Stan Ray, CFO
,08r12/04 16:36 FAX 13053766010
GY&S, P .A.
------.
141002
... ........---- --_.--
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Oty of'Miami Beach Office of the Oty 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 prindpal who seeks Ie encou....ge !he p;lSSage, defeat
or madifi<=atian of any ardinanee, ,esolution, action Dr dedsIan of any commissioner, any ~an. decision. recommendation of !he
City Maoager Dr any dty board or committee.; or any iKtion, deci""'" or recommendation of any dry personnel defined in any
"",oner in thiS secl:ion, during !he time period of the entire dedsiOTHnaldng process on Sllch adion, decision or recommet'dation
that l"oreseeably wtn be heard or _Iewed by the dry axnmIssion. or a city board or mI11lT1ittee. 1he tl!nn specifically Includes the
principal as well as any ~ engaged in lobbying lldiviti~, The term -LobbyistS" has 5Pedf\C exdusionS. PIeiI$e refer
to OrdillilnC1!l 2.004-3435,
Kasdin Neisen
NAME OF LOBBYIST: (Last) (first)
Gunster yeakley & Stewart :2 S. Biscayne Blvd.,
BUSINESS NAME AND ADDRESS (Numbel' and Street.) (01:\1)
305-376-6062 305-376-6010
~HONENUM~ FAXNUMB~
o.
(M.l)
#3400 Miami FL 33131
(state) (Zip Code)
nkasd.irt"!)gunster . o:m
EMAIL:
L u>UV>S<,.T>.... ,y, ~ ~
... ~j,8 ..I1a3Id:.-.::'.. ~ .'
NAME Of PRlNOPAL/OlENT: \
Avalon 120~ Collins, LLC
.Avalon caP~tal Group P.O. BOX 2409 I.a Jolla
BUSINESS NAME AND ADDRESS (Number and Street) (OM
858-551-6865 858-551-4442
CYo
CA
(State)
92038-2409
(Zip Code)
e.L.t<.;. .:tla~~ ava.l.\J4-&. eatfI.
TELEPHONE NUMBER:
EMAIL: (Optional)
'S,-\u..,y) \ @ a"c< \ uy., . U""'--
Fill out this sec:tion If princ:ipalls: a eorporaotlon, Pilrtners:hip or 1lU$t [Section 2-482 (c;)]
NAME OF CHIEF OFF1CE~ PARTNER, OR BENEFICIARY:
FAX NUMBER: (Optional)
IOENT1FY ALL PERSONS HOLDING, OIm Y OR INOlRECTLY, A 5% OR MORE OWNERSHIP INTERESt' IN sum
CORPORATION, PARTNERSHIP OR TRUST:
n. SPEOFIC LOBBY lSSlIE:
'l'ides Hotel parking lot
Issue to be lobbied (DesCrIbe in detail):
DL CITY AGENOES/INDIVIDUALS TO BE LOBBIED!
A) Full Name of Individual/litle B) Any financial, Familial or Prol'es5ional R..Iation5l1ip
planning Department None
City Manager's Office None
Mayor/ o:mnission None
GY&S.P.A.
_.--
I4i 003
08'12/04 16:36 FAX 13053766010
IV. DISClOSURE Of TERMS AND AMOUI'ITS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOUR L Y,
FLAT RATE OR OmlOR):
1)
Yes ~
2)
Yes 8
v.
$375.00 per hour
$375.00 per hour
An! vou JobbvinCI on a Present or oendlna bid fot GOOds. eouioment or serIrices. or on a oresent:
or oendinG award for aoods. eltUioment or service?
:::,nt to Ord~= No. 2003-3~5 Amendino Miami RP>Ictt Cltv Code Chaoter 2. Artide vn Division 5
Qi~ Entitled __ __i9n Rnance _rm~. Via The Addition Of Code Section 2~90 Entitled "Prohibited
__;;19n Contribllticns BY Lobbvists On Real F_ Develooment Issues~:
Are vou Iobbvina on a oendina aoalicadon for a DeveloDment Aareement with the City or
a~ication for d1a~iie of zonlnG maD desllilnation Or chanqe to the CitY's Future Land Use MaD?
SIGNATlJR.E UNDER OAnt;
ON OCTOBER 15' OF EACH YEAR. EAOI LOBBl'IST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, USTING LOBBYING EXPENDlTURES, AS WELL AS COMPENSA1l0N
RECEIVED, IN THE CITY OF MIAMI BEAOi FOR THE PRECEDING R YEAR. A STATEMENT
SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPENDITURES Ih (APENSAllON DURING THE
REPORTING PERIOD. /, , /
V.
A) LOBBYI5f DISCLOSURE: (Required)
B) PRINUPAL'S DI5Cl.OSURE (OF LOBBXJ!ir COMPENSATION): (Required).
No ou a no r- rofi or
mbur.;ement. Pursuant to Ordinance "'0. 2004-3435.
~= to Ordi~:;: No. 2~n:~endino Miami Beam or Cnde Chanter 2. Artide vn. Division 5
__ Fntitled . __Ion Rn!il__ ~ Via The Addition Of Code Section 2~88 Enlitled "Prohibited
Campaian Cortrthutions By lobbyi!;!s On Procurement Issues":
I do solemnly swear that all of the foregoing
. familiar With the provisions contained in .
reql:lirements.
Signature of Lobbyist:
Signature of PrinCipal/Client:
VL LOBBYlST IDENTIFICATION:
o Produced 10
Signal re or lobbyist
cts are true and correct and that I have read or am
2 of the Miami Beach City Code and all reporting
8 J r2.1o~
o Prtxluced 10
Form of Identification
~ Personally known (Lobbyist)
vn. SIGNATURE AND Sn~MP OF NOTARY;
State of Florida, County of Miami-Dade
Sworn to and subscribed befOlll me
This !laY of ---' 20_
Signature of Public NotaIY - State of Florida
Notarization of Lobbylst's signat1re
Fon-n of Identification
~erson<111y known (Principal)
FOR CLERK'S USE ONLY
Annual Registration fee: [ ] Yes, [ ] No Amount Paid MCR # Date Paid
Lobbyist Regi~ation Form rereivej and verified by:
Revised 02/10/04 F: a.ER\ALl\MARIA-M\LOBBYIST\LOBBYIST FORM 04
JURAT
State/Commonwealth of ~;~~c...
County of ~ '\)\90
} ss.
Je
Name of Signer #2
Place Notary Seal and/or Any Stamp Above
OPTIONAL
Though the information in this section is not required by law, it may prove valuable to persons
relying on the document and could prevent fraudulent removal and reattachment of this form to
another document.
.
Top of thumb here
Top of thumb here
Description of Attached Document
Title or Type of Document: LObby\ 0;:;+ peS\ ~ ISY\ ~
Document Date: g; J \ ~! at Number of Pages: ~
Signer(s) Other Than Named Above:
@2002 National Notary Association. 9350 De Soto Ave., P.O. Box 2402 . Chatsworth, CA 91313-2402
Item #5914
Reorder: Call Toll-Free 1-800 US NOTARY (1-800-876-6827)