Neisen Kasdin/Arthur Murphy.S ~-X~oN N r'~ ~~
m MIAMIBEACH
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.
Kasdin Neisen O.
NAME OF LOBBYIST: (Last) (First) (M.I)
Akerman Senterfitt, P.A. One SE 3`d Ave., Suite 2500 Miami FL 33131
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305) 374-5600 (305) 374-5095 neisen.kasdin@akennan.com
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
I. LOBBYIST RETAINED BY:
Murphy Arthur
NAME OF PRINCIPAL/CLIENT: (Last) (First) (M I)
3201 Hotel, LLC and Tower 3315, LLC 1980 Post Oak Boulevard Suite 1600 Houston TX 77056
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(713) 840-2710 (7131840-2705
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:
II. SPECIFIC LOBBY ISSUE:
~~i ?.~0 S,~a''~~''1 1~.1i~
Saxony Hotel -Modification of Approved Phasing Plan ~ £ .' ~~ z 7 l~0 6QQZ
Issue to be lobbied (Describe to detail):
{M2861048;1 } {M2850062;1
~~
III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
A. Full Name of IndividuaUTitle B. Any Financial, Familial or Professional Relationship
City Commission and Mayor None
Saul Francis, Director of Parking Dept. None
Jorge Gonzalez None
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION
(DISCLOSE WHETHER HOURLY, FLAT RATE OR OTHER):
A. LOBBYIST DISCLOSURE: (Required) $550.00 hourly
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 chance 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 "lobbyist" 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 anot-for-profit corporation or entity
without special compensation or reimbursement.
{M2861048;1 } 2
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 DUI~I~TC~THE REPORTING
PERIOD. /1/I// /,
Signature of Lob6~ist
I do solemnly swear that all of the foregoing are true and correct and that I have read or am
familiar with the provisions contained in S ~ 2-482 of the Miami Beach City Code and all
reporting requirements. ~
Signature of Lobbyist: ' /v l
Signature of PrincipaUClient:
VI. LOBBYIST IDENTIFICATION: RINCIPAL IDENTIFICATION:
^ Produced ID ^ Produced ID
Form of Identification Form of Identification
Personally known (Lobbyist) Personally known (Princi al
P )
VII. SIGNATURE AND STAMP OF
NOTARY:
State of Florida, County of Miami-Dade State of ~~, County o ~.4!''~1'~-~~
Sworn1 tf and subs ed befor me
) "
d
~~~ Swom' and subscribed before me
This
ay of _
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_ r; 2009 This~-day of 9
Si tore of Public otary -State of Florida Signatur o Public Notary - fate of Florida
Notarization of Lobbyist s signature Notarization,~~si~~
'~`~ Notary Public State of Florida
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LERK'S USE ONLY
Annual Registration fee: ^Yes~No Amount Paid~3~0 • wMCR # I Date Paid_~~~
Lobbyist Registration Form recerved and verified by: ~.5
Revised 12/08/04
~~
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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: `"'' ' F" '"
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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 ~1e City Clerk's Office of lobbyist withdrawal in writing.
Signature:
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F:ICLERILOBBYIS'rlLobbyist Registration dorm 32708,doc