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Ellen L/ Wedner - Center for the Advancement of Jewish EducationCity of Miami Beach Office of the City Clerk 1700 Convention Center Drive, Miami Beach, FL 33139 LOBBYIST REGISTRATION FORM - iobbyishmeans 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,. decisior 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 welt as any employee engaged in lobbying activities.. The term "Lobbyists" has specific exclusions. Please-. refer to Ordinance 20043435. ' % L~Iedner Ellen ~ L . NAME OF LOBBYIST: _ ~ - (Last) (First) ~ (M.I) .Center for.ahe Advancement of Jewish Education 4200 Biscayne 131vd, rTiami, FL 33137 ,BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) - 305 576-4030 ~~~~ 305 576-0307 wednerfriends@hotmal. com ., TELEPHONE.NUMBER: FAX NUMBER:. EMAIL: r . !. `. L rJB3YlST REFA!NED:3Y: , Center for the Advancement of Jewish Education- NAME OFRRINCIPAL/CLIENT: • ~ i.~nn n _~___~~ P.'Ivr~ A?i ~,.,; FL X41 ~7 BUSINESS NAME yXND 305 576-4030 TELEPHONE NUMBER: (Number and Street) (City) (State) (Zip Code) 305 57b-0307 sandywertheim@caje-miami.or - FAX NUMBER: (Optional) EMAIL: (Optional) tv Filf out thi5section if principal is a Corporation, Partnership or Trust [Section 2-482 (c)] NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: _~ ,_r Q ~Z7 ~ ;- ~ ~ ~'~ Dr. Chaim"Y. Botwinck ;- ~ f.,., ' ~' -~ •_ IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNER SHIP INTER.~ST IIdrJ u ~~ SUCH CORPORATION, PARTNERSHIP OR TRUST: ~ ~"' - uSPECIFIC LOBBY~ISS~UE: ' -' ~-L' __, - ,~- Miami. Jewish Film Festival ;fir ~, Issue to be lobbied (Describe in detail): _,. :~_ nl. CITY AGENCIES/INDlVIL?UALS TO BE`LOBBIED: Pursuant to City Code 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 City personnel sought to be lobbied -- further, pursuant to City Code Section 2- 482(a)(4) 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) Full Name of2ndividual/Title B) Any Financial, Familial or Professional Relationship ~~ 4~ " .. :,°: i. i - , r 'I • [V. 01$CLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY; FLAT ? ' RATE OR OTHER): 'I - •" `{ • A) LOBBYIST DISCLOSURE: (Required) /'~~ ` V~~ B) PRINCIPAL'S DISCLOSURE (OF LOB6YIST COMPENSATION}: " (Required). ~" ~''°~ - 'The following information must be answered: ' 1} Pursuant to Miami Beach City Code Section 2-A88 Entitled "Prohibited Campaign Contributions By,Lobbyists - • On Procurement Issues": ' . • Yes No: Are you lobbying on a present or aendina bid.for goods: equipment or services, or on a ' . present or nendina award for goods, eauipment or service? C-rI~A. ~; • ~ Q fi; ~(~ , .2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists fln Rea! Estate Developmentlssues": - - Yes ~ No: Are you Lobbying on a pending appiication for a Development Agreement with the City or ' - application for change of zoning map designation or change to the City's Future Land Use - ~ , Man• . ' 3) ~ Rursuant to-Miami Beach City Code 2-484 {h) Any person (except those exempt from the definition.-` - ' "lobbyist" as set faith in Section 2-481 above) who only appears as .a representative of a not-fir-profit corporation or entity:without special compensation ar reimbursement for the appearance, wti"e{her i#~ect, or indirect, to express support of or opposition io any item,'shall register with the clerk as regiaired~y this section but, shall not be required to pay any registration fees. °. '~ p: ~~ °~~Yes ^ No: Are you renresentina snot-for-profit coraoration or entity without special comae atiou~ er ~~~i s , ' ~ reimbursement. ' - V - SIGNATURE UN©ER OATH: ~ . O: 1 do solemnly swear that al(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 ~~~~ ~ Signature of PrincipaUClient • ~]~.Ca.1 ~ • L1 ~o w~~...~ ..~ ° " VI. LOi36YIST ibENTIFICATION: PRINCIPAL IDENTIFICATION: • ^ Produced 1D ' ~ . ~ 'Produced lp • . ` _ Form of Identifica#ion Form of identification - ' SaRY Pu SRNDY R. WEFiTHEIM PersonaR known Lobb ist Persohafl known Princi al ~' ~~ .~% Y ( Y ) ~ Y ( P ) ~, * Ml` COMMISSION # DD 637829 ' . VII.. SIGNATURE AND STAMP OF NOTARY: Nj°rFUF~.o4~~F .~ F9bruary~l ~n01~1 N State of Florida, County of Miami-Dade _ State of Florida, County of Miami-Dade „,. ~ ~ Sworn to and subscribed before me blwom and subscribed before me • ~ g .o m ThisTday of >~ X89 ;~o a p ' This ~ S da_ y of p f2l 1L_ ; ~S 2, ~ ~ Q ~ ° x ~. ..Signature of Pudic Nd~ary -State of Florida Signature of Pu lic Notary-,.Stet of Florida ~~~~~~~~ ., ~ ~ m =Notarization of Lobbv~st's/~signature Notarization o Principal's signature ' ~0, * Yo'dW J TO BE CONIF'LETEb,BY C1 CLERK'S STAFF ONLY ' D ' i ~ o Annua{ Registration fee: [ . ]Yes [ :].No , Amount Paid $ MCR a epaid oy , tp Lobbyist Registration,Fann received and Verified,by \ - • * . P:~CLER\$ALI:~aFORMS\LOBBYTST"FORMS\LObbyist Regutrataon; Form 21'1U9 doc J/ evised 02/11/2 9 ' ~ - {1~ ~. - .. City of Miami Beach; }700 Convention Center Drive, Miami $each, Florida 33139, wwvr.miamibeachfl.gov ~ .~ . ~ ~ .~-- ,CITY CLERK Office CityClerk@miamibeachfl.gov ~;. ~ ,~ ~ f ~ ~~ ,. ' ~ Tel: 305:673741 1 ,Fax: 305.673.7254. " u~ ' ,ter, ,f,: ~ . `%,' '~ ~~ c~ ~. ;.~-: - ~ ,. LOBBYIST NAME: ~ L-.Lew, L_ ~l. eC~~Y~-J 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 nff;cd fir al!- a tivi/ !cib!~yirlg~. issues. ~ - _- _ . ,]) 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,l am required #o immediately notify the City Clerk's Office of lobbyist withdrawal- in writing: FaC~ERILOBBYIST1t_obt~yist Registration Form 32708.dac ~~ IV. DISCLOSURE OF TERMS AND AMOUNTS.OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY FLAT ' RATE OR OTHER): A) LOBBYIST DISCLOSURE: (Required) B) 'PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required): 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 lobbving on a present or pending bid for goods,. equipment. or services, or on a present or pending '. '- award for ctoods. equipment or service? ~"A. ti ~ ~ ~'~; ~(,~ 2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real Estate Development Isf;ues": . 3) Pursuant .to Miami Beach City Code 2-484 (h): Any person .(except those:- exempt from. the definitinn:• "lobbyist'; as set forth in. Section 2-481 above) who only appears as a representative of a not-for-profit corporation or entity without special compensation or reimbursement for the appearance, whether duct, or ° indirect, to express support of or opposition to any item,, shalt register with the clerk as required~y this • section but, shall not be required'to pay any registration fees. ' ~ *-~. ' t ~ c*a ,' Yes ^ No: Are you representing anot-for-profit corporation or entity without special compe~isatiog ,or ~~~' . .reimbursement. ~: ' 1,r • ~, ~ V. '. SIGNATURE UNDER OATH; "~ } `~ - ' ! 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 B~ea/ch City Code and all reporting requirements. ' ' Signature of, Lobbyist: ~ ..(~ -~,/ ^ /,~ J .. Signature o ( . ` . ~ r , f Principal/Client: . ` G..1 r. ~ ~®O~+K-~6•-` ~y ' VC LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION: ' . ^ Produced ID ~ . ^ Produced ID - Form. of Identification: Form of.Identification <PaY Pbe SANDY R. WERTHEIM * ..., ~%. Personally known (Lobbyist) ~~Personally khown (Principal) MY COMMISSION#Dl)1i37829 Qs VII. SIGNATURE AND STAMP OF NOTARY:. * * EXPIRES: February 17, 2011 . 33'.N ~lAIFOF e~~`\o: Bgx16d 711fU BUf1g2i NWBIy SBIVICAB og ^ State of Florida, County of Miami-Dade State of Florida, County of Miami=Dade ° ~ ~ Sworn to and Subscribed before me Sworn and subscribed b fore me • ~s,o_ This 1'~ dayof~G~Irp ThisJS~dayof (~~IL,~9a~9'Z©l~ ~, ~~,2' ~> a a Sgnature.of P lic N ary -State of Florida Signature of Pu Iic,Notary - State of Florida ~ ~ ° ' Notarization of Lobbvist'ssignature Notarization o Principal's signature * .b:, •~`b`4 oeoj. TO BE COMPLETED BY CITY CLERK'S STAFF ONLY' c Annual Registration-fee [ ]Yes [ ] No Amourit Paid $ MCR # Date Paid _ oy :per Lobbyist Registration Form received and verified by:' w~.- * s r=:~cf ER~snLL\aFaRMS,+~a>3n_ + ros„ °,~LObi~,+ . r .,++ rurm 211o9.da" Revised 02/11/2009,„, s I • Center forthe Adva ncement ,ofJewish Educa'tiori ~:`.:, ; =~ .~. Ensuring Our Jewish Future Chair ~ ' ~~ `.. JoAnne Papir,. ~ e , .. President £r. G'80 ' ` ~ ~ Dr, ChaimY. Botcvinick i" •' .y " uzce-chairs April 16, 2010 Evelyn Katz •,, .i ,~_ , ; A4imi Klimberg , ., • Adrian Muller .. ~ , . ElanriaRosenbaum ' ~. ~ - City of Miami~Be;ach , -• ~ ~ ~ ~ - ` .- ~ ~ " - - - - Secretory pebb;eTcDner . Office of the City Clerk Treasarer 1700 Convention Center Drive ' Robert Werner Miami Beach, FL, 33139 ` . ' '• - `''• ~ ` ~ • Directors-at-Large - _ .. - Sabv Behar , ivlichelle Diener TO Clty Clerk: • Barbara Black Goldfarb llr: Joan Harris Raquel xiabia Gwen Weinberger Enclosed please end a new Lobbyist Registration Form from our Agency. We Jayazebede are registering Ma. Ellen Wedner on behalf of the Center for the Advancement fmrr~ecliatePast chair ~ E ~ of Jewish"Education in order to be in com liance with the Miami Beach Cultural p llen Barocas • soardofDirectors ~ Arts Council' Grant Application for 2010/2011. EllepBarocas Ariel Bentata v t.: ,M~. . ~"r's~.''"• `. `" ~ ~ - ' ~ • f • Richard Bernstein. We ander`stand'there' is no fee required from us for this Form, however, should Gary B;rnberg Amv Chafetz ou re uire additional information lease do not hesitate to contact the writer. y q . ~ p Robert Danial Thank yOU. Raquel Di Capua _ . ' Rabbi Edwin Goldberg .~, . t, Gail L. Harris Shneerely Dr Joseph Harris , . Dr. Penny Harris. Joel Hoppenstein ~ ~ ~. Dr. Susan Jay ~~~ ~ Elaine Katz Ruben Kloda ' SselKlurrnan Sandy lZ. Wertheim '~ Laura Koffsky ~ `` ~ D1reCtOr Of Finance Richard A. Lehrman Nix Lichy Rabbi Avrdhom Lipszyc Adrienne n4essing Michael Pertnoy Hon. Steven D. Robinson Rabbi A4ario Rojzman " Dr David Russin .Jeff Rvnor David Scharlin . ~ .._ - -- . _~ - Golda Siegel, Ann Singer Tamnry Wollenberg Hedy Whitebook • Past Chairs Helene Berger Irving Canner z'1 Al Golden z'l ~ - Freda Greenbaum Srur Gail Movers Sidney M. Pertnoy Nan-Rich Murray Shear Roberta Shevin L. William.Spear z'1 Gwen Weinberger A.B. Wiener z'1 G Y ,. ary arus >1~1> 11]>rIy lhT7~l7;1 711]]1D7 4200 Biscayne Boulevard • Miami, Florida 33137-3210 • Phone 305-576-4030 • Fax 305-576-0307 • E-mail cafe@caje-miami.org • www.caje-miami.org A COPY.OF THE OFFICIALREGISTRATION AND.FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE, A beneficiary agency Of the - 1-800-435'7352 WITHINTHE STATE. REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL OR RECOMMENDATION BY THE STATE. REG..ND. CHt 58 Greater Miami Jewish Federatiop