Jose Sanchez - Andrew H and Michelle P Burger MIAMI BEACH S k �
City of Miami Beach Office of the City Clerk 1
1700 Convention Center Drive, Miami Beach, FL 33139 �J
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.
Sanchez Jose
NAME OF LOBBYIST: (Last) (First) (M.1)
Praxis Architecture 2326 North Miami Avenue, Miami, FL 33128
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305-576-8063 305-576-5772 isanchez(a?nraxisarch.com
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
Please notify this office if'your contact information changes:address,phone, ore-mail address.
I. LOBBYIST RETAINED BY:
Andrew H. and Michelle P. Buraer
NAME OF PRINCIPAUCLIENT.
820 Lakeview Drive 11fiami.Beach FL 33139
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305-776-7416
TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional)
Fill out this section if principal is a Corporation,Partnership or Trust[Section 2-482(c)]
• j., Q� S'.�r Co AY'�'�' 11e.S'
NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARY: d�.& 1 LC 6
• IDENTIFY ALL PERSONS HOLDW9,QVZECTLY O INDIRECTLY_,/_ 5%_OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION
PARTNERSHIP OR TRUST: : I< J 1 d
A4 a LAX-
�_-•,r_____.,�_,____..__ _.-
II:SPEC�FIC LOBBY ISSUE:'
Development Approvals and Permitting Issues, including, but not limited to Design Review Board, Board of Adjustment,
Planning Board, Land Use Development Committee, and City Commission, if necessary, relating to the property located at 820
Lakeview, Miami Beach, Florida.
Issue to be lobbied(Describe in detail).
ul. CIYY AGENCIES/IIVDIVIDlJe4L'S TO BE LOBBIED:
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
Planning, Building and Public Works staff None. a
PB, DRB, BOA, City Commission, and Land Use None. a
Development Committee, as necessary J-
Pursuant to City Code Section 2-482(g)Every registrant shall be required to state the extent of any business,financial,facp7tlal or professional
relationship, r other relationship �,
p p giving rise to an appearance of an impropriety,with any current city commissioner-oF.G,t�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
None-
None-
/
✓
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Formrevised 5-30-2012.doc
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE:(Required)$ - 4-4%hour
B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): $ 'del• 4-e /hour
(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 XNo: Are you lobbying on a precpnt or penning bird for goods.eauipment or cprvicpc_ or on a present or gentling
award for goods,eguigment or service?
2) Pursuant to Miami Beach City Code Section 2-490 Entitled"Prohibited Campaign Contributions By Lobbyists On Real Estate
Development Issues":
_Yes XNo: Are you lobbying on a pending application for a Develomm231 Agreement`•:ith the City or application for
change of zoning map designation or change to the City's Future Land Use Man?
3) Pursuant to Miami Beach City Code Section 2-482(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 X Nog Are you representing a not-.&_nrofit corporation or entity without cnpcial r_mmpancation or reilnbursemont
V. SIGNATURE UNDER OATH:
ON FEBRUARY 28 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
EM THE PRECEDING CALENDAR YEAR, A STATEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN NO
EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD
[ey.s.e � .e.2 st4lf--&Jkq .
Signature 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 Miami Beach City Code an(
Signature of Lobbyist:
Signature of Principal/Client:
al/Client: - '✓
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VI. LOBBYIST IDENTIFICATI N: PRINCIPAL IDENTIFICATION:
Produced ID Produ ed ID
Form of Identification Form of Identification
abbyist) Personally known(Principal)
VII. SIGNATURE AND STAMP OF NOTARY:
State of Florida, County f Miami-D de State of Florida, County of Miami-Dade
Swof. to su scrib befor MIRTHA ELGUERA Sworn and subscrib before. _
Notary Public-State of Florida This day of ,
V I%
•_My Comm.Expires Mar 26,2017
Commission#FF 00229
Signature of P — Bonded Through National Notary Fig ture — Florida
Notarization o si I I izatio f sig t
TO BE COMPLETED BY CITY CLERK'S STAFF ONLY
144 4
Annual Re tration fee:. [ ]Yes[ ]No ; Amount Paid$ f> MCR# Date Paid
Lobbyist. istration Form received and verified b
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE: (Required), v /hour
B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): /hour
(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 lobbying on a present or pending bid for goods equipment or services or on a present or pending
award for goods. eauipment or service?
2) Pursuant to Miami Beach City Code Section 2-490 Entitled"Prohibited Campaign Contributions By Lobbyists On Real Estate
Development Issues":
_Yes Xhlo: 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 Section 2-482 (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 X No: Are you representing a not-for-profit corporation or entity without special compensation or reimbursement.
V. SIGNATURE UNDER OATH:
ON FEBRUARY 28 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
FCC$ THE PRECEDING CALENDAR E T E D EVEN IF IHERE UAVE BEEN NO
EXPENDITURES OR C E E E PERIOD.PD
Signature of Lobbyist
I do solemnly swear that all of the foregoing fac are true and correct and ave read o7amfamiliar with the provisions contained
in Section 2-482 of the Miami Beach City ode nd all reporting requirements.
Signature of Lobbyist: cs��Signature of Principal/Client: J
VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION:
Produced ID Q Produced ID
Form of Identification Q Form of Identification
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Personally known (Lobbyist) Q o o N Personally known (Principal)
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VII. SIGNATURE AND STAMP OF NOTARY: u' - W
State of Florida, County of Miami-Dade Q C ` State of Florida, County of Miami-Dade
Sworn to nd subscribed before e Z � w Sworn and subscribed before me
This 3 ra day of Bid dU�� pG�AT��y• This day of , 2013
n:
�i.
Signature of Public Notary—State of Florida 1�:' Signature of Public Notary—State of Florida
Notarization of Lobbyist's signature Notarization of Principal's signature
TO BE COMPLETED BY CITY CLERK'S STAFF ONLY
Annual Registration fee: [ ]Yes[ ]No Amount Paid$ MCR# Date Paid
Lobbyist Registration Form received and verified by:
i
MIAMI B�EACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www rniamibeachfl.gov
CITY CLERK Office
Rafael E. Granado, City Clerk CityClerk(imiamibeachfl.gov
Tel:305.673.7411 , Fax: 305.673.7254
LOBBYIST NAME: Nose Sanchez
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 $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-Dade County Commission on Ethics and Public Trust.
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Signature: Date:
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'tU ANO 5%AbSCAAA.. A*
BARBARA FERNANDEZ `
MY COMMISSION#EE 871881 I
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- '-wi EXPIRES:May 31,2017 i
Bonded Thy No Public Underwriters I
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