Matthew Amster - 7801 Atlantic Way -��t , - Ips G
RECEIVED
Office of the City Clerk PR-2 2021
1700 Convention Center Drive
Miami Beach, FL-33139: (a"r'r. "�31i1. .
305:673.7411 Ci �16tri4Cf 1ECl, ,
• ; - • . .. LOBBYIST,REGISTRATION,FORM . . CLERK
,
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 anycommissioner; 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 committee. The.term specifically includes the principal as well asany.•employee.engaged in lobbying
activities.'The term has s_pecific exclus_ions:;Please refer to City Code.C_hapter2;'Article VII, Division 3, entitled"Lobbyists,"
for additional information.
Instructions: Please complete all sections of this form and submit_the completed form,with the applicable fee,to the Office of the City
Clerk. If you need more space to complete an answer, use a separate sheet(s) of paper. If you have nothing to report in a particular
section, you must write "none" or "n/a" in that section. Any change to any information originally,'filed, or any additional City
Commissioner or personnel who are also sought to be lobbied shall require that the lobbyist file an amendment to:the registration form.
The lobbyist has a continuing duty to supply information and amend the forms filed throughout-the period that the lobbying occurs.
Separate registration forms shall be required for each principal represented on each specific issue.,
F "LOBBYIST INFORMATION:
•
Amster Matthew''. .
NAME OF LOBBYIST ' •. (Last)' - (First)' ' - (Middle Name) `
Bercow RadellFeriiandezLarkin&Tapanes,,PLLC 200 South-Biscayne:Blvd., Ste.300 Miami,Florida 33131
LOBBYIST BUSINESS NAME AND ADDRESS _.__.. .(Numberarid Street) _ 1 -. '.-,(State)', = (Zip Code)
(305) 374-5300. .
mamster@brzoninglaw.com .
LOBBYIST BUSINESS TELEPHONE.NUMBER.,.._ ,CELLULAR TELEPHONE NUMBER. • _•. . :_- EMAIL ADDRESS .
II. PRINCIPAL INFORMATION: - - . . . . . . . .. . ....
Assaad Wahba Susan-- - . -
NAME OF PRINCIPAL (Last) (First) (Middle Name)
7801 Atlantic Way Miami Beach Florida 33141
PRINCIPAL,BUSINESS NAME AND ADDRESS ,, ,. (NumberandStreet) ,, ,(City) (State) • ., gip Code) ,
(646)641-7676 suzywahba@yahoo.com.
PRINCIPAL BUSINESS TELEPHONE NUMBER , .•CELLULAR TELEPHONE NUMBER ... EMAIL ADDRESS.
Pursuant to City Code Section 2-482(h)(1)(a): A principal of any corporation, partnership, or other entity who appears as:a lobbyist on behalf of that
entity,without special compensation or reimbursement for the appearance;whetherdireot;indirect,or contingent,to express support or opposition to
an item shall register with the Clerk as required by this subsection but shall not be required to pay any registration fees:.
If the principal is a Corporation,-Partnership or Trust,-the -following information MUST be provided
pursuant to City Code Section 2-482(c):
• NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARY(if none,write N/A): n/a
• NAME OF ALL.PERSONS HOLDING;DIRECTLY'OR INDIRECTLY,A'5%OR MORE'OWNERSHIP INTEREST IN SUCH
CORPORATION,PARTNERSHIP OR TRUST(if none,write N/A): n/a
Page-1{of. 04*
The following six(6)questions MUST be answered:
1) ' •-Pursuant to City Code Section 2-488,entitled."Prohibited.Campaign Contributions By Lobbyists On Procurement Issues":
-r Yes X No: Are you0obbvinci on a.present Or-pending bid-forjoods; equIptnent orserviees; or,on a present or
pending award for goods,equipment or service?
2) Pursuant to City Code Section 2-490, entitled"Prohibited Campaign Contributions'By Lobbyists On Real-EstateiDevelopment
Issues": •
_Yes X No: • -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 City Code Section 2-482(h), any person(except,those exempt from the definition of"lobbyist" as set:forth in
Section 2-481)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 city clerk as required by this section,but shall not be required to pay any registration fees.
_Yes-XNO:'" Are you` representing 4a mat=for-proflt corporationOr entity Without special compensation or
reimbursement?
4) Pursuant to City Code Section 2-481, the term "lobbyist" specifically excludes the following persons: Expert witnesses who
provide only scientific,technical or other specialized information or testimony in public meetings;any person who only appears
as a representative of a neighborhood association without compensation or reimbursement for the:appearance,whether direct,
indirect or contingent,to express support of or opposition to any item;and any person who only appears'as a representative of
not-for-profit community based organization for the purpose of requesting a grant without special compensation or
reimbursement for the appearance.
_Yes X No: Are you providing only scientific, technical or other specialized Information; appearing as a
. representative of a neighborhood association without special compensation or reimbursement or
representing a not-for-profit based Organization for the purpose of requesting a grant without
special compensation Or reimbursement?
5) Pursuant to City Code Section 2-491(1),no,campaign consultant shall lobby;the City Commission.for.;a period of 12 months
following the swearing in of any,elected official(s)for whom the campaign consultant,provided campaign consulting services
within the past election cycle.See Section 2-491 for more information.
Yes XNo: Have you provided campaign consulting services to an incumbent member of the City Commission
within the past election cycle?If yes.please list the incumbent member(s)of the City Commission:
•
Yes X No: If yes, has it been less than-.12 months since the elected official(s) whom you provided campaign
• ., ,consulting'services was sworn fin?
6) Pursuant to City Code Section 2-482(a)(4)a., a lobbyist who has within the past election cycle provided campaign consulting
services to an incumbent member of the City Commission (which lobbying activity is not otherwise prohibited by Code section
2-491) shall disclose such particular service on his/her lobbyist registration form and shall orally disclose such particular
service before lobbying the City Commission at a public meeting. _.__
_Yes X_No: Have you provided campaistn consulting services to an incumbent member of the City Commission
within the past election cycle?If yes,please list the incumbent member(s)of the City Commission:
Yes X No: If Yes, were you promised'or did you receive economic consideration in exchange for campaign •
11.
• .,; consulting-services?
_ - TO-BE COMPLETED BY CITY CLERK'S STAFF ONLY •
Q Date Paid bK"�lC
�, did i2 V� 1 '7i�
Annual Registration fee: [ ]Yes No Amount Paid$ MCR#'
Lobbyist Registration Form received and verified by: T.
F:\CLER\$ALL\aFOrfMS\LOBBYIST FORMS\Lobbyist Registration Form Revised 04-20-18 REG.doc ••• Revised 09/20/2018
Page 3 of 6
VI. SIGNATURES UNDER OATH:
ON FEBRUARY 28 OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE OFFICE OF THE CITY CLERK A
SIGNED STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES, AS WELL AS COMPENSATION
RECEIVED, FOR THE PRECEDING CALENDAR YEAR WITH REGARD TO THE SPECIFIC ISSUE ON WHICH THE
LOBBYIST HAS-BEEN ENGAGED TO LOBBY. A STATEMENT SHALL BE FILED EVEN IF THERE HAS BEEN NO
EXPENDITURE OR COMPENSAT DURING THE REPORTING PERIOD.' II
Signature of Lobbyist: Date
I do solemnly swear or affirm that all of the foregoing facts, statements, and disclosures in this form are true and correct,
and that I have read or am familiar with the provisions contained in Chapter 2, Art. VII, Division 3, entitled "Lobbyists" of
the Miami Beach City Code and I r orting requ' ents. �{
Signature of Lobbyist: Date l Z 1 Z I
Signature of Principal: Date
VII. NOTARY SIGNATURE AND SEAL:
LOBBYIST: PRINCIPAL
State of nal OL(A1 State of
County of: M ,H,tt1/111-A-' County of:
Sworn to (or affil med)and subscribed before me, Sworn to(or affirmed)and subscribed before me,
by means of L'physical presence by means of❑ physical presence
or 0 o i notarization ) or 0 online notarization,
this day of 11 I , 20 Z�by this_day of 20_, by
Matthew Amster
NAME OF LOBBYIST NAME OF PRINCIPAL
_Pro uced ID _Produced ID
FOR •-IDENTIFIC ION FORM OF IDENTIFICATION
_ ersonally Kno _Personally Known
Signature of Notary Public Signature of Notary Public
Name of Notary, Typed, Printed or Stamped Name of Notary, Typed, Printed or Stamped
(NOTAZIV. :w;; ) DIANARAMOS (NOTARY SEAL)
MY COMMISSION#GG 308355
• :;,- 7:o'`.� EXPIRES:April 10,2023
.4' oa, ry Public Undenrriteds
I The term"ldb091sr specITrcanyexciwebtne4 IIOW 'rg persons:
Expert witnesses who provide only scientific,technical or other specialized information or testimony in public meetings;any person who
only appears as a representative of a neighborhood association without compensation or reimbursement for the appearance, whether
direct, indirect or contingent, to express support of or opposition to any item; and any person who only appears as a representative of
not-for-profit community based organization for the purpose of requesting a grant without special compensation or reimbursement for
the appearance.
Page 4 of 5
A
BEACH
+) L,.
City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miamibeachfl.gov
Office of the City Clerk
Rafael E. Granado, City Clerk. CityClerk@miamibeachfl.gov
Tel: 305.673.741 1, Fax: 305.673.7254
NAME OF LOBBYIST: Matthew Amster
1) LOBBYIST FEE EXPENDITURE AND COMPENSATION STATEMENT
Pursuant to City Code Section 2-485(d), the City Clerk shall notify any lobbyist (or
principal) who fails to file timely a Lobbyist Fee Expenditure and Compensation Statement
(Statement). In addition to any other penalties that may be imposed as provided in
Section 2-485.1, a fine of $50.00 a day shall be assessed for Statements 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: suspended from lobbying until all fines are paid, unless the fine has been
appealed to the Miami-Dade County Commission on Ethics and Public Trust.
I herebyacknowledge that on February 28 of each year, I shall submit to the City Clerk a
signed Statement under oath listing all lobbyist expenditures, as well as compensation
received, for the preceding calendar year with regard to the specific issue on which I have
beenengaged to lobby.
2) LOBBYIST WITHDRAWAL
Once an issue I have registered to lobby has concluded or I am no longer lobbying on
that issue, I shall immediately file a Notice of Withdrawal with the Office of the City Clerk.
3) ANNUAL LOBBYIST REGISTRATION FEE
I understand annual registration of all lobbyists shall be required for each 12-month period
commencing October 1 of each year, and the fee for such annual registration shall be
$500.00'pursuant to Section 2-482 of the Miami Beach City Code.
+I Z'l z-oZ/
Signature of Lobbyist Date
F:ICLER4$ALL\aFORMS\LOBBYIST FORMS1Lobbyist Registration Form Revised 03-11-20 REG.dac
Page 5 of 5
•
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