Leslie A. Lewis - BellSouth Telecommunications, LLC d/b/a AT&T Florida MIAMI BEACH
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City of Miami Beach s f E, All i F
1700 Convention Center Drive L5 ���"�`I!'i 23 .l l _U: 33
Miami Beach, Florida 33139
www.miamibeachfl.gov c! `l ' 3 Lii
City Clerk's Office
Tel: 305-673-7411
Fax: 305-673-7254 Office Use Only
ANNUAL LOBBYIST REGISTRATION FORM
Name: Leslie A. Lewis
Business Name: Lewis & Crichton
Address: 1801 Lee Road, Suite 100, Winter Park, Florida 32789
Office Telephone Number: (407) 647-3428
Cellular Telephone Number: (4 0 7) 616-5026
Email Address: llewis@lewisfirm.com
If more than one lobbyist, please list:
1)
2)
3)
4)
5)
6)
7)
Submit this form to the Office of the City Clerk, along with a check for $500 for each
lobbyist. Please make the check(s) payable to the City of Miami Beach.
For City Clerk's Office Use Only
MCR#:'1OI 15O t V of citS
Amount paid:4850 Date paid: Fel. Z & lo, ?O/s-
Processed by: rlo.i Date: Zr,`' 24:715
F:\CLER\$ALL1aFORMS\LOBBYIST FORMS\ANNUAL LOBBYIST REGISTRATION FORM reg.docx
I i
MIAMI BEACH
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.
Lewis Leslie A
NAME OF LOBBYIST: (Last) (First) (M.I)
Lewis & Crichton, 1801 Lee Road, Suite 100, Winter Park, Florida 32789
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(407) 647-3428 x 102 (407) 647-8758 llewis @lewisfirm.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:
BellSouth Telecommunications, LLC, a Georgia limited liability company, d/b/a AT&T Florida
NAME OF PRINCIPAUCLIENT: 600 NW 79th Avenue, Room 111, Miami, Florida 33126
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305) 260-9018 ap8062 @att .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: Publicly held company
• IDENTIFY ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION,
PARTNERSHIP OR TRUST: Publicly held company
II.SPECIFIC LOBBY ISSUE:1030 15th St., Miami Beach, Fl 33139 - Folio No. : 20-4203-009-6980 - Covenant in
Lieu of Unity of Title and Modification to an existing Conditional Use Permit.
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 r�
N/A N/A °'
Planning and Zoning staff N/A c: s ~ X
Planning Board N/A + X co
Pursuant to City Code Section 2-482(g)Every registrant shall be required to state the extent of any business,financial,familial oi;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 N/A
F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE:(Required) $265 . 00 hourly
B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION):
(REQUIRED). $265 . 00 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 XNo: 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 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.
YesXNo: 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 FOR
THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPENDITURES OR
COMPENSATION DURING THE REPORTING PERIOD.
/A ._ i . (-L?./*C-/(_
Signature of obbyist '
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: _______C-16A---2, a cutJL- -.--s.Signature of Principal/Client:
VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION:
Produced ID Produced ID
Form of Identification Form of Identification
X `\\`c>,..**a .. /,>.�i Personally known(Principal)
Personally known(Lobbyist) OSSION Y ( P )
c,P ,lacy 8,?o'%'�
VII. SIGNATURE AND STAMP OF NOTAFEY: : ��
GRa &L _*: •*
State of Florida,County of Miami-Bade p; #EE 863315 .:47,,=":" State of Florida,County of Miami-Dade
Sworn to and subscribed before me �y9•. ,�ndedt0h•.pQ� Sworn and subscribed before me
This •ay y fily !?n-� ,201Y '�i,`i0'•:; ;*..••0��\�� This day of ,201_
•or /C,STAB e,
Signat re .f Public Notary-State of Florida Signature of Public Notary-State of Florida
Notari .tion of Lobbyist's signature Notarization of Principal's signature
TO BE COMPLETED BY CITY CLERK'S STAFF ON Y
Annual Registration fee: [)Yes[ ]No Amount Paid$ 50 MCR#y01'150 01 x-185 Date Paid ride 2 A io 24215-
Lobbyist Registration Form received and verified by 'RAP i s #46w,e.-,
F:\CLER\5At.L`,IF M 'LOBBYIST FORM Lobbyist Annual RLAZ ation Form.doc Revised 01/22/2014
F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE:(Required)
$265 . 00 hourly
B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): 2 6 5 . 0 0 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 XNo: 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 XNo: 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. •
YesXNo: 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 FOR
THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPENDITURES OR
COMPENSATION DURING THE 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: fDr +1— /h c
VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION:
Produced ID Produced ID
Form of Identification Form of Identification
X Personally known(Lobbyist) Personally known(Principal)
VII. SIGNATURE AND STAMP OF NOTARY:
State of Florida, County of Miami-Dade State of Florida, County of Miami-Dade
Sworn to and subscribed before me Sworn and subscribed before me
This day of ,201_ This d4" day of .ltN ! 201 S
CARMEN PEGO
' MY COMMISSION ti FF 154563...
Signature of Public Notary—State of Florida Signature of Pu is Notary— ite `F:ridXPIRES:August 25,2018
Notarization of Lobbyist's signature Notarization of Principal's ?�� ,: Bonded Tin Notary Public Under
TO BE COMPLETED BY CITY CLERK'S STAFF ONLY
Annual Registration fee:)Yes[ ]No Amount Paid$DSO MCR#SDI YSO%lol'-�18di' Date Paid F zB 10,20/S"
Lobbyist Registration Form received and verified by: _ Irs- r �
F:\CLER\SALL\aOORMS\LOBBYIST FORMS\Lobbyist Annual Re r iori Form.doc Revised 01/22/2014
F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc
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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: 305.673.7411 ,Fax:305.673.7254
LOBBYIST NAME: Leslie A. Lewis
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.
the City Clerk shall notify any lobbyist(or principal) who
Pursuant to Section 2-485 (d),tit ty t�fy y y ( p
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 County Commission on Ethics and Public Trust.
LL A_ 1
Signature: Date:
F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc
ODLEWISCRICHTON
ATTORNEYS e:
January 27, 2015 -
via Federal Express Priority Overnight •
•The City of Miami Beach
OFFICE OF THE CITY CLERK
1700 Convention Center Drive
Miami Beach, Florida 33139
Re: Lobbyist Registration Form
1030 15th Street, Miami Beach, Florida 33139
Dear Sir or Madam:
Regarding the above-referenced, enclosed please find:
• Check Number 16031 in the amount of$500.00 for Lobbyist Registration.
• Executed Lobbyist Registration Form
• Executed Lobbyist Expenditure and Compensation form
• Completed Annual Lobbyist Registration Form
Respectfully Submitted,
a
eslie A. Lewi , Esq.
•
1801 LEE ROAD • SUITE 100 • P.O.BOX 1 1 19 • WINTER PARK.FLORIDA • 32789
PHONE:407.647.3428• FAX:407.647.8758
LEWISCRICHTON
A T T O R N E Y S
•
February 9, 2015
via Federal Express Overnight
The City of Miami Beach
OFFICE OF THE CITY CLERK
ATTN: CLAIRE LAROSA
1700 Convention Center Drive
Miami Beach, Florida 33139
Re: Leslie A. Lewis
Lobbyist Registration Form—Additional Fees
1030 15 h Street, Miami Beach, Florida 33139
Dear Ms. LaRosa:
As per our telephone conversation this morning, enclosed please find check number 16068
in the amount of$350.00 for additional lobbyist fees for the issue above-referenced issue.
If you require anything further,please feel free to contact me.
•
Sincerely Yours,
Lewis &Crichton
By:
C)
'zabeth Hyatt -
Legal Assistant �,
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Enclosures as stared 1 ---- ° `
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1801 LEE ROAD • SUITE 100 • P.O.BOX 1 1 19 • WINTER PARK,FLORIDA • 32789
PHONE:407.647.3428• FAX:407.647.8758
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City of Miami Beach-Florida
Finance Department
1 City Hall
1503313-1 02/02/2015 BR1 T113
Mon Feb02,2015 11 :51AM Trans#23-23
23 $500,00 MCRCLERK - MCR-City Clerk
* MCR#: 401450
1 ITEM(S): TOTAL: $500.00
Check (016031) PAID $500.00
Have a nice day!
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Miscellaneous Cash Receipt .4-j- -G; _.,: GI,-i 15fl +: lxt.
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City of Miami Beach-Florida
Finance Department
1 City Hall
1504213-1 02/11/2015 BR1 1121
Jed Feb11,2015 11 ;12AM Trans#16-16
!6MCI$33#5:0.00 MCRCLERK - -City Clerk
401485
•
1 ITEM(S): TOTAL: $350.00
Check (16068) PAID $350.00
Have a nice day!
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