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Alan S. Krischer - Pestana Miami, LLCi /8 c 7-- 3.~ s~~~S ~ G p S _- I i 1' f I ity of Miami Beach Offi a of the City Clerk ~ _ 1.700 onvention Center Drive Miami Beach, FL 33139 LOBBYIST REGISTRATION FORM Lobbyist means all pe ons employed r retained, whether paid or not, by a prir~Cipal who seeks to encourage the passage, defeat or modification of any ordinance, resolutibn, action or d cision of any, commissioner; any action,) decision, recommendation of the City Manager or any city board or committee; or an action, decision or recommendation of any city personnel uring the time period of the entire decision-making process on such action, decision or rec mmendation t at foreseeably will be heard or review d by the city commission, or a city board or committee. The term specifically includes th~principal as w Il as any employee engaged in lobbying activities. The term "Lobbyists" has specific exclusions. Please refer.to Ordinance 20 ~ -3435. ~ ~ i ~ SGHER f AI.~AN ~ S . NAME OF LOBBYI T: I~ (Last) (First) (M.I) HOLLAND & K1~T~G~iT ; 701 Brickell Ave.., Suite 3000, Miami, FL 33131 ~ - BUSINESS NAME i i ADDRE S Number and Street (City) (State) (Zip Code) i (305) 789-7 58 (305) 679--63 9 alan.krischer~[hklaw.com TELEPHONE NUM ER: ; .FAX NUMBER: EMAIL: . ~~ _ .. .. Please notify t is oi~c, I ' e i your contact information hanges: address, phone,; or a-mail address. I. LOBBYI T RETAINE BY: ~ f PESTAl~TA I ~ C NAME OF PRINCIPAL/CLIENT: Grupo Pestana~, -Rua au, 54f, 1300-314 Li boa, Portugal i BUSINESS NAME ND ADDRE S' (Number and Street) (City) (State) (Zip Code) Olt-351-969 833-533 TELEPHONE NUM~ER: ~ FAX NUMBER: (O i tional) EMAIL: (Optional) ' Fill out this section 'if ip rincipal s a Corporation, Partnership or T ust [Section 2-482 (c)] • NAME ~O~ J ICH IEFOFF CER, PARTNER, OR BENEFICIAR ose R ogue to ~. • IDENTIFY SUCH CQ AL F ii L PERS ORATIO NS HOLDING, DIRECTLY OR INDI ,PARTNERSHIP OR TRUST: a ECTLY, A 5% OR MORE OWNERSHIP INTEREST IN u.SPECIFiC LOBBY` I~SUE: Renovation of pro rty at{1817-35 James Avenue Issue to be lobbied ((Describe in efail): ! I ~ ~ i ul. CITY AGENCIES/l DIVIDUALS TO BE LO BLED: Pursuant to City Code Section 2-482(g) include a statement of t e extent of any business, financial, famili I, professional or other relationship, giving rise to an appearance of an impropriety with any City personnel sought o be lobbied -- further, pursuant.to City Code Section!2- 482(a)(4) include tatement •of any contractual relationship (paid or un aid from 12 months personnel' commencement o service with .the City to the resent date, statin the Preceding said City ~ ~ g general nature of the subject contractual relation. I I ~I ~ ~ A Full Name of Individual Ti le B ny Financial, Familial or Professional Relationship Historic ~reservat on, Board lone iii ~ ~ Board of Adjustr~en ~ ~ Tone i ~ ~ i ~ i i i i d i I s ~ =z ~~ ~ i ~ ~o o ~ o~ ' ~ j IV. DISCL RATE OR OTHER) A) ~ LOBBYIST DISC B) PRINCIPAL'S ~ (Required). The following in 1) , Pursuan On Proc SURE: (R' LOSURE O nation u; Miami B a' vent Iss e i _. _ i SAND AMOUNTS OF LOBBYIS' i i quired) $395 x~er hOUr' i j F LOBBYIST COMPENSATION)• COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT I 3~S .~-~ be an ~wered: City Code Section 2-488 E titled "Prohibited Campaign Contributions By 2) Pursuan o Miami B ach City Code 2-490 Entitled " rohibited Campaign Contributions By Lobbyists On Real Es ate Develop ent Issues": j ~ ^ Yes No: Are ' ou to b' in on a endin a licatian for a Develo ment A reement with the Ci or j a lication fo than a of zonin ma desi ation or than a to the Ci 's Future Land Use M ?I ' i 3) Pursuan)I to. Miami each City Code 2-484 (h) An person (except those exempt from the definition of lobbyist(' as set,fo h; in Section 2-481 above) wh only appears as a representative of snot-for-profit corporat'on or entity without special compensation o reimbursement for the appearance, whether direct, or indirect, rto express upport of for opposition to any item, shall register with the clerk as required by this section ~ t, shall no be regwred to pay any registration fees. ^ Yes No: Are ou re esentin a not-for- rofit cor ration or enti without s ecial tom ensation or re~mburseme t ~ I V. SIGNAT RE UNDER ATH: ' ___ Y RECEIVED IN T E I CITY. O MIAMI BEACH FOR THE PR CEDING CALENDAR YEAR. A STATEMENT SHALL BE FILED EVEN IF ITHERE AVE BEEN NO EXPENDITU ES OR COMPENSATION DURING THE REPORTING PERIOD. ~ ~ '~ j ~ Signatu Lobbyist I do solemnly swe ar ~ ' that all f f jthe for going facts are true a d correct and that I have read or am familiar with the provisions contain d in Secti ni~•-48 of~the M' i Beach Cit Code and-all reporting requirements. Signature of Lob is t: Signature of Prin i a l/Client: 4 VI. LOBBY ^ T IDENTI ICATION: '; ~ PRINCIPAL IDENTIFICATION: ~ Produc d ID ~ ~ ^ Produced ID F rm of Identification Form of Identification ' Person II. known (L I I bbyist) - ', ~ Personally known (Principal) ' VII SIGNA U RE AND A . . T MP OF~NOTARY: State of Florida, o Sworn to and suds Inty of Mi mi-Dade ~ State of Florida Co unty of M J061A3 N. DEWEY Th's ~da~y ) f, ( Public State of Florida ~ ' e 1~ns ~ Swor ~d subscribed for ~~"` :,r MY COMMISSION # DD 606162 This day of EXPIRES: October 17, 2010 • '...._" -. ~ ' My Commission DD663520 11 __ _B_ a,ded m"' "°ffiry ~° ~"~""~°f° ,j~;,' !~ Signature of Public Notarization of ' ~ i bb _ ,,. fist's s ;nature ~ ~ , Sig ature of Public otary -State of Florida tarization of P i i l' r nc aa s signature TO BE COMPLETED BY CITY LERK'S STAFF ONLY Annual Registrati, ri Lobbyist.Registra io 'fee ns F : [ ) . e ~rm re e s [ ) No AmountPaid $ ' ived and verified by: ~'MCR # .Date Pald ' F:~CLER~$ALL\aF01 I,~ S\ ~ I OBBYI T FQRir9S,CLobbyist Registry#ion For 2010 dot-. - ' __ pReyised 05/05/2010 OS,URE OF ~~ ~ _~ City of Miami 8 CITY CLERK Off~~ Tel: 305.673.741 i P I , E i ~ i l Ij ~ ' ath, 1700 C nvention Center Qrive, Miami Beac ,Florida 33139, www.miamibeachfl.gov i ~ ~ ( CityClerk@miamibeachfl.gov Fa :, 305.6 3.7254 ~ 1 i j I ~ i LOBBYIST AME: ~ ~x~sci~R, EsQ i ' I understand that no I ter thane Februa 2 h of each ear, I must file the following form, pursu nt to Se tion 2-4;85 of the Mia i Beach City Code, with the -City Clerk's Office for all active to hying issues. i 1) lobb ist Expen iture and Compensatio Form Failure to fil these fo ms on a'timely basis wil .result in my name being transmitted to the Miami-Dade County ommission on Ethics and for code violation evaluation. ~ ~ In addition, nce an i s've I have registered to lobby on has been resolved, I am required to immediat ly notify- e City Clerk's Office of lobbyist withdrawal in writing. ~~ ~J ~-- - i ' ~ ~ ~~.. v ~ Z~o ~. u Signature: I # Dater ~ , i ~ ~ ~' i { ~ i t ~ I ~ ~ i