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Carter McDowell/Amercn Leisure 2004-Apr-06 11 :55am From- T-20e P.002/003 F-50e City of Miami Beach Office of the City Clerk 1700 Convention Center Drive, Miami Beach, Fl. 33139 Email: cityolerk@ci.miami-beach.t1.us LOBBYIST REGISTRATION FORM (City of Miami Beacll. City Code Chapter 2, Divi~ion 3, Section 2-481) o Check Box if an Amendment McDowell, Carter N. NAME OF LOBBYIST: (Last) (First) 7/15/02 (M.I) DATE QUALIFIED AS LOBBYIST 200 South Biscavne Boulevard. Suite 2500. Miami. Florida 33131 BUSINESS ADDRESS: (Number and Street) (City) (State) (Zip Code) (305) 350-2355 TELEPHONE NUMBER: (305) 351-2239 FAX NUMBER: cmcdowelllalbilzin-com EMAIL I. LOBBYIST RETAINED BY: American Leisure Resolt. Inc. NAME OF PRTNCIPAUCLIENT: 5875 Collins Avenue. Miami Beach. Florida 33140 BUSINESS ADDRESS: (Numbc:r and Street) (City) (SllIte) (Zip Code) (305) 695-8400 TELEPHONE NUMBER: (305) 695-2800 FAX NUMBER: (Optional) EMAIL (Optional) Fill out this section if principal is II Corporation, Partnership or Trust (Section 2-482 (c)) . NAME OF CHlEF OFFICER, PARTNER. OR BENEFICIARY: Leon Coben Levy . LIST ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST N/A n. SPECIFIC LOBBY ISSUE: Demolition and Redavelonmem ofrha Charles Hotel Located at 1475 Collins Avenue Issue to be lobbied (Desct'1be In detail): m. CITY AGENCIESIINDIVIDUALS TO BE LOBBIED: A) Full Name of IudividuaVTitle Historic Preservation Board & Staff B' ll",l~tiDn.hip / 2004-.Apr-OB 11 :55am From- T-208 P.003/003 F-508 IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURL Y,FLAT RATE OR OTHER): A) Lobbyist Disclosufl': $400,00 net hour B) Principal's Disclosure (of LobbyiSI Compensation): $400.00 !let' hour 1) J>tlrguanl to Ordinance No. 2003.3393 Amending Miami Beach City Code Chapter 2, Article VII, Division 5 Thereof Entitled "Campaign Finance Reform" Via The Addition of Code Section 2-488 Entitle ''Prohibited Campaign COlltnbutions By Lobbyists on Procurement Issues": Are you lobbying on a present or pending bid for goods, equipment or services, or on a present or pending awud Cor goods, equipment or serviccs? CI Yes X No 2) Pursuant to Ordinance 2003-3395 Amending Miami Beach City Code Chapter 2, article YD, Division 5 thereof Entitled "Campaign Finance Reform" Via The Addition of Code Section 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists on Real Estate Development Issues": Arc you lobbying on a pending IIppliu.tlon for II Development Agreement with the City or Application for cbangc of zoning map designation or change 10 thc City's Future Land Use Map? DYes XNo V. SIGNATURE UNDER OATH: ON OCTOBER ht OF ]tACH YEAR, EACH LOBBYIST SHALL SlJDMlT TO tHE CITY CLERK A SIGNED STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES IN THE CITY OF MIAMl BEACH FOR TaE. PRECEDING CALENDAR YEAR. D ing facts are tnle and correct lIlld that I have read CJt am familiar wirh the the M' , B ity Code 05 amended. and all reponing requirements. I do solemnly swear that a\1 of the for provisions contained in Section Signature ofLobbyiSI: Signature of PrincipallOient: VI. personnlly Known YD. SIGNATURE AND State of Florida, CQlUlty of Miami-Dade sw~O ;nd sU~bed. before me This ayof · .L~ 2004. G1SaLE PACHECO MY COMMISSION ~ DO 016885 EXPIRES: April 10. 2005 ~ Print, stamp Of t:ype name of Notary Publie VI Registration [.,t:GCCPll.'d FOR CLERK'S USE ONLY { ] Rcj~l<<l Dale: q..j B/ () Lf Ifrejeeled, staro reason: .,r Regi$tnl.tion fee poid.vl" Yes [ ] No DATA ENTRY DATE: [ ] Cysh [--rt:heck MeRII ~(p 0 1 ) 2003 ENTERED BY: 2"" Revision 1/27103 F:\CL.8R\J-I A TLILobbyists\rcgiSlTlltion03.doo