Wayne Pathman/Alan Lieberman 2365-73 Pine Tree DriveMIAMIBEACH
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 aye M.
NAME OF LOBBYIST: (Last) (First) (M.I.)
Pathman Lewis, LLP, 2 South Biscayne Boulevard, Suitc 2400. Miami, FL 33131
BUSINESS NAME AND ADDRESS (Number of Street) (City} (State) (Zip Code)
305-379-2425 305-379-2420 woathmanlewista'~pathmanlewis.com
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
LOBBYIST RETAINED BY:
Alan Lieberman
NAME OF PRINCIPAUCLIENT:
Alan Lieberman Properties. 1680 Meridian Avenue, Suite 102, Miami Beach. FL 33139
BUSINESS NAME AND ADDRESS {Number and Street) (City) (State) (Zip Code)
78G-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 BENEFTCIARY: Alan Lieberman
• IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP
INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: Aian Lieberman
1I. SPECIFY LOBBY ISSUE:
Mitigation of Code Violations/Liens/Fines at: 2365-73 Pine Tree Drive
Issue to be lobbied (Describe in detail):
[II. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
A Full Name of Individual/Title B An Financial, Familial or Profession Relationshi
Assistant Cit Mana er, Robert Middau h No
Buildin De t/Code Co liance Re resentative No
City Finance Dept and any other appropriate City
De is/Offices No
[V. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER
HOURLY, FLAT RATE OR OTRER):
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 lobbing on a present or pending bid for >roods. epuipment or services or on a
present or pending award for epode. 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 ~, pending apulication for a Development Agreement with the City Of
application for change of zoning map designation or change to the City's Future Land Use
MflDY
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 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 anot-for-profit corporation or entity without special compensation
Qr reimbursement.
V. SIGNATURE UNDER OATH:
ON OCTOBER lST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES, AS WELL AS C NSATION
RLtCEIVED, IN THE CITY OF MIAMI BEACH FOR THE PREC LENDA . A STATEMENT
SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPENDITUR O E ATION DURING TI[I
REPORTING PERIOD. ~
I do solemnly swear that all of the foregoing facts are true
fanviliaz with the provisions to Sectio of
requirements. c~ ,~~~
Signature
t and that I have read or am
Beach City~Code and all reporting
Signature of
C b}Cl.EOU
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8orded Thru Notary Puuiic U!?~`-.,~~~
VIL'°,, ' SIGNA
State of Florida,
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IDENTIFICATION:
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Form of Identification
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IDENTIFICATION:
Form of
known (Principal}
State of Florida, County ofMiami-Dade
Sword sub Yribe before a ~/~.9
This ~i_[` da of 20 ~J
`~ FOR CLERK'S USE ONLY
Annual registration fee: [ ]Yes [ ] No Amount Paid MCR # Date Paid
Lobbyist Registration Form received and verified by:
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Revised 12/08/04