HomeMy WebLinkAboutClear Channel - Martina Schmidt
City of Miami Beach Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139
Email: cityclerk@ci.miaml-beach.fl.us
LOBBYIST REGISTRATION FORM
(City of Miami Beach, City Code Chapter 2, Division 3, Section 2-481)
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McDowell Carter N.
NAME OF LOBBYIST: (Last)
(First)
Ma 20 2002
(M.!) DATE QUALIFIED AS LOB
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200 South Biscavne Boulevard. Suite 2500. Miami. Florida 33131
BUSINESS ADDRESS: (Number and Street) (City) (State)
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(Zip Code)
(305) 350-2355
TELEPHONE NUMBER:
(305) 351-2239
FAX NUMBER:
cmcdowell@bilzin.com
EMAIL:
I. LOBBYIST RETAINED BY:
Clear Channel - Martina Schmidt. Senior Vice President Business Develooment
NAME OF PRlNCIP ALlCLIENT:
11 0 East 42nd Street. 18th Floor. New York. NY 10017
BUSINESS ADDRESS: (Number and Street) (City)
(State)
(Zip Code)
(212) 972-0515
TELEPHONE NUMBER:
(212) 818-0618
FAX NUMBER: (Optional)
martinaschmidt<@clearchannel.com
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:
? LIST ALL PERSONS HOLDING, DIRECTLY OR lNDlRECTL Y, A 5% OR MORE OWNERSHIP
INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST:
II. SPECIFIC LOBBY ISSUE:
Aooroval for Street Furniture Program
Issue to be lobbied (Describe in detail):
III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
A) Full Name ofIndividual/Title B) Relationship
Design Review Board on May 21,2002; and
Historic Preservation Board on June 6, 2002; and
Any Subsequent Meetings Needed
Doc.#568594 v.1
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER
HOURLY, FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE: $365.00 per hour
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): $365.00 per hour
V. SIGNATURE UNDER OATH:
ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
ST A TEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES IN THE CITY OF MIAMI BEACH FOR THE
PRECEDING CALENDAR YEAR.
Signature of Lobbyist:
or am familiar with the provisions
requirements.
I do solemnly swear that all of the foregoing facts are true and correct and
contained in Section 2-482 of the Miami Beach Cit as amended,
, Signature of Principal/Client:
VI. LOBBYIST IDENTIFICATION:
I
:::) Produced ID
Form ofIdentification
X Personally Known
VII. SIGNATURE AND STAMP OF NOTARY OR DEPUTY CLERK
State of Florida, County of Miami-Dade
Sworn to and subscribed before me
ThisckJ day of /L!~ ' 2002.
GlSEU.E PACHECO
MY COMMISSION 1I DO 016885
EXPIRES: April 10, 2005
Bonded ThRl Pichard Insurance Agency
Print, stamp or type name of Notary Public
Registration:
[vy'/ACCEPTED
FOR CLERKS USE ONLY /
[] REJECTED DATE: 5' _ 2. 0 I U;;>---
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If rej ected, state reason:
Registration fee paid:
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[ \...y" Yes
[] Cash
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DATA ENTRY DATE:
1
,2002
ENTERED BY:
I First Revision - 05/17/02
Doc.#568594 v.l