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Neisen O Kasdin - 7450 Ocean Terrace, LLC it r � y/\/'J/\/\/\1 ,.G1 ar, ,r-.. x' Fr! 6v4 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. Kasdin Neisen o. NAME OF LOBBYIST: (Last) (First) (M.i) Akerrnan LLP One SE Third Ave,25111 Floor Miami FL 33131 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305.374.5600 305.374.5095 nelsen.kasdin @akerman.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: 7450 Ocean Terrace, LLC NAME OF PRINCIPAUCLIENT: d o Sandor Scher 19 N.W.South River Drive Miami FL 33128 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305-324-4700 sscher@clarocorp.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: la SrtPci SCi-ier • IDENTIFY ALL PERSONS HOLDING�DI Ef�TLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: ��C(,.�� II.SPECiFIC LOBBY ISSUE: Zoning Items for 7450 Ocean Terrace,Miami Beach Issue to be lobbied(Describe in detail): III.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 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 City Commission, Planning Staff Members n/a 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 1s sought to be lobbied as identified on the lobbyist registration form flied. • Sec 2-482(g)Any Financial,Familial or Professional Relationship NONE ., 01'11-1-1,•, 1. 1 I`^1 LO :Z) 118 C-- 330 1 101 F:ICLERI$ALL1aFORMSILOBBYIST FORMS\Lobbyist Registration Form.doc • :.-1 — •=_J 13 if' At IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE:(Required) yt 6 /.7 % )A.p y hourly / B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): (REQUIRED).$645 hourly 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 ONo: 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 Section 2-490 Entitled"Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues": Yes p No: Are you lobbying on a pending application fora 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. YesrANo: 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 SUBM TO THE CITY CLERK A SIGNED STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES,AS WELL AS COMP 7 '•,' 'ON RECEIVED,IN THE CITY OF MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL BE ) 1 V N IF THERE HAVE BEEN NO EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD. / Signature of obbyist I do solemnly swear that all of the fore 48' • 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 4; '••j•e and all reporting requirements. Signature of Lobbyist: / ; Signature of Principal/Client: — VI. LOBBYIST IDENTIFICATION: • 52-A jj r.Z S'Cdfi!' PRINCIPAL IDENTIFICATION: Produced ID Produced ID Form of Identification Form of Identification Personall known(Lobbyist) " Personall known(Principal) ® Y ( Y ) _ y VII. • SIGNATURE AND STAMP OF NOTARY: State of Florida,County of Miami-Dade State of Florida,County c I► dffli�9= Sworn to and su► tribe• •efor-M e Swor "'�•1' subscri • • ,� °lY5 Notary public State of Florida This . �` ,,-, of ii.,v fgil`'0 I This y day of /i�'' � .t''0. Julianne Medina I aY n 1 /��j� �,'�.�ib�.o My Commission EE08057? Kiser oct u% Notary Public State of Florida ` r Expires 01/31/pp15 Julianne Medina Signature of P •Ii. Notary–State of op• T-, p Sign re of P bl Notary–State of Iord- Notarization • L b ist's si natur- °� 0° Expires Commission 01/31/2 EE080572Nota r ation of -i inci•a's signature 9 or f►o Expires 01l31I2015 TO BE COMPLETED BY Cl~ C R S ST•FF 0 LY Annual Regis i ation se: [ ]Yes[ 4i o Amount Pald$ '!i i l i C-,; Ai •• i Date Paid ,�Z. e,i �v Lobbyist Regl z tratIo Form received and verified by: in r:_.I r_ c7_ '/./ 7 F:\CLF..R\SALL\.FOR S\LOt3I3VIST FORMS\Lobbyist Annual R r'on F7ui or Revised 11/18/2013 F:\CLER\$ALLIaFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc City of Miami Beach, 1700 Convention Center Drive,Miami Beach,Florida 33139,www.miamibeachfl.gov CITY CLERK Office Rafael E.Granada,City Clerk CityClerk @miamibeachfl.gov Tel:305.673.7411 ,Fax:305.673.7254 LOBBYIST NAME: Nelsen O. Kasdin 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 2485.1,a fine of$50.00 a day shall be assessed for all Statement(s) filed after the due date. The City Clerk shall notify the Miami-Dade County Commission on Ethics and Public Trust of the failure of a lobbyist(or principal) to file the Statement or pay the assessed fines after notification. Any lobbyist,who fails to file the required Statement by April 30,shall be automatically suspended f ., obbying until all fines are paid, unless the fine has been appealed to the Miami-D ', ty Commission on Ethics and Public Trust. \dj \ Signature Date F:ICLERI$ALL1aFORMSILOBBYIST FORMSlLobbyist Registration Form.doc • , Miscellaneous Cash Receipt �( �? ;, s � ; ,- er��i .1350.00 CITY OF MIAMI BEACH No 36232 ❑ Cash ❑Credit Card /ffheck#C :.- ( ,,7,"= 1- 6 $ Z' -3 20 / f k . 1 . .--1 Received of �P.6 . fir 1 ,A __w I t\ Address i For - ' .- 'lc- 0 ; f"If t-,: d�:� o:"y'� 'L)/, 4 \ (THIS INFORMATION MUST BE COMPLETED) Office r Finance Director By i f Account Number 011 - F O - " ( /() p r`' �.Y '".) T..' . 1 Dept: ,�.t .., 1 EXT: ® l',`f Pre parer: �•_.� �� -� � � ' Please return a stamp-filed copy of the attached lobbyist registration form. If you have any questions regarding the form,please contact me at 305-679-5436. Thank you, Diana Perez-Gata 1 S