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Carter N. McDowell. ~~~~. .~ i 1.100 ~C ~}~` ~o~vl"1 srl/~ 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 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. MCDOWELL CARTER N. NAME OF LOBBYIST: (Last) (First) (M.I) Bilzin Sumber Baena Price & Axeiroa uur zuu w. ow~a ~~~ ~.,,.,~.,.•.. ••••~•••• • --~~- - (State) Zip Code BUSINESS NAME AND ADDRESS (Number and Street) (City) 305 350-2355 305-351-2239 CMcDowell bilzin.com FAX NUMBER: EMAIL: TELEPHONE NUMBER: LOBBYIST RETAINED BY: Di Lido Beach Resort Ltd. and Di Lido Beach Commercial Ltd. NAME OF PRINCIPAL/CLIENT: BUSINESS NAME AND ADDRESS Number and Street) (City) (State) (Zip Code) 305-535-8118 305-673-8865 FAX NUMBER: (Optional) EMAIL: (Optional) TELEPHONE NUMBER: Fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (c)] • NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: Bruce E. Lazar IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: II. SPECIFIC LOBBY ISSUE: All land use/zonin issues and Miti ation of s ecial master liens Issue to be lobbied (Describe in detail): III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: A) Full Name of Individual/Title B) Any Financial, Familial or Professional Relationship _,~ ~ Code Compliance Division and staff no ~ `~ r-- ~ City Manager and staff no ~' ~" '~ City Commission and staff no ,,,_ w d "' s-c~ _~ L N iT} ~ ~,. IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR OTHER) A) LOBBYIST DISCLOSURE: (Required) $560 00 B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). $560.00 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": ~ o -}~'v '~! pending award for goods equipment or service? ~ ~o ~~ „ r" r~ _ . 2) Pursuant to Miami Beach City Code 2-490 Entitled Prohibited Campaign Contributions By Lobbyist~FOn Beal Estate Development Issues": r„' -'C7 "~ `'' ~ ~-;~~ ^ Yes / No Are you lobbying on a ending application for a Development Agreement with the Cit~r a~licaxie~n for change of zoning map designation or chance 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 l'E'bb byi~' 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 18~ OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES, AS WELL AS COMPENS N RECEIVED, IN E CITY OF MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT SHA ILED EVEN IF T HAVE BEEN NO EXPENDITURES OR COMPENSATION DURING THE REPORTING P ~ ~~/~ Signature of Lobbyist MIAMI 3/6/09 I do solemnly swear that all of the foregoing facts are true and correct and th have read or am fa liar with the provisions contained in Section 2-482 of the Mia i Beach City Code and all reportin Signature of Lobbyist: Signature of Principal/Client: V VI. LOBBYIST IDENTIFIC ION: PRINCIPAL IDENTIFICATION: [~ Produced ID ^ Produced ID Form of Identification / Form of Identification Personally known (Lobbyist) [/ Personally known (Principal) VII. SIGNATURE AND STAMP OF NOTARY: State of Florida, County --~ a e ~DIAZ Sworn to and sub bed - _ MYCOMMISSION#DD529254 This da of ~ ~ 9. EXPIRES: May 18, 2010 a011dld TfIN y1N11Y10~ roMM'Y ~~ Signature 'c Notary - Stat orida Notarization of Lobbyist's signature ~t,,aY Puel, JUDITH L. IuIATHIA _ ' +' c MY COMMISSION Ik DD 610330 State of Florida, County of Miami-Dad * EXPIRES: November25, 2010 Sworn and subscribed before me s t ThIS ~ d y O , 2009 r~TFOFF~~\O ~~~~ • otPav.;°B<, JUDITH L MA ~ ature of Public Notary -State of Florida* * MY COMMISSION A I otarization of Principal's signature ~, ~ EXPIRES:N~ov~embe ~4rFOF FI~\O BOIIABA ~IfU .+wyv~ FOR CLERK'S USE ONLY 3 ~ ~ Annual Registration fee: [ Yes [ ] No Amount Paid ~ ~ . MCR # ~ ate Paid LFO\cb~byFist\R~gegis\ttrvation Form 'received and verified by: I76Z.4~51RTOOb~6ol~lA-M\Lobbyist\LOBBYIST FORM 05.doc ¢, Revised 12/08/04 MIAMI BEACH City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www miamibeachfl.eov LOBBYIST NAME: Carter N. McDowell 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. Signature: 3 - ~ Z _ a-~ Date: n na ~ ~ ~ c-~ ~- '~l r-- ~ r~ rr~ r,~ w .~~ u', -~ :~ ~: ~~ ..r., .~ i "•-} I `-~ W i t~ MIAMI 17~5~198.1 7000060139 3/ 12/09