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Hotelarama Associates, LtdFILE No,886 07/21 '03 17:01 ]D:BILZIN,SUHBERG City of Miami Beach Office of the City Clerk 1700 Convention Center Drive, Miami Beach, Fl. 33139 Email: cityclerk~ci.miami-beach, fl.us LOBBYIST REGISTRATION FORM (City of Miami Beach, City Code Chapter 2, Division 3, Section 2481) [] Check Box if an Amendment FAX: RECEIVED 03 JUL 2N IHIt: 38 CI'FY .... ,'" (,LERr S OFFICE McDowell, Carter N. PAGE NAME OF LOBBYIST: 200 South Biscayne Boulevard, Suite 2500, Miami, Florida 33131 BUSINESS ADDRESS: (Number and Street) (City) (305) 350-2355 TELEPHONE NUMBER: (305) 351-2239 FAX NUMBER: (Last) (First) (M. 1) DATE QUALiFiED AS LOBBYIST (State) (Zip Code) cmcdowell~bilzin.com EMAIL I. LOBBYIST RETAINED BY: Hoteler~ma Associates, Ltd. NAME OF PRINCIPAL/CLIENT: 4441 Collins Avenue, Miami Beach, Florida 33140 BUSINESS ADDRESS: (Number and S~eet) (305) 674-4669 (305) 532-3270 TELEPHONE NUMBER: (City) (state) (Zip Code) FAX NUMBER: (Optional) EMAIL (Optional) 3/ 19 Fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (c)] · NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: SEE ATTACHED EXHBHT "A" · LIST ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSFIIP OR TRUST H. SPECIFIC LOBBY ISSUE: Design Review Board and Board of Adiustment Approvals Issue to be lobbied (Describe In detail): IH. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: A) Full Name of Individual/Title Design Review Board & Staff Board of Adjustment & Staff B) Relationship FILE No.886 07/'21 '03 17:02 ID:BILZIN,SUI'IBERG FaX: PRGE IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR OTHER): A) Lobbyist Disclosure: $385.00 per hour 4/ 19 B) Principal's Disclosure (of Lobbyist Compensation): $385.00 per hour ~) 2) Pursuant to Ordinance No. 2003-3393 Amending Miami Beach City Code Chapter 2, Article VII, Division · 5 Thereof Entitled "Campaign Finance Reform" Via The Addition of Code Section 2488 Entitle "Prohibited Campaign Contributions By Lobbyists on Procurement Issues": Are yon lobbying on a present or pending bid roi' goods, equipment or services, or on a present or pending award for goods, equipment or services? r~ yes X No Pursuant to Ordinance 2003-3395 Amending Miami Beach City Code Chapter 2, article VII, Division 5 diereofEntifled "Campaign Finance Reform" Via The Addition of Code Section 2-490 Entitled "Prohibited Campaign Con~butions By Lobbyists on Real Estate Development Issues": 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? [] Yes X No V. SIGNATURE UNDER OATH: ON OCTOBER 1st OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES IN THE CITY OF I do solemnly swear that all of the foregoing f~fts are tree and corr?~ and th.at .I bav, e .r.~ad or.am tm.liar wi,th the provisions contained in Section 2482 of~.q~a .mi/Bea.~ity/~/Oft/s~---'~.~ ~~/"ff/,,'/~ ' amended, ana an reporting reqmremems. VI. LOBBYIST IDENTIlVlCATION: / [] Produced ID ~erso~011y Known Form of Identification vn. SIGNAm AND STAMP OFNOT ¥ OR n C ERK: State of Florida, County otMiami-Dade , /t Sworn to and subscl~'belt be_fore me ~ , ' ~NOerARY. SEaL [ Signatt~ofPublic lqotar)b&Sta(e o~F!orida IRMA C VEG~ I [I~2q'ARY PUBLIC STATE OF FLORIDA I ~ ~ ~ "o---' Public I ~MISSION I~10 DDl~2~4 t t'rmt, s~amp or type name oxr~ tory FOR CLERK'S USE ONLY Registration ~¢~epted [ ] Rejected Da, e: If rejected, state reason: Registration fee paide~Yes/[ ] No/ DATA ENTRY DATE: q/~' ~(//: 2~ Revision 1/27/03 ] Cash ~heck MCR~ ~-~.?~ O D ~ 2003 ENTERED BY: ~ F :\CLE~L~.obbyists~regist raft on03 .doe