Alexandra Deas/Ocean Drive Inestors, LLCCity of Miami Beach Office of the City Clerk ~'~~%~~~ ~~~
1700 Convention Center Drive, Miami Beach, FI~~~9G I -
LOBBYIST REGISTRATION FORM eirr 8 P~ l: 4
cL ~ ~,~, ,,c~' 4
Lobbyist means all persons employed or retained, whether paid or not, by a principal who seeks to enc ~iJr2~g~'~te 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 includes the
principal as well as any employee engaged in lobbying activities. The term "Lobbyists" has specific exclusions. Please refer
to Ordinance 2004-3435.
Deas Alexandra L.
NAME OF LOBBYIST: (Last) (First) (M.I)
Bilzin Sumberg Baena Price & Axelrod LLP 200 So Biscayne Boulevard Miami Florida 33131
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) Zip Code)
(3051350-7241 305-351-0126 adeasCa) bilzin.com
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
LOBBYIST RETAINED BY:
OCEAN DRIVE INVESTORS LLC
NAME OF PRINCIPAL/CLIENT:
9100 So. Dadeland Blvd. Suite 1809 Miami FI 33156
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305-274-8787 305-274-0066
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, PARTNER, OR BENEFICIARY: Sam B. Nevel
• IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP
INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST:
II. SPECIFIC LOBBY ISSUE:
350 Ocean Drive -The Wave Hotel -conditional use approval.
Issue to be lobbied (Describe in detail):
III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
A) Full Name of IndividualITitle B) Any Financial, Familial or Professional Relationship
Historic Preservation Board/staff
none
Planning Board/staff
none
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY,
FLAT RATE OR OTHER)
A) LOBBYIST DISCLOSURE: (Required) $295.00
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). $295.00
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 lobbvina on a present or pending bid for goods equipment or services or on a present or
pending award for goods. eauipment 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 lobbvina on a pending application for a Development Agreement with the City or application
for change of zoning map designation or change to the Citv'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 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 a not-for-profit corporation or entity without special compensation or
reimbursement?
V. SIGNATURE UNDER OATH:
ON OCTOBER 1gt 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 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.
(i~~t /s~~-- `7~~'.~~--
Signature of Lo byist
MIAMI
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 Section 2-482 of the Miami Beach City C de and all reporting requirements.
Signature of Lobbyist: ~-~~~-
Signature of Principal/Client:
VI. LOBBYIST IDENTIFICATION:
^ Produced ID ~•'~~'~"~'s4'•: MERCEDESPADRON
*;
~ ., 11 ~~f . ~ 9, 2010
Personally kn ThniPfoherolneuranaApancy
VII. SIGNATURE AND STAMP OF NOTARY:
,, j L~FON
State of Florida, County of Miam ,~;•,
~;; X08788
Swo to and subs 'bed bef - '~ , ,,~„ Sao
This day of - ~ ~' ~~
~;,
Signature of Public Notary -State of Florida
Notarization of Lobbyist's signature
PRINCIPAL IDENTIFICATION: Sam B. Nevel
^ Produced ID
Form of Identification
^ Personally known (Principal)
of Florida, County of Miami-Dade
i and subscribed before me
day of , 2008.
Signature of Public Notary -State of Florida
Notarization of Principal's signature
FOR CLERK'S USE ONLY
Annual Registration fee: ['Yes [ J No Amount P id~ (UCH MCR # 33 ~ Date Paid ~ i0 p
Lobbyist Registration Form received and verified by:
F:\CLER\$ALL\MARIA-M\Lobbyist\LOBBYIST FOR 0 .doc Revised 12/08/04
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY,
FLAT RATE OR OTHER)
A) LOBBYIST DISCLOSURE: (Required) - $295 00
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). $295.00
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":
t7 Yes /NO' Are you lobbyina on a present or pending bid for goods equipment or services. or on a present or
'-'~ ~-endina award far Goods. eouipment or service?
2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real Estate
Development Issues":
U Yes / No' Are you lobbvins~ on a pending application for a Development A~lreement with the Citv or application
for chance of zonino map deaianation or chance to the Citv'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 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..
p Yes_ /No• Are you representlna a not-for-profit corporation or entity without special compensation or
reimbursement?
V. SIGNATURE UNDER OATH:
MIAMI
ON OCT08ER 1`~ 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 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.
~fl ~-- l~!~~""
Signature of Lo byist
I do solemnly swear that ail of the foregoing facts are true and correct and that 1 have read or am familiar with the provisions
contained in Section 2-482 of the Miami Beach City]%~nd all reporting requirements.
Signature of Lobbyist: ~`~~~" ~~
Signature of PrincipaUClisnt:
Vt. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATI am Nev
t- Produced ID ••°a'•'r'"`~'= MERCEDESPADRON 0 Produced ID
=*: - ' ~ Fotm o en i ice on
Personally kn ~• ~ TMuPkhtrd~neew a~ ~ Personally known (Principe!)
VIL 5IGNATURE AND STAMP OF NOTARY: _
State of Florida, County of Miam %. ~ ' '' ~"u fate of Florida, County of Miami-Dade
Swo to and sub 'bed bef _ ~ ;~,.~ its wom and subscryiied bef re me
This day of ~, ~ ,_ ~a~ is) ~- day of q , 2008. ~^~+~ MYRNA BUITRON
- - 4 ~~'`~ MMISSION A DD756044
Signatur f Public Notary -State of ~T F.JCFIRES: February 06, 2012
Signature of Public Notary -State of Florida Notarization of Principal's signatur ,~•.;.~p T„~,. Fl. reuW areeW„ ~. ce.
Notarization of Lobbyist's signature
FOR CLERK'S USE ONLY
Annual Registration fee: [ ]Yes [ ) No Amount Paid MCR # Date Paid
Lobbyist Registration Form received and verified by:
F:\CLER\$ALLIMARIA-M\LobbyistlLOBBYIST FORM 05.doc Revised 12/08/04
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