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Matthew Amster - Ryder Properties, LLCm MIAMIBEACH City of Miami Beach Office of the City Cferk 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. Armster Matthew NAME OF LOBBYIST: (Last) (First) ~ (M.I) Bercow, Radell & Fernandez, P.A. 200 S. Biscayne Blvd., Suite 850 Miami Florida 33131 BUSINESS NAME. AND ADDRESS (Number and Street) (City) (State) (Zip Code) (305) 377-6236 (305) 377-6222 mamsterC~brzoninglaw com TELEPHONE NUMBER: FAX NUMBER: EMAIL: I. LOBBYIST RETAINED BY: Ryder Properties, LLC NAME OF PRINCIPAL/CLIENT: Ryder Prooerties. LLC 29-35 9th Avenue New York New York 10014 .BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) ,(212) 627-9800 ( ) 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: Guy Williams, CFO • IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: See Exhibit AG III. SPECIFIC LOBBY ISSUE: Renovation, restoration & redevelopment, including variances & conditional use permit, of Soho Beach House at 4385 Collins Ave 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 Planning Department Staff, HPB, BOA, Planning Board and City Commission* None ~; ~~ ~ ~ ~' ~ I Cif ~~u~ is icyiaiauvC in ~~w~e, nra, ~svH, riannmg ~soara, ana city Commission members are not lobbied outside of~Hia pupyblic hearinyg~ setting. ~ ~d~~~: i F ~I y µ4~ ~ ~,..:. d' ~ ~ ..v.! r... ~a ' IV. J DISCLOSURE OF TERMS AMD AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE: (Required) $ 285 00 qer hour B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). $ 285 00 per hour 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 X No Are you lobbying on a present or pending bid for goods, eauiument or services, or on a present or pendinai award for goods, eauiament or service? 2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues": ^Yes X No Are you lobbying on a pending apalication for a Develoament Agreement with the City or aaulication for change of zoning mau designation or change to the City's Future Land Use MaQ? 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 X No Are you reeresenting a not for-urofit corporation or entity without saecial compensation or reimbursement. V. SIGNATURE UNDER OATH: ON OCTOBER 1~ 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 I do solemnly swear that all of` the foregoing facts are true familiar with the provisions contained in Section 2-482 of the requirements. Signature of Lobbyist: Signature of Principal/C VI. LOBBYIST IDENTIFICATION: ^ Produced ID Form of ][dentification Personally known (Lobbyist) ~, ~ T ~.~ II. SIGNATURE AND STAMP OF NOTARY: ~ tate of Florida, County of Miami-Dade ~ ~ a worn to and subscribed before me ~ ~ his ~ day of , 20 t~ ~ ~ "• ~ w ig at re u is Notary -State of Florida otari of Lobbyist's signature PRINCIPAL IDENTIFICATION: a'Produced ID ~~11~s U ~ ~ L~ Form of Identification J ersonally known (Principal) EN (~CLR~ Iro ~ d J ti State of Hert~#e, County of A4iae}i-~Bac#e- Sworn and subscribed before me This ]~_day of L1 ~ 20 ~ ~ ~~ Signature of Public Notary -State of .Florida Notarization of Principal's signature O W ~ '~ ~ _ Q =L~ ••~~ N~ ~_ yr ~ ~ Cp H ~ ~. -~ '~ FOR CLERK'S USE ONLY 9 °~-~ ~ nnual Registration fee: [ ]Yes [ ] No Amount Paid ~© MCR ~` ~~ Date Pa~ v C obbyist Registration Form received and verified by: ~-~ ~ ' Entered By: ~ ~ " F:\CLER\$ALL\MARIA-M\Lobbyist\LOBBYIST fORM 05.doc ~ Revised 12/08/04 and correct and that I have read or am Miami Beach City Code and all reporting • W = .. - _. - . ... ~ .. ,. (n ~ - ~~ . . 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