Mathew Amster - 1409 Washington/Wilmslow, LLC m MIAMIBEACH
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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.
Amster Matthew
NAME OF LOBBYIST: (Last) (First) (M.I)
Bercow Radell&Fernandez, PA 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 mamster(ftrzoninglaw.com
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
Please notify this office if your contact information changes.address,phone,or a-mail address.
I. LOBBYIST RETAINED BY:
1409 Washington/Wilmslow, LLC—Peter Neary, President
NAME OF PRINCIPAL/CLIENT:
1409 Washington/Wilmslow. LLC 1435 Washington Avenue Miami Beach Florida 33139
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
TELEPHONE NUMBER: 305-979-9536 FAX NUMBER: (Optional)305-532-6504 EMAIL: (Optional)peter @artdecomarket.com
Fill out this section if principal is a Corporation,Partnership or Trust[Section 2-482(c)]
• NAME OF CHIEF OFFICER, PARTNER,OR BENEFICIARY: Peter Neary, President
• IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST: Peter Neary—100%.
II. SPECIFIC LOBBY ISSUE: rn
Development approvals and permitting issues for property located at 1409 Washington Avenue, Miami Beach, FL :X �--
Issue to be lobbied(Describe in detail): c
III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
LO �i
Pursuant to City Code Section 2-482(a)(4)include the commissioner of personnel sought to be lobbied,and w-h-ethekhe lobbyist
has entered into contractual relationship(paid or unpaid)with said city commissioner or personnel from 12 months preceding
such person's commencement of service with the city to the present date,stating the general nature of the subject contractual
relationship.
Sec 2482(a)(4)Full Name of Individual and Contractual Relationship(Explain) YES NO
title of person to be lobbied
Staff of Planning Department, Building None X
Department,and Public Works Department
PB, HPB, BOA,City Commission, as necessary* None X
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 Any Financial Familial or Professional Relationship
None.
*Unless an issue is legislative in nature,PB,HPB,BOA,&City Commission members are not lobbied outside of a public hearing setting.
i
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLATRATEOR
OTHERt
A) LOBBYIST DISCLOSURE: (Required) $325.00
B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): (Required). $325.00
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,equipment or services,or on a present or
pending 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 X 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 Maw
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..
❑Y X No: Are r r sentin a not-for-profit r oration r nti without special com en i n r
Yes a you ep e g corporation o e ty t p n sat o 0
reimbursement.
V. SIGNATURE UNDER OATH:
th H YEAR EACH LOBBYIST SHALL SUBMIT T THE CITY CLERK A SIGNED ATEMENT
ON FEBRUARY 28 OF EACH , ALL SU O G ST
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 REP=NG PERI
Signat re of Lobbyist
I 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 Mia ach City Co a and all reporting requirements.
Signature of Lobbyist:
Signature of Principal/Client:
VI. LOBBYIST IDENTIFICATION: INCIPAL IDENTIFICATION:
Produced ID Produced ID
Form of Identificatio Form of Identification
vl Personally known (Lobbyist) ersonally known (Principal)
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VII. SIGNATURE AND STAMP OF NOTA I; o
State of Florida, County of Miami-Dade « 3 = State of Florida,Cou of Miami-Dade
Sworn to and subscrib before me N 3 g Sworn and scr' of a me ii � '"' ADRiANLAGEYRE
Thl i day 201 N CL This day 201 * * MYCOMMISSIONNEE178896
o m EXPIRES:May 7,2016
rn Bonded Thru Notary Public Underwriters
OR
Sign re of Public otary— to of Florida T Signatur o lic No ry—S to of A rida
Notarization of Lo 'st' ignature m Notariza ' of Pc ci sl re
/ F 'S USE ON§Y �j
Annual Registration fee: [ ]Yes[ ] No Amount Paid S Q MCR# I "' Date Paid
Lobbyist Registration Form received and verified by: Entered By:
Revised 1/11/2011
F:\CLEI pstration Form.doc Revised 04/27/2012
/\/AIAMIBEACH
City of Miami Beath, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miamibeachf.gov
CITY CLERK Office
Rafael E. Granada, City Clerk CityClerk @miamibeachfl.gov
Tel: 305.673.741 1 , Fax:305.673.7254
LOBBYIST NAME: zk4_r� 1�'�� sole-/
I understand that no later than February 28 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, or I am no
longer lobbying on that issue or for that principal, I am required to immediately notify
the City Clerk's Office of lobbyist withdrawal in writing.
Pursuant to Section 2-485 (d), the City Clerk shall notify any lobbyist(or principal)who
fails to timely file a Statement and in addition to any other penalties which may be
Imposed as provided In Section 2-485.1, a fine of$60.00 a day shall be assessed for all
Statement(s) filed after the due date. The City Ckwk shall notify the Miami-Dade
County Commission on Ethics and Public Trust of the failure of a lobbyist(or principal)
to file the Statement or pay the assessed fines after notification.
Any lobbyist, who fails to file the required Statement by April 30th, 2012, shall be
automatically suspended from lobbying until all fines are paid, unless the fine has been
appealed to the Miami-Dade County Commission on Ethics and Public Trust.
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Signature: I 6ate:
C:\Users\clerhatl\HppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\83LGQDDH\Lobbyist Registration
Formrevised 5-30-2012.doc