Groenhoff, Andre/Pathman Lewis
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City of Miami Beach Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139
LOBBYIST REGISTRA nON 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, dedsion, recommendation of the
Oty Manager or any dty board or committee; or any action, decision or recommendation of any dty personnel defined in any
manner in this section, during the time period of the entire decision-making process on such action, dedsion or recommendation
that foreseeably will be heard or reviewed by the dty commission, or a city board or committee, The term specifically includes the
principal as well as any employee engaged in lobbying activities, The tenn "Lobbyists" has specific exclusions. Please refer
to Ordinance 2004-3435.
Groenhoff
NAME OF LOBBYIST:
(Last)
Andre
(First)
6500 North Andrews Avenue, Ft. Lauderdale, FL
BUSINESS NAME AND ADDRESS (Number and Street) (City)
(State)
(M.I)
33309
(Zip Code)
(954) 776-1616
TELEPHONE NUMBER:
(954) 771-7690
FAX NUMBER:
aqroenhoff@keithandschnars.com
EMAlL:
I, LOBBYIST RETAINED BY:
pathman Lewis, LLP / Wayne pathman
NAME OF PRINCIPAljCUENT:
pathman Lewis, LLP
BUSINESS NAME AND ADDRESS
(305) 379-2425
TELEPHONE NUMBER:
One Biscayne Tower, suite
(Number and Street) (City)
(305) 379-2420
FAX NUMBER: (Optional)
2400, Miami, FL 33131
(State) (Zip Code)
wpathman@pathman1ewis.com
EMAlL: (Optional)
Fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (c)]
.
NAME OF CHIEF OFACER, PARTNER, OR BENEFICIARY: 1ft{..- ~ f'" /$e. J..L6
,4l1'"J If, A r;1-,lV/IC-j.-/' ,;<-l-o<<-~, \vji tfoU ,-'otl.- - · :/
IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST: 1t? lv'
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II,
SPECIFIC LOBBY ISSUE:
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5th and Alton at Miami Beach
Issue to be lobbied (Desaibe in detail):
III. CITY AGENCIES/INDMDUALS TO BE LOBBIED:
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A) Full Name of Individual/Title B) Any Financial, Familial or Professional Rela@!nshl)E>
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Miami Beach City COJllIl\ission N/A
Miami Beach Manager N/A
Miami Beach Public Works N/A
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURL Y,
FLAT RATE OR OTHER):
....
,
A) LOBBYIST DISCLOSURE: (Required)
hourly enqineerinq fees
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required),
1) Pursuant to Ordinance No. 2003-3393 Amendina Miami Beach Citv Code Chaoter 2. Article VII. Division 5
Thereof Entitled "Camoaian Finance Reform" Via The Addition Of Code Section 2-488 Entitled "Prohibited
Camoaian Contributions BY Lobbvists On Procurement Issues":
Yes E)
Are YOU lobbYInG on a Dresent or oendlnG bid for Goods. eauiDment or services. or on a Dresent
or oencllnG award for Goods. eauiDment or service?
2) Pursuant to Ordinance No, 2003-3395 Amendino Miami Beach Citv Code Chaoter 2, Article VII Division 5
thereof Entitled "Camoaian Finance Reform", Via The Addition Of Code Section 2-490 Entitled "Prohibited
Camoaian Contributions Bv Lobbvists On Real Estate Develooment Issues":
Yes No:
Are YOU lobbYinG on a oendlnG aDDllcation for a DeveloDment AGreement with the CitY or
aDDlicatlon for chanGe of zoninG maD desiGnation or chanGe to the OtvOs Future Land Use MaD?
V. SIGNATURE UNDER OATH:
ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST 5HALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES, 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 EXPENDITURES OR COMPENSATION DURING THE
REPORTING PERIOD.
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Signature of Lobbyist
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.
Signature of Lobbyist:
Signature of Principal/Client:
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VI. LOBBYIST IDENTIFICATION:
Produced ID
Form of Identification
Form of Identification
~rsonally known (Principal)
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v'fSersonally known (lobbyist)
VII. SIGNATURE AND STAMP OF NOTARY:
State of Florida, County of .Mia",! ead..13t'OWA-l2d
Swom to s ' fore me
This of Ma 20.2..4
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State of Florida, ~unty of Miami;Dade ~
Swom and subscnbed before me .I, ;::
This ~day of ~ 20..D.'t' C")
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F-Jh aft fa...:>
Signature of Public Notary - State of Florida
Notarization of Principal's signature
MARlENE PINNOCK
MY COMMISSION # DO 287914
EXPIRES: Febl\l8lY 13. ,2008
BondodTh..NoIIJy~~
B. J, VAlDES
MY COMMISSION # DO 090119
EXPIRES: February 7, 2006
Bonded Thru Notary Public Undel'Wl'il:ers
EONLY . /1 c / /f7~
MCR#0't>1l/1 DatePaid f/r~-UT
FOR CLE
Annual Registration fee: [ Yes [ ] No Arno n aid
Lobbyist Registration Fonn received and verified by:
Revised 02/10/04 F:
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P ATHMAN
LEWIS, LLP
ATTORNEYS AT LAW
WAYNE M. PATHMAN, P.A.
HAROLD L. LEWIS, P.A.
ROGER SLADE-
ALEX KURKIN
DAVID E. SACKS
MARC C. PUGLIESE
LOUIS P. ARCHAMBAULT
MARC E. BRANDES
ONE BISCAYNE TOWER. SUITE 2400
2 SOUTH BISCAYNE BOULEVARD
MIAMI, FLORIDA 33131-1803
TELEPHONE (305) 379-2425
FACSIMILE (305) 379-2420
JEAN MCLEOD, CLA
ADMINISTRATOR
;mcleod@pathmanlewis.com
'aJsoaclmiltedtopracticeln
New- Yol1l & ConnectictJt
May 28, 2004
Ms. El1zabeth Gibson
City of Miami Beach
City Clerk's office
1700 Convention Center Drive
Miami Beach, FL 33141
Dear Elizabeth:
Per our conversation today, here is a check for $100 to be applied toward the
lobbyist registration fee (along with the $50 check previously sent to you) for Andre
Groenhoff, whose application you have. Jose Rodriguez will not be registering at this
time.
As I mentioned, I will be on vacation, so if you have any questions, please call David
Sacks of this office. We very much appreciate your assistance.
Very truly yours,
Ene.
r:\a r sobe\a r sobe - 5th street zoning\ltrs\(-)e. gibson, mb clerk's office-lobbyist reg.doc
AN LEWIS, LLP
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