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Clifford Schulman/Fisher Island lD - Oly of Miami Beach Office of the Oly Oerk 1700 Convention Center Drive, Miami Beach, FL 33139 Email: dtyclerk@d.miaml-beach.f1.us LOBBYIST REGISTRAnON FORM Cl Check Box If an Amendment RECEIVED 04H~R23 AMII:46 efT Y CLERK'S OFF ICE (aty of Miami Beach, Oly Code Chapter 2, Division 3, Section 2-481) Schulman Clifford NAME OF LOBBYIST: (Last) (First) 1221 Brickell Avenue Miami BUSINESS ADDRESS: (Number and Street) (OM (305) 579-0613 (305) 961-5613 TELEPHONE NUMBER: FAX NUMBER: A. (M.!) DATE QUAUFIED AS LOBBYIST 33131 (Zip Code) FL (State) schulmanc@gtlaw.com EMAIL: I. LOBBYIST RETAINED BY: Fisher Island Holdings, LLC NAME OF PRINCIPAl/CUENT: 1 Fisher Island Drive BUSINESS ADDRESS: (Number and Street) Fisher Island (Oty) (305) 535-6036 FAX NUMBER: (Optional) FL (State) 33109 (Zip Code) (305) 535-6009 TELEPHONE NUMBER: EMAIl: (Optional) Fill out this section If prindpalls a Corporation, Partnership or Trust [section 2.482 (c)] . NAME OF CHIEF OFFICER, PARTNER, OR BENEFlOARY: . UST ALL PERSONS HOLDING, DIRECTlY OR INDIRECTlY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: II. SPECIFIC LOBBY ISSUE: Design Review Board Approval Issue to be lobbied (Describe In detail): III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: A) Full Name of Individual/Title B) Relationship See attached. - IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURL Y, FLATRATEOR OTHER). A) LOBBYIST DISClOSURE: $465.00 per hour B) PRINCIPAl'S DISClOSURE (OF LOBBYIST COMPENSATION): 1) Pursuant to Ordinance No. 2003-3393 Amendino Miami Beach Otv Code Chaoter 2. Article VII. Diyision 5 Thereof Entitled ~Camoaian Finance Reformw Via The Addition Of Code Section 2-488 Entitled ~Prohlb~;;d Campaian Contributions By Lobbyists On Procurement Issuesw: Are vou 10bbvlnG on a Dresent or DendinG bid for aoods. eguiDment or services. or on a Dresent or Dendina award for Goods. eauiDment or service? DYes i1 No 2) Pursuant to Ordinance No. 2003-3395 Amending Miami Beach Otv Code Chaoter 2, Article VII Division 5 thereof Entitled ~Camoaian FInance Reformw. Via The Addition Of Code Section 2-490 Entitled ~Prohibited Camoaian Contributions By Lobbvists On Real Estate Develooment Issuesw: Are vou lobbying on a Dendlng aDDllcatlon for a DeyelODment AGreement with the City or aDDUcatlon for change of zonlna maD designation or change to the City's Future Land Use MaD? DYes ~No V. SIGNATURE UNDER OATH: ON OCTOBER 1 Sf OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED STATEMENT UNDER OATH, U5nNG 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 Section 482 of the Miami Beach City Code as amended, and all reporting requirements. Signature of Lobbyist: Signature of Prlndpal/Client: VI. LOBBYIST IDENTlFICATION: a Produced ID o Personally Known Form of Identification VII. SIGNATURE AND STAMP OF NOTARY OR DEPUTY CLERK: State of Florida, County of Miami-Dade Sworn to ~d subscribed before me This / q day o~ .Jilarlh .200f. T OFHC1A~ARYSEAL CAROLYN P HODGE NOTARY PUBuc ~i'ATE OF FLORIDA COMMISSION NO. 00039618 MY COMMISSION EXP. UL Y S.2005 Print, stamp or type name of Notary Public Registration: ~CCEPTED FOR CLERK'S USE ONLY [ ] REJECTED DATE: :3/7-3/ () c.I [ ] Cash [ ] Check MCR h . / cfI I" /l(//l'7r # . 2003 ENTERED BY: ~_ F: \CLER\HA TL \Lobbyists\registratlona03.doc If rejected, state reason: /' RegistratiOn fee paid: F-1 Yes [ ] No DATA ENTRY DATE: -!2{ 't- '} 2nd Revision 3/18/03 m aty of Miami Beach Office of the City Oerk 1700 Convention Center Drive, Miami Beach, FL 33139 Email: dtycler1<@ci.miami-beach.f1.us LOBBYIST REGISTRATION FORM - (aty of Miami Beach, City Code Chapter 2, Division 3, Section 2-4B1) IJ Check Box If an Amendment Schulman NAME OF LOBBYIST: (Last) Clifford (First) A. (M.!) DATE QUAUFIED AS LOBBYIST 33131 1221 Brickell Avenue Miami BUSINESS ADDRESS: (Number and Street) (aty) (305) 579-0613 (305) 961-5613 TELEPHONE NUMBER: FAX NUMBER: FL (State) (Zip Code) schulmanc@gtlaw.com EMAlL: I. LOBBYIST RETAINED BY: Fisher Island Holdings, LLC NAME OF PRINClPAl./CUENT: 1 Fisher Island Drive BUSINESS ADDRESS: (Number and Street) Fisher Island (aty) (305) 535-6036 FAX NUMBER: (Optional) FL (State) 33109 (Zip Code) (305) 535-6009 TELEPHONE NUMBER: EMAlL: (Optional) Fill out this section If principal is a Corporation, Partnership or Trust [Section 2-482 {e)l . NAME OF CHIEF OFACER, PARTNER, OR BENEAClARY: . UST ALL PERSONS HOLDING, DlRECTL Y OR INDIRECTLY, A S% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: II. SPECIFIC LOBBY ISSUE: Design Review Board Approval Issue to be lobbied (Describe in detail): III. CITY AGENCIES/INDMDUALS TO BE LOBBIED: A) Full Name of Individual/Tltie B) Relationship - ' See attached. . IV. DISCLOSURE OF TERMS AND AMOUNTS OF lOBBYIST COMPENSATION (DISCLOSE WHETHER HOURL Y, FLA T RATE OR OTHER): A) LOBBYIST DISCLOSURE: $465.00 per hour B) PRlNOPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): 1) Pursuant to Ordinance No. 2003-3393 Amendinc Miami Beach Otv Code Chaoter 2. Article VII. Division 5 Thereof Entitled ftCameaicn Finance Reformw Via The Addition Of Code Section 2-488 Entitled ftProhlbited Cameaicn Contributions Bv Lobbvists On Procurement Issuesw: Are YOU lobbyinG on a Dresent or DendinG bid for Goods. eGUIDment or services. or on a Dresent or DendinG award for Goods, eGUiDment or service? DYes aNo 2) Pursuant to Ordinance No. 2003-3395 Amendlnc Miami Beach Citv Code Chaeter 2. Article VII Division 5 thereof Entitled ftCamDaian Finance Reformw. Via The Addition Of Code Section 2-490 Entitled ftProhibited Camoaian Contributions Bv Lobbvists On Real Estate Develoement Issues": Are YOU lobbyinG on a DendlnG aDDllcation for a DeyeloDment AGreement with the City or aDDllcation for chanGe of zoninG maD desiGnation or chanGe to the City's Future land Use MaD? DYes ~No 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 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 Section 2-482 of the Miami Beach City Code as amended, and all reporting requirements. Signature of Lobbyist: ~ Signature of Principal/Client: ~ VI. LOBBYIST IDENTIF1CATIO : \ [J Produced ID P\R[)'f-~\{: ~M~, L.LL o Personally Known Form of Identification VII. SIGNATURE AND STAMP OF NOTARY OR DEPUTY CLERK: State of Florida, County of Miami-Dade Sworn to and subscribed before me This /gTh day of MfH'cJ1 ,200'. FOR CLERK'S USE ONLY Registration: [] ACCEPTED ] REJECTED DATE: If rejected, state reason: RegistratiOn fee paid: [ ] Yes [ ] No DATA ENTRY DATE: ..3 / # 2nd Revision 3/18/03 [ ] Cash [ ] Check MCR # .2003 ENTERED BY: d(//~()t# F: \CLER\HA TL \Lobbyist5\registratlona03.doc Mayor David Dermer Commissioner Matti Herrera Bower Commissioner Simon Cruz Commissioner Luis R. Garcia, Jr. Commissioner Saul Gross Commissioner Jose Smith Commissioner Richard Steinberg Jorge M. Gonzalez, City Manager Mayra Diaz-Buttacavoli, Assistant City Manager Christina Cuervo, Assistant City Manager Robert Middaugh, Assistant City Manager Mary Greenwood. Executive Assistant to the City Manager Ramiro Inguanzo, Chief of Staff Tim Hemstreet, Special Assistant to the City Manager Murray Dubbin, City Attorney Donald Papy, Chief Deputy City Attorney Code Compliance Division Al Childress, Division Director Eric Wardle, Jr" Assistant Division Director 305-673-7000 exl. 6787 Kristal Caron, Office Manger Fire Department Floyd Jordan, Fire Chief Planning and Zoning Department Jorge Gomez, Director William H. Cary, Director Design, Preservation and Neighborhood Planning Division Armando Valdes, Planning and Zoning Manager Thomas R. Mooney, AICP, Design and Preservation Manager Steven Green, Office Manager Chuck Taft, Boards Administrator April Hirsch, Secretary to the Board of Adjustment Juan Diaz, Planning Technician Antonieta Stohl, Receptionist Permit Review Process Ricardo Guzman, Planner, Planning & Zoning Kevin Perkins, Planner. Planning & Zoning Marija Surev, Planner, Planning & Zoning Christopher Dunn, Planner, Planning & Zoning Mark Sean Finnen, Planner, Planning & Zoning Planning Board Mercy Lamazares, Sr. Planner Stephen Foren. Sr. Planner, Planning & Zoning Board of Adjustment Armando Valdes, Planning and Zoning Manager April Hirsch, Secretary to the Board of Adjustment Historic Preservation Thomas R. Mooney, AICP, Design and Preservation Manager Shannon Anderton, Sr. Planner, Design & Preservation Design Review Board Thomas R. Mooney, Alep, Design and Preservation Manager Laura Quenelle, Sr, Planner, Design & Preservation Neighborhood Planning Joyce Meyers, North Beach Planning Coordinator Reuben Caldwell, Planner, Design & Preservation Charles Buckles, Sr, Plans Designer Katia Hirsh, Planner Public Works Fred Beckmann, Director Michael Alvarez, Assistant Director Engineering and Construction Division Environmental Resource Division Bruce Henderson, Environmental Specialist Streets and Streetlights Division Transportation and Concurrency Management Joseph Johnson, Director Amelia Johnson. Transportation Coordinator Henry Johnson, Senior Planner, Debra Hart, Office Associate Water and Sewer Division Nathan Pope, Water and Sewer Utilities Superintendent John Kranick, Streets, Streetlighting and Stormwater Superintendnet A.D.A. Compliance Heidi Johnson-Wright, ADA Coordinator Building Department Phil Azan, Building Director Hamid Dolikhani, Assistant Director Richard McConachie, Chief Building Inspector Jeri Dee Goodkin, Senior Building Inspector Permit Counter Evelyn H. Sanchez, Office Associate IV Electrical Gary Ortega. Chief Electrical Inspector Plumbing Paul El1edge, Chief Plumbing Inspector Structural Mohammed Partovi, Chief Structural Plans Processor Mechanical Paul Raymond. Chief Mechanical Inspector Microfilm/Storage Omar Castel1anos, Building Records Manager Elevators John Antona, Chief Elevator Inspector Accessibility Gladys Salas. Chief Accessibility Inspector