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Kent H. Robbins - Miami Dde Planning Action Group, Inc.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 wmmittee; or any action, derision or recommendation of any dty personnel during the time period of the entire derision-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 sperificelly inGudes the principal as well as any employee engaged in lobbying activities. The term "lobbyists" has specific exclusions. Please refer to Orclinance 20043435. Robbins Kent H. NAME OF LOBBYIST: (Last) (First) (M.I) Law Firm of Kent Harrison Robbins, 1224 Washington Ave, Miami Beach, F1 33139 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (305) 532-0500 (305) 531-0150 khrobbinsQkentharrisonrobbins.com TELEPHONE NUMBER: FAX NUMBER: EMAIL: I. LOBBYIST RETAINED BY: Miami-Dade Preservation Planning Action Group, Inc. a non-profit charitable organization NAME OF PRINCIPAL/CLIENT: 1224 Washington Ave, Miami Beach, Florida 33139 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional) (305) 352-3614 MDPPAGQgmail.com FI11 out this section If principal Is a Corporation, Partnership or Trust [Section 282 (c)j • NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: ChrlStlria Labuzetta • IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST; n SPECIFIC LOBBY ISSUEc ' legal representation concerning the preservation of the Simone Hotel and related matters Issue to be lobbied (Describe m detail): m CITY AGENCXESflNDIVbDUA~Sr aOIBEa~IOBBIED': Pursuantto city code section z-4sz(gj inciude .. a statement of th y professional or other relationship, giving rise to an i appearance of an Impropriety with any City personnel sought to be lobbied -- further, pursuant to City Code Section 2- ~ 482(ag4) include a statement of any contractual relationship (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 Financial, Familial or Professional Relationship Historic Preservation Board None Building Department None City Manager's Office None rlanning Department Mayor and Commission None None 3~i~~0 S.?~?~~l;l J~11~ fi0 ~S Edd 8- 83d OIOl ~J~,~I~;7~~~ IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE: (Required) $300.00/hr B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). 5 3 0 0. 0 0 /hr The following information must be answered: 1) Pursuant to Miami Beach City Code Section 288 Entitled "Prohibited Campaign Contributions By Lobbyists On Procurement Issues": ^ Yes ®No: Are you lobbvina on a present or oendina bid for goods. equipment or services. or on a present or oendina 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 lobbvina on a oendina application for a Development Agreement with the City or implication for chance of zoning map designation or change to the Citv's Future Land Use Ma°? 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 281 above) who only appears as a representative of coot-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 coot-for-profit corporation or entity without special compensation or reimbursement. . V. SIGNATURE UNDER OATH: Signature of Lobbyist: State of Florida, County of Miami-Dade Swom d subscrib~t before me This day of A 200irp Signa re of lic cry - fate of Florida Notarization of Lobbyist's signature ld Produced ID ~ ~ ~- Fonn of Identification State of Florida, County of Miami-Dade Sworn and subscribed before me /v This~day of,, 200g Signature of Public Notary - Stdte of Florida Notarization of Principal's signature I do solemnly swear that of h fore n f s are t a d correct and that I have read or am familiar with the provisions contained in S oho 82 tale ami Be Ci ,bode and all reporting requirements.