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Board Member NWS , . . r.lj",ml Bt;!~h lD - - bJU3 City of Miami Beach Office of the City Clerk 1700 Convention Center Drive, Miami Beach, FL 33139 LOBBYIST REGISTRATION FORM 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 includes the principal as well as any employee engaged in lobbying activities. The term "Lobbyists" has specific exclusions. Please refer to Ordinance 2004-3435. KASDIN NAME OF LOBBYIST: NEISEN (Last) (First) 2 S. Biscayne Blvd. #3400, Miami, Florida (Number and Street) (City) (State) o. (M.I) 33131 (Zip Code) NEISEN o. KASDIN BUSINESS NAME AND ADDRESS (105) 176-6062 TELEPHONE NUMBER: (305) 376-6010 FAX NUMBER: nkasdin@gunster.can EMAIL: I. LOBBYIST RETAINED BY: Board Member of New World Symphony, Inc. NAME OF PRINOPAljCUENT: NEW IDRID S'D1PHONY, INC. 541 Lincoln Road, Miami Beach, Florida 33139 BUSINESS NAME AND ADDRESS (Number and Street) (City) (Zip Code) (State) (305) 673-3330 TELEPHONE NUMBER: (305) 673-6749 FAX NUMBER: (Optional) EMAIL: (Optional) Fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (c)l NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: U. SPECIFIC LOBBY ISSUE: Soundspace Project Issue to be lobbied (Describe in detail): III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: A) Full Name of Individual/Title --I B) Any Financial, Familial or Professional Relationship City Corrmission Planning Board City Administration :::s m (") m < m o -,I IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETltER HOURL Y, FLAT RATE OR OTHER): Not Applicable A) LOBBYIST DISCLOSURE: (Required) B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). N()n", ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED STATEMENT UNDER OATH, UmNG LOBBYING EXPENDTIURES, AS WELL AS COMPENSATION RECEIVED, IN THE CITY OF MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPENDW/!JJ/I~R COMPENSATION DURING THE REPORTING PERIOD. '.!/I1!..f.!.i Signature of Lobbyist Neisen O. Kasdin 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 and all reporting requirements. qJ Signature of Lobbyist: - r.. Signature of Principal/Client: --1JL1 1) Yes ~ 2) Yes ~ v. VI. Pursuant to Ordinance No. 2003-3393 Amendinq Miami Beach Citv Code Chaoter 2. Artide VII. Division 5 Thereof Entitled "Camoaiqn Finance Reform" Via The Addition Of Code Section 2-488 Entitled "Prohibited Campaign Contributions BY Lobbvists On Procurement Issues": Are YOU lobbying on a Dresent or pending bid for aoods, eauiDment or services, or on a Dresent or pending award for goods. eauiDment or service? Pursuant to Ordinance No. 2003-3395 Amendinq Miami Beach Citv Ccx:le Chaoter 2, Article VII Division 5 thereof Entitled "Camoaiqn Finance Reform". Via The Addition Of Ccx:le Section 2-490 Entitled "Prohibited Camoaiqn Contributions BY Lobbvists On Real Estate Develooment Issues": Are YOU lobbying on a Dendina aDDlication for a DeyelODment Agreement with the City or aDDlication for chanae of zoning maD designation or chanae to the City's Future Land Use MaD? SIGNATURE UNDER OATH: LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION: Prcx:luced ID Prcx:luced ID Form of Identification ~rsonally known (Pr~ Form of Identification VII. SIGNATURE AND STAMP OF NOTARY: Personally known (Lobbyist) State of Florida, County of Miami-Dade Swom and subscribed before me This 5fk.. day of 20...Q.4 -7; FOR CLERK'S USE ONLY Annual Registration fee: [ ] Yes [~] No Amount Paid ~ 0 '- CR # Date Paid Lobbyist Registration Form received and verified by: Revised 02/10/04 F: CLER\A L\ ARIA- \ YIST\LOBBYIST FORM 04