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Wayne M. Pathman - Alan Lieberman - r '1 0, MIAMIBEACH City of Miami Beach Office of the City Clerk 1700 Convention Center Drive, Miami Beach, FL 33139 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 induces the principal as well as any employee engaged In lobbying activities. The term "Lobbyists" has specific exclusions. Please refer to Ordinance 2004 -3435. Pathman Wayne M. NAME OF LOBBYIST: (Last) (First) (M.I.) Pathman Lewis, LLP, 2 South Biscayne Blvd., Suite 2400, Miami, FL 33131 BUSINESS NAME AND ADDRESS (Number of Street) (City) (State) (Zip Code) 305 — 379 -2425 305- 379 -2420 wpathman@pathmanlewis.com TELEPHONE NUMBER: FAX NUMBER: EMAIL: I. LOBBYIST RETAINED BY: Alan Lieberman NAME OF PRINCIPAL /CLIENT: Museum Walk Apartments, LLC, 2375 Pinetree Drive, Miami Beach, FL 33140 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305 -531 -5831 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, PARTNERS, OR BENEFICIARY: Alan Lieberman • IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: Alan Lieberman and Nathan Lieberman II. SPECIFY LOBBY ISSUE: Liens /Fines on property 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 Mayor /Commissioners None j,J J 1:10 City Attorney's Office None _3 .k 110 City Manager /s Office None O,' :1 L 1 iO 0 1102 S i 0 c-u B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). a4Uultlour 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 ": C3 YesK. No Are you lobbvinu on a Present or vending bid for roods. equiinment or services, or on a Present or pending award for goods. eauipment or service? 2) Pursuant to Miami Beach City Code 2.490 Entitled "Prohibited campaign Contributions 13y Lobbyists on Real Estate Development issues. 0 Yes ..°. No: Ayy, volt lobbying on si oendins' application fora Development Agreement with the C(jv Of applIcs{L},giZfor chsngeoLyonlg map desl ng(l9u or change to the City's Future Land Vag m 3) Pursuant to Miami Beach City Code 2 -484 (h) Any person (except those exempt from the definition of "lobbyist" as sot 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 representinea not - for - profit corporgtion or entity without special compensation or reimbursement. V. SIGNATURE UNDER OATH: ON OCTOBER 1ST OF EACH YEAH, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES, AS WELL AS CO PENSATION RECEIVED, IN THE CITY OF MIAMI BEACH FOR THE PRECEDING CALENDA ' : ' A STATEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPENDITURES • ' 0 • ATION DURING THE REPORTING PERIOD. gnaturc of Lobbyist I do solemnly swear that all of the foregoing facts are true and correct a d that 1 have read or am familiar with the provisions contained in Section 2 -482 of the Miami : each City Code and all reporting requirements. �, Signature of Lobbyis . :.- -' - /air Signature of Principal/Client ` _fi 'JEN 1 MY COMMISSION # DD 840915 Vi. LOBBYIST IDENTIFICATION: 4 PRINCIPAL IDENTIFICATION r,:iit:) * EXPIRES: December8, 2012 ' T. 8F a" 80 Mad T Mu iiudpst Nuts) t sivioaS Produced ID _ Produced ID P. ••• .__ ._- ....._ - - - Form of Identificatit�rl Form of Ide /rsonally known (Lobby t) .onally know (Principal) .____________.....— I ) ' VII. SIGNATURE AND ST gr N e TAR . c: . i State of Florida, Cwnty of Miami -Dade pr • _, • ' - c - — _ . _ _. - lorida, Celerity of Afoiami -Dada Q) Sworn to out subscribe. bef .; utc ' JEANC. MCL Sworn , and su before me This MU-- day dal , � , . _ 0 ' h „ 7 , E MY t l0ilt<18810N 100 t day of 20 l t ' \ n EXPiap: November it 2012 1 : :,,f at • :Y.! , .' • :,1 .'4 '4i. ii. ', ■ i. 1 ?/' //may j r Aael registration stretion foe: O Yes j 1 No Amount Paid , Annual r'' V etc Paid ( l / Lobbyist Registration Form received and verified by: .. —...• F:1 CLEt$ ALLIMARIA- 1vl\LobbyistiLDBBYIST Form 05.doc 4 / Revised 12/08 /04 ,o‘ KAREN KAFIN * t j *, MY COMMISSION # DD 840915 s lir EXPIRES: December 8, 2012 l+' OF r` ex" Bonded Thru Budget Notary Services .1