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Nikolay I. Nedev/Juda Jay Schechter~~ss ~ ~.~ ~," ~~ o -< ~ ~ ; r? City of Miami Beach Office of the City Clerk ~~.-; - T 17Q4 Convention Center Drive, Miami Beach, FL 33139 `~' `~ ~, ~. LOBBYIST REGISTRATION FORM ct= Z C Lobbyist mieans all persons employed or retained, whether paid or not, by a priruipa! who seeks W encourage the passage, defeat o~ m~` odificafion ot'"~ any oniinance, resolution, action or decision of any commissroner, any action, decision, recommendation of the city Manager ~ any~cttyfl~rd or committee; or any action, decision ar recommendaton of any city personnel during the tlme period of the entve decision-making pss efk'such action, deasron ar racornmendatwn that foreseeaWy waft be heard or reviewed by the city commission, or a city board or commilt The term specifically-inGudes the;prirrcipal as welt as anv employee engaged in lot>tsyinS! activities. The Perm "lobbyists" has speclPc exclusions. Please refer to Ordinance 2004435. NEDEV NIKOLAY I NAME OF LOBBYIST: (Last) (First} (M.1) , NC-OFFICE, CORP. 1200. B RICKELL BAY DRIVE #4248 MIAMI FLORIDA 33132 BUSINESS NAME AND ADDRESS (Numt~er and Street) (City} (State} (Zip Code) 305-431-3395 X86-522-8503 nn(la nc-office.com TELEPHONE NUMBER:: ~ FAX NUMBER: EMAIL: 1. LOBBYIST RETAINED BY: JUDA JAY SCHECHTER NAME OF PRINGIPALtGL1ENT' 4333 JE FFERSON AVENUE MIAMi BEACH FL 33140 BUSfNESS NAME AND ADDRESS (Ntmlber and Street} (City) (State) (Zip Code) TELEPffONE NUMBER: FAX NUMBER: {Optional} EMAIL: (Optional) 305-6~2-4548 Fill out this secfion if principal is a Corporation, Partnership or Trust [Section 2-482 (c}j NAME OF CtiIEF OFFICER,. PARTNER, OR BENEFICIARY: • IDENTIFY ALL PERSONS HOLDING, DIREG7LY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUGff CORPORATION, PARTNERSHIP OR TRUST: 1l.SPEGiFfC LOBBY ISSUE: SINGLE FAMILY RESIDENCE NEW CONSTRUCTION at 4455 N JEFFERSON AVE (DESIGN REVIEW BOARD APPROVAL? Issue to be lobbied {Destxibe in detail}: lit. CfTY AGENCIESIINDNIDUALS TO BE LOBBIED: Pursuant to City Gode Section 2«482(g} include a statement of the extent of any business, financial, familial, professional or other relationship, giving rise to an appearance of an impropriety with any Gity personnel sought to be lobbied -further, pursuant to Gity Gode Section 2- 482(a}(4} 'rnclude a statement. of any contractual relationship {paid or unpaid} from 12 months preceding said Gity personnels' commencement of service with the City fo the present date, stating the genera! nature of the subject contractual relation. A Fui! Hame of Individual Title B An Financial, Fami[iat or Professional Relationship DESIGN REVIEW BOARD CITY OF MIAMI BEACH.. /~ S N. DI5GL05tJRE OF TERMS AND AMOUNT~a OF ilOBB1RST COMPENSATION (DISCLOSE WHETHER Mt7l/RLY, ~T RATEGR OTHERk ~. t.tJ66YiaT DiSCt.OSURtc: (Requiredl 5100 ea PRrlvciPat~~s aisct.asuRt: too" t.OSeY~sT cONSnTtoH~: E100 {Required}. The toliowing nfonr~tian must tae answered. 1 y Pursuant to Miami Beach City Code Section 2-A88 Entitled "Prohibited Campaign ConUibutions By t.abbyists On Procurement tssuss ~, Yes ~ No' Are you toblavino on a'oresent or cendit}g bid far goods eauipmerlt or services ar on a present or oendjQ,a award for {toods,,~,ii~ or rvtce? 2) Pursuant to Miami Beach City Cads 2-490 EMtited'Prahitated Campaign Contributions By t_obbyists On Real Estate. £)evekapment issues': Y No: A in o wvt t f z' i I o s Future Land Map? 3) Pursuant. to Miami Beach City Code 2-484 {h) Any person {except those exempt iron ttte definition of "lobbyist" as set forth in Section 2-481 above} who onty appears as a representative of a not•for-profit corporation or entity wittwut specal compensation or reimbursement for the appearance. whether direct, or indirect, to express .support of or opposition to any. item, shah register with ttRs clerk as required by this section but, shall r-ot be required to pay any regtstratian' fees. Yes ~ No: Are vau rearesentina a not far-ctiratit coraaratigrt ~ entity without special comaensatiori or reimtwrsemenL V. SIGNATURE t1NDER OATH; mrwes~r. a$7 (do solemnly swear that aq of foregoing facts are true and co t and that t have read or am famitiar with the provisions contained in Sect~ay182 of the Miami t3eadt City C and all reporting requirements. Signature of Lobbyist: ' '"3' Signature of Pr#ncipaUCiie . ___,_ VI. LQBBYIST IC1ENTiFtCATIi (~ Produced tC! Form of identification ;;pu""';; ELIZABET CARDONA '*~ •°= MY COMMIS {LOt~ayiSta ~'• ,~ ~,. EXPIRES September 06, 2011 ao7 399-0?.:3 FIO1~lotaryS~St~IsATUR AND STAMP OF NOTARY: State of i=londa. Countyof Miami-Dade Svc to and subscri fore me This , 2009 Signa c -State of Florida Niotari on a# signature PRINCIPAL IDENTIFICATION: fl Produced IQ Form oft -°°-~° A' ;~.• tLtZAB€TH CARDONA U( PerSarlaiiy knowst {Prin ~' •~= MY COMMISSION # DD712113 VVV "` ,~ ~r4,.•`~ EXPIRES September Ofi, 2011 (407) 39& ~ .~. ..... Flo~~~ `daNotaryo^w's- ^o;n State of F~tida, County of Miiami-Dade Swom and SubSCri before the This ,2009 $ignat Pu o -State of Florida Notarization rt ncisaaPs signature TO $E tOIYtPLETED SY CiTY GLERE{"S STAFF ONLY Annual Registrattoa tes: ( I Yes I 3 Na Amount Paid S 11lCR N bete Patd Lobbyist Registration Form rec8ivedand verified by: .__ _._. _ Revised OZ/11/2009 -~ 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 LOBBYIST NAME: CityClerk@miamibeachfl.gov 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. ss~ Signat Da F:1C~ERlt_C1B8YISTtLobbyist Registration Farm 32708.doc