Loading...
Michael T. Andrews - South Beach Chamber Ensemble 0 CU 41N- i (n'` ,0 I_ _so i 7 MIAMI BEACH City of Miami Beach Office of the City Clerk 1700 Convention Center Drive, Miami Beach, FL 33139 e . 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 ommittee. The term specifically includes the princi I as well as any employee engaged in lobbying activities. The term"L byis 'has s ci is Qxclusions.re r f r tgla ce 2004- 1 NA OF OBBYIST: d;vla7rb,,.a (F ( l�� I 31 i a> • BUSINESS 1.• m •PDRES (Number an treet) Sly) (State) (Zip Code) S -Zel 1 Nvyh r4W 4. r/ V rh i i irk 14"li TELEPHONE NUMBER: FAX NUMBER: EMAIL: Please notify this office if your contact information changes:address,phone, or e-mail address. I.die BBYI ETAI B Liow,, dif J liwilabi N• E OF P: NCIPA ENT: BUSINESS ••M AND ADDRESS (Number and Street) (City) (State) (Zip Code) 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: S Ej • IDENTIFY ALL PERSONS HOLDING,DIRECTLY OR INDIREC Y,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: 46r' 6-- ii.SPECIFIC LOBBY ISSUE: Issue to be lobbied(Describe in detail): In.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 •eneral nature of the subject contractual relationship. Sec 2-482(a)(4) Full Name of Individual and Contractual Relationship(Explain) YES NO itle • ,•n to be lobbied PIM/Ail:JEW/Mal= 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 inancial,Familial or Professional Relationship I F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc 1_____:-) ' r ' IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE:(Required) 0 B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): CI(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": _Vest 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": _YestNo: 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. 4 Yes_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 COMPE ION RECEIVED, IN THE CITY OF MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL BE Fl ED V F THERE HAVE BEEN NO EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD. Sig ature of Lobbyist I do solemnly swear that all of the forego-1g fac are true and correct and that I have read or am familiar with the provisions contained in Section 2-482 of the Mia�'i Be ch Ci , Ca•- - all -porting requirements. Sig y nature of Lobb ist: A . A Signature of Principal/Client: VI. L BBYIST IDENTIFICATION: PRINCIP L IDENTIFICATION: /'Produced ID Gbekv� s C °ate Produced ID FL DP )eRS L C. _ Form of Identification ,��`•(c`0,�q ' •0':1 Form of Identification e, fro I, y., a Personally known(Lobbyist) ■'0��`��,``'yQQ�oc� Personally known(Principal) v `�o`\�ti, .+ o O 5 rt VII. SIGNATURE AND STAMP OF NOTA' a�� Fey }r�� . ``' Q °` gyp` o .§) , , t h State of Florida, County of Miami-Dade • `��,,,,,,,,�� vo air State of Florida,County of Miami-Dade , oc .1, oc Sworn d subscrib-_ •-fore me , s_, •,, •`, .- cps' Sworn .nd subscrib-d •e'•re me �-c)`4. }Q�`D This c'f day of ('_r . _ ,201 '�'! *9: 0 T is day of _Z J ,201 •• ,Nil� F ca A---,fr-- • o_- , S7ATE Signature of Public ot.ry-State of Florida Signature o Public No a -State of Flori•':,,,J,V C,,:4.,,' Qoc Notariza on of Lobbyist's signature Notarizati• of Principal's signature �;:• `t__ TO BE COMPLETED BY CITY CLERK'S STAFF ONLY :'* °;= %,,�Il,s,1,�t Annual Registration fee: [ ]Yes[ ]No Amount Paid$ MCR Date Pal. Lobbyist Registration Form received and verified by: F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Annual Registration Form.doc Revised 01/ /2014 F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc I MI AAA I 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: IT ait ) tiv4.4v 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 - s ded om lobbying until all fines are paid, unless the fine has been a •ealed to lam' ad County Commission on Ethics and Public Trust. Z}Z•fil o : Signature: Date: F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc Detail by Entity Name Page 1 of 4 FLORIDA DEPARTMENT OP STATE � x `s r':r. DIVISION OF CORPORATIONS 5r : .. Detail by Entity Name Florida Not For Profit Corporation SOUTH BEACH CHAMBER ENSEMBLE, INC. Filing Information Document Number N01000000509 FEI/EIN Number 65-1087701 Date Filed 01/22/2001 State FL Status ACTIVE Principal Address 1350 EUCLID AVENUE #2 MIAMI BEACH, FL 33139 Changed: 02/05/2015 Mailing Address 1350 EUCLID AVENUE #2 MIAMI BEACH, FL 33139 Changed: 02/05/2015 Registered Agent Name &Address ANDREWS, MICHAEL T 1350 EUCLID AVENUE #2 MIAMI BEACH, FL 33139 Name Changed: 02/14/2003 Address Changed: 02/05/2015 Officer/Director Detail Name &Address Title D ANDREWS, MICHAEL T 1350 EUCLID AVENUE #2 MIAMI BEACH, FL 33139 http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... 2/24/2016 Detail by Entity Name Page 2 of 4 Title D STOLTZ, RUTH 705 SE 3RD COURT DANIA BEACH, FL 33004 Title D SELIGMANN, PAUL 1790 NE 137th Terrace MIAMI, FL 33138 Title D COLLINS, ALAN 16425 COLLINS AVE#811 MIAMI BEACH, FL 33160 Title D COLLINS, DIANE 16425 COLLINS AV#811 MIAMI, FL 33160 Title Director Sands, Israel, Mr. 3520 E Fairview St Coconut Grove, FL 33133 Title Director Tomlin, Claire 238 E San Marino Miami Beach, FL 33139 Title Director Orbon, Julian 5101 Collins Ave, #6K Miami Beach, FL 33140 Annual Reports Report Year Filed Date 2014 02/06/2014 2015 02/05/2015 2016 02/10/2016 Document Images 02/10/2016--ANNUAL REPORT View image in PDF format 02/05/2015 --ANNUAL REPORT View image in PDF format 02/06/2014--ANNUAL REPORT View image in PDF format 04/08/2013 --ANNUAL REPORT View image in PDF format http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... 2/24/2016 Detail by Entity Name Page 3 of 4 02/07/2012 --ANNUAL REPORT View image in PDF format 03/23/2011 --ANNUAL REPORT View image in PDF format 01/06/2010--ANNUAL REPORT View image in PDF format 01/22/2009--ANNUAL REPORT View image in PDF format 01/28/2008 --ANNUAL REPORT View image in PDF format 01/20/2007--ANNUAL REPORT View image in PDF format 02/13/2006--ANNUAL REPORT View image in PDF format 03/08/2005 --ANNUAL REPORT View image in PDF format 04/26/2004 --ANNUAL REPORT View image in PDF format 02/14/2003 --ANNUAL REPORT View image in PDF format 05/01/2002 --ANNUAL REPORT View image in PDF format 01/22/2001 -- Domestic Non-Profit View image in PDF format Copyright©and Privacy Policies State of Florida,Department of State http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... 2/24/2016 Detail by Entity Name Page 4 of 4 http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... 2/24/2016