Kent Harrison Robbins - 1500 Ocean Drive Condo Association is yr Co (//
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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.
Robbins, Kent Harrison
NAME OF LOBBYIST: (Last) (First) (M.I)
Law Offices of Kent Harrison Robbins, 1224 Washington Ave, Miami Beach, Fl 33139
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305) 532 - 0500 (305) 531 -0150 khr @khrlawoffices.com
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
Please notify this office if your contact information changes: address, phone, or e-mail address.
LOBBYIST RETAINED BY:
1500 Ocean Drive Condominium Association, Inc.
NAME OF PRINCIPAUCLIENT:
1500 Ocean Drive, 100, Miami Beach, Florida 33139
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(201) 280 -5850
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:
Harold Rosenbaum, President
• IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUC 4ORWRATION,
PARTNERSHIP OR TRUST:,
<';'
ILSPECIFIC LOBBY ISSUE: r—
Legal Representation concerning 1545 Collins Avenue : cv 1
Issue to be lobbied (Describe in detail): ;•.
ul. CITY AGENCIES /INDIVIDUALS TO BE LOBBIED: ;
Pursuant to City Code Section 2- 482(a)(4) include the commissioner or personnel sought to be lobbied, and whether the [e•byitas entered
into any contractual relationship (paid or unpaid) with said city commissioner or personnel from 12 months preceding h person's
commencement of service with the city to the present date, stating the general nature of the subject contractual relationship.
Sec 2- 482(a)(4) Full Name of Individual and Contractual Relationship (Explain) YES NO
title of person to be lobbied
Historic Preservation Board - None
Zoning Board of Adjustment - None
Planning Board -
None
Land Use Board - None
City Commission -
None
Pursuant to City Code Section 2- 482(g) Every registrant shall be required to state the extent of any business, financial, familial or professional
relationship, or other relationship giving rise to an appearance of an impropriety, with any current city commissioner or city personnel who is
sought to be lobbied as identified on the lobbyist registration form filed.
Sec 2- 482(g) Any Financial, Familial or Professional Relationship
AGENCIES TO BE LOBBIED - CONTINUED
Planning Staff - None
Mayor -
None
City Manager's Office - None
City Attorney's Office -
None
Police Department - None
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR
OTHER):
A) LOBBYIST DISCLOSURE: (Required)
475.00 per hour
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION):
(Required). 475.00 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 ® No: Are ou Iobb in • on a • resent or •endin • bid for • oods e • ui •mentor services or on a *resent or • endin •
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
change of zoning map designation or change 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 a not - 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 a not -for- profit corporation or entity without special compensation or reimbursement. .
V. SIGNATURE UNDER OATH:
ON FEBRUARY 28th OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED STATEMENT UNDER
OATH, LISTING LOBBYING EXPENDITURES, AS WELL AS C • PENSATI • N RECEIVED, IN THE CITY OF MIAMI BEACH FOR
THE PRECEDING CALENDAR YEAR. A STATEMENT • L =E FILE • EN IF T R = HAVE BEEN NO EXPENDITURES OR
COMPENSATION DURING THE REPORTING PERIOD.
Lit/
Signature of Lobbyist
I do solemnly swear that all of e .regoing fac arr. true and . -ct and that I have read or am familiar with the provisions contained
in Section 2 -482 of the Mia b B; . ch qty Co... a "1/:11 repo , . ' g - nts.
Signature of Lobbyist:
Signature of Principal /Client: 1
VI. LOBBYIST IDENTIFIC • TION: P - CIPAL IDENTIFICATION:
❑ Produced ID ❑ Produced ID
Form of Identification Form of Identification • 0 Personally known (iebbgis!) ('�ry rw. cj )54 Personally known•{Ffineifiee}f -a � ., l
VII. SIGNATURE AND STAMP OF NOTARY:
State of Florida, County of Miami -Dade Sta of Florida, • • ►� i. - r. . �-
Sworn to and subscri.e a pre rpe State
and subsc • . ROSELI►N SAVoNON
Th i . day o , 201 } - ' SAM . i' • Y . ? T �r y Public - State of Florida r �4 Y o Commission mm. Expires Dec 9, 2012
WRY OW* • ii of f #� DD 8 44501
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Sit ature of PO •lic otary — --te of Fl. i1 '1'8.111.. �1y1 1M� .•,' � ` 'y ` • u' Notar ' *°' ' "" • • Notary Assn.
Notarization of Lobbyist's nature ` j E umn • Y t . ati ' of Principal's signature
/ TO BE COMPLETED BY CITY CLERK'S STAFF NLY
Annual Registration fee: [ j Yes [ ] No Amount Paid $ ,3 �f7 MCR # 3 P 72/ a Date Paid T /
Lobbyist Registration Form received and verified by: - '
\CL R\ ALL\aFR \ LOBBYIST FORMS \Lobby st Annual Registration Form.doc Revised 1/11/ 011
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City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov
CITY CLERK Office CityClerk @miamibeachfl.gov
Tel: 305.673.741 1 , Fax: 305.673.7254
LOBBYIST NAME: Kent Harrison Robbins
I understand that no later than February 28th of each year, I must file the following
form, 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 and Compensation 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.
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Signature: bat::