Joe Clark - Stephen Scher D� •
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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 an,y 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.
Clark Joe
NAME OF LOBBYIST: (Last) (First) (M.1)
9822 NE 2nd Avenue, Suite#1 Miami Shores Florida 33138
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305) 582-1535 ioe(d-)ptah.com
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
Please notify this office if your contact information changes:address,phone, or e-mail address.
I. LOBBYIST RETAINED BY:
Stephen Scher
NAME OF PRINCIPAUCLIENT:
Claro Corp. 1035 Stillwater Drive Miami Beach Florida 33141
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(203) 253-4747 (305) 574-8564 sscher(cDclarocorp.com
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:
• IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION,
PARTNERSHIP OR TRUST:
II.SRECIFIC L®BBY ISSUE.;
Developmental Board Approvals for 1035 Stillwater Drive, Miami Beach, FL
Issue to be lobbied(Describe in detail):
lll. CITY AGENCIES/IIVDIVIDUI►LS TO'I BE LOBBIE®:
Pursuant to City Code Section 2-482(a)(4)include the commissioner or personnel sought to be lobbied,and whether the lobbyist has entered
into any 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 2-482(a)(4) Full Name of Individual and Contractual Relationship(Explain) YES NO
title of person to be lobbied
Commission, Planning Staff, Development Boards 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 V.
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F:\CLER\$ALL\aFORMS\LOBBYIST FORMSTobbyist Registration Form.doc
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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 lobbyina on a Dresent or pending bid for goods eauioment 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 By Lobbyists On Real Estate
De velopment Issues":/
Yes ✓ I
f9.E 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 J 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 LQBBYINQ EXPENDITURES, AS WELL AS COMPENSATION 13ECEIVED. IN THE CIIY OE MIAMI BEACH
EM THE ERECEDING QALENDAR B FILED /fVEN IF THERE HAVE BEEN NO
EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD.
Signature of Lobbyist ,
I do solemnly swear that a of regoinl facts are true and correct and that I h read or am familiar with the provisions contained
in Section 2-482 of the Mi i eaq City J de and all reporting requirements.
Signature of Lobbyist:
Signature of-Principal/ lient:
VI. LOBBYIST IDENtj ATION: PRINCIPAL IDENTIFICATION:
/roduced ID Produced ID
Form of Identification Form of Identification
Personally known(Lobbyist) (Personally known
(Principal)VII. pw Pt& Notary Public State of Florida SIGNATURE AND STAMP OF
Diana Ramos
NOTARY: c My Commission EE082284
VOF Expires 04/10/2015
State of Florida, County of Miami- a e State of Florida, County of Miami-Dade
Sworn t nd subscrib d be re me Sw Znd subscrilxdl bef re me
Th ay of , 2014 T is d ,2014
n s e of Florida
Sigrf4tUrie of blic Notary—State of Florida Signature o Pu lic otzy "eta ul o @ina
Notarization of Lobbyist's signature Notarizati n o s�g H'rr,ission EE060572
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Expires 01/31/2015
TO BE COMPLETED BY CITY CLERK'S AFF NL
Annual Registration fee: [ ]Yes[ -]No Amount Paid$fZ MCR# Date Paid
Lobbyist Registration Form received and verified by: --
MIAMI BEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach,Florida 33139,wvvw.miamibeaclifl.gov
CITY CLERK Office CityClerk@)miamibeachfl.gov
Tel: 305.673.7411 , Fax: 305.673.7254
LOBBYIST NAME: Joe Clark
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.
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 $50.00 a day shall be assessed for all Statement(s)
filed after the due date. The City Clerk 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- ade County Commission on Ethics and Public Trust.
Signature:. ;ate:
F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc
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