Clifford A Schulman - Crown Castle NG East LLC (to At/ lf✓1
MIAMI 0 o d
City of Miami Beach Office of the City Clerk CI V 41
1700 Convention Center prive, Miami Beach, FL 33139 Pc
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.
Schulman Clifford A.
NAME OF LOBBYIST: (Last) (First) (M.I)
Weiss Serota Helfman Pastoriza Cole&Boniske, P.L. 2525 Ponce de Leon Blvd.,700,Coral Gables, FL 33134
BUSINESS NAME AND ADDRESS (Number and Street) , (City) (State) (Zip Code)
(305)854-0800 (305)854-2323 trecio @wsh-law.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:
Crown Castle NG East LLC
NAME OF PRINCIPAL/CLIENT:
1220 Augusta Drive,Suite 600 Houston TX 77057
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(713)570-3000
TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL:(Optional)
Fill out this section if principal is a Corporation,Partnership or Trust[Section 2-482 (c)]
C) ry
• NAME OF CHIEF OFFICER,PARTNER, OR BENEFICIARY:
C
• IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SPCH C` POIATION,
PARTNERSHIP OR TRUST: .
7.:1L)
ii.SPECIFIC LOBBY ISSUE:
(I)
Approvals,legislation,and enactments affecting proposed wireless telecommunication facilities in rights-of=way- - ;
Issue to be lobbied(Describe in detail): — C t --y.
III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
rn
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. 1
Sec 2-482(a)(4)Full Name of Individual and ` Contractual Relationship(Explain) YES NO
title of person to be lobbied
See attached Exhibit"A" None (as to all) 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 Tiled.
None
11
F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc 1'
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AAIAAAI EAcH /ri/kt.:Ht °
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.
Schulman Clifford A.
NAME OF LOBBYIST: (Last) (First) (M.I)
Weiss Serota Helfman, et al., 2525 Ponce de Leon Blvd., #700, Coral Gables, FL 33134
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State)
(Zip Code)
305 854-0800 305 854-2323 cschulman @wsh-law.com
TELEPHONE NUMBER: FAX NUMBER; EMAIL:
_
Please notify this,office if your contact information.changes address,phone, ore-mail address:
I. LOBBYIST RETAINED BY:
Melissa P. Anderson
NAME OF PRINCIPAUCLIENT: - E''
Crown Castle NG East, LLC, 8555 N.W. 64 Street, Miami, Florida 33166 CT,
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
786-899-5911
TELEPHONE NUMBER: FAX NUMBER:(Optional) EMAIL:(Optional)
Fill out this section if principal is a Corporation,Partnership or Trust[Section 2-482(c))
CD
• NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARY: Blake E. Hawk, Representative
C?
• IDENTIFY ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPOFION,
PARTNERSHIP OR TRUST: Publicly-owned and traded company
ILSPECIFIC LOBBYSISSUE: Approvals, legislation, and enactments affecting proposed wireless
telecommunication facilities in rights-of-way
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 9eneral 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
See attached Exhibit "A" None (as to all) 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(g)Any Financial,Familial or Professional Relationship
None
F:\CLERI$ALLIaFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc
64
•
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY, FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE:(Required)
Hourly rate of 5400.00
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION):
(REQUIRED). Hourly rate of$400.00
The following information must be answered:
I) 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 Section 2-490 Entitled"Prohibited Campaign Contributions By Lobbyists On Real Estate
Development Issues":
_ Yes X No: Are you lobbying on a vending application for a Development Agreement with the City or application
g change of zoning map designation or chance to the City's Future Land Use Map?
3) Pursuant to Miami Beach City Code Section 2-482 (li) Any person (except those exempt from the definition of"lobbyist"as set
forth in Section 2-48I 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. SiGNA"iURE UNDER OATH:
ON FEBRUARY 28 OF EACH YEAR. EACH LOBBYIST SI-IALL SUBMIT TO THE CITY CLERK A SIGNED STATEMENT UNDER,
OATH. LISTING LOBBYING EXPENDITURES. AS WELL AS COMPENSATIO,�i RECEIVED. IN THE CITY OF MIAMI BEACH FOR
TI-E P ZE ,DI - LE- • E _ TA— E T A L BE 7-LED _ AE B _ • ,_' �_. •_COMPENSATION DURING THE REPORTING PERIOD. f .
•
Signature of Lobbyist
I do solemnly swear that all of the foreg g facts are rue and correct and that I have read or am familiar with the provisions contained
in Section 2-482 of the Miami Beach C. od and reporting requirements.
Signature of Lobbyist:
Signature of Principal/Client:
VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION:
Produced ID Produced iD
Form of Identification Form of Identification
personally known (Lobbyist) Personally known (Principal)
ViI. SIGNATURE AND STAMP OF NOTARY:
State of Florida,County of M'•s mi- Oge • State of Florida,County of Miami-Dade
Sworn to and subscribed bet: f • NO�ry Public State of Florida Sworn and subscribed before me
day of - ■ �/Lycha L Pimienta
This I y :�,,- .;' �eey Commission FF 008217 This day of ,201
• , oc4r..- Expires 06/03/2017
gn e of Public Notary —State of Florida 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 ON Y f/ 17
Annual Registration fee: Yes No Amount Paid$ '-O ' MCR# 3s / Date aid
Lobbyist Registration Form received and verified by:
F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Annual Registration Form.doc ' Revised 01/22/2014
I7:\CLER\$ALL\a.17ORMS\LOBBYIST FORMS\Lobbyist 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)
Hourly rate of 5400.00
B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION):
(REQUIRED).Hourly rate of$400.00
The following information must be answered:
I) Pursuant to Miami Beach City Code Section 2-488 Entitled"Prohibited Campaign Contributions By Lobbyists On Procurement --
Issues":
Yes XNo: Are you lobbvina on a present or uendine bid for goods.eauiument or services.or on a present or pending
award for Roods.equipment or service?
2) Pursuant to Miami Beach City Code Section 2-490 Entitled"Prohibited Campaign Contributions By Lobbyists On Real Estate
Development Issues":
_ Ycs XNo: Are you lobbvina on a nendine application for a Development Agreement with the City or application
141 change of zoning map designation or change to the City's Future Land Use Mau?
3) Pursuant to Miami Beach City Code Section.2-482 (h)Any person(except those exempt from the-definition of"lobbylst"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 XNo: Are you representing a not-for-protit corporation or entity without special compensation or reimbursement.,
V. SIGNATURE UNDER OATH:
Ok • ?; •. .�._. _it A _ •:: .q . I:u • N. A ►4P . : . Au1_.1. kP t
•� - . •CC ► . '1!►1 LE . •u_ _.►, :. •► t 'I• L . ._ ... S.' asp : •A L.
• _ !r ► .At A .►J.-► . .- p._._ : • • •• • • L__ • ► ►! .... ►! t_ •L
COMPENSATION Dt1RING H:REPORTING PERIOD.
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 and.all reporting requirements.
Signature of Lobbyist: •
Signature of Principal/Client:
VI. LOBBYIST IDEN IFICATION: PRINCIPAL IDENTIFICATION:
Produced ID _Produced ID "
Form of Identification Form of Identification °'
S
k_4144
c°
Personally known (Lobbyist) Personally known (Principal) �
mc.z
VII. SIGNATURE AND STAMP OF NOTARY: c m,Z
c. -p 3 m.
State of Florida,County of Miami-Dade : ate of F,p •a, ounty o ,'ami-Dade o
Sworn to and subscribed before me Sworn a d .sc'•ed before ne a
This day of ,201 This day o !1 ,20l m
o
• N T
Signature of Public Notary—State of Florida Sigi to - •'1= y — _ :rida `°
Notarization of Lobbyist's signature Notarization of • ' signature
o� l
/ TO BE COMPLETED BY CITY CLERK'S STAFF ONLY G�
Annual Registration fcc: [ ]Yes[ ]No Amount Paid$ Sa MCR!I - _ Date,Paid /,
Lobbyist Registration Form received and verified by: '
F:\CLER\S ALL\aFORMS\LOBBYISTFORMS\LobbyistAnnual Registration Form.doc - • 11, Revised 01/22/2014
F:\CLER1$ALL1aFORMS\LOB13YIST FORMS\Lobbyist Registration Form.doc
MIS BEACH
City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miamibeachfl.gov
CITY CLERK Office
Rafael E. Granado, City Clerk CityClerk @miamibeachfl.gov
Tel: 305.673.741 1 ,Fax:305.673.7254
LOBBYIST NAME: Clifford A. Schulman
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 of each year, shall be
automatically suspended from lobbying until all fines are paid, unless the fine has been
appealed to the Miami-Dade ounty Commission on Ethics d Public Trust.
Lek.41 Ce f / " I
Signature: Date:
F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc
Exhibit"A"
Mayor& Commissioners:
Mayor Philip Levine
Vice-Mayor Micky Steinberg
Commissioner Michael Grieco
Commissioner Joy Malakoff
Commissioner Jonah Wolfson
Commissioner Ed L. Tobin
Commissioner Deede Weithorn
City Manager:
Jimmy L. Morales
Joe Jimenez, Assistant City Manager
Planning Board: Historic Preservation Board:
Jean-Francois Lejeune David Wieder
Frank Kruszewski Dominique Bailleul
Jonathan Beloff Herb Sosa
Brian Elias Jane Gross
Jeffrey Feldman John Stuart
Jack Johnson Josephine Manning
Randolph Gumenick Wyn Bradley
Design Review Board: Board of Adjustment:
Annabel Delgado-Harrington Barton Goldberg
Carol Housen Bryan Rosenfeld
Edgar Sarli Heidi Tandy
Elizabeth Camargo Larry Colin
John Turchin Noah Fox
Kathleen Phang Richard Baron
Vincent Filigenzi Richard Preira
Gary Held
Thomas Mooney
Acting Planning& Zoning Director:
Thomas Mooney
Planning Staff
Public Works Staff
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