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WCI Communitites, Inc. 09/27/04 1.>1inSIllilIdl lbdl!lI:d 'iiii' XlCJ' m - 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, 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. Sorensen Steve NAME OF LOBBYIST: (Last) (First) (M.I) WCI Communities, Inc. 24301 Walden Center Dr. Bonita, FL 34134 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 239-498-8443 239-498-8277 pamelarobinson@wcicommunities.com TELEPHONE NUMBER: FAX NUMBER: EMAIL: I. LOBBYIST RETAINED BY: WCI Communities, Inc. NAME OF PRINCIPALjCUENT: - -WCI Communities, Inc. 24301 Walden Center Dr. Bonita. FL 34134 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 239-498-8443 239-498-8277 pamelarobinson@wcicommunities.com TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional) Fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (c)] . NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: Jerry Starkey, President . IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: U. SPECIFIC LOBBY ISSUE: Real Estate DeveloDment Issue to be lobbied (Describe in detail): IU. CITY AGENCIES/INDIVIDUALS TO BE LOB~IED: A) Full Name of Individual/Title B) Any Financial, Familial or Professional Relationship e. -,~ ,/ IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURL Y, . FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE: (Required) No compensation other than salary as employee. B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required),No compensation other than employee's salary Yes No: X Are YOU reDresentina a not-for-Drofit comoration or entity without soecial comDensation or reimbursement. Pursuant to Ordinance No. 2004-3435. 1) Pursuant to Ordinance No. 2003-3393 Amending Miami Beach City Code Chaoter 2. Article VII. Division 5 Thereof Entitled "Camoaian Finance Reform" Via The Addition Of Code Section 2-488 Entitled "Prohibited Campaian Contributions By Lobbyists On Procurement Issues": Yes X No: Are YOU lobbyina on a Dresent or oendina bid for aoods. eauiDment or services, or on a Dresent or oendina award for aoods, eauiDment or service? 2) Pursuant to Ordinance No. 2003-3395 Amendina Miami Beach City Code Chaoter 2. Article VII Division 5 thereof Entitled "Campaign Finance Reform", Via The Addition Of Code Section 2-490 Entitled "Prohibited Campaian Contributions Bv Lobbvists On Real Estate Develooment Issues": Yes Y. 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, 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. ~.~ ~6 .,~ 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: VI. PRINCIPAL IDENTIFICATION: LOBBYIST IDENTIFICATION: o Produced ID o Produced ID Form of Identification Form of Identification o Personally known (Lobbyist) o Personally known (Principal) VII. SIGNATURE AND STAMP OF NOTARY: State of Florida, County of Miami-Dade Sworn to and subscribed before me .l This L'-' day ~. . 20.0..,. State of Florida, County of Miami-Dade Sworn and subscribed before me This _day of . 20_ Signature of Public Notary - State of Aorida Notarization of Principal's signature NlAllB.GONlAlfI """N* -SfaIe ofRalldll · . 0....."'" &Pres Ncw" ,/ . Name of Beneficial Owner % of shares owned Wellington Management Co., LLP 5.7% The Alfred Hoffman, Jr. 2003 Long-Term Trust 11.9% Hotchkis and Wiley Capital Management, LLC 5% Don E. Ackerman 7.75% Page I of2 .. Gibson, Elizabeth From: Pamela Robinson [PamelaRobinson@wcicommunities.com] Sent: Monday, September 27,200410:05 AM To: Gibson, Elizabeth Subject: FW: Lobbyist Registration form -----Original Message----- From: Enrique de la Pezuela sent: Monday, September 27, 2004 10:07 AM To: Pamela Robinson; Steve Sorensen Cc: 'elizabethgibson@iamibeachfl.gov' Subject: RE: Lobbyist Registration form No, not at the present time. Enrique de la Pezuela Project Manager "Mosaic" WCI Communities Inc. America's Best Builder 2004 (305) 439-4511 Cell (954) 846-2227 x31 Office (954) 846-2292 Fax EnrLClliedelaPezuela@wcicommunitie~.com WWW-,-WGicommuDiJi~~.cQm -----Original Message----- From: Pamela Robinson sent: Monday, September 27,20049:58 AM To: Steve Sorensen; Enrique de la Pezuela Cc: 'elizabethgibson@iamibeachfl.gov' Subject: FW: Lobbyist Registration form Can you please answer this question? Thanks. -----Original Message----- From: Gibson, Elizabeth [mailto:ElizabethGibson@miamibeachfl.gov] sent: Monday, September 27,20049:54 AM To: pamelarobinson@wcicommunities.com Subject: Lobbyist Registration form The below listed question were not answered on the above form: Are you lobbying on a pending application for a development agreement with the city or application for change of zoning map designation or change to the City's future land use map? Yes No 9/27/2004