Wayne Pathman/Atlantic Pacific
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RECEIVED
03 NOV I 2 Mi 9: I 8
(City of Miami Beach, Oty Code Chapter 2, Division 3, Section tW~ CLERK'S OFF ICE
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
o Check Box if an Amendment
Pathman, Wayne
NAME OF LOBBYIST: (Last)
(First)
(M.!) DATE QUAllFIED AS LOBBYIST
2 So. Biscayne Blvd., Suite 2400~ Miami, FL 33131
BUSINESS ADDRESS: (Number and Street) (City) (State) (Zip Code)
305-379-2425
TELEPHONE NUMBER:
305-379-2420
FAX NUMBER:
wpathman@pathmanlewis.com
EMAIL:
I. LOBBYIST RETAINED BY:
Atlantic & Pacific Property Management & Alan Cohen
NAME OF PRINCIPAl/CLIENT:
1025 Kane Concourse, #210, Bay Harbor Island, FL 33154
BUSINESS ADDRESS: (Number and Street) (City) (State) (Zip Code)
305-867-2245
TELEPHONE NUMBER:
305-867-2246
FAX NUMBER: (Optional)
EMAIL: (Optional)
Fill out this section if prindpal is a Corporation, Partnership or Trust [Section 2-4S2 (c))
NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY:
Howard Cohen
LIST ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR 1RUST: How a r d Cohen
n. SPECIFIC LOBBY ISSUE:
Certificate of Appropriateness, Variances, Conditional Use for
: Issue to be lobbied (Describe in detail): Parking Garage & Design Review
nl. CITY AGENCIES/INDMDUALS TO BE LOBBIED:
A) Full Name of Individual/Title B) Relationship
Historic Preservation Board
Board of Adjustment
Planning Board
Desian Review Board
.
.LV. LlI.:K..LU;:'UKC ur IICKPl3 "'AU 14....UUrtI3 ur L.UDD,...:t1 \",U...t"Crt3",..lUn \UCt\..LU~ WnClnCK nVUK~r,
FLA T RA TE OR OTHER):
A) LOBBYIST DISCLOSURE:
$275/220
'~r
B) PRINOPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION):
$275/220 L!/'
1) Pursuant to Ordinance No. 2003-3393 Amendina Miami Beach City Code Chaoter 2. Article VII. Division 5
Thereof Entitled "Camoaian Finance Reform" Via The Addition Of Code Section 2-488 Entitled "Prohibited
Camoaian Contributions Bv Lobbvists On Procurement Issues":
2) Pursuant to Ordinance No. 2003-3395 Amendina Miami Beach City-COde Chaoter 2. Article VII Division 5
thereof Entitled "Camoaian Finance Reform". Via The Addition Of Code Section 2-490 Entitled "Prohib ited
Camoaian Contributions BY Lobbvists On Real Estate Develooment Issues":
V. SIGNATURE UNDER OAnt:
ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, USTING LOBBYING EXPENDITURES IN THE CITY OF MIAMI BEACH FOR
THE PRECEDING CALENDAR YEAR.
I do solemnly swear that all of the foregoing facts are true and correct and that I have read or am
familiar with the provisions contained in'se . n 2-4 of the Miami Beach City Code as amended, and all
reporting requirements.
Signature of Lobbyist:
VI.
Form of lcentification
~~~~~~~~~~~--')
o Produced ID
VII. SIGNATURE AND STAMP OF NOTARY OR DEPUTY CLERK'
State of Florida, County of MiamWade
Sworn tq;md SUbscriffi before me
This {( ('" day of o//fhL ,20Q3.
- State of Florida
~4~!<>
Bonded Thru N<Aary Public Underwrilors
Public
FOR CLERK'S USE ONLY
Registration: [)<J ACCEPTED
If rejected, state reason:
Registration fee paid: Q<J: Yes [ ] No
DATA ENTRY DATE: ~ IL
2nd Revision 3[18[03
[ ] REJEffiD
DATE:
\\~(1,03
[ ] Cash ~] Check MCR #
. 2003 ENTERED BY: cA I b
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F: \CLER\HA 11 \Lobbyists\registrationa03.doc