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Wayne Pathman/Alan Lieberman 2315 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 wiil 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 Wayne M. NAME OF LOBBYTST: (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 wpathrnanlewis anpathmanlewis.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 BENEFICIARY: Alan Lieberman • IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: Aian Lieberman II. SPECIFY LOBBY ISSUE: Mitisation of Code Violations/Liens/Fines at: 2315 Pine Tree Drive _ _ Issue to be lobbied (Describe in detail}: III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: A Full Name of IndividuaVTitle B An Financial, Familial or Profession Relationshi Assistant Ci Mana er, Robert Middau h No Buildin Dc dCode Co 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; 1} Pursuant to Miami Beach City Code Section 2-488 Entitled "Prohibited campaign Contributions By Lobbyists on Procurement Issues": ^ Yes ~ No: Are you labbving_on~resent or pending bid for goods equipment or services or on a present or pending award for tzoods. equipment or service? 2} Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited campaign Contributions By Lobbyists on Real Estate Development Issues. Yes ~ ~To~ Are you lobbying on a nendin¢ application for ~ Development Aereement with the Ciri Of a li for ch n onin m i nation or h e to h i 's Future L nd Use Manz 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, shah 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 lST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERIC A SIGNED STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES, AS WELL AS COMPENS ON RECEIVED, IN THE CITY OF MIAMI BEACH FOR THE PRECE ALENDAR YE TEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPENDITURES O MP T DURING THE REPORTING PERIOD. ~--~ I do solemnly swear that all of the foregoing facts are true and familiar with the provisions contained in Section 2-482 of the requirements. Signature of Lobbyist: ct and that I have read or am tartu Beach Ci Code and all reporting ..--%' ~i Signature of PrincipaUClient: ENTIFICATION: r .;~ tf. t~CLEOD EXPIRES: Nov ~ iJet Form of Identification Bader T~ Rory w~u unaorN '" I~yr Wally latown {Lobbyist) (J / VII. ~SIGNA R~ AN M F NO RY ~~..~ State of Florida, my o Sworn an ri efore This y of , 20 ~~ i PRINCIPAL IDENTIFICATION: `~~ettlttlttit~LL~ ~~~ \`` `~~~ ~Ld iS '~Ilg~d °~i~ ^ Produced ID ` 9 f ~~` .~~,'' .Q~S1sl4Eno+~.,~`yb\ °4.~ p Form of Identificaiion~ a •~SJ` '~~ • ~ ersonally o (Principal) :~ ~~Q • ~' = ~- s ~~o~': •, ::d~z ,8p ~o~:• ` .~ T '','/'/ `;A` State of Florida, County of Miami-Dade ~~~~~f ot1~I~tN~~ ~~, ` Swom subscribe b This da of~ 2010 y , FOR CLERK'S USE ONLY Annual registration fee: [ l Yes [ 1 No Amount Paid MCR # Date Paid Lobbyist Registration Form received and verified by: F:~CLERISALUMARIA-MU.obbyietU.oBBYISTFormOS.doe Revised t2/08/04