Clifford A. Schulman - Klaus Parking Systems Atlantic, Inc. • t lV./
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MIAMIBEA H
City of Miami Beach Office of the City Clerk sew I✓
1700 Convention Center Drive, Miami Beach, FL 33139 c�,
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LOBBYIST REGISTRATION FORM 3e1
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 Cole Bierman & Popok, 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 cschulman @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:
Klaus Parking Systems Atlantic, Inc.
N FS ON PW.1Nl28tri Street North Miami Florida 33168
BU( 05IS 687- 3D ADDRESS (Nur(305.) 6 Street)5734 (City) Bruce®kleauspark.co�Zip Code)
TELEPHONE NUMBER: ll 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: Bruce E. Roden, Chief Officer
• IDENTIFY ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION,
PARTNERSHIP OR TRUST: Bruce E. Roden
II.SPECIFfC LOBBY ISSUE-
Ordinance for Tandem Vertical Parking Safety
Issue to be lobbied(Describe in detail):
m CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: l
Pursuant to City Code Section 2-482(a)(4)include the commissioner or personnel sought to be lobbied,and whether the Iobbyi as entered
into any contractual relationship (paid or unpaid) with said city commissioner or personnel from 12 months preceding 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 co
City Manager, City Attorney ,x•
co X.E,City Planning & Building Departments _ ?
-71 LO
Mayor and City Commissioners
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
No
F:ICLERI$ALLIaFORMS\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) $500/hour
B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION):
(REQUIRED). $500/hour
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":
=MO 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.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 "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 representative not-for-profit y pp as a epresentat ve 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.
YesX 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 FOR
THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL BE FILED EVEN IF HERE VE BFEN NO EXPENDITURES OR
COMPENSATION DURING THE REPORTING PERIOD. 1'(
. 2.---
Signature of Lobbyist , Cli for A. Schulman
I do solemnly swear that all of the foregoing fay are e an' • ect and that I hay- ead or am familiar with the provisions contained
in Section 2-482 of the Miami Beach City Cod: . • . :po • :quirements.
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Signature of Lobbyist: -
Signature of Principal/Client: L :i0
Bru - . •oden 6'
VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION: c.,::
_Produced ID Produced ID 1C CO(f/- K2�
Form of Identification Form of Identification
JPersonally known(Lobbyist) Personally known(Principal) J o,-4-'�0$
VII. SIGNATURE AND STAMP 0 • • -
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V�'r Notary Public State of Florida < Z
State of Florida,County of Miami-Dade f Lydia L Pimienta State of Florida,County of Miami-Dade o o d
Sworn to and subscribed before me My Commission FF 008217 Sworn and subscribed before e a B MI 03
This O day of "' 201 . p a Expire:oero3not �'cday of 201 H. x
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ge of Public Notary—State of Florida Signature of Public Notary Co M
g ry -State of Florida m m M CD m
Notarization of Lobbyist's signature Notarization of Principal's signature _. `;. o
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TO BE COMPLETED BY CITY CLERK'S STAFF ONLY w N o °.
Annual Registration fee: [ ]Yes[ ]No Amount Paid$ e `'■ CR# • -1 Date Paid JI&YI ° d
Lobbyist Registration Form received and verified by:
F:\CLER\SAI,t,\aFORMS\LOBBYIST FORMS\Lobbyist.Annual Registration For .d c Revised 01/22/2014
F:ICLERI$ALL1aFORMSILOBBYIST FORMS1Lobbyist Registration Form.doc
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Miscellaneous Cash Receipt tq-.:1•;,.--:::i. t c:1 r-1. '40276.1. 350 n00 .
"�'"_k: CITY OF MIAMI BEACH
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0 0'Credit Card 7'Chek# ci 60 b LS $ 1)() (4)(),=
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Received of (..t 7 r �(1.O. (). +`.[ ;6,.•, i." F ) lire d , .f;•..4 i -,, a;,: `i `',L.
Address j:" r,;12"2 '"01.4 \ 2,._'i i' s 1 , , 9.6 I o:\\l ii-,( ,,�! % 1) 2 ';,L-i .
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(THIS INFORMATION MUST SE COMPLETED) Office of Finance Director
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Preparers -,'�,:.-: , ', '1� .G �,�--/ , "�. �. Dept: c (k.: 1t�.. EXT: / i f I 1
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WEISS SEROTA HELFMAN COLE BIERMAN&POPOK,P.L. 2 0 0 0 6 8
OPERATING ACCOUNT
900602 City of Miami Beach Check Date: 02/13/2015 Check Number: 200068
Date INV# Client Matter Atty EXP Description GL Acct Amount
02/13/15 OPER-LLP 2919 001 CAS MISC Lobbyist Registration Fee for CAS for Klaus Pa 1690000 350.00
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Check Amount: $350.00
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