Wayne M. P athman/David Mancini-Ric-Man InternationalMIAMIBEACH
City of Miami Beach Office of the City Clerk
17Q0 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 bo
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 X004-3435.
Pathmnn, Wayne M.
NAME OF LOBBYIST: (Last)
(First)
(M.I.)
Pathman_ ewis. LLP 2 South Bisc~~e Blvd Miami FL 33131
BUSINESS NAME AND ADDRESS (Number of Street) (City) (State) (Zip Cade)
_305 379-2425 305-379-2420 tvo~tlunan rr nalhmanlewis.com
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
I. LOBBYIST RETAINTD BY:
_David Mancini President
NAME OF PRMCIPAWCLIENT:
Ric-Man huentational hte 1210 Wash'ttlgton A enue Suite 250 Miami Beach. FL 33139
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305) 535-1742 305-535-1745
TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optio»a!)
Fill out this section if prittcipaf is a Corporation, Partnership or Trust ]Section 2-482 (c) ]
• NAME OF CHIEF OFFICER, PARTNERS, OR BENEFICIARY: David Mancini, Lisa 3ankowski
• IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP
INTEREST [N SUCH CORPORATION, PARTNERSHIP OR TRUST: David Mancini. Lisa Jankowski
II. SPECIFY LOBBY ISSUE:
South Pointe fI lnfrnstructure conh•acts cmrcernine bids
Issue to be lobbied (Describe In detail):
III. CITY AGENCIES/1NDIVIDUAI.S TO BE LOBBIEb:
A Full Name of IndividuaUTitle B An Financial, Familial or Profession ltelationshi
Cit Commission
.1~ .!.
`~ ! ~~ ~d ~ ! 330 8002
s~ ~
IV. DISCLOSURE OF TERi~4S AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE VI'IiETi[ER
t-IOURLY, FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE: (Required) X450 hourly
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Regttit•c[I), $450.
The following information must be answered:
Pursuant to Miami Bcach City Code Section 2-488 entitled "Prohibited catpaign Contributions By Lobbyists
on Procurement Issues":
~• Yes ~ No• Are you lobbyin og n a present or nentlin~ bid for goods. cnuinment or services, or on a
present or nendina awat•d for eoods. enuipment or service?
Ptn'suant to Miauu 13each Cily Code 2-490 Entitled "Prohibited campaign ConU•ibutions 13y Lobbyists
on Rcal Estate Development Issues.
'Yes C~No' Are you [obbvine on a nendine application for a Develountent Aerectnent with the City Of
-~ anpligafion for change of zoninta map designation or change to the City's Future Land Use
M?L'_
PWSUant t0 MIARii I3eaCh Clty Code 2-484 {h} Any person (except those exempt from the definition
of "lobbyist" as set forth in Section 2-48 t above) who only appears as a represwttalive of anot-for-profit
corporation or entity without special compensation ot• 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 azly registration fees.
^ 'Yes ~No' Are van representing a trot-for-profit cornortition or entity without special compensation
or reitnbttrscment.
V. SIGNATURE UNDER OATH:
ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERIC A SIGNED
STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES, AS WELL AS COMPENSATIOI~I
RECEIVED, IN THE CITY OF MIAMI BEACH FOR THE PRECEDING GALE YEAR. A STATEMENT
SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPENDI'fURE~ OR COMPEN TiON DURING THE
REPORTING PERIOD. ~
" mature of Lobbyist
I do solemnly sweat• that all oft a foregoing facts are true and correct and that I have read or am
familiar with the provisions cot wined.-'rit-SestiQn 2-482 of the Miami Beach City Code and all repotting
requirements.
Signature of Lobbyist: ~ _
Signature of PrincipaUClient: ~ ~ I
Vi. LOBBY[S'C IDENTIFICATION:
^ Produced (D
Form of identification
~et known (Lodi tst)
~•~ _ L~~
Vti. SICNA
Stnte of Florida, County of Mianli-[
Sworn to and subscribed eforc m
This ~O~`day of~~
" - ~ -- JEAN C. MG11:OD
MY COMMISSION 8 Dp ll:
EXPIRES: November 11
Bon~dlnm NolhryPubga Uhl
PRINCIPAL IDENTIFICATION:
Produced ID
Form of Identification
Personally know~~'~r ` ,,iys r nzo
:~•.,F,~COMMISSION#nDntt~t
E;'~e,; DtPIRES: SEP 24, 201 t
%•;ooew;:° yyydyvAARONNOTAiiY.cam
tts Florida, Cou~uy of Miami-Dade
tsn o and subscribed before me
day of . 20
FOR CL--1 '' " SE ONLY (~ L (~ 0
Annual registration fee: I I Yes [ ] No Amount Paid / MCR 1l `~ me Pa•
Lobbyist Registration Pomi received and verified by:
F:ICLER\$ALL\MARIA-M1Lobb isr\LODRYIST Form OS.doc Revised 12/08/04
MIAMI BEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, w.miamibeachfl.gov
CITY CLERK Office CityClerk@miamibeachfl.gov
Tel: 305.673.7411 ,Fax: 305.673.7254
LOBBYIST NAME:
I understand that no later than October 1st of each year, I must file the following
forms, pursuant to Section 2-485 of the Miami Beach City Code, with the City Clerk's
Office for all active lobbying issues.
1) Lobbyist Expenditure Form
2) Disclosure Form
Failure to file these forms on a timely basis will result in my name being transmitted to the
Miami-Dade County Commission on Ethics and for code violation evaluation.
In addition, once an issue I have registered to lobby on has been resolved, I am required
to immediately notify the City Clerk's Office of lobbyist withdrawal in writing.
-~ !a ~ ~
D te:
F:\CLER\LOBBYIST\Lobbyist Registration Form 32708.doc