Joel Sussman Trustee
D~C,-03'03(WEDI 10:18 BILZIN SUMBERG ET.AL
P 002
City of Miami Bl:lIch Office of the City Clerk
1700 Convention Center Drive, Miami Boach, Fl. 33139
EJnaiL chyclerk@CLmiami-beach.f1.lIs
LOBBYIST RWTSTRA TlON FORM
(City of Miami 1)*11, Clt)l Codt Chapll:r 2. Divi$ion 3, Section 2-481)
IJ Cheek Dox If aD AmcnduUlIJt
McDowell. Cartlll' N.
NAME OF LOBBYIST:
(LUI)
(Firm)
] ./~/03
(M.I) DATE QUALIFIED AS LOBBYIST
200 South Bi.fj~qvne Boulevard. Suite 2500. Miami. Florida ~3131
BUSINESS ADDRESS: (Number and Suecl) (Cily) (Stlw)
(Zip Code)
/305) 350-2355
TELEPHONE NUMBER:
(305) 351-2239
FAX NUMBER:
cmcdowcll@bilzil1.COll1
EMAIL
J. LOBBYlSTRETAlN1I.D BY:
Joel Sussman TrlUllee
NAME OF PRINCIl'AUCUfiNl':
6565 Colli"! Avenue. Mianli Beach. PI. 33141
BUSINESS ADDRESS: (Nllmb" aael SltCel)
(City) (state) (Zip Cod~)
(305) 866.2122
TELEPHONE NUMBER:
(305) &66.8853
fAX NUMDER: (Optional)
EMAJL (Optiollul)
Fill out this section If principal i~ a Corporatlun, Partnership or Trust ISeetiuD %-48% (c))
· NAME OF CIWlF OFFICER, PARTNER, OR BENEFICIARY: NtA
· UST ALL PERSONS HOLDING, DIR.ECTL V OR TNDIREC'rL Y, A 5% OR MORE OWNERSHIP
INTEREST IN SUCH CORPORATION, PAR TNERSl-UP OR TRUST !'ItA.
.
n. SPECIFIC LOBBY ISSUE:
North Shore Historic District ill Relation to 6565 Collins Ayenne. Miami BCflCh. Fl. & 6605
Collins Avenue. Miami Beach. Fl. ~
Tssuc to be lobbied (Describe In detail):
m. CITY AGENClESlINDMDVALS TO BE LOBBIED:
I .) Full Namo or hldividuavritle
I '""""" .......don B.... & .toff
PlalU1ing BOllrd & Staff
City Commis&ion & Staff
I
j
B) RlllalioD.bip
~
DEC. -03' 03 (WEDI 10: 18 BILZIN SUMBERG ET. AL
. ~
p, 003
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSA'1'ION (DIS(:LOSE
WHETHER HOUIU. y, FT,A T RA'tE OR OTHER):
A) LobbyiJl Disclosure: S380,QO per hour
B) l'riDcipi\'S Disclosure (of Lobbyist Compensation); ~ tier hour
I) PUlOuanno Ordinance No, 2003.3393 Amen4inll Miwni Deach City Code Chapler 2, Article VU.J)ivisiOIJ
51'hereofEntitJcd "Campai~ Flnimce Reform" Vi. The AclditiolJ orCode S~tion 2-488 Entitle
"Prohlbited Carl1paigJl Contriblltions By Lobbyists on T'r(lCllrement Issues":
Arc you Inbbyinl on II prc.sent or pendlna bId for good~l eqllipmenl or 5l!rvices, Dr liD I prl!St!llt or
plllldlng award for load.. oquipment or .eniees? 0 Yes X No
2) Pursuant to Ordinallce 2003-3395 Ammding Millmi 8each City Code Chapter 2, arllele VIl, Pivision S
tbereofEntitJed ~Campaign Pillance Reformn Via The Addition of Code Seericn 2-490 Entitled
~Prohibitcd Citmpaign Contrib\lli(lnJ By LDbbyislS on Real Estate Dcvelapmc:nl lUIl"a":
Are you lobbyine: on II peudllll application fnr II DevclopnulIlt AlIfeement 111'1111 'Ioe City or
Applk:lltlou ror cballle of zonlnlllfllp de.iCDuUOD or change to tloe City'. Future Lind U511 Mil"?
OYClIXNu
V. SIGNATURE UNDER OATH:
:ON OCTOBER 1st Ob' EACH YF..A.R, EACH LOBBYJST SHALL SIJBMJT TO THli: Clt'Y CLERK A
SIGNED S'J'Al'EMENT UNDER OATH, US'n.NG LOBBYING EXPENDITURES IN THE CITY OF
MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR.
Signamre of Lobbyist:
thaI r have read or 01111 familial with 0,,,
mended, and all reporting requirement!.
f do solemnly swear that II1J af the Ibrelloin
proviaiallS conUlioed In Seclion 2-4!l2 e
Silll1llture ofPrincipaVClicnl:
VI.
FOlm offdentificQtiol1
~50n""IY Known
o
ProdLlced lD
vn. SIGNATURE AND STAMP OF NOTARY OR DEPUTY CLERK:
State of lilorida, County of Miami-Dade
Swor!loto and S~bed~le
Thi~.yo' '/?;(' 2003,
GISEuE PACHEcO
MY COMMISSION I DO Ot
EXPIRES: April to, 200S 688S
poo.. stamp or type name of Notary Public
Resislrlllian
~eplcd
F'OKCLIoRK'S USKONLY
[JRcjeeted D'l.:~ 1~~3
lfrejected, &latc ~on:
Registrlllion fee paid [ J Ves / No
DATAENTRYDATEj~ IV
2N1 Revi&;on 1n.7103
[ J Cosh ChC<lk MCRII
,2003 t:NTBRtlD I3Y: