Alexandra Deas/MBeach 1, LLP~ ~ ~} ~ !~; i l <,vc~al~,l
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.
Deas Alexandra L•
NAME OF LOBBYIST: (Last) (First) (M.I)
Bilzin Sumberg - 200 South Biscayne Boulevard Suite 2500 Miami Florida 33131
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) Zip Code)
305-350-7241 _ 305/351-2176 adeasCa2bilzin.com
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
LOBBYIST RETAINED BY:
MBeach 1 LLLP
NAME OF PRINCIPAL/CLIENT:
c/o UTA Management LLC 1111 Lincoln Road Suite 760 Miami Beach Florida 33139
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305/538-9320 305/552-0016 rwennett(a)1111 LincolnRoad.com
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: Robert Wennett
• IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE
OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST:
SPECIFIC LOBBY ISSUE:
Board of Adiustment_Sign Variance Application
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
Board of Adjustment None
Department Staff "
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY,
FLAT RATE OR OTHER)
A) LOBBYIST DISCLOSURE: (Required) Hourly $320
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). Mourly $320
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 a not-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 STATEMENT
UNDER OATH, LISTING LOBBYING EXPENDITURES, AS WELL AS COMPENSATION RECEIVED, IN THE CITY OF MIAMI
BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN NO
EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD.
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Signature o Lobb ist/Alexandra L. Deas
MIAMI 1
7/21 /09
I do solemnly swear that all of the foregoing facts are true and correct and that I have read or am familiar with the provisions
contained in Section 2-482 of the Miami Beach City Code and all reporting requirements.
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Signature of Lobbyist: //1~D0
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Alexandra L. D as
Signature of Principal/Client:
VI. LOBBYIST IDENTIFICATION: Carter N. McDowell PRINCIPAL IDENTIFICATION: T~ ~'' ~;t
^ Produced ID C' Produced ID r-" ~~`= °~~
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Form of Identification Form of Identification `~~
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Personal) known (Lobbyist) ~ Personally known (Principal) _
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VII. SIGNATUR », ' ~~' Tq,~P ORBf~Q~ Y: ~, = -g-f
r;; .,: ? ~ MY COMMISSION Ik DD 529254
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State of Florida, C~i>~, of - 2010
State of Florida, County of Miami-Dade ~,
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Swom to and s`absori "' " ' 10y Sworn and subscribed before me ~' --
This 3,~ day of , 2 This day of , 20
Signature of Public Notary - State o a Signature of Public Notary -State of Florida
Notarization of Lobbyist's signature Notarization of Principal's signature
FOR CLERK'S USE ONLY
Annual Registration fee: [ ]Yes [ ] No Amount Paid MCR # ~ Date Paid ~ ~~ ~ r
Lobbyist Registration Form received and verified by:
F:\CLER\$ALL\MARIA-M\Lobbyist\LOBBYIST FORM 05.doc Revised 1 /08/04
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY,
FLAT RATE OR OTHER)
A) LOBBYIST DISCLOSURE: (Required) Hourly $320 _,--~ 7~".~
.rs -`' ~
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). Hourly $320 ,'_ ~ ~`~`
C<. ~ ~•
The following information must be answered: ~, O °`~;~
1) Pursuant to Miami Beach City Code Section 288 Entitled "Prohibited Campaign Contributions By'Lgbbyl~ Orj
~ ..~
Procurement Issues": U
~,~
Yes ®No: Are you lobbying on a present or pending bid for goods, equipment or services, or on a ~~seiS~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 a not-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 STATEMENT
UNDER OATH, LISTING LOBBYING EXPENDITURES, AS WELL AS COMPENSATION RECEIVED, IN THE CITY OF MIAMI
BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN NO
EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD.
Signature of Lobbyist/Alexandra L. Deas
I do solemnly swear that all of the foregoing facts are true and correct and that I have read or am familiar with the provisions
contained in Section 2-482 of the Miami Beach City Code and all reporting requirements.
Signature of Lobbyist:
Alexandra L. Deas
Signature of Principal/Clien
VI. LOBBYIST IDENTIFICATION: Carter N. McDowell PRINCIPAL IDENTIFICATION:
Produced ID i Produced ID
Form of Identification
Personally known (Lobbyist)
nAMI 1
:/7/09
VII. SIGNATURE AND STAMP OF NOTARY:
State of Florida, County of Miami-Dade
Sworn to and subscribed before me
This day of , 20
Signature of Public Notary -State of Florida
Notarization of Lobbyist's signature
Form of Identification li~;i;i11~T h. L.I$h
i~ Personally known (Principal),~~~.:~;~;;
~•' _ Commission #DD491857
~, ~ '_ ~ ~? ° T:xpires: NOV. 17, 2009
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°or.
State of Florida, County of Miami-Dade
Sworn and subscribe before me
This ~ day of U , 20
Signat a of Public State of Florida
Notarization of Pri cipal's signature
FOR CLERK'S USE ONLY
Annual Registration fee: [ ]Yes [ ] No Amount Paid MCR # Date Paid
3 Lobbyist Registration Form received and verified by:
F:\CLER\$ALL\MARIA-M\Lobbyist\LOBBYIST FORM 05.doc Revised 12/08!04