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Andrew W. Frey~ ~ City of Miami Beach Office of the City Clerk 1700 Convention Center Drive, Miami Beach, FL 33139 LOBBYIST REGISTRATION FORM 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 spec'rfically includes the principal as well as any employee engaged in lobbying activities. The term "Lobbyists" has specific exclusions. Please refer to Ordinance 20043435. Frey Andrew W NAME OF LOBBYIST: (Last) (First) (M.I) Akerman Senterfitt One SE 3rd Ave Miami FL 33131 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305-374-5600 305-374-5095 andrew.frey@akerman.c TELEPHONE NUMBER: FAX NUMBER: EMAIL: LOBBYIST RETAINED BY: Diego Ardid NAME OF PRINCIPAUCLIENT: Key International 848 Brickell Avenue, :Miami FL 33131 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (3051377-1001 (3051377-4113 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: • IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: u.SPECIFIC LOBBY ISSUE: Eden Roc -Off Street parking requirements Issue to be lobbied (Describe in detail): Ill. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: (Pursuant to City code section 2-48z(g) include a statement of the extent of any business, financial, familial, professional or other relationship, giving raise to an appearance of an impropriety, with any City personnel sought to be lobbied; further, pursuant to City Code Section 2- 482(a)(4) include a statement of any contractual relationship (paid or unpaid) from 12 months preceding the commencement of service of City personnel to be lobbied.) A Full Name of Individual Title B) Any Financial, Familial or Professional Relationship City Commission, Planning Board None Land Use Committee None L£ X01 W~ 9Z g3~ 6QOZ ~~ ~ ~~ ~ ~ ~~ t/ IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE: (Required) ~~1 U.UU B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). Same 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 lobbying on a present or pending bid for goods. equipment or services, or on a present or pending award for goods, 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 a pending application for a Development Agreement with the City or application for change of zoning map designation or change to the City'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 snot-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 or reimbursement. . V. SIGNATURE UNDER OATH: ON OCTOBER 1sT OF EACH YEAR EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED I do solemnly swear that all of the foregoing facts are true and correct and that I have r~a~i or am familiar with the provisions contained in Section -482 of the Mia 'Beach City Code and all reporting requir ments. Y Signature of Lobbyist: Signature of Principal/Client: - VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION: ^ Produced ID Form of Identification ® Personally known (Lobbyist) VII. SIGNATURE AND STAMP OF NOTARY: State of Florida, County Sworn tp,~nd subscribe This ~ [ day of Notarization of Annual Registration fee: [ ' Lobbyist Registration Form F: ~CLER\HkTt ~ Form stlokrbyi ~. ~P~ 13 ? o~n ~`~'G' S to lorid~ ~``' P L. ~ Produc`~',PZ\~ _~. ~~~~rro~~etD~r~uon . ~~QP 2p0~•. ~' . co = ® Persiiri~ll~'r knoJRrlP}incipe~ y ;#DD406171 ~&'~ Q ,~' i State of Flor'~dQ~~r~p,~fi-Dade Sworn arxi subs~if 16tl a me This j~day of ~~~, 200 Signature of Public Notary -State of Florida Notarization of Principal's signature 'FETED BY CITY CLERK'S STAFF 22~~~111 mount Paid $ -__MCR # ~lenf~ed by: _ _ For,dt~ .~'-Ltt~ Paid Revised 03/27/2008 m City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov CITY CLERK Office Tel: 305.673.7411 ,Fax: 305.673.7254 CityClerk@miamibeachFl.gov LOBBYIST NAME: Andrew W. Frey 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. ° 2 ll 0 Signatur Date: F;ICLEF`~lL.C3BY15T1L.abyis~ F2egi~tratiori Forrt~ 327p$.doc