(n~pathmanlewis.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) 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 $ENEFICIARY: 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/Liens/Fines at: 318-320 24'" Street Issue to be lobbied (Describe in detail): 111, CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: A Full Name of IndividuallTitle B An Financial, Familial or Profession Relationshi Assistant Ci Mana er, Robert Middau h No Buildin De t/Code Com liance Re resentative No City Finance Dept and any other appropriate City De 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 - 5400 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 lobbvipg on a present or pendine bid for eoods equipment or services or on a present or pendine award for Qoods. 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 voq lobbying Qn a nendige annllcatlon for a Develooment Agreement with the Citv Of application for change of zoaing mao 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 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 representine snot-for-profit corporation or entity without special compensation or reimbursement. V. SIGNATURE UNDER OATH: ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHA SUBMIT TO THE CITY CLERK A SIGNED STATEMENT UNDER OATH, LISTING LOBBYING EXPENDIT , ELL AS C NSATION RECEIVED, IN THE CITY OF MIAMI BEACH FOR THE PRECEDI G CALE R. A STATEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPENDIT S O SATION DURING THE REPORTING PERIOD. Signature of Lobbyist I do solemtily swear that all of the foregoing facts are taste and correct and that I have read~"r am familiar with the provisions contained in Section 2-482 of _ 'Beach City Code and alt reporting requirements. ~ i ~ _ `~" Signature of Lobbyist: /! _ --" Signature of PrincipaUClient: FOR CLERK'S USE ONLY Annual registration fee: [ j Yes [ j No Arnount Paid ~~--~!- MCR # mate Paid 7 Lobbyist Registration Form received and verified by: F:\CLER\SALLIMARIA-M\Lobb 'st1LOBBYIST Form OS.doc Revised 12/08/04 State of Florida, County of Miami-Dade Swo d subscribe before This day of, 20 `~~atutln--up~~ ```~~~~~ ~L~ 1S 'all nd ~oi~, ~~ 9 ddb ~~ . C~~ . aw,~9~sl4Bnorgjo 'l0 i ~ ~ d• ~p.u ~ `,~~: ••s'es~'~Z '8~~ o; •'.°,~• k01SS~ .•~ see` :~i~~~;/` b31 t1~~~e~a~~`~~ VI. LOBBYIST IDENTIFIC'~'~ION: ~~ PRINCIPAL IDENTIFICATION: _