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Carter N. McDowell - Carino San Marino LLC
x( mil efa AAIAAA1 tEA, C 2 � _ 4 City of Miami Beach Office of the City Clerk n b ° c 1700 Convention Center Drive, Miami Beach � 3P 3 3 P,� 14° 5 8 LOBBYIST REGISTRATION FORM 'IT-h I' l. �;_'i a I.�� - s C G= 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. MCDOWELL CARTER N. NAME OF LOBBYIST: (Last) (First) (M.I) Bilzin Sumberg Baena Price&Axelrod LLP-1450 Brickell Avenue,23rd Floor,Miami,FL 33131 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305-350-2355 305-351-2239 cmcdowell @bilzin.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: CARINO SAN MARINO LLC NAME OF PRINCIPAUCLIENT: 1749 NE Miami Court,Suite 608, Miami, FL 33132 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305-673-1101 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: Alain Degraeve C) • IDENTIFY ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION-I PARTNERSHIP OR TRUST: La II. SPECIFIC LOBBY ISSUE: --0 Dispute regarding proposed construction of stormwater lift station Issue to be lobbied(Describe in detail): -- cn 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 x Mayor,Commissioner,City Attorney x Planning/Zoning and Staff City Code Section 2-482(g)Every registrant shall be required to state the extent of any business,financial,familial or professional Pursuant to C y (g) ry g q Y 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 IV.DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE:(Required) $690/hr. B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): $690/hr. (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,equipment or service? 2) Pursuant to Miami Beach City Code 2-490 Entitled"Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues": ❑Yes 'JNo: 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 2-484 (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 No: Are you representing a not-for-profit corporation or entity without special compensation or reimbursement. . V. SIGNATURE UNDER OATH: ON FEBRUARY 28th 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 TH CITY OF MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL BE FILEDEEN IF THER AU BEEN NO EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD. , Signature of Lobbyist: Carter N. McDowell I do solemnly swear that all of the foregoing f- are true and cor ct and that I have read or am familiar with the provisions contained in Section 2-482 of the Miami Beach Cit erode and all re 5 o -quirements. Signature of Lobbyist: _ _ Carter.T i, D owell Signature of Principal/Client: VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION;: ❑ Produced ID ❑ Produced ID Form of Identification Form of Idetittifica#in .Tr'ID Personally known(Lobbyist) ❑ Personally known (Principal) r,) 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 •ay of %*Ps!. , 2014, . This day of , 2011 wl.Noet, IBIS DIAZ MY COMMISSION#FF 111262 Signature of Pub- • 'otary—State of Fl ON.,;i� `.= EXPIRES:May 24,2018 Signature of Public Notary—State of Florida Notarization of Lobbyist's signature `P'-o oFFol Bonded Thraudget Notary Services Notarization of Principal's signature TO BE COMPLETED BY CITY CLERK'S STAF ONLY '��4 Annual Registration fee: [ ]Yes[ ]No Amount Paid$ �°G MCR# 402I6q Date Paid Lobbyist Registration Form received and verified by: '-1 02764 Revised 4/27/2012 • IV.DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE:(Required) $690/hr. B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): $690/hr. (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.equipment or service? 2) Pursuant to Miami Beach City Code 2-490 Entitled"Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues": ❑Yes "VNo: Are you lobbying on a pendinciapplication 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 2-484(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 11 No: Are you representing a not-for-profit corporation or entity without special compensation or reimbursement. . V. SIGNATURE UNDER OATH: ON FEBRUARY 28th 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 TH CITY OF MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL BE FILED E)/EN IF THERE*HA BEEN NO EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD. Signature of Lobbyist: Carter N. McDowell `:' I do solemnly swear that all of the foregoing f , are true and cor ct and that I have read or am familiar with the provisionsntained in Section 2-482 of the Miami Beach Ci de and all re o ' quirements. =- Signature of Lobbyist: l J Carter 111,. owell —° Signature of Principal/Client: VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION: ❑ Produced ID ❑ Produced ID Form of Identification Form of Identification Personally known(Lobbyist) XPersonally known(Principal) VII. SIGNATURE AND STAMP OF NOTARY: State of Florida,County of Miami-Dade State of Florida,Cou , . i-i.•- Sworn to and subscribed before me / Sworn and subscribe; '. Notary Public State of Florida This • ay f ,20143 This 2. day of ■), 1►; z0 Bagge �,Y o� �o ommission EE 197526 III +`fir•. , Ms DIAZ Q;Ao Expires OS/23/2016 tlY COMMISSION ii FF 111262 ► Signature of Pu ota State of Flee = ' EXPIRES:May24,2018 g ry— � Sig : ure • ublic Not State of Florida Notarization of Lobbyist's signature Om, ° B« " No r ri ati of Princi�Ths signature TO BE COMPLETED BY CITY CLERK'S STAFF ONSY '2 Annual Registration fee: [ ]Yes[ ]No Amount Paid$ S riaeow MCR# `(C� `� Date Paid )/l r(rl7 Lobbyist Registration Form received and verified by: �_ Revised 4/27/2412 era "\\ i f 3 y. ¢q City of Miami Beach, 1700 Convention Center Drive,Miami Beach,Florida 33139,www.miamibeachfl.gov CITY CLERK OFFICE Rafael E. Granado, City Clerk CitvClerk(a�miamibeachfl.gov Tel: 305-673.7411 Fax: 305.673.7254 LOBBYIST NAME: Carter N. McDowell I understand that no later than February 28th of each year, I must file the following forms, 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 Form 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, 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` ely file a Statement and in addition to any other penalties which may be imposed as provided in Section.2-48 '1, aline of $50.00 a day shall be assessed for all Statement(s) filed after the due date. The City Clerk shall-notif=y the"Miami- Dade County Commission on Ethics and Public Trust of the failure of a lobbyist (or prilncipalfto 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 automat call-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. 1: .. r\) i fro, Signature: Date: MIAMI 2964847.1 7000060139 3/9/15 1-• . . 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C_D ----4 0) 0 - , 70 0 0 0 • CD :-.1.7 "-.' ---.• C--) I Cr) CO - •:'-',:r,:••,.•?.:-::',;:,:,- C-7, 4= 0 --,:•'....•••,--,:l'''' — CZ C.....": (7) 0 CD -7,- Camm, Patrick From: Ibis Diaz <idiaz @bilzin.com> Sent: Friday, March 20, 2015 4:08 PM To: Camm, Patrick Subject: RE: Lobbyist Registration/Carter McDowell and Javier Avino 100% fzin SUMberg Ibis Diaz Legal Assistant Bilzin Sumberg Baena Price&Axelrod LLP 1450 Brickell Avenue, 23rd Floor Tel 305.374.7580 x 3065 Miami, Florida 33131 Direct Fax 305.374.7593 www.bilzin.com idiaz�bilzin.com From: Camm, Patrick [mailto:PatrickCamm@ miamibeachfl.gov] Sent: Friday, March 20, 2015 4:05 PM To: Ibis Diaz Subject: RE: Lobbyist Registration/Carter McDowell and Javier Avino Good afternoon, I just had one last question, does Alain Degraeve obtain 100%ownership of the business,or is the business divided amongst other people? In section [2-482(c)] on the first page his name is listed with no percent value. Regards, 110111 416111111*. aim Amenesimma, ME mum dressammistaimataasimmosegessaisittme AA I A Patrick Camm,Administrative Aide I OFFICE OF THE CITY CLERK 1700 Convention Center Drive, Miami Beach, FL 33139 Tel: 305-673-7411/Fax: 305-673-7254/ www.miamibeachfl.gov We are committed to providing excellent public service and safety to all who live, work and play in our vibrant,tropical, historic community. . ._..................... From: Ibis Diaz [mailto:idiaz©bilzin.com] Sent: Thursday, March 19, 2015 4:56 PM To: Camm, Patrick Subject: RE: Lobbyist Registration/Carter McDowell and Javier Avino Thank you for catching that and calling us. Bilzin Sumberg Ibis Diaz Legal Assistant Bilzin Sumberg Baena Price&Axelrod LLP 1450 Brickell Avenue, 23rd Floor Tel 305.374.7580 x 3065 Miami, Florida 33131 Direct Fax 305.374.7593 www.bilzin.com idiaznbilzin.com From: Camm, Patrick [mailto:PatrickCamm(a�miamibeachfl.gov] Sent: Thursday, March 19, 2015 4:54 PM To: Ibis Diaz Subject: RE: Lobbyist Registration/Carter McDowell and Javier Avino Thank you, I have received the information I need.Also, I will give this packet to the mailroom tomorrow,once they are in office. Regards, MEI 1111111=11111=k 1114i 411=1.01.11.11811.111111111111.210 Patrick Camm,Administrative Aide I OFFICE OF THE CITY CLERK 1700 Convention Center Drive, Miami Beach, FL 33139 Tel: 305-673-7411/Fax: 305-673-7254/ www.miamibeachfl.gov We are committed to providing excellent public service and safety to all who live,work and play in our vibrant,tropical, historic community. From: Ibis Diaz [mailto:idiaz@bilzin.com] Sent: Thursday, March 19, 2015 4:41 PM To: Camm, Patrick Subject: Lobbyist Registration/Carter McDowell and Javier Avino Patrick Attached are the revised first page as discussed earlier. Once filed,please forward receipt copy in envelope provided . Please confirm this is all you need. Thank you for your assistance. 2 Bilzin Sumberg Ibis Diaz Legal Assistant Bilzin Sumberg Baena Price& Axelrod LLP 1450 Brickell Avenue, 23rd Floor Tel 305.374.7580 x 3065 Miami, Florida 33131 Direct Fax 305.374.7593 www.bilzin.com idiaz(c�bilzin.com This message contains information which may be confidential and privileged. Unless you are the addressee (or authorized to receive for the addressee), you may not use, copy or disclose to anyone the message or any information contained in this message. If you have received this message in error, please advise the sender by reply e-mail or reply to info @bilzin.com, and delete the message. Thank you very much. • 3