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Neisen Kasdin/Jeffrey Miller r.l;....~9".~.h Itd.'b:I fijil" .:JJUJ lD - - .' {',c\\fEO ~,':~, t.,L, City of Miami Beach Off!!=e,qf. tij~~ Clerk 1700 Convention ce~r"aFi~ Mfc\tr\J-Beach, FL 33139 c:.oll~ C nFf \CE LOBBYISl': "'W~\[llAl'IcrN1IORM 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 any commissioner; any action, decision, recommendation of the City Manager or any city board or committee; or any action, decision or recommendation of any city personnel defined in any manner in this section, 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 indudes the principal as well as any employee engaged in lobbying activities. The term 'LobbyistsM has specific exclusions. Please refer to Ordinance 2004-3435. Kasdin NAME OF LOBBYIST: Guns1;.er, Yoakley & One B~scayne To~r, BUSINESS NAME AND ADDRESS Kasdin Neisen (~) (For.rt) Stewart, P .A. . 2 S. B1.scayne Blvd., 34JO, j:.tianu, (Number and Street) (City) 305-376-6010 FAX NUMBER: o (M.!) 305-376-6062 TELEPHONE NUMBER: FL, 33131 (State) nkasdin EMAIL: (Zip Code) gunster . can I. LOBBYIST RETAINED BY: .T~ffrpy Mi ller NAME OF PRINCIPAl/OJENT: 3800 N.W. 59 Street, Miami, FL 33142 BUSINESS NAME AND ADDRESS (Number and Street) (City) 305-635-4427 305-633~ SJ13 g TELEPHONE NUMBER: FAX NUMBER: (Optional) (State) (Zip Code) ;::artrn; ~ taTool:'c']::Ic rr.m EMAIL: ( ptional) fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (c)] NAME OF CHIEF OFACER, PARTNER, OR BENEFICIARY: IDENTIFY AlL PERSONS HOLDING, DIRECTlY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: D. SPEOflC LOBBY ISSUE: Zoninq Variance for PrO~rty located at 1...15 East San Marino Driye, Miami Beach, FL Issue to be lobbied (Describe in detail): D1. CITY AGENOES/INDMDUALS TO BE LOBBIED: A) full Name of Individual/Title B) Any financial, familial or Professional Relationship Planning Department, - IDNE Richard Iorber, Jorge Cbmez IDNE , r ... IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURL Y, FLA T RA TE OR OTHER): A) LOBBYIST DISCLOSURE: (Required) !burly $375 per hour B PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). !burly $375 per hour 1) Pursuant to Ordinance No. 2003-3393 Amendina Miami Beach City Code Chaeter 2. Artide vn. Division 5 Thereof Entitled "Camcaian Finance Reform" Via The Addition Of Code Section 2-488 Entitled "Prohibited Campaign Contributions BY Lobbvists On Procurement Issues"; 2) Pursuant to Ordinance No. 2003-3395 Amendina Miami Beach Oty Code Chaeter 2. Article vn Division 5 thereof Entitled "Camcaian Finance Reform", Via The Addition Of Code Section 2-490 Entitled "Prohibited Campaign Contributions By Lobbvists On Real Estate Development Issues": Yes V. SIGNATURE UNDER OATH: ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED STATEMENT UNDER OATH, USTING LOBBYING EXPENDITURES, AS WEI.L AS COMPENSATION RECEIVED, IN THE CITY OF MIAMI BEACH FOR THE PRECED G CALENDAR YEAR. A STAT1!MENT SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPEND COMPENSATION DURING THE REPORTING PERIOD. I do solemnly swear that all of the for familiar with the provisions contained . requirements. Signature of Lobbyist: Signature of Principal/Client: VL LOBBYIST IDENTIFICA Produced ID Form of Identification ( VII. Personally known (Lobbyist) SIGNATURE AND STAMP OF NOTARY: Ign ture of Public Notary - State of Florida JlkJaFilllMiIlFteflo . . I (C LOURDES VALDES tIV COMMISSION # OD 091786 EXPlAES: fQbru8fy 26. 2006 I~AIlV I'LNoIBIy_a~ 1fIc. Signature of Lobbyist oing facts are true and correct and that I have read or am ction 2-482 of the Miami Beach City Code and all reporting PRINCIPAL IDENTIFICATION: Produced 10 Form of Identification C~~~~~;_~:~n_~ auJL 3 ~'lS _o~