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Amanda L. Quirketf. ~' "!%f:: m MIF~MIBEF.CV-I '0~-~Y2 ~~e. D =~'~ City of Miami Beach Office of the City Clerk 97Q0 Convention Center Drive, Miami Beach, i=L 33139 LOBBYIST REGISTRATIOTI FORM labbylat means all parsons employed or rotained, whether paid or not, by a principal who aeeka to enccuraga the peasaga, detest or madilk:a0on of any ordinance, readuUon, action or decision of any commissioner, any acton, decision, recommendation of the City Manager or any city board or wmmittea; or any action, dectalon or reeammende@on of any city pereonnel during the time period of the entlre decision-making process on ouch action, dectaton ar rocommendaton that foreseeabty wql be heard or reviewed by the ally oomrntasion, or a city board or committoe. The term apeciflcalty Inciudes the principal as welt as any employee engaged In lobbying activities. The farm "Lobbytate" has apectflo exolustons. Please refer to Ordinance 2004.4436. { M~ I. LOBBYIST RETLAINED~BYJ: S r~1 L L C NAME OF PRiNCiPAUCLIEN7 M ~ Z ux ~voo 1 ~ P SU BUSIN ACNE A D D E Num rand Str et) {City} 1State) (Zip Code) li~~io ~ ~ ~ ~- Z 2~L 1R7~ -- 322- Z3 Z.S - - gut this aectlon K principal is a Corporation, Partnership or Trust tsectron a•asz tcjt NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: TJ ~ IV ~ - ~ ~ rrA k~l tOENTIFY ALL PERSONS HOLDING, DIRECTLY OR WDIRECTLY, A 64b O MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: ~' li ~~ I ~ A !- L-L G , u.SPECiFIC LOBBY ISSUE: C~ M.r ~! ^~l'~° ~ I ~ ~ ~'xknsioh ~o(c ut.(o,aMer~f" CJ-oGw ~ ~~atat,~,•.~,~a-L,tN ~}~ ~~~~5~ issue to b I bie Res be in• fah alpp rtt'S cK{- I ~~t~ ~'• Ili. CITY AGENCIES!lNDIVIDUALS TO BE LOBBIED: Pursuant to City Code section 2-482(g) include a statement of the extent of any businoss, Manctai, familial, professional or other rstatlonshtp, giving rtes to an appearance of an Impropriety with any Ctty personnel sought to bo lobbied •• further, pu:suant to City Code Section 2- 482(a)(4) include a statement of any contractual relallonship (paid or unpaid} from 12 months preceding said City personnels' commencement of service with the City to the present date, stating the general nature of the subject contractual relation. A Fuil Name of Individual Title B An Flnanclal, Famlllai or Professional Relationshl ~~~rn1 Lamar ~ f~'t, ~er,~d,rt ~ ar Nn ~6 a--~ t1~ ~ ~ ~ tt,D-~~w~,~~" !~o _:~ fV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR OTXER): A) LOBBYIST DISCLOSURE: (Required) I O~ t ~ 6 Q ~' B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): ~ ~ O / (Required). The foffowing information must be answered: 1) Pursuant to Miami Beach City Code Section 2-488 Entitled "Prohibited Campaign Contributions By Lobbyisis O,.n~Procurement Issues': ^ Yes L`7 No• Are you lobbvina on a areaent or aendinsr bid for goods eaulament or services. or an a present or aending award for goods, eautament ar service? 2) Pursuant to Miami Beach Clty Code 2-480 Entitled "Prohibited Campaign Contributions By Lobby(sts On Real Estate Development Issues': . ^ Yes ~NO' Are you lobbvtna on a aendina aaallcation for a Dave[oament Agreement with the Clty or gpplicatton for change of zoning map designation or change to the Citv's Future Land Use Map? 3) Pursuant to Miami Beach City Gode 2-484 {h) Any person (except those exempt from the def'inftion of 'lobbyist' as set for#h (n Section 2-481 above) who only appears as a representatNe 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, shaft register with the clerk as required by this section but, shall not be required to pay any registration fees. ^ Yea ~NO• Are you representing a not for profit corporation or entity without special compensation Limbursement. . V, SIGNATURE UNDER OATH: f 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 Mlamij3each City Code and all reporting requirements. Signature of Lobbyist: ~~' ''"~•, Signature of PrincipaUClient: ~"'` ~tC ~ ~~"'Gj /~i ~ ~, VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION: ~e ~jE~ r /'~i'~tScyv/ L..L. G ^ Produced ID ^ Produced ID Form of Identification Form of Identification L~7 Personally known (Lobbyist) LY Personally known (Principal) VIE. SIGNATURE AND STAMP OF NOTARY: Con'1Mo.JW2~~~" bt~ ~v(~-j~QN ~~(~~ State of Florida, County ofMiami-Dade L-i~Fate•e~f~ivrida, ~ (~~'S~ Swor t nd subscr[b a rem TSworn and subscnbed before e ~A' ~~~ This d Y a ~ CRY PLBLIC-STATE OF FLOday of ~ Qom" ZD/ ppTrf~ .••'""'""'• Elsa S. Fresco ~ ~- `- mmission #DD ~ ~~ R~~ a re I Notary- State of Expires: SEP. 02 ure of Pubi ' ~ t!` •~. otarizatton of Lobbyist's signat~~ID~gR~.eBexe$rees~g~Ization of ri ct a signatur W C `FQ }, TA CC PAIUlf1 CTCh Y1V /±1TV ~!f CRYiQ ATd RR AAII. S . ~ 0. Annual Regtatratlon fee~j Yes [ j No Amo Lobbyist Registration Form reoetved and verified ~I ~Tro Signature of Lobbyist City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, vrww.miamibeachfl.gov CITY CLERK Office Tel: 305.673.741 1 ,Fax: 305.673.7254 CityClerk@miamibeachfl.gov LOBBYIST NAME: ' „i~t~+~^ ~lc V 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. ~zlrgl~ ~ Signature: Date: F:ICLER1t_OBBYIST1t_obbyist Registration Form 32708.doc Page 1 of 1 Prieto, Silvia From: Amanda Quirke [aq@Ikllaw.comj Sent: Wednesday, February 24, 2010 10:53 AM To: Prieto, Silvia; Amanda Quirke Cc: Martinez, Maria; Hatfield, Liliam Subject: RE: Lobbyist Registration $260 per hour Thank you for following up with me. From: Prieto, Silvia [mailto:SilviaPrieto@miamibeachfl.gov] Sent: Wednesday, February 24, 2010 10:11 AM To: Amanda Quirke Cc: Martinez, Maria; Hatfield, Liliam Subject: Lobbyist Registration Dear Ms. Quirke, On your Lobbyist application for "Project Madison LLC" the hourly $ amount on A) Lobbyist Compensation Disclosure and B) Principal's Disclosure (of Lobbyist Compensation) most be entered (see attached). Please provide us with the information by responding our email. Sincerely, MIAMI BEACH Silvia Prieto, Administrative Aide I CITY CLERK'S OFFICE 1700 Convention Center Drive, Miami Beach, FL 33139 Phone: 305-673-7000 ext. 6269 / Fax: 305-673-7254 www_m iambeachfl.aov_ We are committed to providing excellent public service and safety to all who five, work and play in our vibrant, tropical, historic community. 2/25/2010